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Article
SURVEY WITH CHECKLIST OF THE INVASIVE INSECTS TO IRAQ
مسح مع قائمة مرجعية للحشرات الدخيلة للعراق

Authors: Hanaa H. Al-Saffar هناء هاني الصفار --- Razzaq Shalan Augul رزاق شعلان عكل
Journal: Bulletin of the Iraq Natural History Museum مجلة متحف التاريخ الطبيعي العراقي ISSN: Print ISSN: 10178678, Online ISSN: 23119799 Year: 2019 Volume: 15 Issue: 3 Pages: 343-361
Publisher: Baghdad University جامعة بغداد

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Abstract

The survey and checklist of invasive species of the insects in some different localities of Iraq are revised; 24 invasive species were documented until December 2018 during the current investigations. The species distributions, common names and synonyms are given. The current investigation included all of exotic species in Iraq, which are not collected during this study.

اجري مسحا مع مراجعة لقائمة بأنواع الحشرات الدخيلة للعراق؛ اذ وثق 24 نوعا حتى عام 2018 خلال التحريات الحالية. ذكر التوزيع الجغرافي، والاسماء الشائعة و مردافاتها لجميع الانواع.شملت التحريات الحالية جميع الأنواع الدخيلة في العراق ، بما فيها تلك التي لم تجمع خلال هذه الدراسة.

Keywords

Insects --- Invasive --- Iraq --- Species --- Survey


Article
Minimally Invasive Splenectomy for splenomegaly by traditional technique:A comparative study with conventional laparoscopic Splenectomy

Authors: Fadhil A. MuhiAldeen فاضل احمد محي الدين --- Kalandar H. Kasnazan
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2013 Volume: 9 Issue: 15 Pages: 97-107
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Minimally invasive surgery is a well known advantageous technique to all health systems, it is still possible to do minimal invasive technique, without using expensive equipments and its burden regarding; cost, maintenance and other disadvantages. This study was performed to compare minimally invasive surgery with classical traditional surgical technique in the aspects of reduced post-operative pain, shorter hospital stay and shorter convalescence period. In this study our cases underwent splenectomy through small incisions, which are almost equal to laparoscopic procedures and compared to equal number of cases underwent splenectomy through classical traditional technique. Decisions for splenectomy were made by physicians for a variety of well known disease status that complete cure or improvement will be gained by splenectomy. In this study, eighteen cases were studied, from which nine were males (mean age34.3±20.45) and nine were females (mean age=21.6±15.99). Nine of them were underwent splenectomy through minimally invasive incisions, the other group splenectomized through classical traditional incisions. The first group was discharged earlier; need much lesser narcotic medication and shorter convalescence period. In summary, compared to conventional classical method approach, Minimally Invasive Splenectomy is significantly facilitates the surgical procedure, reduces the risk and difficulty in the cases of splenomegaly. So this technique is more feasible and more effective than conventional clasical method for the removing of the splenomegaly.

الجراحات الغازية الحد الأدنىMinimally invasive surgery) )هو أسلوب معروف لجميع النظم الصحية، فإنه لا يزال من الممكن القيام بالتقنية الغازية الحد الأدنى، من دون استخدام معدات باهظة التكاليف والأعباء التي تتعلق؛بالتكلفة والصيانة وغيرها من المشاكل. وقد أجريت هذه الدراسة للمقارنة بين الجراحات مع التقنية الكلاسيكية الجراحية التقليدية في جوانب قلة الألم بعد العملية، البقاء لفترة أقصر في المستشفى وقصرفترة النقاهة. في هذه الدراسة تم استئصال الطحال من خلال فتحات صغيرة، والتي هي على قدم المساواة تقريبالإجراء العمليات بالمنظار، وبالمقارنة مع عدد متساو من الحالات التي خضعت لاستئصال الطحال من خلال التقنية التقليدية الكلاسيكية. واتخذت قرارات لاستئصال الطحال من قبل الأطباءالمختصين لمجموعة متنوعة من الحالات المرضية المعروف جيدا أن تكتسب الشفاء التام أوتتحسن بعد استئصال الطحال. في هذه الدراسة، تمت دراسة 18 حالة وخضع تسعة منهم استئصال الطحال من خلال شقوق صغيرة،وخضع البقية منهم لاستئصال الطحال من خلال الشقوق التقليدية الكلاسيكية. وتم تسريح المجموعة الأولى في وقت مبكر، واحتاجوالى الادوية المخدرة بنسب أقل بكثير وكانت فترة نقاهتم اقصر.


Article
Modified Uterine Incision To Decrease Mortality And Morbidity In Placenta Accreta: Cohort Study

Authors: Falah A. Muhi --- Ali Khairi Toman --- Haitham F. Hamzha
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 1 Pages: 2106-2112
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Placenta accreta is an un common but potentially lethal complication ofpregnancy. It occurs when the placenta is abnormally adherent to the uterinemyometrium causing massive obstetric hemorrhage and still theleading cause of pregnancy related deaths. The risk factors are previous lowersegment cesarean section, previous uterine surgery, endometrial defect like Sherman syndrome, presence of sub mucous fibroid, previous manual removal of placenta, vigorous and repeated curettage, previous myomectomy.Objective: To find the best strategy for dealing with placenta accreta patients and to decrease the associated maternal mortality and morbidity.Patients And Methods: 30 patients admitted in Alhindiya hospital between January 2008 and December 2013. Cohort study was conducted between 2 groups of patients with different management strategy. One group underwent the ordinary procedure of Caesarian section, while modification of uterine incision were done for the other group considering opening the uterus at a site distant from the placenta (high U shape incision), and delivering the baby without disturbing the placenta, then closure of the uterus in order to enable elective hysterectomy to be done. Analysis of data was done. Results & discussion: Thirty cases of placenta accreta were identified between January 2008 and December 2013. Placenta accreta was diagnosed either with ultrasound or MRI examinations. The patients had been divided into two groups with different management strategy. Analysis of operative and post-operative complications was done, and we found that scheduled caesarean hysterectomy performed under controlled circumstances with modified high uterine incision without attempting to remove the placenta before hysterectomy was associated with significantly decreased maternal morbidity and mortality. Conclusion: Scheduled caesarean hysterectomy performed under controlled circumstances with modified high uterine incision without attempting to remove the placenta before hysterectomy was associated with significantly decreased maternal morbidity and mortality.


Article
Detection of Galactomannan Antigen in the Serum of Iraqi Patients with Suspected Invasive Aspergillosis
دور بروتين الكالاكتومانان في تشخيص حالات الاصابه بفطريات الرشاشيات في حالات ذات الرئه لمرضى ردهات امراض الدم

Authors: Ali M. Jawad علي محمد جوار --- Wifaq M.Ali AL-Wattar وفاق محمود --- Rawaa Ali رواء علي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2016 Volume: 58 Issue: 1 Pages: 71-74
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Aspergillosis is a large spectrum of diseases caused by members of the genus Aspergillus. Invasive aspergillosis is a severe infection that occurs in patients with prolonged neutropenia, following chemotherapy,transplantation,or immunosuppressive protocols .Galactomannan ( GM) is a molecule ,found in the cell wall of Aspergillus species and is released in the blood during growth .The detection of GM in the blood is used to diagnose the invasive Aspergillosis in humans using ELISA assay.Objectives: To detect Galactomannan antigen in in the serum of immunocompramized patients suspected to have invasive aspergillosis.Patients and methods: This study was conducted on 50 patients from the hematology&oncology department,of Baghdad teaching hospital and pediatric oncology wards ,from March 2013 to October 2013.The patients presented with fever that is not responding to antibiotics along with cough and sputum and abnormal chest X-ray findings suspicious of IA. 11 healthy Iraqi individuals served as a control group.Results: ELISA test was positive in 39 of 50 (78%)while all of the control group individuals were negative(100%).The concentration of galactomannan antigen detected by ELISA was statistically significant when compared to control group( OD 0.658±0.033 vs 0.191±0.020 respectively) ( p<0.05).Conclusion: The detection of galactomannan antigen is a very useful and rapid method for the diagnosis of invasive aspergillosis disease in immunocompromised patients.Key words: Galactomannan antigen,invasive aspergillosis.

الخلفيه :تمثل فطريات الرشاشيات نوع من الفطريات الرميه الا انها تصيب مرضى الامراض السرطانيه ذوي المناعه المتدنيه با.صابات خطيره جدا مثل ذات الرئه وامراض الفطريات الاختراقيه ةلا يمكن تشخيصها الا في وقت متاخر مما قد يسبب الوفاه لذالك وجد فحص الكالاكتومانان لتسريع وتسهيل التشخيص وبدرجه عاليه من الدقهالاهداف:تهدف الدراسه لبيان دور الاجسام المضاده لبروتين الكالاكتومانان في تشخيض فطر الاسبرجلس فيوميكاتوس بواسطه فحص الايلايزالعينات الدمطرق العمل: شملت الدراسه خمسون مريضا واربع وستون عينه من الدم لمرضى ردهات امراض الدم السرطانيه وردهات سرطان الاطفال للفتره من اذار الى تشرين اول عام2013,و من لمرضى يعانون من سعال وهبوط مستوى كريات الدم العدله ولا تستجيب للعلاج بالمضادات الحيويهالنتائج:كانت النتائج تسجل نسبه 78%من مرضى المتوقع اصابتهم بامراض الرشاشيات كانت اصاباتهم موجبه لفحض مضادات الكالاكتومانان بينما كانت حالات المقارنه 100%سلبيهالاستنتاج:يمثل فحص مضادات البروتين كالاكتومانان بواسطه الايلايزا وسيله سهله وسريعه وذات دقه عاليه في تشخيص الاصابات الفطريه المحتمله لمرضى امراض الدم وذوي المناعه المنخفضهمفتاح الكلمات: كالاكتومانان,الرشاشيات


Article
Stromal CD10 expression in invasive breast carcinoma
التعبير Stromal CD10 في سرطان الثدي الغازية

Authors: Wahda MT. Alnuaimy --- Ava T. Ismail --- Jalal A. Jalal --- Haval D. Ali
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 41-48
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and Objective: This study aimed to assess the immunohistochemical expression of stromal CD10 in invasive breast carcinoma and determine its relationship with some clinicopathological parameters.Methods: A cross-sectional study was conducted on 91 female breast cancer cases collected from the archive of pathology department in Rizgary Teaching Hospital and some private labs during the period from January 2012 to August 2015. CD10 expression was detected by immunohistochemistry using labeled polymer and enhanced polymer systems (Dako EnVision™ Flex) Dakoprotocol. The scoring was based on the intensity and percentage of the stained stromal cells. Then CD10 immunoexpression was correlated with the age of patients, tumor size, histopathological types, tumor grade, lymphovascular invasion, lymph node status, and tumor stage.Results: Stromal CD10 expression was observed in 70.4% of the cases. A statistically significant positive correlation was seen between stromal CD10 and the tumor subtype (P = 0.02), tumor grade (P = 0.025), lymphovascular invasion (P = 0.002), and lymph node status (P = 0.047), however, no statistically significant association was identified between stromal CD10 expression and age, tumor size and tumor stage.Conclusion: Stromal CD10 is expressed in the majority of cases of invasive breast carcinoma and concerning the positive correlations between stromal CD10 expression and tumor grade, lymphovascular invasion, and lymph node status suggest a strong effect of stromal CD10 expression on aggressive behavior of breast carcinoma.


Article
The Endoglin (CD105) Expression as a Marker of Tumour Vasculature in Urinary Bladder Tumours of Iraqi patients

Authors: Hind M. Mousa --- Amna N. Jassem --- Munther J. Hussain
Journal: Mesopotamia Environmental Journal بيئة وادي الرافدين ISSN: 24102598 Year: 2017 Issue: Special Issue C Pages: 93-98
Publisher: Babylon University جامعة بابل

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Abstract

The Endoglin CD105 is a good marker for metastatic in solid tumors . It has a role in angiogenesis process which mediates blood vessels formation. The aim of this study to evaluate CD105 immunoexpressions in bladder tumors, and to determine its relation with clinico-pathological grades in patients with UBC . The study included 50 biopsies from patients with urinary bladder carcinoma (UBC) and 15- benign bladder biopsies from patients with other bladder disorders rather than cancer (UBD). CD105 immunostaining was assessed using Envision method . Immunohistochemical (IHC) studying showed that (CD105) proteins were significantly high expressed in UBC compared with UBD patients (80% vs. 33.3 % ; p≤ 0.01) , and there was significant difference in the positive IHC results of this protein in correlation to clinico-pathological grades in UBC patients (p≤ 0.01) . we conclude that CD105 IHC expressionin bladder cancer may be consider as prognostic marker .


Article
Clinical Outcome of Invasive Pituitary Prolactinomas Treated with Cabergoline

Author: Bassam M Flamerz Arkawazi
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 2 Pages: 50-57
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Treatment of invasive prolactinoma, which has several characteristics including invasive growth into cavernous sinuses and formation of giant adenomas compressing adjacent neural structures, resulting in neurological dysfunction, has been very challenging. There are relatively few reports available describing long-term treatment outcome.Aims of the study: In this study we evaluate the results of cabergoline administration as initial treatment during 4 years follow up period.Methods: We prospectively categorized 36 patients into four groups according to the results of 3 months of cabergoline treatment: group 1, tumor volume reduction (TVR) ˃25% with normalized serum prolactin (NP) (n = 24); group 2, TVR˃25% without NP (n = 4); group 3, TVR ˂25% with NP (n = 5); and group 4, TVR ˂25% without NP (n = 3).Results: During follow-up, 22 patients (91.7%) in group 1 achieved TVR˃50% with NP. Three patients (75%) in group 2 achieved TVR˃50% with NP after treatment for 8 months. In group 3, four patients (80.0%) continued medication because of improvement of symptoms and achieved additional TVR(18.8–46.4%). Surgery was performed on five patients (one in group 2, one in group 3, and three in group 4), and complete resection was achieved in four (80.0%). Overall, 25 (69.4%) of the 36 patients treated with cabergoline had complete response and 6 (16.7%) had partial response but did not require surgery. Thus, the overall response rate was 86%,with only five patients (14%) requiring surgical debulking. NP was not achieved by surgery alone in all cases, even after total resection of tumor.Conclusion: Patients who achieve TVR˃25%with NP with 3 months of cabergoline administration had a high possibility of showing good long term response (TVR˃50% with NP) to cabergoline. A higher dose of dopamine agonist (DA) should be considered for patients who achieve TVR˃25% without NP.


Article
The importance of CA15-3 in the follow up of Metastatic Invasive Ductal Carcinoma Iraqi Women
اهمية المَعلم السرطاني CA15-3 في تقدم سرطان الثدي لدى عينة من النساء العراقيات

Authors: Mohammed A. Najm محمد عايد نجم --- Amina N. Althwani امنة نعمة الثويني
Journal: Iraqi Journal of Cancer and Medical Genetics المجلة العراقية للسرطان والوراثة الطبية ISSN: 20786123 Year: 2011 Volume: 4 Issue: 1 Pages: 7-10
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objective: The aim of this study is to find out the efficiency of CA15-3 in the follow up of metastatic invasive ductalcarcinoma patients pre and post-treatment.Method: Seventy five inavasive ductal carcinoma Iraqi patients with metastasis were admitted to Nuclear Medicine Hospitalin Baghdad, all were females and have received the same treatment regimen which is represented by FAC: 5-fluorouracil,doxorubicin, cyclophosphamide given 3-weekly for 6 cycles. Those patients have been observed for four monthsuntil they completed their course of treatment. Also 15 samples of apparently healthy women were involved as a control.The blood samples (5 mL) were drown from all of studied cases in order to be used for measuring their serum level ofCA15-3 (serum CA15-3 levels of patients were measured pre and post treatment) by using Enzyme-linkedImmunosorbent Assay (ELISA) technique.Result: Serum CA15-3 concentration was elevated in 36 patients (highly significant) from the total number of patientsthat had been considered in the study before starting therapy, 31 patients from them were followed up for four monthswhile they completed their course of treatment. Then; their serum CA15-3 concentrations were measured again, the resultshowed that the CA15-3 values decreased in 27 patients to be within normal level, but increased in 4 patients more thanits primary concentration before starting therapy.Conclusion: CA15- 3 is a sensitive tumor marker for diagnosing metastatic invasive ductal carcinoma and especially formonitoring treatment of those patients.

يعد سرطان الثدي من اكثر انواع السرطانات التي تصيب النساء في العالم ، وقد تناولت الكثير من الدراسات والبحوث العوامل المسببة لهذا المرض من أجل التوصل للتشخيص المبكر والعلاج الناجح له.
تناولت هذه الدراسة حصراً النوع الخبيث والأكثر انتشاراً لسرطان الثدي وهو “ سرطان القنوات المنتشر” حيث تركزت على بحث العلاقة بين هذا السرطان وتركيز المعلم السرطـاني كما تناولت العلاقة بين تركيز هذا المعلم و اعمارعينة من مريضات سرطان الثدي العراقيات.
اجريت هذه الدراسة على 76 مريضة ادخلن لمستشفى الطب والإشعاع الذري في بغداد ، بالاضافة الى 15 امرأة سليمة (سيطرة)، حيث تم سحب عينة دم (2 مل) من جميع الحالات (المرضى والسليمات) لغرض استخدامها في قياس المعلم السرطاني المذكورة سابقا باستخدام تقنية
وجد زياده في تركيز المعلم السرطاني عند 36 مريضة من العدد الكلي للمريضات اللاتي ادخلن في هذه الدراسة قبل البدأ بأخذ العلاج، وتم متابعه 31 منهن طوال فترة العلاج التي استمرت اربعة اشهر، ثم تم بعدها قياس تركيز المعلم السرطاني من جديد لهؤلاء المريضات (المتابعات)، واكدت النتائج ان تركيزه قد انخفض لدى 29 مريضة ليكون ضمن المستوى الطبيعي، بينما ظهرت زيادة في تركيزه لدى 4 منهن ليكون اعلى من تركيزه الابتدائي قبل بدأ العلاج.


Article
Neonatal Infection in the Neonatal Unit at Baghdad Teaching Hospital, Iraq

Author: Batool A. Al-Shawii
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 3 Pages: 295-297
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:In Iraq, the true magnitude of the neonatal infection among newborns receiving care is not known as health system was badly eroded in the last two decades. This work was carried out to find factors associated with neonatal infection among newborns receiving care in intensive unit.METHODS:The records of a total of 723 neonates admitted to the neonatal intensive unit at Baghdad teaching hospital during the period Nov. 2003 to Oct. 2004 were reviewed. Information regarded birth weight, gestational age, medical history of the mothers, bacterial infections and management procedures were collected.RESULTS:Out of the total neonates, 9.3% had bacterial infection. Low birth weight, prematurity and prolonged rupture of membrane were factors significantly associated with bacterial infection (p = 0.001, 0.002 and 0.03, respectively). Oxygen therapy, invasive procedures, and the nasogastric tube (p = 0.01) were significantly associated with infection. S. aureus, enterbacter and E. coli were the commonest pathogens.CONCLUSION:The study provides useful information for future surveillance in association with preventive program as there were several factors associated with neonatal infection which could be prevented.


Article
Effectiveness of Immediate Mitomycin C Instillation in Patients with Low Risk Non-Muscle Invasive Bladder Cancer

Authors: Usama Sulaiman Al-Nasiri --- Wisam Ali Kareem
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 387-392
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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BACKGROUND:We determined if immediate instillation chemotherapy after transurethral resection (TUR) decrease the risk of recurrence andor progression in patient with stage Ta T1 bladder cancer.OBJECTIVES:This study has been designed to analyze the impact of a single immediate mitomycin C instillation after transurethral resection of bladder cancer on recurrence and progression rates in patients with low risk superficial bladder cancer.METHODS:A total of 50 patients with low risk superficial bladder cancer were included in a prospective randomized controlled trial. All patients had a 3 cm. or less single, papillary bladder tumer. The tumor was completely resected before patients were randomized into 2 arms of no further treatment (control group) and a single immediate instillation (usually within 6 hours) of 40 mg. mitomycin c (mitomycin c group). Median follow up was 24 months .The events studied were the recurrence free rate, the recurrence rate/year, and the number of new tumors developing /year.RESULTS:At 24-month follow-up the recurrence-free rate was significantly increased (84.7% VS 54.2%). Recurrence (15.3% VS 45.8%), and recurrence per year rate (7% VS 20%) and tumor per year rate(11% VS 33%) were significantly decreased in the mitomycin c compared to the control group.CONCLUSION:This study confirms the positive effect of a single immediate mitomycin C instillation in patients with low risk superficial bladder cancer. Thus, this approach is an alternative to observation. This study also suggests cell implantation as a mechanism of early recurrence can be controlled with a single immediate mitomycin c instillation.

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