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Article
Effect of Pentoxifylline on the Outcome of Artificial Inseminations

Author: Saad S. Al-Dujaily
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 377-383
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:OBJECTIVE:To highlight the effect of Motility Stimulant Pentoxifylline (PF) used to activate semen samples when managing couples suffering from primary Infertility due to either unexplained reasons or mild male factors by Artificial Insemination.DESIGN: Prospective study.SETTING: Institution of Infertility Treatment and Embryo Research, Al-Nahrain University, Baghdad -Iraq.METHODS:Ninety four couples suffering from mild male or unexplained primary infertility were involved in this study. According to results of Postcoital test (PCT) performed to the participants prior to Insemination, they were divided into two groups. Group 1 (67 couples) women with positive (+ve) PCT (>5 motile sperm /HPF), they underwent alternative cycles of Intra- uterine and Intra-cervical Inseminations (IUI) (ICI). Group 2 (27 couples) those with negative (-ve) PCT (< 5 motile sperm/HPF), they were inseminated by intra-uterine method only. The couples underwent 120 insemination cycles. PF was added following sperm washing in 81 inseminations. Where as 39 inseminations were performed after sperm washing technique only.RESULTS:The study recorded 18% pregnancy rate (17 out of 94 women). IUI was done in 72 cycles in which PF was added following sperm washing in 48 cycles resulting in 10 pregnancies (20.8%). While only two women conceived form 24 IUI cycles without using PF (8.3%). This difference is statistically significant (P<0.05). On the other hand, ICI was done in 48 cycles; PF was used in 33 cycles successfully resulting in 5 pregnancies (15.15%). Whereas , no pregnancy recorded when PF not used in the remaining 15 ICI. PF was used in 8I insemination cycles treated by IUI or ICI had resulted in 15 pregnancies (18.5%). This result is significantly higher (P<0.05) than the recorded pregnancy rate of the control group in whom 39 inseminations with IUI and ICI done without using PF (2/39, 5.1%).CONCLUSION:Pentoxifylline improves pregnancy rate when used to activate sperm function in both Intrauterine and Intracervical Inseminations.


Article
Detecting Leukocytospermia by Melyoperoxidase Staining Method for Patients of Baghdad IVF Institute

Author: Saad S.Al-Dujaily
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2005 Volume: 2 Issue: 2 Pages: 200-204
Publisher: Babylon University جامعة بابل

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The objective of this study is to detect the leukocytes concentration in the semen of infertile and fertile patients The study include three hundred and forty men refered to IVF Institute, Baghdad Teaching Hospital,. They are 290 infertile men and 50 fertile men (control). Semen analysis was done and the patients divided into subgroups according to male infertility factors .Seminal myeloperoxidase cytochemical test (Endtz method) performed for all specimens to differentiate between the leukocytes and other round cells. The concentration of Leukocytes were account using high power field (HPF) method and Endtz. The results revealed Leukocyte concentration in normospermic patients(control) by using HPF method was significantly(P<0.01) higher than Endtz method. In oligospermic, asthenospermic and oligo-astheno- terato spermic men,the mean of leukocyte concentration by using HPF was significantly lower(P<0.05) compared to using Endtz method. There was a highly significant (P<0.01) decrease in the number of leukocytes by using Endtz method compared with the round cells detected by using HPF method. It was concluded that myeloperoxidase (Endtz) method can be detect the leukocytes concentration in the semen and differentiate them from other round cells. This method is easy to performed ,complete with short time with high accuracy ,not cost and can sustain the correct treatment.

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Article
EFFECT OF Citrullus colocynthin ON CERTAIN SPERM FUNCTIONS AND LIVE BIRTH IN MICE: EXPERIMENTAL MODEL FOR MAMMALS

Author: Saad S. Al-Dujaily
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2005 Volume: 12 Issue: 3 Pages: 552-556
Publisher: Babylon University جامعة بابل

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Abstract

The goal of this study is to find out the effect of Citrullus colocynthin(CC) on sperm function parameters and live birth in mice as a model for mammals. Balb/C male and female mature mice , were used in three experiments. Experiment No.1, the male mice were randomly divided into five groups each contains 6 animals according to different concentrations of CC(2.4,4.8,7.2 and 9.6mg/kg/day) and control group. Experiment No. 2,twenty four females were divided into four groups (6 females in each group)untreated and treated with 1.2 ,4.8, and 7.2 mg/kg/day of CC. Experiment No.3,Four mature male mice were coupled with eight mature females, both were treated only with 4.8mg/Kg/day, and the number of live births were recorded .All the mice groups were treated with CC orally for eight weeks. There was a significant (P<0.05) decrease in the mean of sperm concentration of mice treated with 7.2mg and 9.6 mg /kg/day of CC compared to control, 2.4mg and 4.8 mg/kg/day of mice groups. Percentage of sperm motility and grade activity of progressive movement of mice treated with 4.8 mg/kg/day was significantly (P<0.05) higher than that of other CC concentrations. A highly significant (P<0.01) reduction was observed in the percentage of morphologically abnormal sperm(MAS) following treatment with 4.8mg of CC compared to other groups . There was a significant (P<0.05) increase in the number of live birth in treated male and female group (9.0+0.4) compared to untreated group(6+0.3). The present study revealed that CC in limited doses can be used for invivo improvement of certain sperm characters and to enhance the fertilization ability of the females.

أجريت الدراسة بهدف دراسة تاثير نبات الحنظل ( (Citrullus colocynthin CCعلى معايير وظائف النطف الرئيسية والولادات الحية في الفئران كموديل تجريبي للبائن . أستخدمت ذكور واناث ناضجة لفئران من نوع Balb/C في ثلاث تجارب. التجربة الأولى, قسمت ذكور الفئران عشوائيا الى خمسة مجاميع تتكون من 6 ذكور طبقا للتراكيز المختلفة من نبات الحنظل (2.4 ، 4.8، 7.2، و 9.6 ملغم/ كغم/ اليوم) أضافة الى مجموعة سيطرة . التجربة الثانية قسمت اربعة وعشرون انثى الفار الى اربعة مجاميع (ستة في كل مجموعة) وعولجت بتراكيز 1.2، 4.8، و 7.2ملغم /كغم/اليوم من نبات الحنظل أ ضافة الى مجموعة سيطرة. التجربة الثالثة أربعة ذكور فئران ناضجة جمعت للتزاوج مع ثمان فئران جميعهم معاملين بنبات الحنظل بتركيز 4.8 ملغم/كغم/اليوم , وسجلت عدد الولادات الحية . جميع الفئران في التجارب الثلاث قد عوملت بنبات الحنظل عبر الفم و لمدة ثمان اسابيع. أظهرت نتائج هذه الدراسة بوجود انخفاض معنوي في معدل تركيز النطف في الفئران المعالجة بتركيز 7.2 و9.6ملغم/كغم/اليوم مقارنة بمجموعة السيطرة و الفئران المعالجة بتركيز 2.4 و4.8 ملغم/ كغم/اليوم. لوحظ وجود زيادة معنوية في نسبت حركة النطف والحركة التقدمية للفئران المعالجة بنبات الحنظل بتركيز 4.8ملغم/ كغم/اليوم بما يقابلها في التراكيز الأخرى لفئران الذكور في التجربة الأولى, وقد وجد أنخفاض معنوي في نسبة الشكلياء غير السوية في الفئران المعاملة بتركيز 4.8 ملغم/كغم/اليوم من الحنظل مقارنة بباقي التراكيز . أكدت الدراسة بوجود زيادة معنوية في عدد الولادات الحية في الفئران الذكور والاناث المعالجة بالحنظل(9.0 ± 0.4) مقارنة بالمجموعة غير المعالجة به(6±0.3). أظهرت نتائج الدراسة بان نبات الحنظل في تراكيز محددة يمكن ان يعمل على تنشيط فعالية وظائف النطف الرئيسية ويساند قابلية الخصوبة في الاناث.

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Article
Effect of Phoenix dactylifera Pollen on In Vitro Sperm Activation of Infertile Men

Author: Saad S. AL-Dujaily
Journal: Al-Mustansiriyah Journal of Science مجلة علوم المستنصرية ISSN: 1814635X Year: 2012 Volume: 23 Issue: 6 Pages: 27-34
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The objective of this study is to improve sperm motility in vitro of infertile men by using Phoenix dactylifera Pollen extract ( P. dactylifera pollen (as motility stimulant substances that can improve assisted reproductive technologies (such as artificial insemination) in future. Semen was collected from 25 infertile men who involved in this current study. Each semen sample was divided into two portions. One part was considered as a control and in vitro activated by using culture medium only. The other portion was considered as treated portion and in vitro activated by adding P. dactylifera pollen extract (0.5mg) to the culture media. Certain sperm function parameters were examined before and following in vitro activation using simple layer technique. The results revealed highly significant increment (P<0.01) in the percentage of total sperm motility grades (A+B+C) and progressive sperm motility grade (A) with a significant improvement (P<0.05) in the percentage of progressive sperm motility grade (B) when using P. dactylifera pollen medium in comparison with control medium after 10 and 30 minutes incubation . It is concluded from the results of the present study that adding the 20% P. dactylifera pollen extract to the culture medium of the in vitro sperm activation leads to an improvement in the sperm motility.

تهدف الدراسة الحالية الى زيادة حركة النطاف البشرية في الزجاج للمرضى للرجال العقيمين باستخدام مستخلص طلع النخيل كمنبه للحركة لتحسين الاوساط عند استخدامها في التقنيات المساعدة على الانجاب ( كعمليات التلقيح الاصطناعي مستقبلا) . شملت الدراسة الحالية السائل المنوي لخمسة وعشرون لرجال عقيمين. وكل عينة سائل منوي قسمت الى جزئيين متساويين . الجزء الاول اعتبر السيطرة وتم تنشيطه بالزجاج باستخدام الوسط (Ferticult flashing ) في حين عومل الجزء الاخر الذي اعتبر مجموعة الاختبار تم تنشيطه بالزجاج باضافة مستخلص طلع النخيل ( 0.5 ملغم ) للوسط . تم فحص معايير وظائف النطاف الرئيسة قبل وبعد التنشيط في الزجاج باستخدام التقنية الطباقية البسيطة . أظهرت النتائج ان هناك زيادة معنوية عالية (P<0.01) في النسبة المئوية الكلية لنشاط حركة النطاف التقدمية (A+B+C) و درجة نشاط النطاف التقدمية (A ) وتحسن معنوي ملحوظ (P<0.05) في درجة نشاط النطاف التقدمية (B) باستخدام وسط طلع النخيل مقارنة بوسط السيطرة بعد 10 و 30 دقيقة حضانة . يمكن الاستنتاج من نتائج الدراسة الحالية بان اضافة 20% من مستخلص طلع النخيل للوسط الزرعي المنشط للنطف في الزجاج أدى الى تحسن في درجة نشاط النطاف .

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Article
OVIDUCTAL FLUSHING MEDIUM SUPPORT IN VITRO FERTILIZATION OF MICE :A BIOCHEMICAL AND HORMONAL STUDY

Authors: Saad S. Al-Dujaily --- Munaf S. Daoud
Journal: AL-TAQANI مجلة التقني ISSN: 1818653X Year: 2007 Volume: 20 Issue: 1 Pages: 30-35
Publisher: Foundation of technical education هيئة التعليم التقني

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Abstract

The objective of the present study is to measure some biochemical and hormonal contents of oviductal flushing medium (OFM)used for in vitro fertilization and embryonic development of mice as a model for mammals.Oviductal flushing medium of superovulated and spontaneously ovulated mice was analyzed for certain biochemical and hormonal contents. Amino acids( taurine, alanine, aspartate, glutamine and glycine) were measured using HPLC. Glucose and fructose were estimated using glucose oxidase method and fructose indol-reagent colorimetric method ,respectively. Magnesium , calcium ,sodium and potassium ions were determined using flame photometry and atomic absorption spectrophotometry. Luteinizing hormone (LH) and follicular stimulating hormone(FSH) were measured by enzyme linked fluorescent assay technique.The results of this investigation show that there is no significant (P>0.05) difference in the concentration of taurine ,glutamine and alanine in the OFM of SUO and SO mice. The OFM contents of aspartate and glycine in SUO is significantly(P<0.05) higher than that of SO group .A significant (P<0.05) decrease was observed in the concentration of glucose (µmol/L) in OFM of SUO compared to SO females.The concentration of Ca++ in the OFM of SUO (66.5µg/ml) was significantly (P<0.05) higher than that of SO mice(60.2 µg/ml). There was a significant(P<0.05) decrease in the level of LH in the OFM of SUO compared to SO mice .It is concluded from the present study that the OFM of superovulated mice contains higher amounts of different amino acids ,electrolytes and hormones that lead to offer a proper environment for in vitro fertilization and embryonic development of early cleavage stages in mice .

هدفت الدراسة الحالية لتحديد كمية بعض محتويات الكيمياء الحيوية والهرمونية للسائل الدافق لقناة البيض والمستخدم في الإخصاب ونمو الأجنة في الزجاج للفئران والتي استخدمت نموذجاً للبائن.حلل الوسط الدافق لقناة البيض من فئران محفزة واخرى غير محفزة بالهرمونات تحليلا كيميائيا وهرمونيا فقد تم حساب كمية بعض الأحماض الامينية ( taurine, alanine, aspartate, glutamine and glycine) باستخدام جهاز HPLC .تم تقدير كمية سكر الكلوكوز والفركتوز باستخدام طريقة glucose oxidase وطريقة fructose indol-reagent colormietric على التوالي.حددت مستويات أيونات المنغنيز والكالسيوم والصوديوم والبوتاسيوم باستخدام طريقتي flame photometry and atomic absorption spectrophotometry . تم حساب هرموني المحفز الجريبي((FSH واللوتيني (LH) بأستخدام تقنيةEnzyme linked fluorescent assay. أظهرت النتائج الحالية عدم وجود فرق معنوي(P>0.05) في تركيز التورين والكلوتامين والألنين في محتوى السائل الدافق من قناة البيض بين مجموعة الفئران المحفزة بالهرمونات وغير المحفزة. محتوى السائل الدافق من الأسبرتيت والكلايسين في قناة بيض الفئران المحفزة بالهرمونات أعلى معنويا (P<0.05) من الفئران غير المحفزة . وجد انخفاض معنوي(P<0.05) في تركيز الكلوكوز في السائل الدافق لقناة بيض الفئران المحفزة بالهرمونات بما يقابلها في الفئران غير المحفزة. تركيز الكالسيوم في الفئران المحفزة بالهرمونات(66,5 ملغم/مللتر) أعلى معنويا P<0.05)) مـن تركيزه في الفئران غير المحفزة بالهرمونات(60,2 ملغم/مللتر) . كمـا لوحظ وجود انخفاض معنوي( P<0.05) في معدل الهرمون اللوتيني الموجود في السائل الدافق لفئران محفزة بالهرمونات بالمقارنة مع فئران غير محفزة.لذا نستنتج من هذه الدراسة أن السائل الدافق من قناة بيض الفئران المحفزة بالهرمونات يحتوي على كميات أكبر من مختلف الأحماض الأمينية والأيونات والهرمونات مما أدى الى توفير بيئة ملائمة للأخصاب في الزجاج والتطور الجنيني لمراحل الأنقسام المبكرة في الفئران.

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Article
Role of Fibrillin-3on Fertilization Capacity in Pregnant and Non Pregnant Women

Authors: Saad S. Al-Dujaily --- Wafaa Mohammed Abed
Journal: Iraqi Journal of Embryos and Infertility Researches المجلة العراقية لبحوث الأجنة والعقم ISSN: eISSN: 26166984 / pISSN: 22180265 Year: 2014 Volume: 4 Issue: 1 Pages: 13-17
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

ackgroundFibrillin- 3 is a recently discovered hormone .However, there are no studies till now regarding the role of fibrillin-3 hormone on fertilization capacity in infertile pregnant and non-pregnant women.ObjectivesThe goals of this study are concentrated on the fertilization capacity parameters by examining the effect of in vivo concentration of fibrillin-3 hormone on the ovarians status at different menstrual cycle phases and to elucidate the correlation between the levels of this hormone with pregnant and non -pregnant women following Intra­ uterine insemination (IUI) outcome or through natural pregnancy .MethodsSixty infertile couples were involved in this prospective study. The couples were divided according to the type of insemination and ovulation induction program into two groups Group(1): Thirty spouses were subjected to induced ovulation stimulation by using clomiphene citrate(CC) and recommended for natural coitus. Group(2): Thirty couples, the females were induced ovulation stimulation by CC,Gonal F-751U/ml and Fostimon 501U/ml with IUI. Measurements of Fibrillin-3 with other reproductive hormones were done at different phases of menstrual cycle and for pregnant and non-pregnant women following natural coitus and IUI.ResultsThe mean offibrillin-3 hormone level at day 2 of menstrual cycle was 3.7ng/ml (ranged from 3.50 to3 .91) in the two groups. The mean of fibrillin-3 hormone at cycle day 13 was 6.6ng/ml( ranged from 5.83to 7.0). Whereas , The basal level of Fibrillin-3 at 14 days post insemination was 3.3ng/ml. The range is from 2.76,395 to 3.29 ng/ml. There was no significant difference inthe mean of Fibrillin-3hormone between pregnant and non-pregnant women through the phases of menstrual cycle or between the two groups, but there isa significant value between fibrillin-3 post insemination and E2 day 2 and day 13 P<0.05.ConclusionThe present study concluded that Fibrillin -3 hormone has no role in pregnancy, but it may have a main relationship with estrogens reaction in folliculogenesis , oocyte maturation and follicular contents. Therefore, this hormone may be one of the new hormones that interfere with fertilization capacity

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Fibrillim-3 --- Women --- Pregnancy --- Fertilization


Article
Oocyte Quality and Embryonic Development after Oral Administration of Speramax® in Female Mice as Experimental Model for Mammals

Authors: Saad S. Al-Dujaily --- Hiba S. Hamza
Journal: Iraqi Journal of Embryos and Infertility Researches المجلة العراقية لبحوث الأجنة والعقم ISSN: eISSN: 26166984 / pISSN: 22180265 Year: 2014 Volume: 4 Issue: 2 Pages: 6-13
Publisher: Al-Nahrain University جامعة النهرين

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Background:Speramax® was found to play an important role in sperm function characters andmales reproductive performance with no studies on its effects on the oocytematuration and embryonic development in females.Objective:The goal of the present work was to examine the effect of Speramax ® onoocyte maturation ,ova quality , embryonic development and live birth usingmice as a model for mammals .Materials and Methods:In this study, Speramax ® was administrated orally for 1, 2 and 4 weeks . Onehundred and ten female mice were randomly divided into four groups , the firstgroup was superovulated(SUO) while the second group was treated by Speramax®with SUO and the third group was spontaneously ovulated (SPO) and treated withSperamax ® and the forth group was spontaneously ovulated (SPO ) and served ascontrol group .Another forty- eight female mice were used for the determination ofthe number of live births .Results: The results indicated that treatment with Speramax® showed a positiveeffect on oocytes maturation in vivo. There was a highly significance ( p˂ 0.0001)improvement in the number of mature oocytes following treatment withSperamax® in SPO and SUO mice compared with SPO and SUO mice not treatedwith Speramax® . The percentage of embryonic development after 24 and 48 hoursof mating in treated groups with Speramax® was significantly ( p˂ 0.05) higher thanSPO and SUO mice .The study showed that the quantity and quality of embryosobtained from the treated groups were superior to that of the untreated group .Conclusions:It was concluded that the Speramax® greatly improved oocyte maturation,early embryonic development and embryo grading quality embryos with anincrease in the numbers of mice live births.


Article
In Vitro Sperm Activation of Infertile Semen Samples Complaining from Varicocele

Authors: Saad S. Al-Dujaily --- Abdul-Aali H. Salman
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2007 Volume: 4 Issue: 1-2 Pages: 14-19
Publisher: Babylon University جامعة بابل

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The goal of the present study is to investigate the effect of in vitro sperm washing technique on the semen of men complaining from different grades of varicocele .The study was conducted at the IVF Institute , Al-Nahrain University. Fifty infertile men were divided to three groups according to the grade of varicocele namely; sub- clinical and palpated with Valsalva maneuver (grade I ,n=24) palpated without Valsalva maneuver(grade II, n=13) and visible(grade III , n=13).Protocol of wash and spin technique was used for in vitro sperm preparation and certain sperm characters were recorded before and following washing technique. Mean of sperm concentration between the three varicocele groups were shown no significant (P>0.05) different before and following washing technique. The percentage of sperm motility was significantly (P<0.01) decreased before and after in vitro washing technique in men complaining from varicocele grade III compared to men with grade I and II .The grade activity of forward progressive movement (a+b) was significantly (P<0.05)lower in the semen of grade III group than that of grade I and grade II groups. There was a significant difference( P<0.01) in the percentage of morphologically normal sperm(MNS) between grade III and other grades of varicocele. It was concluded from this study that the grade of varicocele determine the response of the semen to in vitro washing technique . Other studies are recommended to improve our results practically in intra-uterine insemination (IUI) and in vitro fertilization (IVF)

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Article
effect of glycyrrhiza extract on in vitro spemr activation of asthenospermic patients

Authors: Saad S. Al- Dujaily --- Adnan S. Al- Janabi --- Moamar Nori
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2006 Volume: 11 Issue: 3 Pages: 477-483
Publisher: Babylon University جامعة بابل

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Article
Detection of Sperm Deformity by Kruger Strict Criteria using Pre- staining Slides Before and After Post Coital Test

Authors: Saad S. Al-Dujaily --- Sondos K.Alatrakji, --- Safaa Alhasani
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2012 Volume: 20 Issue: 4 Pages: 1152-1158
Publisher: Babylon University جامعة بابل

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Abstract

Objective : There are many methods to examine the sperm morphology .One of the most important method with high accuracy is Kruger strict criteria .The objective of this study is to :1-simplified the method and lowering the time consumption for examination. 2- find out any changes may occurs on sperm morphology through post coital test. Design: Prospective studySettings: IVF Institute, Al-Nahrain University, Baghdad-Iraq.Materials and Methods: Seventy four unselected couples were involved at the present work who attend the Infertility Clinic of the IVF Institute. Semen fluid analysis(SFA) was performed for all men as recommended by WHO(1999).According to the results of SFA, the samples were divided into normal and abnormal semen . Azoospermic, sever oligospermic , sever asthenospermic samples were excluded from this investigation . Special pre-stained slides( Testsimplet® slides, Warymart-Germany) were used for examination of sperm deformity .One drop of liquefied semen was mounted on warmed pre-stained slides and covered by standard cover slip .The slides were left for 5 minutes at room temperature and examined as described by Kruger strict criteria. When the results of men samples showed normal sperm morphology, Post coital test were done for their spouses with normal cervical mucus score. The results of sperm morphology obtained from PCT were recorded by using the Kruger criteria too.Results: There was 28 out of 74 semen samples with normal sperm morphology. Fifty two samples revealed abnormal sperm morphology when examined by Kruger criteria and 36 samples were abnormal by using staining method alone . The percentage of morphologically normal sperm using Kruger criteria pre-coital test was 14.8% and following PCT the percentage was 13.4%.The statistical analysis showed a significant(P<0.05) differences between them.Conclusion: It is concluded from the present study that some results of normal sperm morphology were changed in the cervix to abnormal sperm form by using Kruger criteria, even the cervical mucus showed normal score. This may interpret some unexplained infertility cases. At the same time, the study noticed that the examination by the stained slides and using Kruger criteria was so simple , easy to perform and the time required to prepare the samples is short to start reading the results.

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