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Article
Infectious bloody diarrhea in children 2 month – 5years, Descriptive hospital Based Study

Authors: Mustafa Sh. Ahmed --- Afrah A. Al-Ma'eeni --- Dhia H. Al-Beldawi ضحى البلداوي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 2 Pages: 136-141
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Dysentery is an important cause of morbidity and mortality associated with diarrhea. About 10% of all diarrheal episodes in children less than 5 years are dysenteric, but these cause about 15% of all deaths attributed to diarrhea. Objective : To demonstrate the most common pathogens causing bloody diarrhea in children between 2 months and 5 years old, to describe some of the associated factors accompanying bloody diarrhea and to highlight the most important clinical features.Patients and methods: A descriptive study of 82 children, between the age of 2 months to 5 years with bloody diarrhea, who were admitted to the Children Welfare Teaching Hospital/ Medical City/ Baghdad during the period between 1st of March 2009 to 28th of February 2010. Information regarding demographic data was taken from their parents. All the patients were examined carefully mainly for the signs and degree of dehydration. General stool examination and stool culture done for patients with bloody diarrhea.Other 100 patients with acute watery diarrhea were also taken as a comparison group. Results: Entamoebahistolyticatrophozoite was the most common isolated pathogen in the study group specimens. It was identified in 38 (46.3%) of patients followed by Shigella species in 10 (12.2%) cases and the least was non typhoidal salmonella in 5 (6.1%) cases. The most vulnerable age was 2-24 months 51(62.2%) cases. Fifty eight and half percent of patients were from urban areas. Half of the patients (50%) were bottle fed. The majority had chlorinated tap water supply (82.9%). This study showed a higher frequency of the following symptoms: Fever (73.2%), Tenesmus (46.3%), Rectal prolapse (1.2%) and convulsion (4.9%) in patients with bloody diarrhea; while in patients with watery diarrhea, the frequencies of these symptoms were: (62%, 28%, 0% and 1% respectively), Severe dehydration was observed in only (15.9%) of cases and the majority of them were seen in patients with bacterial bloody diarrhea.Conclusions:Entamoebahistolyticawas the most frequent offending pathogen in patients with bloody diarrhea in this study. Infants 2-24 months old were the main affected group. Bottle feeding preference,and non-boiling of drinking water made children more prone to have bloody diarrhea. High fever and tenesmus were the most frequent clinical symptoms associated with bloody diarrhea. More frequent bowel motions, high fever, and convulsion were all more commonly seen with bacterial bloody diarrhea than in amebic bloody diarrhea.


Article
Acute abdomen during pregnancy in Baghdad

Author: Ahmed R. Hizam*CABS Salam Othman Hamad*MBChBSafa M. AL-Obaidi* FRCS
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 1-5
Publisher: Baghdad University جامعة بغداد

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BackgroundThe diagnosis and important aspects in treating acute abdomen during pregnancy tend to be delayed due to the peculiar physiological features of pregnancy and the restrictions imposed on imaging diagnostic techniques such as x-ray and CT.Aim of the studyTo identify the most common causes of acute abdomen during pregnancy and identifying the approaches for early diagnosis and to take a correct decision for surgery and assigning the complications that may occur during and/or after surgery for the mother and the fetus.Patients and Methods This is a prospective study that involves data obtained from 91 pregnant patients admitted in the surgical wards in Baghdad teaching hospital during the period from January 2008 to December 2009 .All mandated surgical intervention.ResultsTotal surgical admission in Baghdad Teaching Hospital in 2008-2009 was 13485, total number of cases operated onas acute abdomen was 3374 and the total cases of acute abdomen operated on during pregnancy were 91 cases. The most common cause of acute abdomen during pregnancy is acute appendicitis which represents 70.3%.The most common age group of acute abdomen during pregnancy is between 25-29 years .The most common gestational age is the second trimester.The most common complaint of acute abdomen during pregnancy is right lower abdominal pain.The fetal condition was normal in 91.7% of total cases operated.ConclusionAcute abdomen during pregnancy represents a small proportion of the total cases of acute abdomen.It mostly presents during the second trimester and mostly caused by acute appendicitis. With proper management, the maternal and fetal outcome is good.Key words: Acute abdomen; Pregnancy; Baghdad Teaching Hospital.


Article
Incidence Of Intradialytic Hypotension In Patients On Hemodialysis In Al Kindy Teaching Hospital

Author: Dr. Ali Jasim Hashim Al_Saedi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1350-1359
Publisher: Kerbala University جامعة كربلاء

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Abstract

Aim Of The Study: To Find Out The Incidence Of Intradialytic Hypotension In Esrd.Patients And Methods: From March To August 2010, (50) Patients With Esrd On Chronic Hemodialysis Program In Al Kindy Teaching Hospital Dialysis Unit Were Studied Cross Sectionally For Evidence Of Idh. The Patients Were On Hemodialysis Program For A Period That Ranged Between 1/4/2004 And 12/4/2010.The Study Sample Consists Of 25 Men And 25 Women With An Age From 18 To 80 Years And Their Body Weight Varied From 40 To 94 Kg And Height Varied From 140 To 186 Cm. Heparin Is Used As An Anticoagulant. Frequency Of Dialysis Differed From One Patient To Another Depending On Patient Condition, Availability Of Machine, It Ranged From Once Weekly To Thrice Weekly Lasting 3-4 Hours Per Session.The Blood Pressure Of All (50) Patients Were Measured Using Mercury Type Sphygmomanometer. The Blood Pressure Were Measured Pre Dialysis During And Post Dialysis. Ultrasound Of Abdomen Done For All (50) Patients. Idh Is Defined As A Decrease In Systolic Blood Pressure By ≥20 Mm Hg Or A Decrease In Map By 10 Associated With Symptoms That Include ; Abdominal Discomfort, Yawning, Sighing, Nausea, Vomiting, Muscle Cramps, Restlessness, Dizziness Or Fainting And Anxiety[2].Results:For 50 Patients The Following Results Obtained:The Total Number Is 20 Patients Developed Idh(40%).25 Females, Of Them 12 Patients Developed Idh(48%). 25 Males, Of Them 8 Patients Developed Idh(32%), 6 Patient Of Age >_ 65 Years, Of Them 3 Patients Developed Idh(50%).19 Patients Are Overweight (Bmi>25),Of Them 9 Patients Developed Idh(47.4%). 28 Patients With Normal Weight (Bmi=18.5-25),Of Them 10 Patients Developed Idh(35.7%),3 Patients Are Under Weight (Bmi<18.5),Of Them One Patient Developed Idh(33.3%). 41 Patients Take Antihypertensive Treatment, Of Them 16 Patients Developed Idh(39%), 5 Patients Have Diabetes , Of Them 2 Patients Developed Idh(40%).Discussion: Intradialytic Hypotension Is The Most Common Complication Associated With Hd, And Its Cause Is Multifactorial. Patients Subgroups Most Likely To Have Idh Include Those With Diabetic Ckd And Age >_65 Years. Both Normotensive Or Hypertensive Dialysis Patients Can Develop Idh. The Degree Of Idh In The Same Patient May Vary From Tim To Time, Other Risk Factors For The Development Of Idh Include Female Sex, And The Use Of Nitrates Before A Dialysis Session& Overzealous Use Of Antihypertensive Agents.Conclusion:Idh Is An Important Complication Of Hemodialysis.ThereIs ASignificant Number Of Patients With Esrd Who Developed Idh.Keywords:Intradialytic Hypotension, Hemodialysis, Al:Kindy Teaching Hospital


Article
PEDIATRIC BURN IN AL-SADDER TEACHING HOSPITAL, MISSAN, IRAQ.

Authors: Hadi Showaish Al-Khafaji --- Mohammed Hasan Jaafar
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2012 Volume: 18 Issue: 2 Pages: 62-67
Publisher: Basrah University جامعة البصرة

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Abstract

Hadi Showaish Al-Khafaji* & Mohammed Hasan Jaafar#*General Surgeon in Al-Sadder Teaching Hospital in Missan. #General Surgeon in Al-Sadder Teaching Hospital, Missan, IRAQ.Abstract Burn is one of leading causes of trauma and hospitalization, with mortality, morbidity and in many occasions permanent handicaps. It comes second to car accidents in both developing and developed countries. Burns are serious health problem and are the most frequent injury among pediatric patients. Fortunately, the majority of these burns can be treated by most practitioners, and most of them can be prevented by education programs. Burn victims who were admitted to Burn unit in Al-Sadder Teaching hospital during the years 2009 and 2010 are the target of this study. Data were collected from the patients' clinical and police records along with clinical follow up. The concentration was on the causes and the mechanism of the pediatric patients burns in relation to their age and sex, disregarding the extent or depth of their burns. From 522 patients 280 were children (up to 14 years) forming 53.636% of total admissions. Children within the age of 4 years were 61.428% of the total pediatric admissions, followed by 24.285% for age group 5-6 years. There was very slight difference in sex incidence. Regarding the causes; scalding burn was 69.642% of pediatric victims, the majority are within 4 years of age 53.928%, whereas the flame burns were 28.571% of pediatric admissions, mainly in 5-7 years age group where they were 13.571%.Burn is one of leading causes of trauma and hospitalization, with mortality, morbidity and in many occasions permanent handicaps. It comes second to car accidents in both developing and developed countries. Burns are serious health problem and are the most frequent injury among pediatric patients. Fortunately, the majority of these burns can be treated by most practitioners, and most of them can be prevented by education programs. Burn victims who were admitted to Burn unit in Al-Sadder Teaching hospital during the years 2009 and 2010 are the target of this study. Data were collected from the patients' clinical and police records along with clinical follow up. The concentration was on the causes and the mechanism of the pediatric patients burns in relation to their age and sex, disregarding the extent or depth of their burns. From 522 patients 280 were children (up to 14 years) forming 53.636% of total admissions. Children within the age of 4 years were 61.428% of the total pediatric admissions, followed by 24.285% for age group 5-6 years. There was very slight difference in sex incidence. Regarding the causes; scalding burn was 69.642% of pediatric victims, the majority are within 4 years of age 53.928%, whereas the flame burns were 28.571% of pediatric admissions, mainly in 5-7 years age group where they were 13.571%.


Article
JOB SATISFACTION AMONG AL-KADHIMIYA TEACHING HOSPITAL’S MEDICAL DOCTORS

Authors: Taha N. Sadeq طه نوري صادق --- Amal S. Khudair امال سويدان خضير
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 4 Pages: 353-360
Publisher: Al-Nahrain University جامعة النهرين

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Background:Physicians have a crucial role in health service delivery and therefore their job satisfaction may lead to improved quality in patient care and may cut down costs of care by reducing patient stay in the hospital.Objectives:To determine the level of job satisfaction among medical doctors who work at Al-Kadhimiya Teaching Hospital in Baghdad, Iraq.Methods:Cross sectional study was conducted at Al-Kadhimiya Teaching Hospital. The research questionnaires distribution time was from January 9th 2013- March 30th 2013.Results:Three hundred and twenty seven medical doctors participated in this study. Age mean was (35.8±8 years). Only (12.5%) of the participating medical doctors were satisfied with their job.Conclusion:The majority of medical doctors were not satisfied with their job at Al Kadhimiya Teaching Hospital.Key words:Job satisfaction, Teaching hospital, medical doctors.


Article
Evaluation of Patients with Lymphadenopathy in Hematology Unit in Baghdad Teaching Hospital

Authors: Khudhair A AL-Khalissi --- Wisam Sabah Budeir --- Azher S AL-Zubaidy
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 4 Pages: 538-542
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND: Lymphadenopathy is defined as abnormality in the size or character of lymph nodes, is caused by the invasion or propagation of either inflammatory cells or neoplastic cells into the nodes.OBJECTIVE: To determine the etiological and clinical characteristics of Lymphadenopathy in adults.PATIENTS AND METHODS: Sixty patients with Lymphadenopathy attended Hematology department/Baghdad Teaching Hospital for the period between December 2011 and April 2012. Diagnostic procedures included clinical history and examination, complete blood count, lymph node, bone marrow studies and immunohistochemistry studies.RESULTS: Thirty six male and 24 female patients were included, with mean age of 36.2 ±16.3 years. Malignant causes were found in 55(92%), mainly lymphomas 40(66.7%), while benign causes constituted only 8 %( 5 patients). Size, consistency and systemic symptoms were important parameters in differentiation between both, and immunohistochemistry was important in reaching a diagnosis in one patient and in solving the discrepancy between lymph node and bone marrow results in other patient.CONCLUSION: Lymph node and bone marrow examination, in addition to immunohistochemistry were important investigation to reach a diagnosis in patients with Lymphadenopathy. High malignant etiology is attributed to being the study done in tertiary hospital.


Article
Comparison of Appendicitis Outcomes Between Teaching and Nonteaching Hospitals in Salah Al-Deen Province, Iraq

Author: Awni Ismail Sultan
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2016 Volume: 21 Issue: 1 Pages: 44-51
Publisher: Tikrit University جامعة تكريت

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Article
The Impact Of Maternal Diabetes On Newborns Admitted To Neonatal Care Unit Of Maternity And Children Teaching Hospital in Al-Diwaniya city .
أثر مرض السكري على الأمهات حديثي الولادة المقبولين في وحدة رعاية الأطفال حديثي الولادة بمستشفى الأمومة والطفولة التعليمي في مدينة الديوانية.

Authors: Salam Jasim Al-Fatlawi --- Muaid Hameed --- Hulal Saleh Saheb
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2016 Volume: 12 Issue: 22 Pages: 90-97
Publisher: Al-Qadisiyah University جامعة القادسية

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Diabetes has long been associated with increased perinatal morbidity and mortality It's one of the commonest and important metabolic disorder that affect the health of both mother and infant . Patient and methodsTotal number of patient involved were one hundred eighty four , Ninety-nine of them were infants of diabetic mother , they were admitted to the NCU of AL-Diwaniya teaching hospital from the 1st of October 2013 to the end of march 2014. Eight-five neonates were also enrolled in this study as control (infants of non-diabetic mothers)Objective To determine the morbidities and mortality among infants of diabetic mother and to compare it to that of control.ResultThere is higher morbidity and mortality amongst IDM . Hypoglycemia was the commonest morbidity recorded (31.3%) followed by hyper bilirubinemia (13.3%) and respiratory distress (12.1%). More prolonged hospitalization had been seen amongst IDM.Conclusion There is higher frequency of morbidity and mortality amongst IDM , hence ascertain a good glycemic control to diabetic mother and providing optimal neonatal care is valuable to decrease these complications.

تم قبولها في وحدة التنسيق الوطنية في مستشفى الديوانية التعليمي في الفترة من 1 أكتوبر 2013 وحتى نهاية مارس 2014. كما تم تسجيل ثمانية حديثي الولادة في هذه الدراسة كعنصر تحكم (الرضع من الأمهات غير المصابات بمرض السكري)هدف لتحديد المراضة والوفيات بين الرضع من الأم المصابة بمرض السكري ومقارنتها مع تلك السيطرة.نتيجةهناك ارتفاع معدل المراضة والوفيات بين IDM. كان نقص السكر في الدم أكثر الأمراض شيوعا التي سجلت (31.3 ٪) تليها فرط بيليروبين الدم (13.3 ٪) وضيق التنفس (12.1 ٪). مزيد من العلاج لفترات طويلة قد شوهد بين IDM.خاتمةهناك تواتر أعلى من معدلات المراضة والوفيات بين IDM ، وبالتالي التأكد من وجود سيطرة جيدة على نسبة السكر في الدم للأم المصابة بمرض السكري وتوفير الرعاية المثلى لحديثي الولادة أمر مهم لتقليل هذه المضاعفات.


Article
Ultrasonographic prevalence of polycystic ovarian morphology among women of reproductive age group

Authors: Aska Farouq Jamal --- Media Ghazi Sedeq --- Ronak Ali Ismael
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2019 Volume: 23 Issue: 1 Pages: 57-65
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Polycystic ovarian cyst is the most common and complex reproductive endocrinopathy affecting females of childbearing age. This study aimed to investigate the sonographic prevalence of polycystic ovary morphology among women of reproductive age group, and correlate it with age, menstrual disturbances, fertility problems, obesity, and hormonal profile. Methods: This study was carried out in the Rizgary Teaching Hospital and private clinic in Erbil city, Kurdistan region of Iraqfrom 1st August 2016 to 1st June 2017. A total of 782 women were included in this study. Inclusion criteria were any woman attending to pelvic ultrasound for whatever the cause other than pregnancy. The prevalence of polycystic ovary morphology was determined depending on Rotterdam's criteria; correlation with clinical history and biochemical indices was done.Results: Of the total study sample of 782 women, 147 (18.8%)had polycystic ovarian cyst. The highest prevalence (32.7% and 43%) was among the age group 18-27 years and participants with high body mass index (31-≥40).There was a statistically significant correlation between menstrual cycle irregularities and serum prolactin andserum testosterone. The highest polycystic ovary prevalence was found among participants with a history of amenorrhea and oligomenorrhoea, 92.3% and 75.2%, respectively.Conclusion: We observed that polycystic ovary is an age-related disease and the prevalence of the disease decreases with age. The highest prevalence was seen among the age group of 18-27 years and least in the age group of 38-47 years. No patients with polycystic ovary were found above 48 years.


Article
Assessment of Risk Factors among Renal FailurePatients in Baghdad Teaching Hospital
تقييم عوامل الخطورة لمرضى الفشل الكلوي في مستشفى بغداد التعليمي

Authors: Ahmed K. Jawad احمد جواد --- Ammar A. Okab عمار عباس
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2017 Volume: 30 Issue: 2 Pages: 63-71
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective(s): To identify the relationship between demographic characteristics of patients with renal failureand to find out the relationship between some risk factors like (family history, alcohol drinking, smoking and chronic disease) with renal failure patients.Methodology:Case control study design was carried out in order to achieve the objectives of the study by using the assessment technique in Baghdad teaching hospital from March 5th, 2017 to October 10th, 2017,The sample was (cases & control) sample, present study include 200 cases, 100 was case study the patient who entered in Baghdad teaching hospital, while another 100 was controlstudy. The data was collected by interview questionnaire including the purpose of study by the investigator and the data obtained through face to face. Data was analyzed that of case control study including (frequency, percent, odds ratio and confidence interval). Therefore, discriminating analysis was performed, discriminating analysis was performed, with the level of significant set at P ≤ 0.05.Results:Results presentedthat 30.5% of study was having acute renal failure, and highlystatistical significant association between the items related to the Family history of renal failure and with groups (cases and control).Recommendations:The study recommended that increase awareness about the health risks of renal failure through educational programs and seminars and the provision of modern equipment and medicines that help diagnosis and treatment.

الهدف:تقييم العلاقة بين الخصائص الديموغرافية للمرضى الذين يعانون من الفشل الكلوي مع بعض عوامل الخطر مثل (التاريخ ألعائلي, شرب الكحول,التدخين الامراض المزمنة) مع مرضى الفشل الكلوي.المنهجية:إجريت دراسة مقارنة بينعينة الدراسة وعينة ضابطة من أجل تحقيق أهداف الدراسة باستخدام أسلوب التقييم في مستشفى بغداد التعليمي من 5 اذار 2017 إلى 10 تشرين الاول 2017 وكانت عينةالدراسة(200)عينة,كانت ضمنها (100) عينة الدراسة شملت المرضىالذين دخلوا مستشفى بغدادالتعليمي،و (100) عينة ضابطة. جمعت البيانات من خلال استبيان المقابلة لتحقيق الغرض من الدراسة. تم تحليل الحالة بواسطة (التكرار،النسبةالمئوية،نسبةالأرجحية), وجدول إحصائي و استدلالي لتحليل البيانات الإحصائية من قبل تطبيق الاختبار كاي- سكويرالذي يستخدم لتحديد الارتباط بين جزئي الدراسة.النتائج:أظهرت النتائج ان 30.5٪ من العينة كان لديهم الفشل الكلوي الحاد،هناك ارتباط إحصائ يبين العناصر ذات الصلة بتاريخ الأسرة من الفشل الكلوي بين عينة الدراسة والعينة الضابطة.التوصيات: بناءً على نتائج ألدراسة يوصى زيادة الوعي حول المخاطر الصحية للفشل الكلوي من خلال البرامج التعليمية والحلقات الدراسية،وتوفيرالمعدات الحديثة والأدوية التي تساعدعلى التشخيص والعلاج.

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