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Article
An Efficient Hybrid Image Compression Using Context Pattern Method

Authors: Tawfiq A. Al-Assadi --- Nawfal Turki Obais
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2013 Volume: 21 Issue: 6 Pages: 2023-2028
Publisher: Babylon University جامعة بابل

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Abstract

In this paper we describes a hybrid method to image compression which contain a texture pattern.The proposed system consist of two parts (compressed and decompressed). The compressed part consist of the following stages: a.Apply the pattern context method to determine the pattern. b.Apply adaptive Conditional Image RLE to choose the optimal context to be compressed. c.Apply the proposed algorithm.Finally the decompressed part consist of many stages each one regard as inverse to correspond stage in compressed part.

في هذا البحث نصف طريقة هجينة لضغط الصور التي تحتوي نمط النسيج texture. النظام المقترح يتكون من جزئيين (ضغط وفك الضغط).جزء الضغط يتكون من المراحل التالية:‌أ. تطبيق طريقة نمط النسيج لإيجاد النمط.‌ب.تطبيق خوارزمية (adaptive Conditional Image RLE) لاختيار السياق الأمثل للضغط‌ج. تطبيق الخوارزمية المقترحة.أخيرا جزء فك الضغط يتكون من عدة مراحل كل واحدة تعتبر كمعكوس للمرحلة المقابلة في جزء الضغط.


Article
Image Compression Based on pattern Style

Authors: Tawfeeq A. Abbas Alasadi --- Nawfal Turki Obais
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2012 Volume: 22 Issue: 1 Pages: 228-232
Publisher: Babylon University جامعة بابل

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Abstract

In this paper we describe a hybrid method to image compression which contains a texture pattern.The proposed system consists of two parts (compressed and decompressed). The compressed part consists of the following stages: a.Apply the pattern context method to determine the pattern. b.Apply adaptive Conditional Image RLE to choose the optimal context to be compressed. c.Apply the proposed algorithm.Finally the decompressed part consist of many stages each one regard as inverse to correspond stage in compressed part.


Article
CHANGING PATTERN AND INCIDENCE OF GALLSTONE DISEASES IN AL–KADHIMIYA TEACHING HOSPITAL

Author: Bashar A Abdul Hassan بشار عباس عبد الحسن
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2011 Volume: 9 Issue: 2 Pages: 176-183
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Gallstone diseases remain a common health problem for human, affecting millions of people throughout the world. In Iraq, recent years has shown an increasing number of patients with gallstones with concurrent decreasing age of presentation, risk factors have been assessed taking in consideration the effect of stressful life events that Iraqi peoples had been suffered during these years on the development of gallstone diseases.Objective:To give an idea about, and possible causes for the changing in number, age of presentation and trend of surgical management of gallstone diseases in Iraq.Methods:Clinical assessment and risk factors assay including stressful life events were done for 1226 patients who have been cholecystectomised over seven years from Jun 2002 to Jun 2009 in Al-kadhimiya Teaching Hospital.Results:Significant increases in the number of symptomatic gallstone cases were noted, nearly 50% of them presented with abdominal pain, more than half of patients were young in the 3rd and 4th decades, female to male ratio was 5.9:1 and decreasing with age, 74% of patients had BMI > 25% (over weight), impact of stressful life event was obvious in the recent years on nearly two third of patients with gallstone diseases, minimal invasive technique (laparoscopic surgery) was evolving and most of the cases now done by this method.Conclusions:Gallstones diseases are increasing in our country with obvious decrease in the age of presentation, this might be due to stressful life events to which Iraqi peoples had been exposed, and also the revolution of minimal invasive surgery had a great impact in the management of this disease.Key words:Pattern, Incidence, Gallstone diseases.


Article
Mustansiriya Medical Journal Volume 12 Issue 2 December 2013 | 34

Author: Haqqi I. Razzouki
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2013 Volume: 12 Issue: 2 Pages: 34-39
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Despite the improvement in health care in general and antiseptic techniques in particular, cases of gluteal abscess following intra-muscular injections are still encountered. Although this condition is not considered a serious illness, still it causes complications and exerts a pressure on health resources. Objectives: To determine the factors responsible for the development of gluteal abscesses and to suggest measures to avoid this problem and to study the methods used in management. Methods: This is a prospective analytic study in which all patients admitted to the surgical ward with gluteal abscess over a six months period were included. Detailed demographic, clinical and investigative data were recorded. Predisposing factors and co-morbid conditions were documented, also, the persons who did the injection, the types of drugs used and other factors related to the process of injection were studied. The contribution of the human, technical and pharmacological elements were analysed. The methods used in management, early post-operative complications and the final outcome were recorded. Results: Forty-two patients were included in the study; of those, 30 were females (75%) and the mean age was 35 years. Eighteen were diabetic (42.8%) and 16 (38.04%) were over-weight. Thirty-eight patients (90.47%) had history of preceding intra-muscular injections. Most of the drugs used were antibiotics, mainly Cefotaxime used in 14 patients (33.33%). There was also 8 instances related to Diclofenac injection (19.04%) and 4 related to iron preparation (9.5%). There were 8 instances of mixed injections using more than one drug (19.04%). Twenty-eight episodes were related to under-trained personnel (66.67%); 20 female nurses (47.62%) and 8 male nurses (19%). Forty patients presented mainly as local pain(97%) and 36 patient as visible swelling(90%). The main method of diagnosis was clinical. All patients were treated surgically mostly using general anaesthesia (95%) and frank pus obtained in 34 patients(80.95%). The most common organisms obtained on culture were coagulase-positive staph.aureus and proteus. Conclusions: Gluteal abscess disease is still common despite advances in anti-septic techniques. Most of the cases are due to the lack of experience and improper training of para-medical personnel. This condition is seen more with certain types of drugs and in immune-compromised patients like diabetics.


Article
Pattern of Acute Poisoning in Children

Author: Majid Abdul Wahab Maatook
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 3 Pages: 512-517
Publisher: Babylon University جامعة بابل

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Abstract

This is a retrospective study of cases of childhood poisoning attending the paediatric emergency unit in Basrah province from January 2010 to January 2011 . One hundred and fifty one cases of children aged 12 years and below, cases due to acute poisoning were analysed, the majority of cases were aged between 1 – 5 years 71.5% , the male to female ratio was 1.3 :1, the most common toxicities occurred by ingestion of kerosene 47.01%, medications35.09%, organophosphrus 9.95% ,House items 5.97%, Co poisoning 1.98%. There were seasonal variations of poisoning events with a high frequency in spring 30.46%, and in summer 29.80%. on admission 85% of patients were complaining from mild to moderate symptoms , and 15% had severe symptoms . no fatalities occur during the study period.

هذه دراسة رجوعية للأطفال المصابين بالتسمم والذين راجعوا وحدة الطوارئ للاطفال في محافظة البصرة للفترة من كانون الثاني 2010 ولغاية كانون الثاني 2011 , تم تحليل 151 حالة تسمم حاد للأطفال ممن تقل اعمارهم عن 12 سنة, في معظم الحالات كانت اعمار المرضى تتراوح من 1 – 5 سنة 71.5% , وكانت نسبة الذكور الى الاناث 1.3 : 1, العدد الاكبر لحالات التسمم كان نتيجة تناول النفط الابيض 47.01% , ويأتي بعده الادوية 35.09%, ومركبات الفسفور العضوية 9.95% ,المواد المنزلية 5.97% ,والتسمم بغاز اول اكسيد الكاربون 1.98%. هنالك تغيرات فصلية حيث وجد ان اعلى الحالات كانت في فصل الربيع 30.46% وفي فصل الصيف 29.80% . وتبعا للحالات السريرية من حيث الخطورة كان 85% من الحالات بين خفيفة الى متوسطة و 15% يشكون من اعراض شديدة ولم تسجل اي حالة وفاة اثناء فترة الدراسة .

Keywords

Acute poisoning --- children --- pattern


Article
A comparison of rugae pattern in males and females as a samples of Iraqi population

Author: Tariq Jasim Mohamed
Journal: Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان ISSN: 20731213 Year: 2016 Volume: 4 Issue: 1 Pages: 1-5
Publisher: Tikrit University جامعة تكريت

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Abstract

The palatine rugae are irregular fibrous connective tissue ridges located in the anterior third of hard palate that extends bilaterally from the midline behind the incisive papilla. Rugae patterns play a role as positive identification of individuals in suspected cases in forensic dentistry. The aim of the present study is to identify and compare the rugae pattern in a sample of Iraqi population. Materials and method: 120 samples of maxillary casts were selected for 60 males and 60 females their ages ranging between (22-35) years old by using Thomas & Kotze classification for assessment rugae patterns. As a result of this study shows that rugae patterns has a unique individual imprint, differ in the number, symmetry between right and left sides, shape of rugae lines for each person with no significant differences for both sexes. This work conclude that rugae patterns can be used as additional method for identification as a personal print, and considered a characteristic to discriminate between individuals.

Keywords

Comparison --- rugae pattern --- shape.


Article
Disease Patterns and outcomes of Neonatal Admissions at Raparin Pediatric Teaching Hospital in Erbil City
انماط المرض ومخرجاته لحديثي الولادة الراقدين في مستشفى رابرين التعليمي للأطفال في مدينة اربيل

Author: Norhan Z. Shaker نورهان شاكر
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2015 Volume: 28 Issue: 2 Pages: 39-46
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: This study aims to determine the disease’s patterns and outcomes of admission among neonates hospitalized at the neonatal care unit in Erbil City, and using the findings as a baseline for neonate’s morbidity and mortality assessment in the future. Methodology: A retrospective study carried out at neonatal care unit of Raparin pediatric teaching hospital. An instrument for data collection developed by researcher included (age, gender, cause of admission, diagnosis and outcome upon discharge and causes of death). Content validity of the instrument was determined through the use of panel experts and reliability of the instrument was determined through a pilot study. The data were obtained by review the medical records of all newborns admitted to neonatal care unit during 2013. Data were analyzed through the application of descriptive and inferential statistical approaches by using Statistical Package for Social Science (SPSS) version 19.Results: During 1st January to 31st December of 2013 the total number of neonates admitted to Raparin pediatric teaching hospital was 3880. Highest percentages (58%) of neonates were male and majorities (76.26%) were admitted during the first week of life. Jaundice was the main cause 54.1% of neonates admission .The neonate deaths rate was 5.4% of the sample, and the first cause of death was for prematurity 35.6%, then infections 25.5%, congenital anomalies18.8% and Respiratory dysfunction 10.1%. Majority 87.9% of neonates were discharged with unspecified discharge outcome. And the study found high significant association between neonate’s diseases and neonate’s age.Recommendations: The study recommended improving statistical recording skills for health care team and conducting further studies regarding neonatal care at neonatal care unit of Raparin pediatric teaching hospital.

الهدـف: تهدف الدراسة إلى تحديد انماط المرض ونتائج الرقود بين الحديثي الولادة المرقدين في وحدة العناية بالاطفال حديثي الولادة في اربيل . واستخدام النتائج كاساس لتققييم نسبة المراضة والوفيات لحديثي الولادة.المنهجية: دراسة استرجاعية اجريت في وحدة العناية بالاطفال الحديثي الولادة في مستشفى رابرين التعليمي للأطفال في أربيل. تم بناء اداة لجمع البيانات من قبل الباحث تضمن ( العمر,الجنس,سبب الترقيد في المستشفى,التشخيص,النتيجة النهائية للعلاج وسبب الوفاة ) , تم تحديد صلاحية محتوى الإستبانة من خلال فريق الخبراء وتم تحديد الاتساق الداخلي للأداة من خلال الدراسة التجريبية . وقد تم جمع البيانات من خلال مراجعة السجلات الطبية لجميع الرضع الراقدين في وحدة العناية بالاطفال حديثي الولادة خلال 2013. وقد تم تحليل البيانات من خلال تطبيق النهج الإحصائي الوصفي والاستدلالي باستخدام الحزمة الإحصائية للعلوم الاجتماعية (SPSS) النسخة 19. النتائج: خلال الفترة من 1 شباط لغاية 31 كانون الاول لعام 2013 بلغت مجموع عدد الحديثي الولادة المرقدين في مستشفى رابرين التعليمي للأطفال 3880 حديث الولادة . اعلى نسبة منهم 58% ذكور ,معظم حديثي الولادة ادخلواللمستشفى خلال الاسبوع الاول من العمر . واليرقان هو السبب الرئيسي 54.1 % لرقودهم في المستشفى ,وكانت نسبة وفيات الحديثي الولادة 5.4% من العينة وكان الابتسارالسبب الرئيسي 35.6 % للوفاة تلتها الالتهابات 25.5% , التشوهات الولادية 18.8% والاضطرابات التنفسية 10.1% كما ان معظم 87.9 % حديثي الولادة اخرجوا من المستشفى من غير ان يبين حالتهم الصحية عند الاخراج. كشفت الدراسة عن وجود علاقة معنوية عالية بين امراض حديثي الولادة واعمارهم. التوصيات: اوصت الدراسة بتحسين مهارات التسجيل الاحصائي للفريق لصحي, واجراء المزيد من البحوث حول العناية بحديثي الولادة في وحدة العناية بحديثي الولادة لمستشفى رابرين التعليمي للأطفال في أربيل.


Article
Microbiological Profile of Neonatal Septicemia

Author: Sinan Abdulrazzaq Ibrahim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 13-18
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND :Neonatal septicemia is a major cause of morbidity and mortality in developing countries.OBJECTIVE:The study is to determine the prevalence , the pattern of organisms and the mortality of neonatalsepticemia in a neonatal care unit.PATIENTS AND METHODS:All the cases of neonatal septicemia diagnosed and treated in the neonatal care unit at al-kadimiyateaching hospital for the period january-june 2010 were included in this study. The collected datawere : Gender, Birth weight, Gestational age, Onset of sepsis, Place of delivery and Outcome ofdisease.RESULTS:Out of 589 newborns admitted, 73(12.4%) were confirmed cases of neonatal septicemia. Themortality from neonatal sepsis was 16.4%.Low birth weight and prematurity were independentfactors associated with death (P value=0.004 and 0.020 respectively).There were 24 cases (32.9%)of early onset sepsis and 49 cases (67.1%) cases of late onset sepsis. The most common pathogenswere gram- negative bacilli causing early-onset sepsis (54%) and late onset sepsis (59%). Only 6cases out of the total 73 cases of neonatal septicemia were caused by staphylococus aureus (8.2%) .Over 50% of gram-negative bacilli are antibiotic resistant.CONCLUSION:The high rate of gram-negative septicemia and the antibiotic resistance to both ampicillin andgentamycin indicate that the infection was most probably nosocomial in origin.


Article
The pattern of skin diseases in Karbala city: A retrospective study

Author: Ali Tariq Abd Al Hassan علي طارق عبد الحسين
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2011 Volume: 7 Issue: 12 Pages: 117-128
Publisher: Al-Qadisiyah University جامعة القادسية

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Background: Knowing the patterns of skin diseases is a vital step in the education of primary health care physicians and in planning curriculum for teaching medical students.Moreover, these types of studies are necessary to provide adequate therapeutic services to those suffering from these diseases. Objective: To determine the characteristic pattern of various skin disorders for all the patients who visited the dermatology outpatient clinic at Al Husseiny Teaching Hospital, in Karbala City.Patients and methods: A retrospective and descriptive study was conducted in order to describe the skin diseases patterns. The medical records of patients attending the dermatology outpatient clinic from January 2009 to January 2010 were reviewed. Diagnosis was mainly based on clinical findings, but supplemented by further investigations when needed.Results: A total of 4169 patients were seen during this period and the ages ranged from 4 days to 85 years. They represent 30 .4 % of the total patients visited the outpatient clinics at our hospital .There were 2267 (54.4%) males and 1902(45.62%) females giving a male: female ratio of 1.2:1.The highest number of people in this series was between the ranges 5-35 years of age making 61.4% of the total. The top six skin diseases were eczema/ dermatitis (28%), viral infections (20.5%), Bacterial infections (13.7%), parasitic diseases (10.8%), Acne vulgaris (7.02%) and Urticaria (6.23%).The major disorder in males and female was eczema/ dermatitis (15.3 %) and (12.7%) respectively Conclusions: Our results showed that eczema/dermatitis, is the most common disease in both male and female followed by infection especially viral infection and parasitic disease in our region. Emphasis should be placed on this group of common skin diseases at all levels of health care system and should implement appropriate training programs for diagnosis and management to decrease referrals to dermatology clinics.

ان معرفة أنماط الأمراض الجلدية هي خطوة حيوية في تعليم أطباء الرعاية الصحية الأولية وكذلك في وضع المناهج الدراسية لتدريس طلاب الطب. وعلاوة على ذلك هذه الأنواع من الدراسات ضرورية لتوفير الخدمات العلاجية المناسبة.الهدف تحديد نمط الأمراض الجلدية لجميع المرضى الذين زاروا العياده الخارجية للأمراض الجلدية في مستشفى الحسيني التعليمي في مدينة كربلاء المقدسة.أجريت دراسة وصفية إستعادية لوصف أنماط الأمراض الجلدية. جرى مراجعة السجلات الطبية للمرضى الذين حضروا العياده الخارجية للامراض الجلدية منكانون الثاني 2009 الى كانون الثاني 2010. واستند التشخيص أساساً على الصورة السريرية، ولكن مع مزيد من الفحوصات المناسبة عند الحاجة .وكانت النتائج شوهد 4169 مريضاً خلال هذه الفترة ، تراوحت أعمارهم بين 4 أيام إلى 85 سنة. كانت هناك 2267 (54.4٪) من الذكور والإناث 1902 (45.62٪) فكانت نسبة الذكور إلى الإناث 2.1:1. أكبر عدد من المرضى في هذه الدراسة كان يتراوح بين 5 سنوات إلى 35 سنة من العمر أي حوالي 61.4% ٪ من المجموع. ومثلت أعلى نسب الأمراض: الأكزيما (28 ٪)، العدوى الفيروسية (20.5 ٪)، الالتهابات البكتيرية (13.7 ٪)، الالتهابات الطفيلية (10.8 ٪)، حب الشباب الشائع (7.02 ٪) والشرى (6.23 ٪)، وكان المرض الأكثر شيوعاً في كل من الذكور والإناث هو الأكزيما (15.3 ٪) و (12.7 ٪) على التوالي. أظهرت النتائج التي توصلنا إليها أن الأكزيما هي المرض الأكثر شيوعاً في كل من الذكور والإناث تليها العدوى الفيروسية والعدوى الطفيلية وخاصة في محافظة كربلاء المقدسة . ينبغي التركيز على هذه المجموعة من الأمراض الجلدية الشائعة في جميع مستويات الرعاية الصحية وينبغي أن تؤخذ بنظر الاعتبار عند إعداد برامج التدريب المناسبة لتتشخيصها وعلاجها لتقليل الإحالة إلى العيادات الخارجية في المستشفى.

Keywords

Pattern --- Skin disease --- Karbala --- Iraq


Article
Pattern of Resistance to Pseudomonas infection in the North of Iraq: Emphasis on the Potential Role of a Combination Antibiogram
انماط المقاومة للخمج الناتج عن الاصابة بالسيدوموناس في شمال العراق: إظهار أهمية دور دمج المضادات الحيوية

Author: Nadia A. Al-Derzi نادية الدرزي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2012 Volume: 25 Issue: 2 Pages: 130-135
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The wide misuse of broad spectrum antibiotics causes increase in the ratio of antibiotic resistance in Iraq. Data are limited on the prevalence, pattern of resistance, and factors associated with resistant organisms. Objective: The aim of this study was to determine the isolation prevalence and antibiotic resistance ratio of P. aeruginosa species isolated in the North of Iraq and to determine the optimum effect of a combination antibiogram and its potential role in empiric treatment. Patients and Methods: The study samples were collected from the two cities Mosul and Duhok. Mosul samples were taken from inpatient specimens sent for culture and antibiotic sensitivity in Al-Salam teaching hospital for a three-year-period (2003-2005). Duhok samples were obtained mainly from outpatient specimens sent to the laboratory of one of the two main private hospitals in the city for another three-year-period (2007-2009). P. aeruginosa was identified by conventional methods and API 20 E (Biomerieux). Their antibiotic susceptibility was tested using the Kirby-Bauer plate diffusion method. Detection of combination effects was performed on Duhok samples by in vitro testing of different antimicrobial combination patterns commonly used in routine empirical practice. For this purpose combinations were chosen of the top four individual drugs demonstrating the highest susceptibilities by the standard antibiogram.Results: Out of 8038 and 1878 clinical specimens submitted for culture in Mosul and Duhok, respectively, 180 and 21 clinically significant isolates of P. aeruginosa were isolated, resulting in a prevalence of 5.2% and 1.6%, respectively. The most common isolates were from pus, followed by urine specimens and ear discharges. The isolates in males were twice that of females. The pattern of resistance revealed that amikicin had the highest sensitivity (89.7%) followed by imipenem, tobramycin and piperacillin (85.6%, 84.1 %, and 82.1%, respectively). Cefotaxime showed the lowest sensitivity rate (66.4%) followed by ceftazidim, carbinicillin, ciprofloxacin and gentamycin (70.1%, 74.6%, 76.1%, and 79.1%, respectively). The study revealed that the optimum combination therapy with the highest sensitivity rate were the combination of amikacin with either piperacillin or imipenem (95.2%) and piperacillin with tobramycin (95.2%).Conclusions and Recommendations A relatively high resistance rate to first line anti-pseudomonal drugs was observed, which should lead to continuous evaluation of hospital and community resistance pattern, the use of optimum combination therapy should be considered in the rational use of anti-pseudomonas drugs.Keywords: Pseudomonas aeruginosa, Resistance pattern, Prevalence

الخلفية: أدى الاستعمال العشوائي واسعة الطيف إلى زيادة نسب المقاومة للمضادات الحيوية في العراق. ان المعلومات المتوفرة محددة حول الانتشار، نمط المقاومة و العوامل المؤثرة عليها في الجراثيم المقاومة للمضادات. ان جرثومة السيدوموناس معروفة لمقاومتها للمضادات الحيوية و كونها خطرة وقاتلة.الهدف: تهدف الدراسة الى تحديد نسبة العزولات والحساسية الدوائية للسيدوموناس في شمال العراق مع تحديد التأثير المثالي لربط المضادات الحيوية وأهميتها في العلاج الأولي.المرضى وطرق البحث: تم جمع عينات الدراسة مدينتين: الموصل ودهوك. كانت عينات الموصل من المرضى الراقدين في مستشفى السلام التعليمي و الذين أرسلت عيناتهم للزرع و تحديد الحساسية الدوائية لمدة ثلاث سنوات للفترة من 2003-2005. كانت عينات دهوك من المرضى الذين أرسلوا لى مختبر واحدة من المستشفيين الأهليتين في المدينة للزرع و تحديد الحساسية الدوائية و لمدة ثلاث سنوات للفترة من 2007-2009. تم عزل جرثومة السيدوموناس بالطريقة التقليدية و باستعمال API20E-(Biomerieux). تم قياس الحساسية الدوائية باستعمال طريقة Kirby-Bauer للانتشار، تم قياس فعالية ربط المضادات الحيوية على نماذج دهوك فقط بالفحص المختبري باستعمال المضادات المختلفة التي تستخدم عادة في العلاج الأولي من بين الأربع الأولى التي أظهرت اعلي حساسية دوائية.النتائج: أظهرت الدراسة ان من بين 8038 و1878 عينة أرسلت للزرع المختبري في الموصل و دهوك تم عزل 180 و 21 نموذج يحوي على جرثومة السيدوموناس، مشكلة نسبةعزل بلغت 5.2% و1.6% على التوالي، كانت أكثر العزلات من القيح ثم الإدرار وإفرازات الإذن، كانت هذه العزولات اعلى مرتين لدى الرجال بالمقارنة مع النساء، أظهرت ان دواء اميكسين كان الأكثر فعالية (89.7%) يتبعه على التوالي اميبينيم، توبرامايسين، بايباراسيلين (85.6%، 84.1% و 82.1%)، كان عقار سيفوتاكسيم الاقل فعالية (66.4%) يتبعه على التوالي سيفتازديم، كاربينسيلين، سيبروفلوكساسيلين و جنتامايسين (70.1%، 74.6% 76.1%، 79.1%). اظهرت الدراسة أن الربط المثالي للمضادات الحيوية و الذي حصل على أعلى فعالية كان لدواء اميكسين مع بايباراسيلين واميبينيم (95.2%) وكذللك بين دوائي بايباراسيلين وتوبرامايسين (95.2%).الاستنتاجات و التوصيات: أظهرت الدراسة نسب مقاومة عالية الى حد ما لادوية الصف الأول المستعملة ضد السيدوموناس مما يؤشر الى ضرورة تغيير الاستعمال الأولي لهذه الأدوية، توصي الدراسة باستمرار تقييم أنماط المقاومة في عزولات المستشفيات و المجتمع مع التوجه إلى الربط المزدوج المضادات الحيوية في العلاج الأولي للسيدوموناس.

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