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Article
Evaluation of Lung diffusing capacity for Carbonmonoxide (DLco) in healthy adolescents

Author: AMJAD F. AHMAD
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2006 Volume: 6 Issue: 1 Pages: 15-24
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

In pulmonary function tests (PFT), the selection of prediction equation for lung diffusing capacity for carbonmonoxide (DLco), remains a problem. If a single equation is selected and used by all laboratories, the variation in percent predicted values would be large enough to cause numerous diagnostic errors. The present study involved 36 healthy adolescents (20 boys and 16 girls aged 13-19 years) with body height (157-170 cm) and body weight (38-63 Kg). Normal values were reported for lung volumes, ventilation and diffusing capacity using spirographic, helium dilution and carbon monoxide single-breath techniques. Values observed in the present study were comparable to Asians studies but lower than those of Westerns. All pulmonary function parameters were significantly higher in boys, mainly due to larger lung volume, in addition to differences in the level of physical activity and social patterns of life. Regardless to sex, indices of lung volume and diffusion increased with age, body height, and surface area, however, best correlation was observed with body height. Gender specific prediction equations were generated for lung diffusing capacity. Lung diffusion corrected for volume (DLco/VA) seemed independent to sex or body size. In conclusion, it is not appropriate to rely on prediction equations derived from western populations who had higher levels of normality for DLco. Furthermore, height was the best single predictor for lung diffusion in adolescence age group.

Keywords

PFT --- DLco --- prediction equations --- adolescence


Article
Evaluation of the Lung Diffusing Capacity for Carbonmonoxide (Dlco) in Healthy Male Teenagers in Relation To Physical Activity
تقييم كفاءة الرئتين لانتشار اول اوكسيد الكاربون في عينة من الاصحاء البالغين وعلاقتها بالنشاط الرياضي

Author: Amjad F. Ahmad د. امجد فوزي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 3 Pages: 215-219
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract:Intensive research work has been conducted on lung function changes during exercise, however, little is known about the influence of physical activity on the resting lung function especially in younger age group. The present study involved (25) healthy male teenagers (13-19 years) with body height(170±5.9 cm) and body weight(63±10.23 Kg).Lung volumes(VC and TLC), ventilation(FEV1% and MMEF25-75%) and diffusion parameters (DLco and DLco/VA) were measured by computerized spirographic , helium dilution and carbonmonoxide single-breath techniques.All tested lung function parameters except, lung diffusion per unit lung volume (DLco/VA), had increased significantly with higher level of daily physical activity. The observed increase in the resting lung diffusion seemed to be related to the increase in lung volume brought about by higher physical activity rather than to changes in lung diffusing capacity per unit of lung volume (DLco/VA). The effect of cigarette smoking habit on lung diffusing capacity was evaluated. In conclusion, physical activity has a definite beneficial effect on resting lung diffusion, an effect which seemed unopposed by mild cigarette smokingKey words: PFT, DLco, adolescence, physical activity.

الملخص:مع أن هناك دراسات كثيرة تناولت التغيرات الحاصله في وظائف الرئة إثناء اجراء التمارين الرياضية ,الا انه لا تزال هناك فجوه واضحة في دراسة تأثير التمارين، متمثلة بالنشاط الجسمي اليومي، على وظائف الرئه عند الراحه ,لاجله شملت الدراسة الحالية (25) متطوعا من المراهقين الذكور الأصحاء(13-19 سنه) بطول(170± 5.9سم) و بوزن(63±10.23 كغم) حيث تم قياس وظائف الرئة (حجم الرئة , تهويه الرئة إضافة الى كفاءة الرئة على انتشار غاز أول اوكسيد الكربونDLco))) وذلك باستخدام برامج الحاسوب الخاصة بوظائف الرئة وبواسطة استخدام غاز الهليوم و غاز اول اوكسيد الكربون.لوحظ بأن هناك زيادة مهمة إحصائيا في جميع وظائف الرئة ألمقاسه (عدا قابلية انتشار غاز أول اوكسيد الكربون بالنسبة الى حجم الرئه DLco/VA ) وذلك تبعا لزيادة النشاط الجسمي اليومي . وقد أعزيت الزيادة في قابلية الرئة على انتشار غاز اول اوكسيد الكربونDLco)) الى الزيادة المصاحبة في حجم الرئة جراء ممارسة الرياضة في حين لم تلعب قابلية انتشار غاز اول اوكسيد الكربون بالنسبة الى حجم الرئه DLco/VA) ) دورا مهما في هذه الزيادة . أظهرت نتائج البحث العلاقة الايجابية بين النشاط الجسمي و وظائف الرئة عند الراحة اضافة الى استمرار التأثير الايجابي للنشاط الجسمي على وظائف الرئه ولكن بدرجة اقل في حالة التدخين البسيط

Keywords

PFT --- DLco --- adolescence --- physical activity.


Article
Psychosocial Burden among Adolescents with Type 1 Diabetes: a preliminary report

Author: Jawad K. A. Al-Diwan.
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 422-425
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Adolescents with type 1 diabetes are faced with a complex set of challenges (developmental changes and demands of the disease). This study was carried out to assess the role of psychological, behavioral and social concern among Iraqi adolescents with type 1 diabetes.METHODS:Adolescents with type 1 diabetes were enrolled in the study from different diabetic centers in Baghdad from 1st June to 21st Dec. 2000. Each participant was interviewed individually. Full information including age, sex, duration, sport activity, frequent hospitalization, visits to diabetic clinic and educational level were included. Psychological burden was assessed by determination of social interaction, family interaction, mood, dissatisfaction with body image, emotions, stress and perception. Univariate analysis was used to examine which variables were associated significantly and dependently with psychosocial burden.RESULTS:A total of 160 adolescents with type 1 diabetes were included in the study. Their age was 15.1 ± 2.3 years, 53.8% of them were females. 76.9% of the adolescents reported a history of frequent hospitalization. Psychosocial burden was significantly associated with age and sport activity.CONCLUSION:The findings point to importance of psychosocial factors in management of diabetes. More research in this area is needed to develop psychosocial intervention program and to demonstrate the cost effectiveness of these approaches.


Article
The epidemiology of acute childhood and adolescent poisoning in Thi-Qar governorate (2013-2015)
وبائية التسمم الحاد عند الاطفال واليافعين في محافظة ذي قار(2015)

Author: Dr-Raid Kareem Dehiol الدكتور رائد كريم دهيول
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2017 Volume: 14 Issue: 2 Pages: 1-13
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Background: acute childhood and adolescent poisoning remain one of the important emergencies causing a significant burden to the populations with important morbidity and mortality rates. Objectives: This study aimed to determine the epidemiological features of poisoning for the patients less than 19 years old in Al-Nasiriyah governorate, and to eliminate the main types, clinical presentations, management, outcome, and seasonal variation of poisoning. Epidemiological studies are so important to determine the extent of the problem, according to which the preventive strategies are related. Methods: A cross sectional retrospective study was conducted to three hundred forty patients recorded in Al-Nasiriyah poison center from (January 2013 to December 2015), data that collected from the case sheets and records of phone calls including the name, sex, address, type of poisoning, route of administration, management and the outcome of the patients (survive or died) are admitted to the SPSS (statistical package for social science) system and the results was obtained. Results: two hundred (58.8%) of the exposed patients was male, toddler age group seen in 45% of cases with predominance of accidental type, while adolescents (>13-18yrs.) are mostly intentional with female preponderance, urban populations are more prone to poisoning 236 cases (69.4%), accidental exposure is the commonest (83.2%) oral route is the commonest (99.4%), (62.9%) of the causative agents are pharmaceutical, and (50.3%) are asymptomatic . most of them treated conservatively (96.5%) with survival rate of (97.9%), higher mortality seen in those presented after the first 24 hrs. of exposure. One third of acute poisoning was occurred in summer season. Easy accessibility to the drugs and toxic substances are the major risk factor. Conclusion: Although poisoning is a preventable illness but, it is still a significant cause of morbidity and mortality especially in developing countries. Acute poison has a significant impact on the health services.


Article
The Study of Unhealthy Eating Habits among Secondary Schools Students in Babel Governorate

Author: Maher Jawad Kadhum
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2013 Volume: 12 Issue: 1 Pages: 1-6
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: Healthy eating is vital for teens' health and well-being. The nutritional needs of teens vary accordingly, but generally increased due to the rapid growth and changes in body during puberty. A poor diet may cause health problems later in life such as obesity, heart disease, or diabetes.Aims: To assess the attitude and practice of students in Babel governorate secondary schools about factors affecting their nutritional status and the relation of some of these factors with demographic characteristics. Methods: A cross-sectional survey by using self-administered questionnaire about the attitude and practices (including feeling hungry in presence of food at home, eating breakfast daily, consumption of different food items according to number of servings daily of fruits, fresh vegetables, milk and dairy products, sweetener and soda drinks, fruit juice, fast food and high fat diets) to be filled in 15-20 minutes distributed to a sample of 2848 students from randomly selected secondary schools in Babel governorate, during the period from 1stJanuary to the last of February 2011. Results: The study showed that 3% of the sampled students always feel hungry and 54.2% always not skipping breakfast. Female skipping breakfast more than male and the difference was statistically significantly but the skipping rate difference was not significant between urban and rural areas. The consumption of food items including fruits about 31.1% in three serving and more daily, about 21% eating vegetables in more than three serving daily, more than 28% drinking sweetener soft drink or soda more than three times daily, 77.8% eating high fats diet three times and less daily and about 25.9% were not consuming milk and dairy products daily.Conclusions: There were unhealthy eating habits including less than normal number of servings for most of food items (fruits, vegetables, dairy products and fruit juices) and high usage of sweetener soft drink and unhealthy snack food.


Article
Quality of Life among Adolescent Patients with Irritable Bowel Syndrome

Authors: Ali D. Abbas --- Zaid W. Ahjil,
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 1 Pages: 38-43
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Aims: The study aims to assess the quality of life for adolescent patients with irritable bowel syndrome in the city of Baghdad, and determine the relationship between quality of life level and demographic characteristics for adolescent patients with irritable bowel syndrome. Patients and Methods: A descriptive study, using the assessment approach was conducted on a purposive "non-probability" sample of (100) patients (males and females) who are attending the Centre of diseases of the digestive system and liver / Medical City. A questionnaire was adapted from the World Health Organization quality of life questionnaire (1998) for the purpose of the study. It is comprised of (3) parts. The part I includes the demographic characteristics of the study sample (such as age, sex, marital status, educational level and employment status) and the part II includes the (nine) questions related to the medical information of a sample of the study, and Part III includes questions related to the quality of life of adolescent patients who suffer from irritable bowel syndrome. Data were collected through a self- administration method, during the period of the first of July to the sixteenth of August, 2012. Data were analyzed through the application of the descriptive statistical data analysis approach (frequency, percentage, mean of scores) and inferential statistical data analysis approach (Pearson correlation coefficient and chi-square). Results: The findings of the study indicated that quality of life was affected in environment domain, social domain and psychological domain and that age, gender, marital status, and employment status had significant relationship with quality of life domains. Conclusion: The study concluded that environment domain, social domain and psychological domain of quality of life were affected by the disease.


Article
التحليل المكاني لحالات الانتحار في محافظة النجف

Author: د. ماهر ناصر عبد الله
Journal: journal of Human Sciences مجلة العلوم الانسانية ISSN: 19922876/25239899 Year: 2016 Volume: 2 Issue: 23 Pages: 751-770
Publisher: Babylon University جامعة بابل

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Abstract

The suicide aggressive behavior is not free him of any society and this heinous crime is closely linked to psychological and behavioral disorders has been the subject received wide attention of many specialists , but that concerned with this topic in Iraq studies are few Hence the aim of the research is to identify the concept of suicide and what factors help the emergence of this situation and geographical phenomenon in the province of Najaf to Mdh2005- 2015 .

يعد الانتحار سلوكا عدوانيا لايخلو منه اي مجتمع من المجتمعات وهذه الجريمة البشعة لها صلة وثيقة بالاضطرابات النفسية والسلوكية وقد نال هذا الموضوع اهتماما واسعا للعديد من المتخصصين, إلا إن الدراسات المعنية بهذا الموضوع في العراق هي قليلة ومن هنا كان هدف البحث هو التعرف على مفهوم الانتحار وما و العوامل التي تساعد على ظهور هذه الحالة و الجغرافي لهذه الظاهرة في محافظة النجف للمدة2005- 2015


Article
The impact of an Oral Health Education (OHE) program by teachers and mothers on adolescents' oral health

Authors: Zainab A. Al- Dahan --- Sally Talib Da'aj
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2018 Volume: 30 Issue: 4 Pages: 54-60
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Adolescence is one of the most dynamic stages of human development. However, Oral health is an integral part of public health, significantly impacts on the quality of life. OHE program is an important issue that should be given to them. The aim of this study was to evaluate oral health outcomes on adolescents' oral health by teachers and mothersMaterials and Methods: The study was carried out in seven schools of Diyala - Baquba city. This 14-weeks duration study assessed the effectiveness of school OHE program on oral hygiene status, gingival health, and halitosis assessment of 80, 12 year-old, both genders of school adolescents. From the selected schools, one group was supervised by the teachers and the other was supervised by the mothers. General and oral health assessments were evaluated using a questionnaire. A three days training workshop was organized for the teachers and mothers. Oral hygiene, gingival health, and halitosis assessment were assessed using plaque indices, gingival indices and halitosis scores respectively. the resulting data were statistically analyzed using SPSS version 20.Results: Plaque, gingival and halitosis scores reductions were highly significant. Results recorded gingival index, and halitosis scores were lower among the teacher-led group compared to the mother-led group. Statistically, high significant differences were found (P< 0.01).But there is no significant differences were noticed between the groups for plaque index (p>0.05).Conclusions: The OHE program was effective in teacher-led group than mother-led group in improving oral hygiene status, gingival health and halitosis scores of adolescents


Article
Factors affecting the adolescent's moral thinking Analytical study of a group of previous studies
العوامل المؤثرة في التفكير الخلقي لدى المراهق دراسة تحليلية لمجموعة من الدراسات السابقة

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Abstract

The current study is an analytic investigation of a number of studies which dealt with the factors affecting the adolescent’s moral reasoning. Therefore, we gathered studies from different regions of the world; Algerian, Arabic, and foreign researches. We tried to emphasize the most important factors, such as: the gender, the age, the psychological background, the cognitive abilities, and other factors.

يتناول المقال الحالي موضوع العوامل المؤثرة في التفكير الخلقي لدى المراهق. انه عبارة عن دراسة تحليلية لعدد معتبر من الدراسات السابقة التي تناولت الموضوع من مختلف أنحاء العالم؛ فمنها الدراسات الجزائرية والعربية والأجنبية. لذلك فتنوع الثقافات يرفع من الصدق الخارجي لنتائج هذه الدراسة، ومن ثم يمكن تعميمها على شرائح معتبرة من الأفراد الذين ينتمون لنفس الفئة العمرية، ألا وهي فئة المراهقين. كان التركيز في هذه الورقة البحثية على العوامل الأهم التي تعد حاسمة في تحديد مدى تطور التفكير الخلقي لدى المراهق؛ كعامل الجنس والسن والثقافة والخلفية النفسية والمعرفية، وغيرها من العوامل.


Article
Evaluation the role of nebulized magnesium sulfate in the treatment of severe exacerbation of asthma in children & adolescence
تقييم دور سلفات المغنيزيوم مرذذ في علاج التفاقم الحاد للربو لدى الأطفال والمراهقين

Authors: Mossa M. Marbut --- Imad R. Sadoon --- Attalla A. Al-Jubori
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2008 Volume: 2 Issue: 142 Pages: 1-9
Publisher: Tikrit University جامعة تكريت

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Abstract

Asthma may arise as a result of interaction between multiple genetic and environment factors this is the case with most of called allergic asthma that occurs in patients who exhibit acute immediate hypersensitivity responses to define environmental allergen. Treatment of asthma is largely palliative and includes patient's education, avoid or control asthma triggers, immunotherapy (hyposensitization) and drug therapy. The present study aim to evaluate the role of nebulized magnesium sulfate in the treatment of severe exacerbation of asthma. A cross sectional comparative study carried out on all patients with severe exacerbation of asthma admitted to the emergency unit at Al- Sherqat general hospital at a period between March & August 2007. 80 patients with severe asthma exacerbation 44 male and 36 female their age between 5 to 19 years. All 80 patients to two major groups. Group I. 40 patients received nebulized salbutamol alone 0.15mglkg mg and after 15 min full clinical assessment of improvement done including the PEFR, respiratory rate and heart rate. Group II. 40 patients received nebulized sulbutamol 0.15mg/kg mg with nebulized magnesium sulfate o.15ml/kg. Also full clinical assessment of improvement done after 15min including the PEFR, respiratory rate and heart rate. there was more significant increase in the means of PEFR (liter/min) for all subgroups of mild intermittent, mild persistent, moderate persistent and severe persistent of the patients age (5-13) years on 15 min after receiving nebulized salbutamol with magnesium sulfate than those receiving nebulized salbutamol alone. On receiving salbutamol alone the mild intermittent, mild persistent, moderate persistent and severe persistent subgroups improved by 51.8%, 54.9%, 49.7% and 53.5% respectively. The protective effects of inhaled magnesium sulfate on exercise induced asthma in children and he found that the combination gave better protective compared to salbutamol alone. Magnesium sulfate aerosol alone did not induce bronchial dilatation it diminished both hypersensitivity and hyper reactivity of the bronchial tree to acetylcholine induced increment of histamine in the exhaled air condensate. This data allow bronchial smooth muscles and mast cell to be regarded as target for magnesium sulfate

قد الربو تنشأ نتيجة للتفاعل بين عدة عوامل وراثية والبيئة هذا هو الحال مع معظم الحساسية والربو ودعا التي تحدث في المرضى الذين يظهرون فرط الحساسية الحادة استجابات فورية لتحديد مسببات الحساسية البيئية. علاج الربو هو إلى حد كبير الملطفة، ويشمل تعليم المريض، وتجنب أو السيطرة على مسببات الربو، العلاج المناعي (إنقاص التحسس)، والعلاج بالعقاقير. والهدف من هذه الدراسة لتقييم دور سلفات المغنيزيوم مرذذ في علاج تفاقم حاد للربو. واعترف وعبر الدراسة المقارنة المقطعية التي أجريت على جميع المرضى الذين يعانون من تفاقم حاد للربو الى وحدة الطوارئ في مستشفى اللواء Sherqat في الفترة ما بين مارس وأغسطس 2007. 80 مريضا من الذكور مع شديد الربو تفاقم 44 و 36 أنثى أعمارهم ما بين 5 إلى 19 سنوات. جميع المرضى 80 إلى مجموعتين رئيسيتين. تلقى فريق الأول 40 مريضا مرذذ سالبوتامول وحدها 0.15mglkg ملغ وبعد 15 دقيقة تقييم سريري كامل من تحسن القيام به بما في ذلك PEFR، معدل التنفس ومعدل ضربات القلب. المجموعة الثانية. تلقى 40 مريضا مرذذ sulbutamol 0.15mg/kg ملغ مع مرذذ o.15ml/kg المغنيسيوم كبريتات. التقييم السريري الكامل أيضا من تحسن القيام به بعد 15min بما في ذلك PEFR، معدل التنفس ومعدل ضربات القلب. كانت هناك زيادة ملموسة في وسائل PEFR (لتر / دقيقة) لجميع المجموعات الفرعية من خفيف، خفيف متقطع المستمرة الثابتة معتدل، والثابتة وشديدا من سن المرضى (5-13) سنوات في 15 دقيقة بعد تلقي سالبوتامول مرذذ مع سلفات المغنيزيوم من أولئك الذين يتلقون مرذذ سالبوتامول وحدها. على تلقي سالبوتامول وحده خفيف، خفيف متقطع الثابتة، ومعتدل وشديد مستمر فرعية المستمرة تحسن بنسبة 51.8٪، 54.9٪، 49.7٪ و 53.5٪ على التوالي. آثار واقية من كبريتات المغنيسيوم المستنشقة على ممارسة يسببها الربو في الأطفال، ووجد أن الجمع أعطى حماية أفضل مقارنة مع سالبوتامول وحدها. المغنيسيوم كبريتات الهباء الجوي وحده لا يحفز توسع الشعب الهوائية تضاءل على حد سواء فرط الحساسية وفرط رد الفعل في القصبات الهوائية إلى زيادة أستيل التي يسببها الهستامين في الهواء الزفير المكثفات. هذه المعطيات تسمح تعتبر العضلات الملساء الشعب الهوائية والخلايا البدينة كما هدف للكبريتات المغنيسيوم

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