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Article
Munchausen’s syndrome by proxy in Iraq; case series

Author: Ashoor R. Sarhat
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2016 Volume: 21 Issue: 1 Pages: 271-284
Publisher: Tikrit University جامعة تكريت

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Abstract


Article
Round Pneumonia
جولة الالتهاب الرئوي

Author: Ashoor R. Sarhat عاشور رفعت سرحت
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2007 Volume: 1 Issue: 131 Pages: 144-148
Publisher: Tikrit University جامعة تكريت

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Abstract

Round Pneumonia constitutes an atypical radiological presentation of pulmonary infections which occurs in less than 1% of cases of pneumonia. It is most commonly seen in children less than eight years of age and may simulate a pulmonary or mediastinal mass and is very rare in adults. The recognition of this entity is important, 1st in that the pneumonia may be confidently diagnosed as bacterial in etiology, usually pneumococcal; therefore appropriate antibiotic therapy may be instituted. 2nd ly, that in children it shouldn’t to be confused with mass which may have an alarming appearance on chest radiograph. So undue anxiety and unnecessary imaging may be avoided by properly diagnosing and treating the pneumonia. Here, are two cases of round pneumonia documented with their chest radiographs, which show radiological progression from round to lobar pneumonia followed by resolution after treatment with appropriate antibiotics

الالتهاب الرئوي جولة يشكل عرضا الإشعاعية شاذة من الالتهابات الرئوية التي تحدث في أقل من 1٪ من حالات الالتهاب الرئوي. هو الأكثر شيوعا وينظر إليه في الأطفال أقل من ثماني سنوات من العمر، وربما محاكاة الشامل الرئوي أو المنصف ونادر جدا في البالغين. الاعتراف بهذا الكيان هو المهم، في 1 التي يمكن أن الالتهاب الرئوي تشخيص بثقة والجرثومية في المسببات، الالتهاب الرئوي عادة، لا يجوز تحريك العلاج بالمضادات الحيوية المناسبة لذلك. 2 لاي، أن لدى الأطفال يجب أن لا يجب الخلط بينه والشامل الذي قد يكون له مظهر على نحو ينذر بالخطر تصوير شعاعي للصدر. ويمكن تجنب القلق لا مبرر له حتى والتصوير لا لزوم لها من خلال تشخيص سليم وعلاج الالتهاب الرئوي. هنا، نوعان من حالات الالتهاب الرئوي جولة موثقة مع صور الأشعة صدورهم، والتي تظهر تقدم الإشعاعية من جولة إلى التهاب رئوي فصي يليه قرار بعد العلاج بالمضادات الحيوية المناسبة


Article
Diaper Rash Among Infants in Tikrit City
التهاب الحفاض بين الأطفال دون السنة من العمر في مدينة تكريت

Author: Ashoor R. Sarhat عاشور رفعت سرحت
Journal: Tikrit Journal of Pure Science مجلة تكريت للعلوم الصرفة ISSN: 18131662 Year: 2008 Volume: 13 Issue: 2 Pages: 26-28
Publisher: Tikrit University جامعة تكريت

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Abstract

Background: Diaper rash is a common problem among infants.Objectives: Is to shed the light on the it's etiopathogensis of napkin rash and its frequency among Iraqi infants.Patients and method: A cross sectional study carried out in Tikrit teaching hospital in a period of 3 month. It involved one thousand infants under one year of age attending the departments of dermatology and pediatric. A full history and clinical examination were performed for each infant with a problems related to diaper area.Result: Of one thousand infant only 311 infants (31.1%) were have had diaper rash and divided according to the type of the rash to: one hundred twenty eight (128) infants (41.15%) infant had irritant contact dermatitis, ninty one infants (29.26%) had infantile seborrheaic dermatitis, eighty seven infants (27.97%) had candida napkin dermatitis, three infants (0.96%) had psoriasis, the remaining two infants (0.66%) had acrodermatitis enteropathica.Conclusion: Diaper rash is a common problem a among infants in Tikrit city and dermatitis is the commonest cause.

الخلفية: التهاب الحفاض من الأمراض الشائعة عند الأطفال دون السنة من العمر. الأهداف: ومن اجل تسليط الضوء على أسبابها المراضية وترددها بين الأطفال دون السنة من العمر في مدينة تكريت. المرضى والطرق: أجريت هذه الدراسة المقطعية في مستشفى تكريت التعليمي وشملت ألفا من الأطفال دون السنة من العمر الذين راجعوا قسمي أمراض الأطفال والأمراض الجلدية خلال ثلاثة أشهر وهي فترة إجراء الدراسة. وتم اخذ التاريخ المرضي وإجراء الفحص ألسريري التام لكل طفل كان يعاني من التهاب الحفاض. النتائج: من مجموع الألف طفل، كان هناك ثلاثمائة واحد عشر طفلا (31.1%) كان لديهم التهاب الحفاض وتم تقسيمهم اعتمادا على نوع الالتهاب وكالتالي: مئة وثمان وعشرون طفلا (41.15%) كان لديهم اكزيما التماس التخريشي ، وواحد وتسعون طفلا(29.26%) كان عندهم التهاب الجلد الزهمي، سبعة وثمانون طفلا (27.97%) كان عندهم التهاب الحفاض الناجم عن المبيضات، ثلاثة أطفال(0.96%) كان لديهم (صدفية حفاضية)، الأطفال الاثنين الباقين(0.66%) كان لديهم لالتهاب الجلد بعوز الزنك.الاستنتاجات: التهاب الحفاض من الأمراض الشائعة عند الأطفال دون السنة من العمر في مدينة تكريت و أكزيما التماس التخريشي هو الأكثر شيوعا.


Article
Screening of Post Traumatic Stress Disorders among Preschools Children in Baijee City

Authors: Faiadh H. Faiadh --- Ashoor R. Sarhat
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 1-15
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Post-traumatic stress disorder is the name given to the psychological and physical symptoms that can sometimes follow particular threatening or distressing events. To assess the frequency of Post Traumatic Stress Disorder among preschools children this study was carried out in Baijee Borough.Subjects & Methods: A sample of 105 preschool children aged (1-5) years, (24) of them are females and (81) are males were assessed by using a questionnaire that include a demographic information, family history of exposure to trauma and by using a screening semistructured tool that known as modified Child Behavior Checklist which divided the sample into two groups: first one those with < 9 scores which considered as negative screening test for Post-traumatic stress disorder and the second one those with > 9 scores which considered as positive screening test for Post-traumatic stress disorder.Results: Positive screening test of post-traumatic stress disorder was found in 31 (29.5%) of the sample with male to female ratio (2.1:1). Children from rural areas had positive screening test of post-traumatic stress disorder in (67.7%) of them comparison to 10 (32.3%) of those from urban areas. The commonest involved age group with positive screening test of post-traumatic stress disorder was between 2-3 years (48.4%). Explosion and or airplane voice were the commonest trauma associated with positive screening test of post-traumatic stress disorder in 35% of children exposed to.Conclusions: Post-traumatic stress disorder exists among preschool children exposed to trauma but not recognized. Breast feeding is of protective effect against post-traumatic stress disorder.


Article
Toward Iraqi National Medical Licensing Examination

Authors: Ashoor R Sarhat --- Sarab K. Abedalrahman
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 77-84
Publisher: Diyala University جامعة ديالى

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Abstract

Many factors that necessitate the need for a national medical licensing examination in Iraq, and these are the following; the rapid increase in the number of medical schools and their students, the expected influx of Iraqi and foreign medical graduates from foreign countries to work in Iraq especially after 2003. The expected increasing number of students and award of scholarships to increasing numbers of students to study medicine in various countries with the absence of published national guidelines for minimal acceptable competencies of a medical graduate are of driving forces for this examination. This article is to discuss the need for consensus of lists of competencies that a graduating medical student is expected to master in order to practice medicine, and then to design national licensing examinations to address these different competencies.


Article
Hearing loss among primary school –age children in Tikrit city.
فقدان السمع لدى الأطفال في سن الدراسة الابتدائية في مدينة تكريت.

Authors: Salim H. Muharam عاشور رفعت /سالم العبدي/ سالم حسين --- Salim H. Al-Obeidy --- Ashoor R. Sarhat
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2006 Volume: 1 Issue: 121 Pages: 29-34
Publisher: Tikrit University جامعة تكريت

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Abstract

Hearing loss is a chronic health problem, it cause learning & communication problems
throughout the life, Because most of the causes of hearing loss can be treated, so early detection &
proper management of hearing loss will improve the social & intellectual performance of the child.
The aim of this study is o evaluate the hearing loss in school-age children in Tikrit primary
schools. Clinical examination of the ear including otoscopy, tuning fork tests & pure tone
audiometry have been done for students with risk factor causing hearing loss, and for students
clinically having hearing loss. From the total of one thousand two hundred forty students were
examined, seventy three students (5.15%) have hearing impairment. Conductive hearing loss is
present in sixty seven students (4.72%) which are more than sensory neural hearing loss that
present in six students (0.42%). Otitis media with effusion was the commonest cause of conductive
hearing loss (73%) then chronic supportive otitis media (27%). Average hearing loss was 30 dB in
conductive hearing loss and 50 dB in sensory neural hearing loss. The commonest age group
affected by hearing loss is the age group between (6-8) years where we find thirty students (7.1%),
then the age group between (8-10) years where we find twenty seven students (6.14%). School
performance affected more in patient with sensory neural hearing loss. Six students (100%) with
sensory neural hearing loss had bad school performance while in conductive hearing loss only
twenty five students (34.47%) have bad school performance as success, ability to share or delay in
understanding. We conclude that Hearing impairment is a major problem in early life because it
affects school performance and normal social communication ability, so early detection of hearing
loss and appropriate management is essential to improve social and intellectual performance of the
child.

فقدان السمع هو مشكلة صحية مزمنة، أن يسبب مشاكل في التعلم والتواصل
طوال الحياة، لأنه يمكن علاج معظم أسباب فقدان السمع، والاكتشاف المبكر وذلك
والإدارة السليمة لفقدان السمع من شأنها تحسين الأداء الاجتماعي والفكري للطفل والهدف من هذه الدراسة هو تقييم س فقدان السمع في الأطفال في سن الدراسة في المدارس الابتدائية تكريت /> وقد تم القيام به للطلاب مع عامل خطر التسبب في فقدان السمع، و. للطلاب
وسريريا وجود فقدان السمع من مجموع 1240 طالبا وكانت
وفحصها، 73 طالبا (5.15٪) وضعف السمع. فقدان السمع التوصيلي هو
الحالي في 67 الطلاب (4.72٪) والتي هي أكثر من فقدان السمع الحسي العصبي الذي
الحالي في ستة طلاب (0.42٪). وكان التهاب الأذن الوسطى مع انصباب أشيع سبب
موصل فقدان السمع (73٪) ثم التهاب الأذن الوسطى المزمن داعمة (27٪). وكان متوسط ​​فقدان السمع 30 ديسيبل في
وفقدان السمع التوصيلي و 50 ديسيبل في فقدان السمع الحسي العصبي. المجموعة الأكثر شيوعا سن
والمتضررين من فقدان السمع هي الفئة العمرية ما بين (6-8) سنوات حيث نجد ثلاثين طالبا (7.1٪)،
وثم الفئة العمرية بين (8-10) سنة حيث نحن العثور على 27 طالبا (6.14٪). مدرسة
وأداء أكثر المتضررين في المريض مع فقدان السمع الحسي العصبي. وكان ستة طلاب (100٪) مع />
25 طالبا (34،47٪) لديهم سوء الأداء المدرسي والقدرة، والنجاح في مشاركة أو تأخير في < ر /> والتفاهم. نخلص إلى أن ضعف السمع هو مشكلة رئيسية في وقت مبكر من الحياة لأنه
ويؤثر على الأداء المدرسي وطبيعية قدرة التواصل الاجتماعي، لذلك الكشف المبكر عن السمع
وخسارة والإدارة المناسبة أمر ضروري لتحسين الأداء الاجتماعي والفكري لل
والطفل


Article
Evaluation of creatine kinase activity in Cerebrospinal fluid of normalindividuals and patients with meningitis
تقييم نشاط الكرياتين في السائل الدماغي من normalindivid

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Abstract

The present study is conducted to evaluate creatine kinas, glucose level, and protein concentration
activity, in CSF of patients with meningitis in comparison with their levels in healthy persons during
the period from the first of February to the last of Augest 2005. The aim of the study is to provide
further information about the relationship between meningitis and creatine kinase activity. In addition
glucose and protein CSF concentration had also been evaluated in both groups.
Twenty eight samples of CSF were collected; 10 samples represented the control group whose range
between (1-13) years and 18 samples were represented the patients with meningitis group whose
range between (1-10) years. Creatine kinase activity appeared significantly higher in patients with
meningitis in comparison with normal individuals. It is also found that CSF protein is higher and CSF
glucose is lower in infected than in the control group.

تتم هذه الدراسة لتقييم kinas الكرياتين، مستوى السكر، والبروتين نشاط تركيز /> وخلال الفترة من الأول من فبراير إلى مشاركة من اغسطس عام 2005. والهدف من هذه الدراسة هو توفير
مزيد من المعلومات حول العلاقة بين التهاب السحايا والكرياتين كيناز النشاط. وبالإضافة إلى ذلك
كما تم تركيز الجلوكوز والبروتين CSF تقييمها في كل من المجموعتين
وقد تم جمع عينات من ثمانية وعشرون CSF؛. 10 عينات ممثلة السيطرة على المجموعة التي تتراوح
وبين (1-13) سنة ومثلت 18 عينة للمرضى الذين يعانون من مرض التهاب السحايا الذي مجموعة
وتتراوح ما بين (1-10) سنوات. وبدا النشاط الكرياتين كيناز أعلى بكثير في المرضى الذين يعانون من التهاب السحايا />
الجلوكوز في أقل من إصابة في السيطرة على المجموعة.


Article
Evaluation of creatine kinase activity in Cerebrospinal fluid of normal individuals and patients with meningitis
تقييم نشاط الكرياتين في السائل الدماغي من الأشخاص الطبيعيين والمرضى الذين يعانون من مرض التهاب السحايا

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Abstract

Increased enzymes level in cerebrospinal fluid including creatine kinase have been reported to indicate tissue damage of the central nervous system. To evaluate creatine kinas, glucose level, and protein concentration activity, in CSF of patients with meningitis in comparison with their levels in healthy persons during the period from the 1st of January 2006 -1st of January 2007.
Twenty eight samples of CSF were collected; 10 samples represented the control group whose range between (1-13) years and 18 samples were represented the patients with meningitis group whose range between (1-10) years. Creatine kinase activity appeared significantly higher in patients with meningitis in comparison with normal individuals. It is also found that CSF protein is higher and CSF glucose is lower in infected than in the control group

وقد أبلغ عن زيادة مستوى الانزيمات في السائل المخي الشوكي بما في ذلك كيناز الكرياتين للإشارة إلى تلف الأنسجة من الجهاز العصبي المركزي. لتقييم kinas الكرياتين، مستوى السكر، والبروتين النشاط والتركيز، في السائل النخاعي من المرضى الذين يعانون من مرض التهاب السحايا في مقارنة مع مستوياتها في الأشخاص الأصحاء خلال الفترة من 1 يناير 2006، 1 يناير 2007.
وجمعت ثمانية وعشرون عينة من السائل النخاعي، و 10 عينات ممثلة السيطرة على المجموعة التي تتراوح ما بين (1-13) سنوات، ومثلت 18 عينة من المرضى الذين يعانون من التهاب السحايا مجموعة التي تتراوح ما بين (1-10) سنوات. وبدا النشاط الكرياتين كيناز أعلى بكثير في المرضى الذين يعانون من مرض التهاب السحايا في مقارنة مع الأشخاص الطبيعيين. كما أنها وجدت أن CSF البروتين العالي وCSF الجلوكوز هو أقل من ذلك في إصابة مما كانت عليه في السيطرة على المجموعة


Article
New Epidemic of Cutaneous Leishmainasis in Children in 2005 in Tikrit City

Authors: Ashoor R. Sarhat --- Wisam S. Najem --- Sarab K. Abed alrahman --- Rafal K. Farhan
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 302-308
Publisher: Diyala University جامعة ديالى

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Abstract

This study is carried out to determine the epidemiology of cutaneous leishmaniasis in Iraqi children below sixteen years old in Tikrit during December-2005. From 489 patients attended Tikrit teaching hospital, 83 (17%) of them were having cutaneous leishmainasis. Fifty one of them were males (61.4%), and thirty two (38.6%) were females. Total number of lesions were 114, and the dry lesions constitute 78 (68.4 %) of them while, 36 (31.6%) of them were wet. 52.6% of the lesions were in the face, 26.4% of the lesions were in the lower limb, 2.6% of the lesions were in the abdomen, chest, and upper arm, and only 0.8% were in the scalp. Three cases had combined visceral and cutaneous leishmaniasis. A new epidemic of cutaneous leishmainasis had occurred in Iraq at end of 2005 and affects almost all ages and preferentially children and adolescents. Dry lesions were more common than wet lesions.


Article
Evaluation of the Salivary Oxidative Stress, and Non-Enzymatic Antioxidants Marker in Patients with Rheumatoid Arthritis

Authors: Entedhar R. Sarhat --- Ashoor R. Sarhat --- Zubaidah Najat Mustafa --- Siham A. Wadi
Journal: Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان ISSN: 20731213 Year: 2019 Volume: 7 Issue: 1 Pages: 27-30
Publisher: Tikrit University جامعة تكريت

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Abstract

Rheumatoid arthritis (RA) is a chronic systemic inflammatory autoimmune disease that preferentially affects diarthrodial joints. Oxidative stress is elevated in RA patients implying reactive oxygen species (ROS) are possible mediators of tissue damage. Assess the level of total antioxidant capacity (TAC), malondialdehyde (MDA), and non-enzymatic antioxidants (vitamin E, and C )in the saliva of in patients with rheumatoid arthritis(RA). For the realization of our goals we included sixty rheumatoid arthritis patients (RA) (21 female and 39 male) who were fulfilling the American College of Rheumatology and European League Against Rheumatism 2010 revised criteria for classification of RA ,picked randomly, at the age from 25-57 years, and 60 as age matched control group, who attended to Tikrit Teaching Hospital / Tikrit / Iraq during the period from January 2017 to March 2018. Stimulated saliva specimens were collected at the morning. TAC of saliva was evaluated by spectrophotometric assay. Statistical comparisons were performed using Student’s t-test, by SPSS 13. Levels of salivary pH, flow rate, TAC, vit E and C were decreased significantly, whereas the salivary level of MDA were increased significantly in RA patients when compared with healthy controls. There was an increased oxidative stress and a low antioxidant status in patients with RA. These changes are probably due to efforts for reducing lipid peroxidation and hence to lower tissue damage.

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