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Article
Epidemiological Aspect of Stroke Cases in Al- Ramadi City
دراسة الاتجاهات الوبائية للطارئة الوعائية الدماغية في مدينة الرمادي

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Abstract

Objectives: To study the subtypes of stroke, prevalence among age groups, sex, and the effect of some risk factors. Patients and methods: 182 Stroke cases admitted to Al-Ramadi General Hospital during the period from November 2001 to August 2002 were studied. Clinical diagnosis of stroke was documented by spiral computerized tomography of the skull. Risk factors analysis was made based on history, clinical examination and laboratory investigations. Results: The study showed that peak of stroke cases was in the sixth and seventh decades of the life with a mean age of 62.77± 12.7 and the incidence in males was 55.5% (101) while in females was 44.5% (81). The frequency of stroke subtype was 71.6% (130) of infraction type and 28.4% of hemorrhagic type. Risk factors were found in 83.6% of cases and hypertension was the most common risk factor and the least one was previous history of transient ischemic attack. These results were nearly similar to other studies in Iraq. Conclusions: Stroke is a common medical problem Al-Ramadi city. Majority of patients were having risks factors and the most common were hypertension cardiovascular disease, and diabetes mellitus

الهدف: دارسة أنواع الطارئة الوعائية الدماغية وتوزيعها من حيث العمر والجنس، وتأثير عوامل الخطورة عليها.الطرق: تمت دراسة (182) مريضا مصابين بطارئة وعائية دماغية أدخلوا إلى ردهة الأمراض الباطنية في مستشفى الرمادي العام خلال الفترة من شهر تشرين الثاني 2001 ولغاية شهر تموز 2002 تمت عملية التشخيص سريريا وتم توثيقها بأشعة المفراس الحلزوني للدماغ وتحليل عوامل الخطورة التي يتم التأكد منها سريريا ومختبريا.النتائج: تبين ان معظم الحالات حديث في العقدين السادس من العمر، وكان معدل عمر المرضى 62077 وان 7106% من الحالات كانت من نوع الجلطة التخثرية، و 2804% كانت طارئة وعائية نزفية داخل الدماغ، ووجدنا ايضا ان عوامل الخطورة في 873-6% من المرضى، ووجد ان ارتفاع ضغط الدم هو اكثر العوامل انتشارا وان اقلها هو وجود نوبة طارئة وقتية سابقة. ان نتائج هذه الدراسة كانت مقاربة لنتائج الدراسات الاخرى في العراق.الاستنتاج: ان الطارئة الوعائية الدماغية تنتشر في مدينة الرمادي وانها تصيب متوسطي العمر والكبار ان غالبية المرضى يحملون عوامل الخطورة وهذه العوامل تحتاج الى المتابعة والعلاج لتقليل الاصابة بالمرض


Article
Illustrated Correlation of Brain C.T. Scan Findings in Clinical Assessment of Spontaneous Intracerebral Haematoma in Patients with Positive Risk Factors

Author: Yasir Mohammed Hasan Hamandi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 4 Pages: 270-275
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Spontaneous intracerebral hemorrhage (SICH) is defined as non-traumatic bleeding into the parenchyma of the brain that may extend into the . head computed tomography scan is the standard diagnostic toolOBJECTIVE: Find out the most important risk factor for SICH.and Illustrate the correlation between the sites of hemorrhage detected by CT scan images and patients presentations. PATIENTS AND METHODS:A prospective study between May 2010 and May 2012; this study was done in the CT unit in AL- Imamain Kadhimmain medical city, Baghdad, The study included 224 consecutive patients with the diagnosis of primary SICH.All the patients had primary spontaneous intracerebral hemorrhage clinically diagnosed plus CT findings that showed evidence of intra-cerebral hemorrhage. Statistical analysis was done using SPSS 15.RESULTS:This study included 224 patients, 128males and 96 females. Forty two patients lie in the age group of 50-59 years, 66 between 60-69 years, 48 between 70-79 years, 52 patients are seventy years old and older and only 16 are below fifty years of age. Regarding the site of bleeding 160 patients (71.4%) had bleeding in deep seated areas of the brain and 64 patients (28.6%) had bleeding in a superficial location. Regarding the deep seated hemorrhage basal ganglia was in 96 (42.8%) of the patients, followed by Thalamus in 48 (21.4%), and cerebellum in 16 (7.2%) of the patients. In the superficial sites of hemorrhage parietal lobe was in 40 patients (17.8%), then parieto-occipital hemorrhage was in 16 (7.2%) patients and 8 patients (3.6%) had temporal lobe hemorrhage. Hypertension was the most common risk factors, found in 75% of patients, followed by antigcoagulant use in 57.2% of patients. A history of diabetes mellitus was positive in 39.3% of the patients, 39.3% of them were smokers, and 25% patients had no history of any risk factors. A statistically significant difference between deep & superficial bleeding is seen in correlation with hypertension and smoking (P value is 0.00001 and 0.002 respectively) The focal neurological signs, found in 66 patients, facial palsy in 48 patients, loss of consciousness in 40 patients, 32 patients had both focal neurological signs and loss of consciousness as a presentation, 22 of them presented with speech difficulty, 8patients presented with ataxia and 8 with dementia. Significant relationship was found between the site of hemorrhage and patients’ presentation (P value 0.001). 120patients had intra-ventricular extension of hemorrhage in their CT films, 120 patients had pressure effect of the hemorrhage, and 104 were complicated by edema.CONCLUSION:Males are more affected than females by spontaneous intra-cerebral hemorrhage which tends to occur more commonly in a deep seated area of the brain.Hypertension is the most important risk factor. There is great correlation between patients’ presentations and the site of hemorrhage. Patients 50 years and older are more liable for spontaneous intra-cerebral hemorrhage..


Article
Pregnancy outcome in women with subchorionic haemorrhage detected in first and second trimester of pregnancy
نتائج الحمل في النساء المصابات بنزيف تحت الغشاء المخاطي في الثلث الأول والثاني من الحمل

Authors: Parween Omer Hassen --- Samira S. Shekh Mohammed --- Parez Retha
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 2 Pages: 1035-1040
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Subchorionic hemorrhage is the most common sonographic abnormalities and the most common cause of first trimester miscarriage and mainly associated with vaginal bleeding. The present study was conducted with an aim to find out the effect of subchorionic hemorrhage in first and second trimester of pregnancy outcome.Methods: A case cohort prospective study was designed to investigate 100 patients having a subchorionic hematoma in the presence of singleton live embryo or fetus. The study assessed the association of the volume size of subchorionic hematoma, maternal age and gestational age at time of the diagnosis with adverse pregnancy outcomes.Results: The incidence of miscarriage and preterm delivery was 35% and 21% respectively. The mean (±SD) age of those who aborted was 29.97 ± 7.0 years, slightly higher than the mean age of those who ended with preterm delivery (27.7 ± 5.87 years) and those continued with their pregnancies to viability (28.3 ± 6.2 years). There was a statistically significant association between previous histories of preterm delivery and pregnancy outcome (P =0.015). Miscarriage was significantly high among women with gestational age <12 weeks, while term pregnancy was significantly high among women with gestational age >13 weeks (P <0.001). The estimated volume of the hematoma did not correlate with the outcome of the pregnancy, perhaps it is the presence or absence of a hematoma as a marker of the integrity of placentation and not its size.Conclusion: Subchorionic hematoma in first and second trimester of pregnancy associated with adverse pregnancy outcome (spontaneous miscarriage and preterm delivery.


Article
Tensile strength of repaired acrylic resin influenced by water aging

Author: Firas Abd Kati Al-Shammari
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 1 Pages: 27-33
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Acrylic resins are commonly used for fabrication of removable dentures. The aim of this study was to assess the effect of aging in water on tensile strength of acrylic after manipulation with chemical and mechanical surface treatments. 160 specimens were prepared from heat-cured resins and divided into 4 groups according to time of immersion in water. Acrylic samples were cut into two halves and then repaired with heat-cured acrylic resin. All acrylic samples were tested under tensile loads till fracture. The tensile strength was affected by water aging and surface treatments used. The acrylic samples reinforced by metal wire had the maximum tensile strength for all groups. In addition, the acetone group created a higher tensile strength than monomer and untreated group (P<0.001). Furthermore, the application of a liquid monomer increased significantly the tensile strength as compared to untreated group (P<0.001). Moreover, There were a highly significant differences between repaired groups (P<0.001). For water aging, there were a highly significant differences among all groups (P<0.001). The tensile strength of repaired samples which immersed in water for one day was greater than that of samples immersed for 7 days, two and 4 weeks. The present study concluded that the tensile strength of acrylic resin had been significantly affected by water aging and surface treatments used. The tensile strength of repaired acrylic resin had been significantly reduced when samples immersed in water for long time. It is recommended for the patients to repair their fractured dentures immediately.


Article
Ocular complications following intravitreal Bevacizumab (Ava

Author: Saif Abass AL-Shamarti
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 1 Pages: 23-26
Publisher: Al-Muthanna University جامعة المثنى

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To assess the rate of ocular complications in patients following intravitre albevacizumab (Avastine) injection for patients with proliferative Diabetic Retinopathy. The study was conducted IBSAR center in Al-NAJAF, IRAQ on 2014, 100 patients participated in the study, their age ranging from 50 years old to 63 years old and followed up for 6 months for observation of the complications. The results were; ten patients have subconjunctival hemorrhage, two patients have post-operative endophthalmitis, three patients have slightly increase in their IOP post operatively, five patients complain of post-operative ocular pain, Sterile uveitis occurs in 1 patient, No retinal detachment occurs, No vitreous hemorrhage occurs. Intravitreal (Avastin) injectionis generally safe with minimal risks, if we take good attention regarding sterilization, technique & surgical procedure.

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