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Article
Evaluation of Staging of Carcinoma of Breast as anIndicator for Presentation of Patients

Authors: Mahdi Jasim Moosa --- Najeeb Sleiwah Jabbo
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2006 Volume: 3 Issue: 1 Pages: 52-55
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The type of treatment of carcinoma
of the breast depends on its stage at presentation. Its
early detection is important.
Objective: Analysis of treated patients for
carcinoma of breast in regards to their stages,
considering it as an indicator for patient's presentation
and discusses the results in this collection.
Methods: A review study of cases treated surgically
for the last 10 years by the authors. Their stages were
recorded in addition to their age, gender and type of
histopathology.
Results: A collection of 110 patients was studied.
Those in the 5th decade were affected more. Females
were 107 and males were only 3. The right breast was
affected more than the left one. Infiltrative ductal
carcinoma was the commonest type of pathology
followed by the lobular carcinoma. Stage 2 was the
commonest stage at time of diagnosis and treatment.
Conclusion: In our collection, more than half of
our patients present during stage 2. This is a late
presentation. Earlier detection is necessary. An
important Program for early detection directed by the
authorities, using the periodic physical examination
and self breast examination and considering the start
of mammography screening program for those with
age range of (40-60). Programs for educating women
in regards to the risk factors and other information
about this disease through the internet should be
considered.
Keywords: Breast carcinoma, stage, presentation.


Article
Low Concentrations of Maternal Thyroxin During Early Gestation :A Risk Factor of Breech Presentation

Author: Nada Salih Amin
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 1 Pages: 1-5
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Approximately 3-5% of all pregnancies at term are with the fetus in the breech presentation in whichwhatever thier mode of delivery, is a signal for potential fetal handicap Little is known about theetiology; However there are several etiological factors might be related to fetal movement duringpregnancy. Maternal hypothyroxinaema early in gestation may have effect on fetal movement duringpregnancy through its effect on fetal brain maturation.OBJECTIVE:To evaluate the relation between breech presentation at term and low maternal free thyroxin levelsduring early gestation in women not suffering from overt thyroid dysfunction.DesignA prospective observational study of pregnant women.METHODS:Analysis refers to 70 women who met the inclusion and exclusion criteria. Main outcome assessment,Fetal presentation (cephalic–breech) at term gestation in relation to maternal thyroid function at 12weeks of gestationRESULTS:Breech presentation at term delivery was independently related to maternal free thyroxin ( fT4 ) levels<10th cectile at 12 weeks of gestation (OR 4.63, 95% CI 0.8- 22)CONCLUSION:Women with hypothyroxinaemia ( FT level <10th centile) during their early gestation (without overtthyroid dysfunction) are at risk for persistent breech presentation


Article
Hepatocellular Carcinoma Presentation & Management , A Prospective Study in the Medical City Baghdad - Iraq

Author: Wissam Jaffar Altaee
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 2 Pages: 253-260
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND :The development of HCC is a major global health problem , It's incidence has increased world wide and nowadays it constitute the 5th most frequent cancer representing around 5% of all cancers, and estimated to rank 4th in terms of mortality of cancers incidence world wide , it accounts for 80 –90% of all primary liver tumors . The Etiology of this tumor is multifactorial , certain viral, environmental & hereditary causes of cirrhosis have a strong correlation with HCC . HCC is a highly malignant tumor with poor prognosis .OBJECTIVE:To evaluated the Etiological , Epidemiological , Patho physiological , Diagnostic series , Therapeutic approaches & Advanced studies in detection and prevention of HCC .PATIENTS AND METHODS :Across sectional study of (57) patients with HCC ( 43 males , 14 females ) during the period from January 2000 to December 2002 . The patients were collected from medical & surgical units of Baghdad teaching hospital & the gastroenterology & hepatology teaching hospital .History taken from these patients & physical examination , Lab investigation ,CBP, liver function test ,Virology study , serum AFP. Titer ,U/S study , MRI , CT scan . Ascitic fluid tapping , Liver biopsy.Modalities of treatment : Palliative Treatment, Chemotherapy, Injection of Alcohol , Hemilobectomy ,Segmental resection , Debulking resection of tumor in the liver, Conservative treatment , any complications or hazards during surgical procedures were recorded.RESULTS :Male to female ratio is approximately (3:1), The mean age of (57.1) yr . more common between (51-60) yrs old ( 28.25% ) , Most of the patients were from Baghdad ( 47.4% ) . Increasing no. of patients from 2000 ( 21.1 % ) to 2002 ( 45.6 % ). (84% ) have previous history of chronic liver disease & (16%) haven't such a history . Most of chronic liver diseases are due to previous history of hepatitis B- infection (41.6%) . High level of AFP ( 66.6% ), all of them are of standard type of HCC. Ascitic fluid cytological study bloody (14%) & positive malignant cells (17.2%) . Liver biopsy (82.7%) had chronic liver diseases, and (96.5%) moderate to poorly differentiated type of standard HCC,(3.5%) fibrolamellar type .Outcome of treatment , Conservative (35%), Injection therapy (3.5%) , Chemotherapy (28%), Surgical procedures (16%) , Segmental & Right lobectomy (3.5%) for each , Debulking (9%) .CONCLUSION :AFP and U/S study are very important in the early detection and follow up of the patient with HCC , Liver biopsy - very important study to detect various type of HCC , Surgical resection is the only potentially curative treatment of HCC


Article
A typical clinical presentation of molluscum

Author: Dr. Maytham M. Al-Hilo MBChB, FICMS DV;* Dr.Mohammed Y. Abbas , MBChB, FICMS DV
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 18-27
Publisher: Baghdad University جامعة بغداد

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Abstract

Background Molluscum contagiosum is skin disease caused by the molluscum contagiosum virus (MCV) usually causing one or more small dome shaped umbilicated papules with symptoms that maybe self-resolve. MCV was once a disease primarily of children, but it has evolved to become a sexually transmitted disease in adults. It is believed to be a member of the pox virus family. In addition to the classic presentation of the disease; it can also come in different clinical forms that simulate large number of dermatolological disease.Objective: To study different clinical forms of Molluscum contagiosum presentation in different age groups of Iraqi patients.Method:This clinical descriptive study was performed in the outpatient department of Dermatology and Venereology : Al–Kindy Teaching Hospital in Baghdad from August 2010 - October 2011A total of three hundred and thirty Patients (180 female sand150 males) recruited in this study diagnosed as Molluscum contagiosum on different sites ; both classical and non classical presentation were studied.Results: Twenty eight patients (8.48%) out of the 330 patients (14 male and 12 female) showed atypical clinical presentation, while 302 (91.52%) patients showed typical presentation.Conclusion:Molluscum contagiosum can presented with either classic or non classic presentation mulating many dermatological disease.Keywords:Molluscum contagiosum.Atypical presentation


Article
Hepatic Hydatidosis , Analysis Of 126 Cases

Author: Dr. Abdulhadi Jassim Tlefih
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2007 Volume: 1 no.2 Issue: 1 Pages: 150-157
Publisher: Kerbala University جامعة كربلاء

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Abstract

Background: Hydatid disease ( H D) is a serious health problem in endemic areas, asin our country. It can affect any organ in the body especially the liver. Surgery is stillthe procedure of choice in most cases of H D, despite other methods of treatmentavailable.Objectives : The aim of this study is to know the prevalence of hepatic hydatidosis(H H) , and to study presentation , types of treatment, surgical procedures andcomplications.Methodes: 126 patients with H H were treated in Hammad Shihab military hospital in5 years period ( from July 1997 to June 2002 ) . 122 patients were treated surgically.Results: (74.6%) of patients hailed from rural area. Most of the patients were female,with male to female ratio (M : F) was 1 : 2 . ( 32.53%) of patients were between 31and 40 years and the mean age was ( 35.46 ) years .(75.3%) of patients presented with abdominal pain or discomfort . The disease wasdiscovered incidentally in (17.46%) . Isolated liver was involved in ( 66.7 % ). Theright lobe of the liver was affected in ( 80.95 % ) . ( 67.4 % ) of cases had singlehydatid cyst ( H C ) . Synchronous pulmonary hydatid cyst (P H C) occurred in(7.9%) of cases.Post operative complications ocurred in ( 3.2 % ) included (1.6%) developedrecurrent hepatic hydatid cyst (H H C ) , (0.8%) had subphrenic abscess and (0.8%)experienced biliary cutaneous fistula .Conclusion: The right lobe of the liver was the commonest location of H H C . Thecommonest presentation was abdominal pain or discomfort. All patients with HHCshould be investigated for synchronous P H C.


Article
Hypothyroidism in Adults Early Clinical Presentation in Relation to Age

Authors: Karim O. Al-Naffii --- Hassan A. A. Nasseralah --- Kadhum A. Al-Hillali --- Akram F. M. Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2008 Volume: 2 no.4, 5 Issue: 3 Pages: 352-356
Publisher: Kerbala University جامعة كربلاء

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Abstract

Background: Hypothyroidism in adults is not a rare disease but has non –specific clinicalpresentation which may delay its diagnosis.Objective: the aim of the study is to identify the presenting symptoms of hypothyroidism,their frequency & their relation to age.Patients & Method : All adult patients > over 18 years of age who attended the consultationclinic, in Al-Hussein Teaching Hospital / Karbala, from January 2002 to December 2007showing clinical features suggestive of hypothyroidism were sent for T3, T4 & TSH.Results: Sixty eight patients were found to have hypothyroidism, 52 females & 16 males(F/M ratio 4.7:1). Seventy percent of the group are less than 55 yr of age, their mean age is42.3 yr. Malaise & arthralgia were the main complaints especially in those aged 55year &over (69% & 25%) respectively while skin changes were the main early physical signs inthose less than 55yr of age (26%).Discussion: Hypothyroidism is a disease which may present in a nonspecific clinical picturesuch as malaise or fatigability especially in elderly or skin changes in young age group or asmenstrual irregularities in young females.Conclusion: High index of suspicion is the main initial tool for diagnosis of hypothyroidism& should be considered in any elderly patient with unexplained malaise or fatigability or inyoung females with unexplained menstrual irregularities. To look for other physicalsymptoms & signs in those patients which may mandate sending them for thyroid functiontest or at least only TSH level.


Article
The impact of different educational environments in the formations of presentations and the focus of the beta Androfen students
اثر بيئات تعليمية مختلفة في تشكيلات العروض وتركيز البيتا اندروفين للطالبات

Authors: Dr. Adel Turki Hassan عادل تركي حسن --- Shahla'a Abdul Hadi Alhims
Journal: Al.Qadisiya journal for the Sciences of Physical Education مجلة القادسية لعلوم التربية الرياضية ISSN: 7791 /1991 Year: 2017 Volume: 17 Issue: 1part(1) Pages: 140-149
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

The study aimed at identifying the effect of different educational environments in some formations of the second year students of the Faculty of Physical Education and Sport Sciences, Al-Qadisiyah University, and the study of the effect of different educational environments in the concentration of beta-androfen. The researcher used the experimental method in the two- For the suitability of the nature of the problem, and the research community was identified, and they are second year students in the Faculty of Physical Education and Sports Sciences at the University of Qadisiyah for the academic year 2015-2016, and used the tools, tools and devices used in the appropriate g The researcher then integrated a set of musical instruments for the rhythmic synapse to create a single music clip that is proportional to the length of the presentation. The researcher conducted three exploratory experiments before starting the tribal test. The researcher gave two sets of definitions for the students of the two groups, after which the tribal tests were carried out, followed by the application of the curriculum, after which the post-tests were carried out, and the researcher used the results of the statistical package for social sciences (spss). The researcher concluded that the study showed that through the results, the level of performance of the sample was increased to a certain extent. This is evident by the standard deviations in the tribal test, which was less than the post-test. This indicates that the method used has improved the performance of individuals in different ways. Levels of control group members after completion of the curriculum. The results showed an increase in the arithmetic mean of the control group for each skill in the two tests. This indicates that the educational method followed has affected the sample members. While the most important recommendations are to benefit from the study in the orientation to make the rhythmic gymnastic lessons and teach his skills in the first or second stage, which should precede the lessons of presentations for students. And the preparation and refinement of cadres specialized in sports performances because of their active role in national festivals and celebrations

الملخص هدفت الدراسة الى التعرف على اثر بيئات تعليمية مختلفة في بعض تشكيلات العروض لطالبات السنة الدراسية الثانية لكلية التربية البدنية وعلوم الرياضة جامعة القادسية، والتعرف على اثر بيئات تعليمية مختلفة في تركيز هرمون (بيتا اندروفين) واستخدم الباحثان المنهج التجريبي بأسلوب المجموعتين المتكافئتين (بالاختبارات القبلية والبعدية) لملاءمته طبيعة المشكلة, وتم تحديد مجتمع البحث, وهنّ طالبات السنة الثانية في كلية التربية البدنية وعلوم الرياضة بجامعة القادسية للعام الدراسي 2015 – 2016, واستخدم الباحثان الأدوات والوسـائل والأجهـزة المستخدمـة المناسبة في جمـع البيـانـات ثم تم تحديد حركات الجمناستك الايقاعي بالشريط وفق صعوبة الحركة, واعتمد الباحثان الموسيقى الجاهزة, حيث قام الباحثان بدمج مجموعة من المقاطع الموسيقية الخاصة بالجمناستك الايقاعي لتكوين مقطع موسيقى واحد مدته تتناسب مع مدة العرض، و قامت الباحثان بأجراء ثلاث تجارب استطلاعية, وقبل البدء بالاختبار القبلي قامت الباحثان بإعطاء وحدتين تعريفيتين لطالبات المجموعتين, بعد ذلك تم اجراء الاختبارات القبلية ، تلاها تطبيق المنهج ، بعد ذلك اجريت الاختبارات البعدي ، واستخدم الباحثان في استخراج النتائج, الحزمة الاحصائية للعلوم الاجتماعية (spss).ان من اهم الاستنتاجات التي توصل لها الباحثان وجود فروق معنوية بين الاختبارات قبل الجهد وبعده، لكلا المجموعتين التجريبية والضابطة لهرمون (بيتا اندروفين) بين القياسين (قبل الجهد, وبعد الجهد) للمجموعتين الضابطة والتجريبية (داخل القاعة وخارجها) ولصالح المجموعة التجريبية. وتطوير مستوى أداء أفراد العينة بقدر معين ويتضح ذلك من خلال الاوساط الحسابية في الاختبار القبلي كان اقل من الاختبار البعدي وهذا يدل على ان المنهج المتبع عمل على تحسين اداء الافراد بشكل متباين . في حين كانت اهم التوصيات هي الاستفادة من الدراسة في التوجه لجعل دروس الجمناستك الايقاعي وتعليم مهاراته في المرحلة الاولى او الثانية والتي يجب ان تسبق دروس العروض للطالبات . واعداد وصقل كوادر متخصصة في العروض الرياضية لما لها من دور فاعل في المهرجانات والاحتفالات الوطنية .


Article
Colorectal cancer in a group of Iraqi patients

Author: Sabeha Moosa Al‐Bayati
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2009 Volume: 8 Issue: 1 Pages: 36-39
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background Colorectal cancer is the second most common internal malignancy and the second leading cause of cancer death (after lung cancer).The condition becomes increasingly common after the age of 50.Because it is a common problem in certain areas of the world and because its insidious nature of onset that sometimes is too late when diagnosed, keeping high index of suspicion with developing screening tests that are reliable and easily performed are vital in diagnosis. Objective: To highlight some of the demographic, laboratory, and histopathological criteria of colorectal cancer in a group of Iraqi patients. Methods This study is a descriptive cross sectional study that had enrolled 30 patients with colorectal cancer. The patients included in this study had been selected from those patients who had attended the endoscopic unit / department of medicine at Al-Yarmouk teaching hospital during the period between the 1st of September 2006 to the 1st of September 2007. Patients diagnosed to have colorectal cancer by colonoscopy, and biopsy samples were taken for histopathological study, and blood samples were taken for carcinoembryonic antigen. Results This study revealed that 80% of the patients were older than 50 years of age with a male: female ratio of 2.75:1.63.33% of the patients were smokers. The study revealed that the presentation of the disease is usually insidious with abdominal pain, change in bowel habit and haematochezia and melena seen in 83.34% of the patients. 66.67% of the tumors were located in the rectosigmoid.All the tumors were adenocarcinoma. Carcinoembryonic antigen was +ve in 60% of the patients. Conclusion Colorectal cancer is more common in old male patients with smoking habit.


Article
Demographic and Clinical Presentations of Pediatric Hydrocephalus in Medical City

Authors: Mahjoob N. Al Naddawi --- Numan Nafie Hameed --- ,Amal A. Rasheed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 2 Pages: 139-144
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Hydrocephalus is distension of the ventricular system of the brain related to inadequate passage of cerebrospinal fluid from its points of production within the ventricular system to its points of absorption into the systemic circulation.OBJECTIVE:To study the demographic and clinical presentations of pediatric hydrocephalus in medical city complex , Baghdad.PATIENTS AND METHODS:This is a prospective study ,which was carried out on 100 children with a mean age+- standard deviation ( 24.3 +/- 16.06 )months and median 16 months, who were admitted to Children Welfare Teaching Hospital & neurosurgical department ( Surgical Specialties Hospital) / Medical City complex, Baghdad in the period from April first 2009 to October first 2009. A specially designed questionnaires were used to aid the investigators in performing a family interview. General and neurological examinations, and investigations including neuroimaging studies were done.RESULTS:Of 100 patients,(62%)were males and (38%) were females, with male to female ratio of 1.6:1. Family history of congenital anomaly was positive in (26%) of patients, while hydrocephalus was positive in (14%). Seventy-Two percent of patients had congenital hydrocephalus. Eighty–Seven percent of patients were full term. Fifty-Seven percent of patients were products of NVD ,while (43%) were products of CS,(2%) of them were emergency CS& (41%) were elective. The macrocephaly was diagnosed or noted at birth in (32%)of patients. The study showed that U/S finding of hydrocephalus was positive in (49%).CONCLUSION:The majority of the patients had congenital hydrocephalus, but there was delay in the diagnosis of macrocephaly. Prenatal ultrasound diagnosis yield was low in this study. Family history of hydrocephalus and other neural tube defect was important to be elicited


Article
Colorectal cancer in a group of Iraqi patients

Authors: Sabeha Moosa Al-Bayati --- Farkad Jasim
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2008 Volume: 7 Issue: 2 Pages: 36-39
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Colorectal cancer is the second most common internal malignancy and the second leading cause of cancer death (after lung cancer).The condition becomes increasingly common after the age of 50.Because it is a common problem in certain areas of the world and because its insidious nature of onset that sometimes is too late when diagnosed , keeping high index of suspicion with developing screening tests that are reliable and easily performed are vital in diagnosis.Objective: To highlight some of the demographic, laboratory, and histopathological criteria of colorectal cancer in a group of Iraqi patients.Methods: This study is a descriptive cross sectional study that had enrolled 30 patients with colorectal cancer. The patients included in this study had been selected from those patients who had attended the endoscopic unit / department of medicine at Al-Yarmouk teaching hospital during the period between the 1st of September 2006 to the 1st of September 2007. Patients diagnosed to have colorectal cancer by colonoscopy, and biopsy samples were taken for histopathological study, and blood samples were taken for carcinoembryonic antigen.Results: This study revealed that 80% of the patients were older than 50 years of age with a male: female ratio of 2.75:1.63.33% of the patients were smokers. The study revealed that the presentation of the disease is usually insidious with abdominal pain, change in bowel habit and haematochezia and melena seen in 83.34% of the patients. 66.67% of the tumors were located in the rectosigmoid.All the tumors were adenocarcinoma. Carcinoembryonic antigen was +ve in 60% of the patients.Conclusion: Colorectal cancer is more common in old male patients with smoking habit.

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