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Article
Clinical Profile and OutComeOf Respiratory Failure In Iraqi Children

Author: Muhi Al-Janabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 132-137
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The frequency of acute respiratory failure is higher in infants and young children than in adults.Acuterespiratory failure remains a significant cause of morbidity and mortality for children .PATIENTS AND METHODS:One hundred and twenty children under the age of 15 years presented with respiratory failure andadmitted to RICU in Children Welfare Teaching Hospital and Surgical Specialty Hospital in MedicalCity - Baghdad in the period from the 1st of May -2003 to the 30th of June 2005 were enrolled in adescriptive study.RESULTS:Seventy nine (65.83%) cases were males and 41 (34.17%) were females. Male / female ratio was1.93:1.The mean age was 30.21 months, 35 (29.16%) cases were neonates. Sixty eight (56.7%) caseswere from urban areas and 52 (43.3%) were from rural areas. Seventy eight (65%) children wereadmitted for medical diseases and 42 (35%) were admitted for surgical problems. The most commonmedical causes were respiratory (50%) followed by neurological (37. 17%).The most commonrespiratory cases were bronchiolitis (28.2%) and most common neurological cases were Guillain- BarreSyndrome (58.6%).The majority (90.47%) of surgical cases were admitted post-operatively. Theaverage duration of stay in RICU was 9.71 days. Fifty three patients (44.17%) survived and 67(55.83%) died.CONCLUSIONS:The most common age group admitted to RICU is infancy, medical cases are more commonly admittedthan surgical cases, the most common medical causes of admission are respiratory followed byneurological causes, the most common respiratory cause of admission is acute bronchiolitis.


Article
A NOVEL BACTERIA RECOVERED FROM CASES OF SUBCLINICAL MASTITIS IN EWES
عزل بكتريا اصلية من حالات التهاب الضرع التحت السريري في النعاج

Author: saleem amin Hasso سليم امين حسو
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2006 Volume: 5 Issue: 2 Pages: 118-122
Publisher: Basrah University جامعة البصرة

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Abstract

Four hundred milk samples were collected from 205 local breed ewes for thedetection of clinical and sub clinical mastitis. The incidenceof clinical mastitis 'was (7.25%) while that of sub clinical mastitis was (26.25%). I-Iistophilus Ovis wasisolated from natural cases of sub clinical mastitis of ewes and is a novel bacteriumA to Iraqi mastitis literature

Keywords

Mastitis --- Bacteria --- Iraq


Article
Age at Menarche among Iraqi Teenagers
العمر عند الطمث لدى المراهقات العراقيات

Authors: Aysin K. Noori ايسن نوري --- * Jawad K. Al-Diwan جليل الديوان --- Jalil I. Al-Mushhadani جلال المشهداني --- Abdul Hussain Al-Hadi عبدالحسن
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 4 Pages: 295-297
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractObjective: To determine the age at menarche among teenagers in Baghdad Methods: A total of 658 adolescent girls were included in this study from Baghdad city. Full information including age, residential area, weight, height, date of menstruation, practicing sport (exercise), father's occupation and education, age at menarche of mother, and mother's occupation and education were collected. Multiple regression was used to examine the association between the age of menarche and independent variables.Results: The mean age at menarche was 12.1 ± 2.2 years. Age of menarche was associated with mother's age at menarche, socioeconomic status, BMI, and practicing exercise.Conclusion: Age at menarche was similar to that reported in other communities.

الملخص:الهدف : تحديد العمر عند الطمث لدى المراهقات في بغدادطرق البحث: تم مقابلة 638 مراهقة في بغداد حيث تم جمع معلومات عنالعمر ومنطقة السكن والوزن والطول وبداية الطمث وممارسة الرياضة وعمل الاب وتحصيله الدراسي وعمل الام وتحصيلها الدراسي وعمرها عند الطمث . تم استخدام الانحدار المتعدد لتحديد العوامل ذات الارتباط المعنوي بالطمث لدى المراهقات .النتائج : كان معدل العمر عند الطمث هو 12.1 ± 2.2 سنة . العمر عند الطمث لدى العراقيات معنويا مع العمر عند الطمث للام ومؤشر كتلة الجسم وممارسة الرياضة .الاستنتاج : العمر عند الطمث لدى العراقيات مماثل عند الطمث في المجتمعات الاخرى .

Keywords

Age --- Menarche --- Iraq


Article
Pregnancy with Stroke
السكتة الدماغية والحمل

Authors: Akram M. AL- Mhdawi اكرم المهداوي --- Hussein S.AL-Azzawi حسين صليبي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 4 Pages: 319-325
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractBackground: Pregnancy related stroke is a vital health problem that needs to be studied thoroughly in order to reach the point of well understand to the puthophysiologie basis and the role of preventive measures in management. Objectives: this study had been designed to find the frequency of stroke in relation to different periods of pregnancy and puerperium, to assess the affect of variable risk factors and their association with stroke is more frequent among pregnant ladies.Methods: this is a cross sectional study that enrolled 30 pregnant patients who had stroke either or puerperium and being admitted to Al- Yarmouk. Baghdad and Al-Kadhemia Teaching Hospitals during the period from the 1 st of January, 2001, to the 31 st of December, 2002. All of the patients, who had been included in this study, had been subjected to detailed history, physical and neurological examinations and investigations. Results: 63.3% of ladies included in this study acquired stroke during pregnancy, 80% of them had stroke during the third trimester and early weeks of puerperium. 2/3 rd of the sample had ischemic stroke. Impaired consciousness was the commonest presenting symptom with a frequency of 50 % of the sample. 53.3% of the sample was hypertensive, while 36.7% of them had no significant past medical history. Oral contraceptive pills had been used by 50% of the sample, 2/3 rd of those using oral contraceptive pills had ischemic stroke. 63.3%of the sample had cesarean delivery. 50%of the sample had history of abortion. 60% of who had positive history of recurrent abortion. Cerebellar signs were the least observed signs on the other hand; all of the patients included in this study had more dysfunction during the disease course. Conclusions: this study revealed that most of stroke happened during the 3 rd trimester and early weeks of puerperium .being hypertensive, whether pregnancy related or not, is the most important risk factor. In addition, other recognized risk factors included diabetes mellitus and use of oral contraceptive pills.

الملخص :الخلفية : السكتة الدماغية وعلاقتها بالحمل من المشاكل الصحية الحيوية والتي تحتاج إلى دراسة مركزة للوصول إلى فهم جيد لخلفية الفسلجة الامراضية ودور الوقائية في التعامل مع هذه الحالات.الهدف : للتعرف على ترداد السكتة الدماغية أثناء مراحل الحمل والنفاس ولتقويم عوامل الخطورة المختلفة وعلاقتها بالسكتة الدماغية ولمعرفة أي أنواع السكتة الدماغية أكثر حدوثا أثناء الحمل .الطريقة : هذه الدراسة مقطعية ضمت 30مريضة أصيبت بالسكتة الدماغية أثناء الحمل أو النفاس أدخلن إلى مستشفى اليرموك التعليمي ومستشفى بغداد التعليمي أو مستشفى الكاظمية التعليمي للفترة من الأول من كانون الثاني ولنهاية كانون الأول عام 2002 ثم اخذ تفاصيل التاريخ المرضي مع إجراء الفحص السريري وفحص الجهاز العصبي مع إجراء الفحوصات اللازمة .النتيجة : 80% من إصابات السكتة الدماغية حدثت أثناء الفصل الثالث للحمل وأثناء الأسابيع الأولى للنفاس .وكان ثلثي الإصابات بسبب السكتة الذاوية . وكان اختلال الوعي أكثر الأعراض تردادا في 50 % من العينة .وكان 53,3% من العينة مصابات بفرط الضغط بينما الباقون ( 36,7% ) لم يكن لديهن ذلك أما فيما يخص استعمال حبوب منع الحمل فقد كان 50% منهن يستعملنها , ووجد إن ثلثي أولئك أصبن بالسكتة الذاوية ووجد إن 63,3% من العينة ولدن بالعملية القصيرية و 50% كان لديهن تاريخ مرضي بالإسقاط وان 60% من أولئك لديهن إسقاط متكرر أما فيما يخص العلاقات فان جميع المريضات كان لديهن خلل وظيفي حركي بينما إصابة المخيخ كانت الأقل من بين العلامات على المرضى .الاستنتاج : أظهرت الدراسة إن أكثر إصابات السكتة الدماغية حدثت في المراحل الثالثة للحمل والأسابيع الأولى وان الانضغاط الشرياني كان أهم عوامل الخطورة سواء الانضغاط الحملي أو غيرة من الأنواع. بالإضافة إلى ذلك فأن داء السكر واستعمال حبوب منع الحمل كان من بين عوامل الخطورة.

Keywords

stroke --- pregnancy --- puerperium --- Iraq


Article
Neurological Manifestations In Type- 1 DiabetesMellitus In Children

Authors: Hamid B. Al-kafaji محجوب النداوي، محي الجنابي ، حامد الخفاجي --- Muhi K. Al-janabi --- Mahjoob N. Al-Naddawi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 3 Pages: 255-257
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Diabetes mellitus type-1 is the most common endocrine metabolic disorder in childhood. Mononeuropathy, generalized polyneuro-pathy and autonomic neuropathy are frequent complications of diabetes mellitus and may give rise to troublesome manifestations. Methods: sixty children suffering from type 1 diabetes mellitus admitted in Children Welfare Hospital- Medical City-Baghdad in the period from 1st Dec2000-31stJuly 2001 were included in this prospective descriptive study. History, especially symptoms of peripheral neuropathy, examination specially signs of peripheral neuropathy, absent sinus arrhythmia and postural hypotension and investigations like nerve conduction study were all performed and analyzed.
Results:
The study showed that out of 60 diabetic children 26(43.3%) had symptomatic polyneuropathy, 18 (30%) had postural hypotension and 16 (26.6%) had absent sinus arrhythmia. Neurological manifestations of diabetes mellitus occur frequently in diabetic children with long duration of illness. Polyneuropathy is sensory more than motor and affected the lower limbs more than the upper limbs. Conclusion: Early diagnosis of autonomic neuropathy in diabetic children is simple easy and requires minimum cooperation, so as detection of peripheral neuropathy in asymptomatic by nerve conduction study.


Article
Adenosine Deaminase Activity in sera and lymphocytes of patients with Brucellosis
فعالية إنزيم الادنوسين ديمنيز في مصل وخلايا اللمفوسايت لدى المرضى المصابين بالبر وسيلا

Authors: Mahmoood M Atia د.محمود عطية --- Tahseen A Zydan د.تحسين زيدان --- Ali M S Al-Doori د.علي الدوري --- Wissam M Atia د.وسام عطية
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 2 Pages: 181-183
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:Background: Adenosine deaminase enzyme has been used as marker for infectious diseases e.g. tuberculosis and AIDS. Its activity is found to be elevated in diseases in which there is a cell mediated immunity. This work was carried out to study adenosine deaminase activity in patients with brucellosis. Methods: Blood samples were collected from patients with brucellosis 35 samples before treatment and 30 after four days starting treatment) and 25 samples from apparently "healthy" controls. Adenosine deaminase was determined. Analysis of variance was used to examine the association of adenosine deaminase with infection.Results: Significant difference was noticed in adenosine deaminase enzyme between patients with infection and controls, and, also, patients after treatment. No such significant difference was observed in adenosine deaminase between patients after treatment and control.Conclusion: Adenosine deaminase activity was higher in patients with brucellosis. Further studies are needed to explain the causes and mechanisms of increased level of adenosine deaminase.Key word: Adenosine deaminase enzyme, Brucellosis, Iraq

الملخص:الخلفية: إنزيم الادنوسين ديمنيز يستخدم في دراسات الأمراض الخمجية مثل لتدرن والايدز عند الإصابة بالأمراض التي فيها مناعة معتمدة على الخلايا. هذا البحث لدراسة فعالية الإنزيم لدى المرضى المصابين بالبر وسيلا.الطرق: تم سحب نماذج دم من مرضى مصابين بالبر وسيلا (35 مريضا قبل تناول العلاج و30 مريضا بعد أربعة أيام من تناول العلاج) من مراجعي مستشفى الرمادي العام و25 نموذجا من إصحاحا (مجموعة السيطرة). وتم تحديد مستوى إنزيم ادنوسين ديمنيز.النتائج: ظهرت فروقات ذات قيمة معنوية في إنزيم الادنوسين ديمنيز بين مجموعة مرضى المصابين بالبر وسيلا قبل العلاج ومجموعة المرضى بعد العلاج ومجموعة السيطرة في حين لم تظهر مثل هذه الفروقات بين مجموعة المرضى بعد العلاج ومجموعة السيطرة.الاستنتاج: تزداد فعالية إنزيم الادنوسين ديمنيز في مرضى البر وسيلا وتظهر الحاجة إلى دراسات أخرى لتحديد آليات هذه الفعالية وأسبابها.


Article
Battle casualties during Iraqi Iranian war 1980-1988

Author: Tharwat I. Sulaiman
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 4 Pages: 341-347
Publisher: Baghdad University جامعة بغداد

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Abstract

Background- Every war in the world has its characteristics and the Iraqi Iranian war 1980-1988 has been neglected for along time due to political factors . this study tried to illustrate some of the features of casualties during this war .
Methods – review of records of all veterans evacuated to an advanced dressing station (ADS) serving a corps sector over one year starting from the 1st of Jan. 1982 to the 31st of Dec. 1982.
Results – the total number of casualties reached this station was 3020 veterans . Mortality rate before reaching to the station was about 20%. The majority of veterans (70%) were evacuated to the next station and most of them (90%) were injured during combat. Severe injuries constituted only 11% of casualties evacuated while the majority of those evacuated were those with intermediate and simple injuries . the most common causative agent was shrapnel in 80% and extremities were the most common injured parts of the body (62%) and abdominal injuries were the least common(3.3%).
Conclusion – in spite of all the differences as compared to other war experiences , the mortality, causative factors, severity and site of injuries were comparative to other wars since Vietnam war till the last war in Iraq 2003 with limited differences.

Keywords

war --- casualties --- triage --- evacuation --- Iraq --- Iran


Article
Low Birth Weight in Baghdad, Iraq

Authors: Abdul Hussein M Al-Hadi --- Shukria SJ Al-ageeli --- Jawad KA Al-Diwan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 4 Pages: 363-365
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Many reports demonstrated an increase in low birth weight in the past three decades. This work was carried out to study the prevalence of low birth weight and its determinants among neonates delivered in Baghdad, Iraq.
Materials: A total of 400 singleton newborns delivered at two hospitals in Baghdad city during 15th June to 15th Nov. 2003 were included in the study.
Results: Half of the neonates were born with low birth weight. Out of the low birth weight neonates, there were 83% preterm neonates. Prevalence of low birth weight neonates was significantly associated with maternal age, age at marriage, parity, and anaemia.
Conclusion: This study indicates that the most appropriate approach for prevention low birth weight and prematurity in newborns is through improvement of nutritional status and health services.


Article
HLA Antigens Among Iraqi Muslims Arabs And Kurds

Authors: Batool M. Mahdi --- Khalida M. Al-Moussawy --- Abdul Wahab A.R. Al-Shaikhly --- Ali H. Ad’hiah
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 1 Pages: 94-97
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT: BACKGROUND: The HLA system is a relevant tool in population genetics analysis. From the genetic point of view, the HLA system is of general interest because of the extreme polymorphism of all known HLA loci. The allele and haplotype frequencies have a wide diversity among human population and differ in geographically and racially among populations. Iraq had a high percentage of Muslims people that distributed in two groups (Arab and Kurd). These groups are ancient populations and affected by many settlement in many centuries ago. These ancient settlements had left marks on the genetic structure of the modern Iraqi populations. The later immigrations to other countries were high in later years. The aim of study is to estimate the gene frequency of HLA class I (A, B, Cw) alleles in Iraqi Arab Muslims and Kurd Muslims and determine the genetic differences between them. METHODS: A total of unrelated 1400 Iraqi Arab Muslims (AM) and 705 Kurd Muslims (KM) healthy volunteers and individuals referred to Immunology and Tissue Typing Center in Al-Karamah Teaching Hospital for organ transplantation and Forensic medicine, were examined for HLA polymorphism using complement dependent cytotoxicity test from June-2003 to April-2004. RESULTS: The phenotypes of HLA typing of Iraqi Arab Muslims (AM) and Kurd Muslims (KM) were in agreement with Hardy-Weinberg equilibrium. Regarding HLA class I (A and Cw loci), there was a significant differences between these groups. Lasly, there was no significant difference between them in HLA-B. CONCLUSIONS: This may be due to their inhabitants different area in Iraq, and also due to their different origin as Arab and Kurd races with mild differences due to outbreeding and migration. The effects of invaders and settlements from out side the country and intermixing with them may play an important role in these differences


Article
Turkish Foreign Political Behaviour Towards Iraq After April, 9th, 2003
السلوك السياسي الخارجي التركي تجاه العراق بعد 9 نيسان 2003

Author: Ibrahim Khalil Al-Alaaff إبراهيم خليل العلاّف
Journal: Regional Studies دراسات اقليمية ISSN: 18134610 Year: 2006 Issue: 5 Pages: 1-21
Publisher: Mosul University جامعة الموصل

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Abstract

Turkey's recognition of the Iraqi state which has established in 1921 delayed till 1926 when the question of Mosul has been solved after the League of Nations has issued a re solution in December 1925 keeping Mosul Welayet within the border of Iraqi state. Although Turkey has accepted the resolution and fulfilled it but still the Turks remained waiting chances in finding means that could help them in achieving their own ambitions by modifying borders on the protest of preventing armed elements of P.K.K. from penetrating the Iraqi Lands. During the Gulf war II 1990-1991, different Turkish military intervention, presenting facilities for Us forces in applying No-Fly Zone north of Iraq. After U.S.occupation of Iraq, Turkey tried to apply the idea of sending military forces into Iraq mid of september 2003, issuing statments Concerning the problem of Kirkuk City.This Paper is an attempt in following up the Foreign political behaviour of Turkey towards Iraq after April, 9th' 2003.

بالرغم من ان سنة 1926 قد شهدت انتهاء مطالب الأتراك بالموصل بعد صدور قرار عصبة الأمم بإبقاء الموصل ضمن العراق، إلا أن الأتراك ظلوا يتحينون الفرص لكي يؤكدوا بأن الموصل لا تزال ملكاً لتركيا، وأن الضرورة الأمنية لتركيا تقتضي إعادة ترسيم الحدود وذلك بحجج كثيرة منها تسلل عناصر من حزب العمال الكردستاني (التركي) والادعاء بحماية التركمان. وأبان حرب 1990 تحدث الأتراك عن ضرورة إقامة منطقة أمنية عازلة في شمال العراق وتدفقوا داخل الأراضي العراقية لأكثر من مرة وعندما بدأت الولايات المتحدة تنفيذ مخططها لغزو العراق، رفضت الحكومة التركية المشاركة في هذه الحرب وعارضت فتح جبهة شمالية وكان لحزب العدالة والتنمية الحاكم آنذاك دور في اتخاذ هذا الموقف وبعد سقوط النظام السابق في بغداد في التاسع من نيسان2003 أرادت الولايات المتحدة من تركيا ان ترسل قوات عسكرية الى العراق لحفظ الأمن لكن العراقيين رفضوا ذلك.البحث يحاول متابعة السلوك التركي تجاه العراق والاحتلال وردود الفعل العراقية على ذلك

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