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Article
Rate of depression among patients with schizophrenia
معدل الاكتئاب بين مرضى الفصام

Author: Twana Abdulrahman Rahim
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2016 Volume: 20 Issue: 1 Pages: 1180-1185
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Depression is a common comorbid mental condition in schizophrenia. This study aimed at estimating both the rate and demographic correlates of depression among patients with schizophrenia in Erbil, Kurdistan Region. Methods: Three hundred patients with schizophrenia were assessed for the possible existence of comorbid depression. Diagnosis of schizophrenia was confirmed by Mini International Neuropsychiatric Interview. Each participant, however, was assessed by Calgary Depression Scale for Schizophrenia for possible concurrent depressive disorder. Results: Of 300 patients with schizophrenia, 101 (33.7%) had concurrent depression as well. When all demographic variables considered, altogether, through logistic regression analysis, none of them discriminated, significantly, depressed from non-depressed patients with schizophrenia. Conclusion: Depressive disorders are frequently experienced by patients with schizophrenia. Psychiatrists are in charge to pay greater attention to this, life-threatening, mental disorder whenever they come across patients diagnosed as schizophrenia.


Article
The frequency of agoraphobia and the comorbidity of major depressive disorder in panic disorder
تواتر الخوف من المرض والاعتلال المشترك للاضطراب الاكتئابي الرئيسي في اضطرابات الهلع

Author: Diyar Hussain Tahir
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 3 Pages: 227-232
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Panic disorder (PD) is a common disabling psychiatric con-dition that has a considerable impact on the quality of life. This study was done to estimate the frequency of agoraphobia and the comorbidity of major depressive disorder (MDD) in PD, with related sex difference.Methods: A cross sectional descriptive study, was done on patients who consulted a pri-vate psychiatric clinic for features of PD, in Erbil city from August 2009 to August 2010. A convenient sample of 118 patients, 73 females and 45 males, having PD with or without agoraphobia were taken after giving their informed verbal consent. All patients were checked for the presence of MDD. The diagnoses were done clinically, and then checked according to the diagnostic and statistical manual of mental disorders, 4th edition, text revi-sion (DSM-IV-TR).Results: Mean age of PD with or without agoraphobia was 31.1 years. Female to male ra-tio was 1.6/1. Mean age at onset was 26.3 years. Mean duration of illness was 4.4 years. Patients having PD without Agoraphobia were 81.4%, while having PD with agoraphobia were 18.6% in which the males (20%) affected more than females (17.8%). The comorbid-ity rate of MDD (mild to severe degree) in PD was 61% with higher males (68.9%) than fe-males (57.5%).Conclusion: The majority of patients with PD in our sample had a comorbid MDD. Early detection and management of PD is necessary to reduce complications and improve their quality of life.


Article
Is Irritable Bowel Syndrome A Significant Comorbid Disorder Among Patients With Tension Type Headache?

Author: Hayder K. Hassoun MD, FICM Neuro.
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2012 Volume: 15 Issue: 1 Pages: 6-15
Publisher: University of Kufa جامعة الكوفة

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Abstract

Abstract: Background and aim: Comorbidity between tension type headache TTH and other disorders is a topic of interest. At the present time, no study examine comorbidity of irritable bowel syndrome (IBS) with TTH as separate entity ; presence of such association have great impact in diagnosis and management of TTH patients for which this prospective cross sectional comparative controlled study have been conducted. Methodology: In this Cross Sectional Controlled Comparative Study , 360 patients ;200 female and 160 male ; age ranges from 15-60 years with diagnosis of TTH depending on International Headache Society (IHS) criteria have been enrolled and compared with age and gender matched 200 controlled individuals ; 116 female and 84 male . The prevalence of IBS (diagnosis made depending on symptoms based criteria Rome II and III criteria) among 2 group were estimated with further evaluation of IBS prevalence made in relation to age , gender and type of TTH ; Statistical analysis done by means of person Chi-square tests with P value < 0.05 was used as a level of significance.Results: TTH is more common in woman , with female to male ratios of 1.25:1, TTH affecting age peaks between 20 and 60 years. There was significant high prevalence of IBS among TTH group versus control healthy group (79.7%, 10% respectively; p value was 0.0001 ) with very high significant prevalence among chronic TTH versus episodic TTH (93.3%, 72.9% respectively ; p value was0.000056). The prevalence of IBS among TTH group was more common among female versus male (62.7%, 37.3% , respectively).The age peak affected was among thirties and forties ( 29.6% and 28.6% respectively): the sex and gender differences were not significant statistically . Conclusion: patients with TTH have significant associations with IBS as comorbid disorder, such relationships is important from diagnostic and therapeutic point of view . Strength of this association suggests a common pathophysiologic mechanisms which needs further evaluation in future.

الخلاصة:الهدف والخلفية العلمية: إن العلاقة المرضية بين الصداع التشنجي والإمراض الأخرى هو موضوع اهتمام الباحثين, في الوقت الحاضر لا يوجد دراسة سريريه تحليلية لتوضيح العلاقة المرضية بين الصداع التشنجي ومرض تهيج القولون.طريقة البحث: شملت هذه الدراسة العينية المستقبلية المقارنة, 360 مريض يعانون من صاع تشنجي: 200 من الإناث و160 من الذكور من اللذين يعانون من صداع تشنجي تم تشخيصهم اعتمادا" على صفات محددة من قبل الجمعية العالمية للصداع (IHS) وتم دراسة نسبة انتشار مرض تهيج القولون بينهم (اعتمد التشخيص IBS على صفات روم2 وروم3 المعتمدة لدى الجمعية الانكليزية والأمريكية لإمراض الجهاز الهضمي) وتم مقارنة ذلك مع مجموعة مقارنة من اللذين لا يعانون من إي مرض وهم متشابهي الأعمار والأجناس تقريبا إلى المجموعة المصابة بالصداع التشنجي , ثم تحليل النتائج بالنسبة إلى العمر والجنس ونوع الصداع التشنجي المزمن والحدثي اعتمادا" على معادلات إحصائية مستخدمين معادلة الكاي سكوير (X2) ومعدل الاحتمالية ذات القيمة العالية عندما تكون قيمة أ اقل من 0, 05 .النتائج: أوضحت هذه الدراسة إن الصداع التشنجي أكثر شيوعا في الإناث عنه في الذكور ومعدل الإناث إلى الذكور 25, 1 : 1 , إن الأعمار المتأثرة بالمرض كانت بين 20-60 سنة لكن الفرق لم يكن إحصائيا ذات قيمة عالية . إن المهم في هذه الدراسة كان هناك قيمة إحصائية عالية( P less than 0.05) لانتشار تهيج القولون بين اللذين يعانون من الصداع التشنجي (79,7 %) مقارنة بالمجموعة المقارنة ( 10% ) وهذه القيمة الإحصائية هي عالية ومهمة بين اللذين يعانون من الصداع التشنجي المزمن ( 3/93%) على اللذين يعانون من الصداع التشنجي ألحدثي (72.9 %). إن النسبة كانت أعلى في الإناث (7 ,62%) عن الذكور(3 ,37 %) والأعمار المتأثرة كانت من30 -50 لكن لم تكن ذات قيمة إحصائية (p= 0.785) بالمقارنة مع بقية الأعمار.الاستنتاج: هنالك علاقة مرضية ذات قيمة إحصائية عالية بين الصداع المزمن وتهيج القولون وهي مهمة من الناحية التشخيصية والعلاجية , هذه العلاقة تحتمل وجود علاقة مرضية فسلجية مشتركة بينهما و تحتاج إلى توضيح بواسطة بحوث مستقبلية.


Article
Prevalence of Metabolic Syndrome in Angiographically Confirmed Coronary Artery Disease

Author: Alan Mobarek Mahmood, Mousa Haji Ahmed, Jamal Bashir Mohammad
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 4 Pages: 310-315
Publisher: Babylon University جامعة بابل

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Abstract

Background: Coronary artery disease (CAD) is one of the most common causes of death in the developed world with the high prevalenceof cardiac risk factors and associated morbidity. These risk factors were mostly contributed in the metabolic syndrome. Objective: The studyaimed to determine the prevalence of metabolic syndrome among patients with angiographically documented CAD and its relation with theseverity of CAD. Materials and Methods: In the current cross‑sectional study, a total of 320 patients aged 18 years and older of both gendersand diagnosed with CAD by medical and clinical examinations and angiography findings were included in the study. Patients with normalangiographic or nonsignificant coronary stenosis and those with acute coronary syndrome were excluded from the study. Results: The prevalenceof metabolic syndrome in patients diagnosed with CADs was 68.4% in this study. The numbers and severity of coronary arteries involved wereimportantly increased through increasing the numbers of the components of the metabolic syndrome that the patient have it. The majority of thepatients with right coronary artery (67.6%), circumflex artery (63.2%), left anterior descending (66.7%), and multivessel (69.8%) had metabolicsyndrome with no significant difference (P = 0.913). Moreover, the most of the patients with one vessel (66.4%), two vessels (68.2%), threevessels (72.2%), and four vessels (66.7%) were metabolic syndrome (P = 0.846). Between the individual components, diabetes mellitus (DM)was the most significant risk factor accounts for the number and severity of the CAD in all CAD patients. Conclusions: The prevalence ofmetabolic syndrome is high among patients with angiographically documented CAD. Patients having metabolic syndrome have more severeand more complex CAD.

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