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Article
Prevalence of Alcohol Use among Medical College Students in Hawler Medical University
انتشار تعاطي الكحول بين طلاب كلية الطب بجامعة هولير الطبية

Authors: Jwan Mohammed Sabir --- Sirwan Kamil Ali
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2009 Volume: 13 Issue: 1 Pages: 17-23
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Moderate and Heavy/binge alcohol drinking among medical college students have become a major public health problem. There is consistent evidence suggesting that young adults in college are drinking more than their non–college-attending peers, but it is still not clear whether they are more likely to suffer from clinically significant alcohol use disorders. This article reports the first national assessment of patterns of drinking habitamong Medical Colleges. The aim of this study was to monitor the use of alcohol and to search for intervention and prevention strategies in Medical college communities.Methods: This is a cross-sectional study. Young adults students (n = 342) in four Medical College in Hawler Medical University were studied from the period between 20th Feb 2007-20th April 2007 regarding use of alcohol, they were between 17-29 years old, 36% female, 64% male. A semi structured Questionnaires were distributed to students living in the four Medical colleges. The questionnaires asked for information on age, residency (how long they had lived in the college) and what substances they had used in the 6 months prior to the study (cigarettes, alcohol). The students also asked about academic and social activities. The data were expressed as descriptive frequencies and percentages. Results: 19.3% of college students (18, 4% of men, 0.9% of women) has occasional alcoholdrink in the in the past 6 month, 4.4% has moderate to binge drinking which was completely among male students, students from College of Medicine form the higher rate of alcohol users (12.8%), while College of Nursing form the lowest rate (0.6%). Bars and restaurant form the major drinking context for the students (44.5%)Conclusions: The problem of alcohol use is increasing among students from medical college/ Hawler University. College-based interventions seem desirable, especially in boys.


Article
Effect Of Age And Previous Surgery Experience On Preoperative Anxiety

Authors: Shirin Aziz Bakr --- Sirwan Kamil Ali --- Saadia Ahmed Khudhr
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 1 Pages: 93-98
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: It has been recognized for more than 40 years that patients experience different levels of anxiety when faced with impending surgery. The degree to which each patient manifests anxiety is related to many factors. Objective: This study aims to identify the effect of age and previous surgery experience on preoperative anxiety.Patients and methods: For the purpose of this study a sample of 200 patients who were admitted from 5th April 2009 to the 10th November 2009; in general surgery units of teaching hospitals ( Rezgari & Hawler ) in Erbil city were interviewed to assess their level of anxiety before surgery and identify effect of age and previous surgery on anxiety. The instrument used for this purpose was a questionnaire that included socio-demographic information and the State-Trait Anxiety Inventory (STAI) of Spilberger. STAI is a validated scale which includes 20 items related to measurement of state anxiety. High scores indicate high levels of anxiety.Results: Most of the patients showed moderate to severe anxiety level; (moderate=50% and severe=38.3%) others showed mild anxiety level (11.7%). A statistically significant relationship was seen between age and previous surgery experience before surgery. Young patients with first surgery experience showed higher level of anxiety.Conclusions: According to the results of the study patients undergoing major surgery need to be assessed regarding level of anxiety before surgery. This anxiety should be reduced through appropriate interventions, especially in young patients with no previous surgery experience that have been found to experience high levels of anxiety.

خلفية البحث: تأثير العمر والعملية الجراحية السابقة على مستوى القلق قبل العملية الجراحية لقد تبين ان اكثر من اربعين عاما بان خبرة المرض تختلف نحو مستويات القلق عند تعرضهم للعملية الجراحية ودرجات القلق التي تواجة المريض له علاقه بعوامل مختلقه. الهدف : تهدف هذه الدراسة لمعرفة تاثير العمر والخبرات السابقه عن العملية الجراحية على القلق ما قبل العملية الجراحية. اجراءات الدراسة : لغرض الدراسة تم اختيار 200 عينه من المرض الذين تم ادخالهم لكل من المستشقيات التعليمية (رزكاري و هولير) اعتبارا من 5 نيسان لغاية 10 تشرين الثاني 200 . تم مقابلة 200 مريض من اللذين دخلوا وحدة الجراحة العامة لغرض تقييم حالة القلق عندهم قبل العملية الجراحية ومعرفة تاثير العمر والخبرات السابقة عن العملية الجراحية على مستوى القلق لديهم. ويضم استبيان البحث على معلومات ديموغرافية وهذا المقياس المقنن State-Trait Anxiety Inventory (STAI) of pilberger. STAI يشمل 20 فقرة لقياس حالة القلق لديهم . النتائج : غالبية المرض لديهم مستوى القلق ما بين المتوسط والشديد( المتوسط 50% و الشديد 3 .38) واما الاخرون 7 .11 % كانت مستوى القلق عندهم خفيف , واما العلاقة بين العمر والخبرات السابقة عن العملية الجراحية قبل العملية حيث بينت التحليل الاحصائى وجود علاقة معنوية. واشارت النتائج ان المرض الذين هم في مرحلة الشباب ولم يتعرضوا للعملية الجراحية كانت مستوى القلق عندهم اكبر . الاستنتاج : استنادا الى نتائج الدراسة ان غالبية المرض يحتاج لتقييم مستوى القلق قبل العملية الجراحية والقلق يجب ان يقلل بمختلف الطرق.


Article
Anxiety among patients undergoing major general surgery
القلق بين المرضى الذين يخضعون لجراحة عامة كبرى

Authors: Saadia Ahmed Khudhr --- Sirwan Kamil Ali --- Shirin Aziz Bakr
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 3 Pages: 7-11
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: It has been recognized for more than 40 years that patients experience different levels of anxiety when faced with impending surgery. The degree to which each patient manifests anxiety is related to many factors; this study aims to assess the level of anxiety among patients undergoing major general surgery and to identify the effect of gender on preoperative anxiety.Patients and methods: A sample of 300 patients who were admitted from 5th April 2009 to the 10th November 2009; in general surgery units of teaching hospitals ( Rezgari & Hawler ) in Erbil city were interviewed to assess their level of anxiety before surgery. The instrument used for this purpose was a questionnaire that included socio-demographic information and the State-Trait Anxiety Inventory (STAI) of Spilberger.Results: Most of the patients showed moderate to severe anxiety level; (moderate=50% and severe=38.3%) others showed mild anxiety level (11.7%). A statistically significant relationship was seen between preoperative anxiety and gender; female patients showed high levels of anxiety (severe anxiety=46.9%) while male patients showed less severe anxiety level (severe anxiety=28.6%).Conclusions: According to the results of the study patients undergoing major general surgery need to be assessed regarding level of anxiety before surgery. This anxiety should be reduced through appropriate interventions, especially in women who have been found to experience high levels of anxiety.


Article
Effects of Olanazapine and Haloperidol on Serum Malondialdehyde, Prolactin Level, Blood Glucose and Lipid Profile in Schizophrenic Patients
آثار أولانازابين وهالوبيريدول على مصل Malondialdehyde ، مستوى البرولاكتين ، نسبة الجلوكوز في الدم والدهون في مرضى الفصام

Authors: Sirwan Kamil Ali --- Muhammad A. Hassan --- Kawa F. Dizaye
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 2 Pages: 13-21
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and Objectives: The association of the atypical antipsychotics with hypergly-cemia, elevated lipids, and weight gain was recognized soon after the introduction of clozapine and has become of increased concern as the use and uses of atypical antipsy-chotics have been expanded. The aim of the present study was to investigate the preva-lence of diabetes, dyslipidaemia, lipid peroxidation and hyperprolactinemia in Olanzepine treated patients in comparison with patients treated with haloperidol.Methods: Fifty patients were selected randomly from psychiatric inpatient clinic in Erbil city in Iraqi Kurdistan Region between November 2007 and June 2008.All patients were diagnosed as schizophrenia, and none of them were in acute severe state. Thirty Schizophrenic patients received Haloperidol orally as typical antipsychotic and 20 patients received Olanazapine orally as atypical antipsychotic for a minimum of one month. Fasting blood samples for the assessment of serum malondialdehyde (MDA), lipid profile, fasting blood glucose (FBG) and prolactin levels were obtained after one month of the drug prescribing time. From those fifty patients, 16 patients were selected to follow them prospectively over a mean period of time of 112 days for olanzapine and 75 days for haloperidol. The prospective study includes FBG, lipid profile, BMI and serum MDA.Results: The prevalence of hyperprolactinaemia and lipid peroxidation was higher in Haloperidol treated patients. Whereas, the prevalence of diabetes and dyslipidaemia were higher in Olanazapine treated patients, The mean level of BMI of the Olanazapine group was significantly higher than BMI of the Haloperidol group. There was 6.66 % prevalence of DM in Olanazapine treated patients, but there was no prevalence of DM in Haloperidol treated patients. There was no incidence of diabetes mellitus in the prospective study for both Haloperidol and Olanazapine treated patients.Conclusions:No absolute evidence indicates that the atypical antipsychotic Olanazapine is the cause of diabetes, since the glucose levels of all patients were within normal range and there was no incidence of diabetes in the prospective study in spite of their higher weight and body mass index.


Article
The effect of treating generalized anxiety disorder on psychoactive substance abuse and dependency in Erbil city
تأثير علاج اضطراب القلق العام على تعاطي المخدرات النفسي والاعتماد عليها في مدينة أربيل

Authors: Sirwan Kamil Ali --- Baran Kamal Albarazanjy --- Diyar Hussein Tahir
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 1 Pages: 42-46
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background & objectives: Generalized anxiety disorder is a common psychiatric disorder; it may act as a risk factor for psychoactive substance abuse and dependency development. The objectives are to assess the degree of abuse and dependency in generalized anxiety disorder patients, and the effect of treating the disorder on substances abuse and dependency. Methods: 120 patients with generalized anxiety disorder, diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), were studied from January 2007 to June 2008 for the presence of psychoactive substance abuse and dependency according to DSM-IV. All cases were managed for six months by the tricyclic antidepressant imipramine (35-75mg/day), with counseling to decrease anxiety by reassurance and anxiety management including relaxation training, in addition to supporting and encouraging the patients with abuse to stop the used psychoactive substances by a tapering schedule over weeks.Results: Substance abuse were presents in 32.5% of patients (tobacco 17.5%, benzodiazepines 13.3%, and alcohol 1.7%), this rate decreased to 13.3% (tobacco 11.7%, benzodiazepines 0.8%, and alcohol 0.8%) six months after starting treatment. The decrease in benzodiazepines abuse and dependency was greater than that in tobacco or alcohol.Conclusion: Generalized anxiety disorder appears to encourage abuse on psychoactive substances. Treating the disorder decreases abuse and using imipramine appears to have a good therapeutic effect on generalized anxiety disorder with low risk for abuse.

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