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Article
Disability assessment of diabetic patients in Erbil city
تقييم العجز لمرضى السكري في مدينة أربيل

Authors: Saadia Ahmed Khuder --- Dara Abdulla Al-Banna
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 1 Pages: 902-909
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: The disabling effects of diabetes mellitus are multi-factorial, which can result in the high prevalence of long term complications. The aim of this study was to assess disability levels of diabetic patients. Methods: A quantitative design descriptive study was conducted in Leila Qasim Center in Erbil City in the Kurdistan Region of Iraq from February 2012 to February 2013. A non-probability purposive sample of 400 diabetic patients for more than 5 years was selected. A questionnaire was designed and divided into three parts: sociodemographic data, clinical data, and the standardized questionnaire developed by World Health Organization for disability assessment. Results: The highest percentage (57%) of diabetic patients had a moderate level of disability, while 23% had a mild level of disability. Severe level of disability was present in 20% of sample. No one had not disability or extreme level of disability. Conclusion: More than half of diabetic patients were in the moderate level of disability.


Article
Risk factors and Neurological Disability Associated with Epilepsy in Iraqi Children
عوامل الخطورة والإعاقات العصبية المترافقة مع الصرع عند الأطفال العراقيين

Authors: Adel A. Kareem د. عادل عبد الكريم --- Tawfeeq F. R. AL-Auqbi د.توفيق العقبي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 2 Pages: 128-131
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Objective: To assess and describe the risk factors and neurological disability associated with epilepsy in children, in order to assist in early diagnosis and prompt management of epilepsy in children.Method: a cross sectional (descriptive) study; carried out from 3rd Feb. 2008 to 28th Feb. 2010, on 185 children, in the Pediatrics Neurology Clinic / Neuroscience Hospital, Baghdad, Iraq. Children were studied as two age groups, pre-school age group 152 children, and school age group 33 children. The relations of risk factors and associated Neurological disabilities with epilepsy were studied among both groups and analyzed statistically.Result: The male/female ratio was 1/0.73. The age range was 1 – 166 months with median of 36 month. Types of epilepsy were generalized 82.70% (153/185), about 95% of them were tonic- clonic seizure; the partial Epilepsy were 17.30% (32/185), about 96% of them was simple type. Electroencephalogram (EEG) findings as generalized, focal, hypsarrhythmia and normal were 79.45%, 17.29%, 0.021% and 0.016% respectively. Prevalence of risk factors in preschool age children was 62.5% (95/152) and in school age children was 51.5% (7/33). The probability of being epileptic at preschool age for those with risk factor was 62.45%. The probability of being epileptic at school age for those with risk factor was 51.45%. The most frequent risk factor encountered in pre-school children were the natal risk factors 58.9% (56/95), about 90% of these risk factors were birth Asphyxia, preterm delivery and Aspiration pneumonia; while in school age children the positive family history of epilepsy was the major risk factor 52.9% (9/17). The association of epilepsy with Neurological disability in preschool age group were 50.0% (76/152), mainly be as cerebral palsy (90%); while in the school age group were 12.12% (4/33) mostly be as learning and communication difficulties. Conclusion: The risk factors for epilepsy and associated neurological disability were varied in its type and incidence according to the age of children. Key words: epilepsy, risk factors, neurological disability

الهدف : تقييم ووصف عوامل الخطوره والإعاقات العصبية المترافقة مع الصرع لدى الأطفال ، وذلك للمساعدة في التشخيص المبكر وعلاج الصرع لدى الأطفال. الطريقة : دراسة مقطعية (وصفية) نفذت من 3 فبراير 2008 إلى 28 فبراير عام 2010 ، على 185 طفلا في عيادة طب الأعصاب قسم طب الأطفال / مستشفى العلوم العصبية ، بغداد ، العراق. درس الأطفال كفئتين عمرية، الفئة العمرية ما قبل المدرسة 152 طفلا ، و الفئة العمرية في سن المدرسة 33 طفلا. تم دراسة عوامل الخطورة والإعاقة العصبية ومدى ترابطها مع الصرع وجرى تحليل العلاقات بين المجموعتين إحصائيا. النتيجة : نسبة الذكور/ الإناث 1/0.73. وعمر الأطفال يتراوح بين 1 - 166 شهرا و العمر الوسيط 36 شهرا. أنواع الصرع الشامل 82,70 % (153/185) ، حوالي 95 % منهم نوبات ارتجاجي ، والصرع الجزئي 17,30% (32/185) ، حوالي 96 % منهم كان من النوع البسيط. نتائج أنواع التخطيط الكهربائي للدماغ الشامل ، الموضعي ، هبسارثيميا وطبيعية كانت كالتالي 79,45%، 17,29%، 0,021 % و 0,016 % على التوالي. انتشار عوامل الخطر في سن ما قبل المدرسة 62,5 % (95/152) ، والأطفال في سن المدرسة 51,5 % (7/33). احتمال ظهور الصرع في سن ما قبل المدرسة لذوي عوامل الخطر كان 62,45 % واحتمال ظهور الصرع في سن المدرسة 51,45%. معظم عوامل الخطورة في سن ما قبل المدرسة 58,9 % (56/95) ، نحو 90 % من هذه العوامل هو الاختناق أثناء الولادة ، الولادة المبكرة ، ومرض الالتهاب الرئوي التنفسي ، بينما الأطفال في سن المدرسة فأن التاريخ العائلي للصرع هو عامل الخطورة الرئيسي 52,9 % (9/17). ترافق الصرع مع الإعاقة العصبية في مرحلة ما قبل المدرسة 50.0 % (76/152) ، غالبا ما يكون بصورة شلل دماغي (90 %) ، بينما في سن المدرسة 12,12% (4/33) فأن أكثر الإعاقات العصبية هي صعوبات التعلم الاتصال . الاستنتاج: تختلف أنواع وانتشار عوامل الخطورة للصرع والإعاقات العصبية المرافقة عند الأطفال حسب العمر.


Article
Complications of including physically challenged students in physical education class from the physical educator's point of view
معوقات دمج ذوي الإعاقة الحركية في حصص التربية الرياضية من وجهة نظر معلمي التربية الرياضية

Author: جاسر حسني مطلق العنانزه
Journal: journal of physical education مجلة التربية الرياضية ISSN: 20736452 Year: 2017 Volume: 29 Issue: 3 Pages: 401-418
Publisher: Baghdad University جامعة بغداد

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Abstract

The aim of the study is to identify the complications of including physical challenged students in physical education class from the physical educators point of view in Jordan northern governorates (Arbid، Ajlon، Jersh). The researcher used a questioner to conclude the point of view of 153physical educators. The questioner consisted of 22 items divided into three axes (organizational obstacles، social obstacles، and physical obstacles). The results of the questioner showed that physical educators understudy considered physical challenged students in physical education class in all axes as well as the absence of significant statistical differences in gender، scientific qualification. The results also showed that there are differences due to experience in favor of the ones who are more experience

هدفت هذه الدراسة إلى الكشف عن معوقات دمج ذوي الإعاقة الحركية في حصص التربية الرياضية من وجهة نظر معلمي التربية الرياضية في محافظات الشمال "اربد، عجلون، جرش"، وذلك من خلال استطلاع وجهة نظر عينة من معلمي التربية الرياضية في المدارس التابعة لمديريات التربية في تلك المدارس بلغت (153) معلما ومعلمة. ولتحقيق هدف الدراسة تم بناء الاستبانة حيث تكون في صورتها النهائية من (22) فقرة موزعة على ثلاثة مجالات هي: (المعوقات التنظيمية، والمعوقات الاجتماعية والمعوقات البدنية). وبعد التأكد من صدقها وثباتها تم تطبيقها على أفراد العينة حيث أظهرت النتائج أن معوقات الدمج كانت عالية على جميع الأبعاد والأداة ككل. كما أظهرت النتائج عدم وجود فروق ذات دلالة إحصائية على مجالات الأداة تعزى لمتغيرات الجنس، والمؤهل العلمي باستثناء مجال المعوقات البدينة. ووجود فروق تعزى لمتغير الخبرة ولصالح ذوي الخبرة الأعلى. وخلصت الدراسة إلى وضع مجموعة من التوصيات.


Article
Disability and Drug Addiction
الإعـاقة والإدمـان على المخـدرات

Author: Lamyya Mohammed Hassan لمياء محمد حسن
Journal: Mustansiriyah Journal of Arts مجلة آداب المستنصرية ISSN: 02581086 Year: 2014 Issue: 65 Pages: 1-28
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The problem of taking drugs begins to take large space inside Iraqi society and this problem had not found in this horrible form as it now, especially after the American invasion (2003) year, this phenomena increase and begin to speart on all groups of society the normal and up normal ones and up normal peoples means disable ones. This problem has been affected in many people and many factors and resons has been double in occurrence of such problem. Actually we try in this study to shed light on the disability problem and addiction on drugs and the aim of this study is to know the kinds of drugs in Iraq and discover the physiological , economical, social factors that pushed the disable to addiction on the drugs. This study includes both theoretical and experimental work, theoretical aspect of study contain the general out line of the study, which determine the problem and it's significance and the aims of the study definition of basic of basic scientific terms, and also include the types of drugs in Iraq, in addition to that the relationship between the disability and addiction on the drugs. While the experimental work contains the scientific procedures for this study.Determine the size if sample (kinds and size) which is purposeful sample applied on (50) person and also include the information and analyze it and coming to the important results and recommendation and suggestion which researcher has been arrived to this study contribute indetermine the means that can be benefit for treatment this problem and the most important results is the disability is one of the factors that cause taking drugs and also there is many factors that may be affection thus problem such as economical, psychological or may be social that contribute in way or another in pushing disable for addiction on drugs in some time.

إن مشكلة تعاطي المخدرات بدأت تأخذ حيزاً كبيراً داخل المجتمع العراق، وإن هذه المشكلة لم تكن موجودة بهذا الشكل المخيف كما هي عليه الآن، فبعد الغزو الأمريكي للعراق عام (2003) بدأت تتسع هذه المشكلة وأخذت تحصد جميع فئات المجتمع الأسوياء منهم وغير الأسوياء إلا وهم المعاقين، وقد أثرت هذه المشكلة في كثير من الناس، وقد تظافرت عوامل وأسباب كثيرة في حدوث هذه المشكلة. ونحاول في هذه الدراسة ان نسلط الضوء على مشكلة الإعاقة والإدمان على المخدرات، وهدف الدراسة التعرف على أنواع المخدرات في العراق والكشف عن العوامل الاجتماعية والاقتصادية والنفسية التي دفعت المعاق للإدمان على المخدرات وتضمنت هذه الدراسة جانبين نظري وميداني وأحتوى الجانب النظري على عدة محاور شمل الإطار العام للدراسة أي تحديد المشكلة وأهمية وأهداف الدراسة وتعريف أهم المصطلحات العلمية، وكذلك تضمن محور عن أنواع المخدرات في العراق فضلاً عن العلاقة بين الإعاقة والإدمان على المخدرات. في حين أحتوى الجانب الميداني على الإجراءات العلمية لمنهجية الدراسة وقد تم فيها تحديد العينة (نوعها وحجمها) وهي عينة قصدية أجريت على (50) مبحوث وتضمن الجانب الميداني كذلك عرض البيانات وتحليلها وأهم النتائج التي تم التوصل إليها وأهم التوصيات والمقترحات التي وضعتها الباحثة والتي من شأنها أن تسهم في تحديد الوسائل الكفيلة بعلاج هذه المشكلة. ومن أهم النتائج التي توصلت إليها الدراسة هي: تعد الإعاقة من العوامل المؤدية إلى التعاطي. وكذلك هنالك العديد من المشاكل الاجتماعية والاقتصادية والنفسية وغيرها من المشاكل التي تسهم بشكل وبآخر في دفع المعاقين إلى الإدمان على المخدرات.


Article
Effect of Exercises Using Training Aids on the Development of Explosive Strength and Accuracy of Some Throwing Skills of Boccia players with Sever disabled Category (Bc1)
تأثير تمرينات باستخدام وسائل تدريبية مساعدة في تطوير القوة الانفجارية ودقة بعض مهارات الرمي الخاصة للاعبي البوتشيا (شديدي الاعاقة) فئة (BC1).

Authors: احمد محمد سماعيل --- عبد الله رشيد شهاب
Journal: journal of physical education مجلة التربية الرياضية ISSN: 20736452 Year: 2018 Volume: 30 Issue: 3 Pages: 214-229
Publisher: Baghdad University جامعة بغداد

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Abstract

The research indicates the importance of the players’ explosive power Boccia and how it affects the skill performance of the players. Explosive strength is considered one of the most important physical abilities. The game is based mainly on accuracy although some player suffer from reflexive movements that causes difficulty in controlling the ball, which in turn affect the performance of skills, through the presence of the researcher as a referee approved by the Federation of Boccia and the experience of the supervisor in the sport of disabled and after consulting with the coach of the team Boccia We noticed that there is weakness in physical abilities. The researcher used the experimental method. The subject were (5) selected in a deliberate manner and they are players of the national team for applicants with severe disabilities (cerebral palsy) participants in the 2017 Iraq, and the research community were (10) as the proportion of the sample (50%) of the research community. The researchers concluded that the physical exercises developed explosive strength and accuracy of the members of the research sample. Finally they recommended the need to focus on physical exercise using the special tools for different categories in the game of the Boccia for members of the research sample.

يشير البحث الى أهمية القوة الانفجارية لدى للاعبي البوتشيا ومدى تأثيرها على الأداء المهاري للاعبين، اذ تعتبر القوة الانفجارية واحدة من اهم القدرات البدنية، ان لعبة البوتشيا تعتمد بشكل أساسي على الدقة بالإضافة الى بعض القدرات البدنية، اذ تشكل الدقة تحديا كبيرا على اللاعبين لأنهم يعانون من حركات ارتعاشيه تشنجية تسبب لهم صعوبة في التحكم بالكرة والتي بدورها تؤثر على الأداء المهاري، من خلال تواجد الباحث كحكم معتمد من قبل اتحاد البوتشيا، وبعد التشاور مع مدرب فريق البوتشيا لاحظنا ان هنالك ضعف في القوة الانفجارية والتي تؤثر على الأداء المهاري في الرميات المستخدمة بالفعالية.لقد استخدم الباحث المنهج التجريبي ذات المجموعة التجريبية الواحدة ذو الأختبارين القبلي والبعدي لملائمه طبيعة مشكلة البحث، وتم أختيار عينة البحث بالطريقة العمدية وهم لاعبي المنتخب الوطني للمتقدمين من ذوي الأعاقة الشديدة (الأصابات الشلل الدماغي) المشاركين في بطولة العراق (2017) الحائزين على المراكز (5-1) وعددهم (5)، وكان مجتمع البحث عددهم (10) اذ تشكل نسبة العينة (50%) من مجتمع البحث.


Article
Psychological Disability for the Students of Open Educational College
العجز النفسي لدى طلبة الكلية التربوية المفتوحة

Author: م.د.طالب سرحان شفيق المالكي
Journal: Journal of Basra researches for Human Sciences مجلة ابحاث البصرة للعلوم الأنسانية ISSN: ISSN PRINT 27073580 /ISSN ONLINE 27073599 Year: 2019 Volume: 44 Issue: 2 Pages: 135-157
Publisher: Basrah University جامعة البصرة

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Abstract

The present research paper aims at identifying the psychological disabilityfor the students of the Open Education College for the academic year 2018-2019 on a sample of (150) students who are chosen randomly. The researcher relied on the previous studies and principles in constructing the scale which consists of 30 paragraphs and five alternatives. The apparent truthfulness, discriminatory power and stability have been applied on the scale by using the method of the semi-fragmentation and correction of Spearman Brown's equation(0,90) at the level of (0.01). The results showed that the level of the psychological disability is higher among the sample

يهدف البحث الحالي إلى التعرف على العجز النفسي لدى طلبة الكلية التربوية المفتوحة للعام الدراسي 2018- 2019 على عينة مقدارها(150) طالب وطالبة بطريقة عشوائية ، وأعتمد الباحث على الدراسات السابقة وادبيات في بناء المقياس المتكون من (30) فقرة وبخمس بدائل ،واجرى عليه الصدق الظاهري والقوة التميزية والثبات بطريقة التجزئة النصفية وتصحيحه بمعادلة سبيرمان براون البالغ(0,90) وبمستوى دلة(0,01) وتوصلت النتائج إلى أنّ مستوى العجز النفسي عالي لدى أفراد العينة.


Article
Association of radiological osteoarthritis of the knee joint with locomotor disability

Authors: Nizar Abdulateef Jasim *, --- Husam H. Al-Khafaji ** , --- Zaid Al-Attar ***
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 1 Pages: 36-42
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Knee osteoarthritis (KOA) is a common joint disorder leading to considerable pain and locomotor disability in lower limb function. Locomotor disability, which is difficulty in activities of daily living related to lower limb function, can be the consequence of KOA, so early diagnosis and management may improve quality of life. Objective: To assess the contribution of radiological osteoarthritis of the knees to disability in the activities of daily living related to lower limb function. Methods: One hundred twenty Iraqi KOA patients (104 females and 16 males) who were attending to Rheumatology Unit, Full history was taken and complete clinical examination was done for all patients. Wight-bearing X-rays of both knees (anteroposterior and lateral view) were taken for patients and were graded according to Kellgren and Lawrence scale.Results: The frequency of locomotor disability, was 62.50% for men and 72.11% for women (p=0.431). The frequency of radiological osteoarthritis of the knee was 50% for men and 40.37% for women (p=0.651). There was significant statistical differences between; locomotor disability, and increased age, morning stiffness, muscle wasting & BMI (p=0.000, p=0.003, p=0.002 and p=0.028 respectively). There was no statistical significant association between; KOA radiological grading, and gender, morning stiffness, BMI & lower limb locomotor functions disability (p=0.651, p=0.357 and p=0.972 respectively). Conclusion: Radiological osteoarthritis of the knee is only weak independent predictors of locomotor disability. Patient's age, pain of the knees, muscle wasting, morning stiffness and obesity seem to be the most important independent determinants of locomotor disability.


Article
6.Validity of MRI Measurements in Lumbar Spinal Canal Stenosis

Authors: Hayder K.H. Al-Jaberi حيدر كريم حنش الجبوري --- Bishree K. Shakir بشرى كنعان شاكر --- Anees A. Hjazeen انس عادل
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2019 Volume: 17 Issue: 2 Pages: 126-134
Publisher: Al-Nahrain University جامعة النهرين

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Background:Lumbar spinal canal stenosis results from compression of spinal cord and/or nerves at any level of lumbar vertebra. The relationship between clinical features of the patients and the degree of stenosis is not clear and there is no accepted “gold standard” for the diagnosis of lumbar stenosis.Objective:To evaluate the relationship between the degree of radiologically confirmed stenosis and the severity of Oswestry disability Index and to assess the most valid parameter for the diagnosis of the lumbar stenosis.Methods;A cross-sectional study conducted on randomly selected patients with lumbar stenosis at Magnetic Resonance Image Unit of Al-Imamein Al-Kadhimein Medical City in Baghdad from May to September 2018. All patients filled Oswestry disability Index questionnaire and underwent examination using 1.5 Tesla magnetic resonance unit (Avanto, SIEMENS).Results:A total of 41 patients were included (51.46±12.62) years of age. The measurements of spinal canal including the cross-sectional area of dural sac at intervertebral levels, stenosis ratio, and depth of lateral recesses are found to be correlated significantly with the level of disability assessed by Oswestry disability Index. At all levels, neither the cross-sectional area of the lateral recesses nor Ligamentous interfacet distance correlated significantly to the level of disability.Conclusion:Magnetic resonance image measurements of spinal canal correlated to the level of disability. Stenosis ratio and cross-sectional area of dural sac at intervertebral disc were more sensitive measurements for lumbar stenosis than other parameters.Keywords:Oswestry disability Index, Spinal stenosis, magnetic resonance imageCitation:Al-Jaberi HKH, Shakir BK, Hjazeen AA. Validity of MRI measurements in lumbar spinal canal stenosis. Iraqi JMS. 2019; 17(2): 126-134. doi: 10.22578/IJMS.17.2.6


Article
Anti-Myelin Associated Glycoprotein Antibody and Relapsing Remitting Multiple Sclerosis among A Sample of Iraqi Patients

Authors: Dr.Kareem M. Al-Tameemi, د. كريم التميمي --- Dr. Anmar U. Hatam, د. انمارحاتم --- Dr. Akram M. Al-Mahdawi, د. اكرم المهداوي
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1194-1199
Publisher: Kerbala University جامعة كربلاء

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Abstract

ackground:Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system affecting nearly 2 million people worldwide. The pathogenesis of MS is at best incompletely understood. There are several proposed mechanisms that may be important in the production of MS plaques: autoimmunity, infection, bystander demyelination and heredity. Deviation of immune responses plays a central role in the pathogenesis of MS. Auto antibodies to many myelin constituents is present in MS. These antibodies may be an autoimmune reaction to an “MS antigens” or simply part of a generalized “non-sense” antibody response. In either case, the antibodies may affect the pathology of MS.Objective: To study the association between Anti-myelin associated glycoprotein (anti –MAG) antibody and relapsing remitting multiple sclerosis in Iraq.Method: 105 patients with relapsing remitting multiple sclerosis and 85 patients with other neurological diseases (OND) as control group were recruited in this study. The cases were collected from Baghdad teaching hospital, MS center, Baghdad, Iraq at the period from April 2009 to February 2010. The sera of all patents were tested for MAG- antibodies.Results: The present study showed increase in the percent of patients with positive anti-MAG antibody in patients with relapsing remitting multiple sclerosis than the control group( 7.6% in the patients group viz 3.5% in the control group) but with no statistical significance. Also among patients group we try to study the relationship between severity of the disease measured by expanded disability status scale (EDSS) and positive serum anti-MAG antibody and we found no significant statistical association.Conclusion: There is a higher percent of patients with positive anti-MAG antibody in the serum of patients with relapsing remitting multiple sclerosis than the control group.


Article
Risk factors for autism in Baghdad city

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Abstract

Background: Autism is a complex developmental disability that typically appears during the first three years of life. Autism affects the normal development of the brain in the areas of social interaction and communication skills.Objectives: To identify risk factors for Autism among a sample of autistic children in Baghdad city. Type of the study: this is a case – control, study. Methods: This study was conducted during the period of data collection extended from first of November 2010 until the first of April 2011,The total number of children involved was 100children with diagnosis of autism. Handred children who are free from autism were taken as the control sample. Results: there was a significant association between paternal age and the risk for autism, fathers older than 40 years had 11 times increased risk of having an offspring with autism, (p=0.043).Psychologicalproblems, showed a statistically increased risk of autism associated with maternal history of (maternal unhappy emotional state), the odds ratio of this risk factor was seven (p=0.01). Post term (14% in cases vs. 2% in controls) (P=0.005, OR 8.80) and neonatal jaundice (30% in cases and 11% in controls) (P=0.001, OR 3.71) were significantly associated with autism.Bottle-feeding showed the highest significant associations with risk of autism (p=0.004, OR=2.84).Conclusion:Autism has many associated risk factorslikepaternalage (fathers older than 40 years),psychological problems (maternal unhappy emotional state),post term,neonataljaundiceandbottle-feeding

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