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Article
Effect of infection on semen parameters in a sample of Iraqi infertile males.

Authors: Jawad K. Al-Diwan --- Eman Al-Kaseer --- Ali A. Lazem
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2010 Volume: 52 Issue: 3 Pages: 272-274
Publisher: Baghdad University جامعة بغداد

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Background: Several studies were carried out on association of infection with male infertility, which revealed great variations in the prevalence of genital infection in different parts of the world. This work was designed to study the effect of infection on semen parameters in a sample of Iraqi infertile males.Methods: A sample of 400 infertile male patients attending the High Institute for Embryo Research and Infertility Treatment for laboratory investigations and treatment were selected. This study was carried out during the period Nov. 2002 to April 2003, inclusive. Seminal fluid analysis was performed on samples obtained by masturbation into a glass container after 48 to 72 hours from of abstinence from sexual intercourse. Analysis (examination of volume, liquifaction, sperm count, motility percent, normal morphology percent and presence of pus cells) was performed within an hour after ejaculation. Results: Clinical infection was detected in 14% of infertile males and 29% had subclinical infection. Liquifcation time and leukocyte had significant variation between infected and non infected patients. Conclusion: Early diagnosis and treatment of genitourinary infection in necessary to reduce complication and infertility in future.

Keywords

Infertility --- semen --- infection --- Iraq


Article
CMV infection among HIV / AIDS patients in Iraq

Authors: Jawad K. Al-Diwan *** --- Sana M.H. Alizi --- Ali R. Orer
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2006 Volume: 48 Issue: 4 Pages: 407-409
Publisher: Baghdad University جامعة بغداد

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Background: The aim of the study was to determine the prevalence of CMV infection among HIV / AIDS patients in relation to disease progression, and to study the mortality during the period of the study.
Patients and Methods: The study included 155 HIV/AIDS patients (148 HIV- infected and seven AIDS patients) and 122 apparently "healthy" controls. CMV (IgG and 1gM) antibodies were determined by ELISA. The patients were followed up for a period of nine months, and retested frequently for development of active CMV infection.
Results: The prevalence of CMV (IgG) antibodies in the HIV/AIDS patients was 100%. A significant higher prevalence of CMV (IgM) among AIDS patients (42.9°/6) than among HIV infected patients (0.0%) and "healthy" controls (0.8%). No deaths were reported among asymptomatic HIV infected patients while the mortality among AIDS patients was (42.9%). Only one patient (7.7%) out of 13 asymptomatic HIV infected developed active CMV infection 10 years later by testing for CMV (IgM) in 1991 and 2001.
Conclusion: Demonstration of active CMV is of prognostic value in detection of development of AIDS and survival of patients.

Keywords


Article
Obsessive Compulsive Disorder in Karbala, Iraq: a preliminary Report

Authors: Nesif J. Al-Hemiary --- Salih M. AlHasnawi --- Jawad K. Al-Diwan
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2014 Volume: 7 Issue: 2 Pages: 2014-2017
Publisher: Kerbala University جامعة كربلاء

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background: Literature on obsessive compulsive disorder (OCD) in Iraq is scares. The Iraqi Mental Health Survey (IMHS) reported a high prevalence. This study was carried out to throws a light on OCD in Karbala, Iraq.Methods: The study was conducted in outpatient Dept. of Al-Hussaini General Hospital, Karbala, Iraq, for the period 1st Jan. to 23rd Dec. 2006. Patients diagnosed as OCD were interviewed and a questionnaire was filled for each one. The questionnaire was prepared according to DSM-IV-TR. Demographic data and family history for OCD or any mental disorder was included in the questionnaire.Results & Discussion: The peak age for OCD was 21-30 years, females were predominating (63.2%). singles were more affected than married (47.3%). Family history of OCD and any mental illness was observed in 20.5% and 52.9%, respectively.Conclusion: OCD affect young age group, females and singles. Family history for any mental illness was positive in more than half of the cases.


Article
Changes in Personality and Mood profile of Women with Toxoplasmosis

Authors: Mohamed A. Hassan --- Nibras S. Abdul Aziz --- Jawad K. Al-Diwan --- Eman Al-Kaseer --- et al.
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 2 Pages: 249-252
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT: BACKGROUND: Acquired T. gondii infection of immunocompetent patients may cause central nervous system manifestations (Gullain-Bare syndrome or brain abscess) and may be associated with psychiatric manifestation. Iraq is highly endemic with T. gondii, however, publications on psychiatric manifestation of T. gondii infection are scarce. OBJECTIVE: To demonstrate psychiatric manjfestations in women with Toxoplasmosis. METHODS: A total of 68 toxoplasma positive pregnant women and 68 toxoplasma negative pregnant women were included in this study. It was conducted for the period of 5th Aug. 2008 to 28th Feb. 2009. ELISA was used to diagnose T. gondii. Questionnaire was used to diagnose personality type and depression was used. The diagnosis was according to ICD10 and DSM-IV. RESULTS: Rates of pseudpsychopathic and limbic personality epilepsy syndrome were significantly high among toxoplasmosis positive pregnant women. Significant high rate of depression was associated with acquired T. gonii infection. CONCLUSION: These findings might provide evidence supporting role of T. gondii infection in the onset of some behavioral disorders.


Article
Exposure to Violence and Complex PTSD Symptoms among University Students in Baghdad: A preliminary Report.
التعرض للعنف و اعراض الاضطراب الكربي التالي للرضح المعقد لدى طلاب الجامعة في بغداد

Authors: Ahmed Samir Al-Nuaimi أحمد سمير --- Ameel F. Al-Shawi أميل الشاوي --- Jawad K. Al-Diwan جواد الديوان
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2013 Volume: 26 Issue: 3 Pages: 192-194
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:Background: Iraqis have been exposed to wars, widespread violence and terrorist activities during the last 3 decades. Few reports were demonstrating the effect of exposure to wars and conflicts on mental health of Iraqis. Objective of the study: estimation of prevalence of some symptoms of complex PTSD among university students in Baghdad. Subjects & methods: A total of 319 university students from Baghdad University and their residency in Baghdad governorate were selected conveniently to participate in the study. Iraqi version of Harvard Trauma Questionnaire (HTQ) was used to measure the trauma exposure. HTQ consisted of 28 items on exposure to traumatic events and we used four prominent symptoms of complex PTSD (feeling of guilty, hopelessness, feeling of a shame, and need for revenge) in HTQ- Iraqi version for Trauma symptoms (part IV) for estimating the prevalence of symptoms of complex PTSD among the participants. A score>2.5 was considered significant for meeting criteria of complex PTSD symptoms. Results: Out of the total, 32students (10.0%) had complex PTSD symptoms. There was no association between complex PTSD symptoms neither with age nor with sex. Complex PTSD symptoms were positively associated with the number of trauma events.Conclusion: High prevalence of complex PTSD symptoms was revealed among students of Baghdad University.Keywords: complex posttraumatic stress disorder, widespread violence - Harvard Trauma Questionnaire, University student, Baghdad, war.

الخلاصة خلفية : العراقيون قد تعرضوا إلى حروب، عنف وعمليات إرهابية خلال الثلاث عقود المنصرمة، تقارير قليلة بينت تأثير الحروب والصراعات على الصحة النفسية في العراق.هدف الدراسة : تقدير انتشار بعض أعراض الاضطراب الكربي التالي للرضح المعقد بين طلاب جامعة بغداد. طرائق البحث :تم اختيار عينة من ( 319 ) من طلاب جامعة بغداد والذين يسكنون محافظة بغداد ليكونوا مشاركين في البحث . النسخة العراقية من استبانة هارفرد استخدمت لقياس مدى التعرض لحوادث العنف وكذلك الاضطراب الكربي التالي للرضح . استبانة هارفرد فيها ( 28) سؤال عن التعرض لحوادث العنف ، وتم استخدام اربعة اعراض واضحة للاضطراب الكربي التالي للرضح المعقد (الشعو بالذنب ، فقدان الامل ، الشعور بالعار والحاجة للانتقام ) من اجل تقدير انتشار اعراض الاضطراب الكربي التالي للرضح المعقد. المقياس <2.5 اعتبر ذات دلالة لاجل مطابقة معايير اعراض الاضطراب الكربي التالي للرضح المعقد.النتائج : من بين المشاركين ، كان هناك 32طالب (10%)لديهم اعراض الاضطراب الكربي التالي للرضح المعقد . لم يكن هناك ارتباط بين الاضطراب الكربي التالي للرضح والعمر ، و الاضطراب الكربي التالي للرضح مع الجنس. اعراض الاضطراب الكربي التالي للرضح كان مرتبط ايجابيا مع عدد حوادث العنف.الاستنتاج : انتشار عال لاعراض الاضطراب الكربي التالي للرضح المعقد كان واضحا بين طلاب الجامعة . مفاتيح الكلمات: الاضطراب الكربي التالي للرضح المعقد - انتشار واسع للعنف -استبانة هارفارد للاصابات - طالب جامعي ، بغداد ، حرب .


Article
BACTERIAL INFECTIONS IN NEONATAL UNIT IN TRIPOLI MEDICAL CENTER, LIBYA
الخمج في وحدة الرعاية المركزية للخدج في طرابلس – ليبيا

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Background: Infection is a frequent and important cause of morbidity and mortality in the neonatal period.Objective: This work was carried out to investigate the prevalence of bacterial infection and the frequency of different pathogens among newborns admitted to the Neonatal Intensive Care Unit (NICU) at Tripoli Medical Center (TMC), Libya.Methods: The case records of all neonates admitted to the NICU of TMC, Libya for the period Sept. 1996 through August 1997, inclusive, were reviewed. Blood and/or CSF cultures were used to establish the diagnosis of bacterial infection. The admissions were categorized as sterile and unsterile. Results: A total of 1123 newborns were admitted to NICU over the period of the study, 129 (11.5%) of them were proved to be bacterially infected, 10.6% and 24% of the sterile and unsterile admissions, respectively, had bacterial infection. Blood culture was positive in 115 (10.2%) of the admitted newborns, while CSF culture was positive in 24 (2.1%) of them. Gram-negative bacteria were the predominantly isolated bacteria. Serratia spp. was isolated from 38.3% and 50% of blood and CSF cultures, respectively. Klebsilla pneumoniae was isolated from about 25% of both blood and CSF cultures. Coagulase negative staphylococcus (CONS) was isolated from 11.3% of blood cultures.Conclusion: It can be concluded from this study that neonatal infection is still a problem facing the country and there is a need for study of bacterial colonization of anogenital tract of Libyan pregnant women and its relation to neonatal infections . Key words: neonatal infection, gram-negative bacteria, Libya

خلفية الدراسة: الاخماج سبب شائع ومهم من اسباب مراضة ووفيات الخدج. والهدف من البحث هي دراسة انتشار الاخماج البكترية وانواعها بين الخدج الراقدين في ردهة العناية المركزة في مركز طرابلس الطبي – ليبيا .طريقة العمل: تم مراجعة ملفات الخدج الراقدين في مركزطرابلس الطبي للفترة أيلول – 1996 ولغاية اب 1998. زرع عينات الدم هي الوسيلة لتحديد الخمج البكتري . دخول المرضى تم تصنيفه الى ملوث وغير ملوث .النتائج: خلال فترة الدراسة رقد 1123 خديجا في ردهة العناية المركزة . 129 (11.5%) اصيبوا بالخمج البكتيري . 10.6% و 24% من الخدج الملوثين وغير الملوثين على التوالي . كانت نتائج زرع عينات الدم موجبة لدى 115 (10.2%) من الخدج بينما كانت زرع عينات السائل الشوكي موجبا لدى 24 (2.1%) . البكتريا ذات الصبغة (كرام) السالبة هي السائدة لدى الاطفال المصابين بالخمج . انواع السريشا لدى 38.3% و 50% من عينات الدم وسائل النخاع الشوكي . البكتريا سالبة التخثر CONS تم عزلها من 11.3% من نتائج عينات الدم . الأستنتاج: خكج الخدج لايزال يشكل مشكلة تواجه البلد و هنالك حاجة لدراسة التلوث البكتيري في الجهاز التناسلي للنساء الليبيات الحوامل و علاقتها بالخمج للخدج.مفتاح الكلمات: خمج الخدج، البكتيريا ذات الصبغة السالبة لكَرام، ليبيا


Article
Post-Traumatic Stress Disorder among University Students in Baghdad: A Preliminary Report

Authors: Ameel F. Al-Shawi د. اميل الشاوي --- Nesif J. Al-Hemiary نصيف الحميري --- Jawad K. Al-Diwan جواد الديوان --- Diar H. Tahir ديار طاهر
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 4 Pages: 287-290
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Iraqis have been exposed to wars, widespread violence and terrorist activities during the last 3 decades. Few reports were demonstrating the effect of exposure to wars and conflicts on mental health of Iraqis. Therefore, this study was carried out to report on the prevalence of posttraumatic stress disorder (PTSD) among university students in Baghdad.Methods: A total of 319 university students from Baghdad University and their residency in Baghdad governorate were selected conveniently to participate in the study. Iraqi version of Harvard Trauma Questionnaire (HTQ) was used to measure the trauma exposure and PTSD. HTQ consisted of 28 items on exposure to traumatic events and PTSD was measured using 45 questions on trauma symptoms. A score > 2.5 was considered significant for meeting criteria of PTSD based upon the Diagnostic and Statistical Manual for Mental Disorders, fourth edition (DSM-IV).Results: There were 22.9% of the respondents had symptoms of PTSD. There was no association between PTSD either with age or sex. PTSD symptoms were positively associated with the number of trauma events.Conclusion: High prevalence of PTSD was revealed among students of Baghdad University, Further research may clarify the epidemiology of PTSD in Iraq.Keywords: Posttraumatic stress disorder, Harvard Trauma Questionnaire, University student, Baghdad, war, widespread violence.

خلفية : العراقيون قد تعرضوا إلى حروب، عنف و عمليات إرهابية خلال الثلاث عقود المنصرمة. تقارير قليلة بينت تأثير الحروب والصراعات على الصحة النفسية في العراق. لذلك كانت هذه الدراسة قد أجريت لبيان نسبة انتشار الاضطراب الكربي التالي للرضح بين طلاب جامعة بغداد. طرائق البحث : تم اختيار عينة من (319) من طلاب جامعة بغداد والذين يسكنون محافظة بغداد ليكونوا مشاركين في البحث. النسخة العراقية من استبانة هارفرد استخدمت لقياس مدى التعرض لحوادث العنف وكذلك الاضطراب الكربي التالي للرضح. استبانة هارفرد فيها (28) سؤال عن التعرض لحوادث العنف، وتم قياس الاضطراب الكربي التالي للرضح من خلال (45) سؤال عن اعراض الصدمة.المقياس > 2.5 تم اعتباره معنويا مطابق لخصائص الاضطراب الكربي التالي للرضح مبنيا على الدليل العملي التشخيصي والاحصائي للاضطرابات العقلية ، الطبعة الرابعة. النتائج : من بين المشاركين ، كان هناك 22.9 % لديهم أعراض الاضطراب الكربي التالي للرضح. لم يكن هناك ارتباط بين الاضطراب الكربي التالي للرضح والعمر ، و الاضطراب الكربي التالي للرضح مع الجنس. اعراض الاضطراب الكربي التالي للرضح كان مرتبط ايجابيا مع عدد حوادث العنف.الاستنتاج : انتشار عال للاضطراب الكربي التالي للرضح كان واضحا بين طلاب الجامعة . بحث اخر ربما يوضح وبائية الاضطراب الكربي التالي للرضح في العراق.مفاتيح الكلمات الاضطراب الكربي التالي للرضح، استبانة هارفارد للإصابات، طالب جامعي، بغداد، حرب، انتشار واسع للعنف.


Article
Malnutrition among first year school children in Iraq

Author: Nadher Al-shammary MB ChB, DCH Jawad K. Al-Diwan “ MB ChB, MSc Nafi Al- Ani "MB ChB, MSc د. نادر الشمري
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2007 Volume: 49 Issue: 3 Pages: 307-308
Publisher: Baghdad University جامعة بغداد

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Background: Iraqi people have endured an excess burden of morbidity’ and mortality during the last two decades due to wars and sanctions. This report M’as carried out to assess the nutritional status of first year primary school children.Methods: A total of3881 school children in Balad district in Salahadin govemorate was included in the study. Age, height and weight were recorded. Malnutrition was regarded as value of less than 2 SD of the reference value.Results: Among the total sample, 16.5%, 20.06% and 15.3% were underweight, stunted and wasted, respectively. No significant difference was detected in malnutrition rates between both sexes. Conclusion: High rates of malnutrition were detected among school children.Keywords: malnutrition, first years school children, Iraq


Article
HBV markers and antibody protective level among Iraqi vaccinated and unvaccinated subjectes

Authors: Adel AL-Shammary --- Jawad K. Al-Diwan جواد كاظم الديوان --- Nafi AL-Ani نافع العاني --- Tariq S. AL-Hadithi طارق الحديثي --- et al.
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2007 Volume: 49 Issue: 3 Pages: 338-340
Publisher: Baghdad University جامعة بغداد

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Abstract

Keywords

HBV --- anti HBs --- protective anti -HBs --- VACCINATION --- Iraq


Article
Bullying victimization among school- going adolescents in Iraq
ضحايا التنمر بين طلاب المدارس المراهقين في العراق

Authors: Jawad K. Al-Diwan جواد الديوان --- Eman A. Al-Kaseer ايمان عدنان القصير --- Mushtaq T. Hashim مشتاق هاشم --- Hyder M. Yahya حيدر يحى
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2015 Volume: 57 Issue: 3 Pages: 221-224
Publisher: Baghdad University جامعة بغداد

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Background: Bullying victimization is a major public health problem. Interest in bullying in Arab world is a recent phenomenon. Publication on victimization in Iraq is scares. Therefore this study was conducted to report bullying among students of Iraqi schools. Methods: A total of 302 students from Baghdad was selected by a cluster random sample to include in this study. An Arabic version of standardized questionnaire was obtained from the International (ISPCAN). Identification of bullying (bullies, victims and sexual victims) was done by using a cutoff for the scoring of bullying manifestation in the questionnaire depending on three repeated action at least to consider as bullies. P value less than 0.05 was considered significant for meeting the criteria of bullying.Results: Out of the total 39.1% were bullied pupils (victims) there was a significant association between bullying and victim with sex (P=0.001). Bullying and victimization was significantly associated with smoking, drug abuse, and failure in school (P=0.001 for each).Conclusion: High prevalence of victimization (bully, victims and sexual victim was revealed among students in schools as a predictor for smoking and drug abuse.Keywords: Bullying, victimization, sexual victim, Iraq.

الخلفية: ضحايا التنمر في المدارس مشكلة صحية في العالم، الا ان اهتمام العالم العربي في التنمر وضحاياه ظهر مؤخرا. والادبيات العلمية المنشورة عن الموضوع في العراق نادرة جدا، ولذلك تم انجاز هذه الدراسة.الطرق: شمل البحث 302 طالبا من بغداد، تم اختيارهم بطريقة عنقودية. وتم استخدام استبانة (النسخة العربية) من ISPCAN . وتمت الاجابة على الاستبانة من قبل الطلبة بعد شرح تفاصيلها بالتعاون مع الكادر التدريسي. وتم تحديد التنمر او الضحايا عند تكرارها ثلاث مرات.النتائج: من مجموع الطلبة المشمولين بالبحث كان هناك 39.1% ضحايا تنمر. وكان هناك فروقات معنوية في ضحية التنمر بين الذكور والاناث (p= 0.001)ز وترتبط ضحايا التنمر مع التدخين واساءة استخدام الادوية والفشل في الدراسة (p=0.001 لكل منها)الاستنتاجات: انتشار عالي لضحايا التنمر بين طلاب المدارس المراهقين. وترتبط ضحايا التنمر بانتشار التدخين واساءة استخدام المواد.مفتاح الكلمات: التنمر، ضحايا التنمر، ضحايا تنمر جنسي، العراق

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