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Article
Death rates and causes among admitted neonates in Children Welfare Teaching Hospital – Medical city –Baghdad (2000- 2004)

Author: Numan N. Hameed
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2010 Volume: 52 Issue: 2 Pages: 114-117
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The neonatal deaths account for two-third of all deaths in the first year of life, and 40% of under-five mortality. Extreme prematurity, respiratory distress syndrome , neonatal infections , and congenital malformations are among the common causes of neonatal deaths. Methods: We retrospectively studied 668 neonates who died over 5 years period from first of Jan. 2000 to the end of Dec. 2004 in neonatal care unit of children Welfare Teaching Hospital-medical city, by obtaining data from reviewing their medical records and death certificates.
Results: The death rate in neonates admitted to SCBU (special Care baby Unit) during the period of study was (10.7%), male constituted 432 (64.7%) and female 236 (35.3%) with male to female ratio 1.8:1. The major causes of death were congenital malformations (41.6%), neonatal infections (33.4%),and prematurity (10.3%).
Conclusions: There was no decline in the neonatal death rate in our hospital especially from sepsis and prematurity and low birth weight. Death due to late onset sepsis was lower than that due to early onset sepsis .There was a significant increase in the death from congenital malformations.


Article
Images of Death in the Poetry of Emily Dickinson

Author: Nabil Mohammed Ali نبيل محمد علي
Journal: AL - Bahith AL - A’alami مجلة الباحث الاعلامي ISSN: 1995 8005 / EISSN 2617 9318 Year: 2009 Volume: 2 Issue: 5 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Death is a theme which has elicited much deep and varied emotions from poets through the ages. Accordingly, they have meditated and emotionally and lyrically responded to it. A memorable example is King Lear lamenting the death of his daughter, Cordelia:
No, no, no life!
Why should a dog, a horse, a rat have life,
And thou no breath at all?Thou' It come no more,
Never, never, never, never, never!( Act V, Scene III)( 1)
Thomas H. Johnson, while recognizing that many poets have made death central in much of their poetry, also believes that “ Emily Dickinson did so in hers to an unusual degree.”(2) Death is a prevalent theme in Emily Dickinson’s poetry. Her poems on this theme are scattered through the two volumes which contain her poetic works. It has been mentioned that at least a quarter of all her works deals chiefly with this theme.( 3) Her critics have noted the prominence of the theme of death in her poetry. George Frisbie Whicher, for example, states that Dickinson “ recurred to it{ the subject of death}more frequently than to any other.”(4)Richard chase mentions that” in the large majority of Emily Dickinson’s poems, from the least impressive to the most, there are intimations of Death.”(5)Charles R. Anderson points out that death and immortality were “the two profoundest themes that challenged her poetic powers.”(6) A thorough analysis of her death poetry reveals that there are four major categories: (1) poems dealing with death and immortality,(2) poems dealing with the physical aspects of death,(3) poems that personify death, and(4)elegiac poems.

Keywords

Images of Death


Article
The Seroprevalence of IgM Among Iraqi Aborted Women Infected with Human Cytomegalovirus

Author: Maysara S.Khalf
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 123-129
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Fetal loss and abortion are responsible for significant emotional distress for couples desiring children.There are many documents which support the role of some certain asymptomatic infections such asCytomegalovirus (CMV) in spontaneous abortion.OBJECTIVE:This study was aimed to evaluate the prevalence of seropositivity of specific IgM antibody for CMVby ELISA in the sera of (108) women with recurrent abortion associated with obstetric complications.METHODS:This study was carried out in two central hospital in Baghdad (Al-Elwea& Baghdad teaching hospitals)during (2009-2010).A number of (108) women with definite diagnosis of previous abortion ,35womenwith recurrent abortion , 30 women with premature delivary and 43women with intra uterine death.compered to (50)women with history of normal full term delivary and negative history of miscarrageas control groups .Serum samples were collected and then tested by using ELISA for detection of anti-CMV IgM antibodies .RESULTS :Cytomegalovirus (CMV)specific IgM antibody was detected in (15.7%) of the 108 women studied,while the women with obstetric complications were positive for CMV specific IgM antibody thesecompriesdof(16.6%)with premature delivary ,(14%) with recurrent abortion and (16.2%) with intra uterine death .these result statistically significant (P<0.05) .Our data faild to found asignificant association betweenthe Cytomegalovirus infection with age and residence of patients (p>0.01).CONCLUSION :Higher seropositivity for cytomegalovirus (CMV)in women with spontaneous abortion compared towomen with normal obstetric history suggests that cytomegalo virus Plays a sigificant role in abortion


Article
Hospital Registration of Maternal Mortality in Iraq 2001-2007
تسجيل وفيات الامهات في المستشفيات في العراق للفترة 2001 - 2007

Author: Batool Ali Ghalib Yassin د.بتول علي غالب ياسين
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2009 Volume: 22 Issue: 1 Pages: 65-70
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Pregnancy and childbirth are the leading causes of death among women in many developing countries. In most developing countries, monitoring the level of maternal mortality rates and ratios seems to be very difficult. Ministry of Health, in its effort to improve the registration system through the cooperation between Maternal and Child Health Section (Directorate of Public Health and Primary Health Care), Department of Health and Vital Statistics (Directorate of Planning and Resource Development) and the World Health Organization (WHO), implemented a special maternal mortality inquiry form for hospital registrations of maternal deaths started on the year 2000. Aim of the study: To evaluate the trend in maternal mortality registration during the period 2001-2007.Materials & Methods: A review of records was performed during the first half of 2008, to study the trend of registering maternal mortality over the last seven years. All the reports received by the Ministry of health for the last seven years were reviewed to evaluate the progress in hospital registration of maternal deaths.Results: The study revealed more than one and a half fold increase in the number of registered maternal deaths over the seven years period after implementing the special inquiry form, with marked variation in registration between different governorates and within the same governorate . Conclusions and Recommendations :Implementing a special maternal mortality inquiry form, by the Ministry of Health, lead to noticeable improvement in registering maternal mortality in health facilities, yet further studies are recommended to review each case of death.Key wards: Maternal death, maternal mortality ratio

المقدمة:تعتبرمضاعفات الحمل والولادة من الاسباب الرئيسية للوفاة في الدول النامية ، وبالنظر لافتقار معظم الدول النامية الى نظام تسجيل حيوي شامل، فقد انعكس هذا على مؤشرات صحة الام وبالاخص معدل ونسبة وفيات الامهات واصبحت معظم المعلومات المتوفرة عن هذه المؤشرات تحتسب من المسوحات وتقديراتها والتي لا تخلو من صعوبات.اعتمدت ، وزارة الصحة العراقية ( شعبة رعاية الام والطفل وقسم الاحصاء الصحي والحياتي) وبالتنسيق مع منظمة الصحة العالمية، وفي محاولة لتطوير نظام المعلومات الصحي وخاصة فيما يتعلق بمؤشرات صحة الام، استمارة خاصة لتسجيل وفيات الامهات في المستشفيات في عموم القطر. ابتدأ العمل بهذه الاستمارة منذ عام 2001 ولحد الان. هدف الدراسة:تقييم تسجيل وفيات الامهات في مستشفيات العراق للفترة من 2001 – 2007طريقة البحث: نفذت دراسة مقطعية خلال النصف الاول من عام 2008 لدراسة سياق تسجيل وفيات الامهات خلال السنوات السبع المنصرمة. تمت مراجعة كافة تقارير الوفيات الخاصة بالامهات والواردة الى شعبة صحة الام والطفل في وزارة الصحة للفترة من 2001 وحتى 2007.النتائج :اظهرت الدراسة زيادة ملحوظة في تسجيل وفيات الامهات في عموم مستشفيات القطر بمقداريقترب من مرة ونصف خلال السنوات السبعة المنصرمة بعد استخدام الاستمارة الخاصة لتسجيل وفيات الامهات في المستشفيات، مع وجود تفاوت واضح في تسجيل الوفيات بين محافظات القطر وتفاوت التسجيل ضمن المحافظة الواحدة خلال فترة الدراسة.الاستنتاجات و التوصيات: اعتماد الاستمارة الخاصة لتسجيل وفيات الامهات في المستشفيات من قبل وزارة الصحة ساهم في تحسين تسجيل وفيات الامهات في عموم القطر، وتوصي الدراسة بضرورة اجراء دراسات مستقبلية تشمل مراجعة تفصيلية لكل حالة وفاة.


Article
Case Fatality Rate, Determination and Causes of Death in Al Nassiriay Burn Center at 2015 and 2016
نسبة ومحددات الوفيات واسبابها للمرضى الراقدين في ردهة الحروق لمستشفى الحسين التعليمي لعامي 2015 & 2016

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Abstract

; A cross sectional study had been extended through 2 years to envolve 611 burn patients from whom 103has been diedfrom they were admitted in AL-Hussain teaching hospital burn center through 2 years February 2015- January 2017which representcase fatality of (16.85%), in different age group between less than one year to more than 67 years old with different percentage of total body surface area burn,we were found that increase rate of death with increasing total body surface area regardless the age of the patients. about 63% of patients were die who had burn of more than 60%of total body surface area in all different ages.while only 3.4% were died with burn of 10—15% and about 30.3% were die who had between 46—59% of burn. about 23% if patients were died who had 36 to 45% of TBSA burn while 7% died who had 26 to 35 % of burn of TBSA .there were increase rate of death in ALNassiryia burn center in young age group between less than 1 year to 5 years were have the same percentage of burn compare with older age group between 40—45 years old in percentage of 22.6% vs 10.2 % respectively , while 20.2% of cases were die in age between less than 1 and 2 years. And 19.04% patients died who have age more 60 years old. The main cause of death was septicemia in AL-Hussen burn center in 61.1% then electrolyte disturbance26.2% and renal failure in 12.62%.the main organism that cause septicemia is mixed bacteria in 35.92% then pseudomonas in 28.15% then proteus 22.33%.researcher were found that the main type of electrolyte disturbance were companied electrolyte in 42.71% then hyponateremia in 28.15%.researcher found that in this study that the most common death patients occur in 2rd degree burn in 47.57% while in 4th degree about 18.4% that is because most of cases with 4th degree burn reach dead or at end stage to the burn unit .and death occur even with first degree burn if there were large percentage of burn with bad managements

Keywords

Burn --- Death rate --- Age --- TBSA


Article
The Idea of Death in William Carlos Williams: A Study in Selected Short Poems
فكرة الموت في قصائد وليام كارلوس وليامز المختارة

Author: Shubbar Abdul Adil Mousa شبر عبد العال موسى
Journal: Adab Al-Kufa مجلة اداب الكوفة ISSN: 19948999 Year: 2008 Volume: 1 Issue: 3 Pages: 72-87
Publisher: University of Kufa جامعة الكوفة

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Abstract

Abstract William Carlos Williams (1883-1963) is a modern American poet, novelist, critic, painter and pediatrician, who established his literary carrier with the advent of the twentieth century surveying various fields of life with a doctor's eye. He provides the English literature with prolific contributions that bear witness of his impressive ability and comprehensive realization of life as an artist.Williams reflects numerous salient traits in his works especially in poetry, but his primary concern is the application of naïve good sense and native intelligence to devise the poetic structure that would formalize experiences without deforming them. He says: "let the beat of speech determine the measure; to rinse the language of ornament and encrustation to scrupulously selective but to allow for accident and impingement." 1 Williams, who had been a derivative poet up to at least the age of thirty, became within few years a "remarkably original one. The reason for his striking transformation has never been adequately discussed. It is generally assumed that the change was due to the progressive maturation of Williams' poetic skills."2 Williams affirms the function of art, and of poetry in particular, a new kind of precision, equivalent to scientific method but directed towards obejectivising experience. To do this the" writer according to Mike Weaver, had to become his own reader, a functioning perceiver observing himself in action."3 Williams stated in his letter to John C. Thirwall the new tradition that he had devised to write his poems and how he had become aware of a basic change that affects the way of writing them. It is part of our present situation in the world that when we perceive an alternative to our action which enlarges the fields which they occupy, we feel inevitably impelled to give them the head to go where they are called… There are leads which points the way to the approaching changes, undoubtly unwelcome that have been latent for centuries. The tendency of the race is to resist change violently.4 Williams' poems 'the Dead Baby' , 'Death', 'the Shadow', 'Winter Trees', 'To Waken An Old Lady' and 'the Barber of Death' reveal an outstanding orientation directed by the poet to the concept of death and all its incurring aspects as it is examined by an experienced American doctor who surveyed man from birth to death. The research aims at proving this orientation and displaying the poet's points of view whether it is positive or negative and his concept of regeneration and renewal.

الخلاصةيعتبر الشاعر وليام كارلوس وليامز(1883-1963) من رواد الشعر الامريكي الحديث وقد اتسم وليامز بمهارات عديدة فكان روائيا ورساما وناقدا وطبيب توليد حيث انه استكشف كل مجالات الحياة بنظرة الطبيب الفاحصة. رافدا للأدب الانكليزي بإسهامات عديدة باتت شاهداً على قدرته المؤثرة و نظرته الشمولية للحياة بعين الأديب المبدع.كان اهتمام الشاعر الرئيس ينصب على تطبيق الشعور والذكاء المحلي لاختراع تركيب شعري قادر على صياغة الخبرات بدون اي تشويه لها. حيث انه ركز على الدور الريادي للأدب بصورة عامة والشعر بصورة خاصة لإبراز نوع جديد من الدقة لتمثيل الخبرة, وللوصول الى ذلك توجب على الكاتب ان يكون قارءا لنفسه ملاحظا دقيقا لها عند العمل.لقد تناول وليامز فكرة الموت من عدة جوانب مجسدا ذلك في الكثير من قصائده على سبيل المثال " الطفل الميت", "الموت", "الظل", "ا شجار الشتاء", "حلاق الموت" و قصيدته " لإيقاظ امرأة مسنة" والتي كشفت في طياتها توجها بارزا قاده الشاعر الى مفهوم الموت وكل ما يرتبط به من تداعيات , متفحصا له بخبرة الطبيب الامريكي الذي لاحظ الإنسان منذ ولادته وحتى مماته. يهدف البحث الى إثبات ذلك التوجه وبيان نظرة الشاعر سواء كانت سلبيه ام ايجابيه وكذلك مفهومه عن التجدد وانبعاث الحياة.


Article
SUDDEN DEATH DUE TO INTRACRANIAL COLLOID CYST "A CASE REPORT"

Authors: Muhammad A. Jabor محمد عبد المحسن جبر --- Mutaz A. Al-Qazzaz معتز عبد المجيد القزاز
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 4 Pages: 399-402
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Intracranial colloid cysts are non-neoplastic epithelium-lined cysts of the central nervous system that almost always arise from the anterior third ventricle roof (immediately posterior to the foramen of Monro). These epithelium-lined, mucin-containg cysts can be found in asymptomatic patients; however, depending on their location, size, and degree of cerebrospinal fluid obstruction, patients may present with a variety of neurological symptoms. These symptoms can range from headaches to sudden death on rare occasions when there is acute hydrocephalus. This study describes a colloid cyst located between the two lateral ventricles at the level of foramen of Monro obstructing the cerebrospinal fluid (CSF) flow leading subsequently to sudden death and discovered incidentally during autopsy. The study was done in the Medico-legal institute in Baghdad from 1st of November 2012 to 1st of May 2013.Key words:Sudden Death, Colloid Cyst, Autopsy, Intracranium.


Article
Descriptive Study for Neonatal Death in Neonatal care Unit in of Maternity and Children Teaching Hospital in Al-Diwaniya

Authors: Abdulaziz Wannas Abd --- Mahmood Jasim Mohammed
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 1 Pages: 117-124
Publisher: Babylon University جامعة بابل

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Abstract

Approximately more than ten million die in the first month of life over all the world (with more than one hundred million born annually) , also approximately 75 % of death in neonate occur in the first seven days of life and more than 25% of them occur in the first day of life. the death during neonatal life represent approximately more than 35% of death that occur below five years in the world .This study was analytical prospective study , included all the infants hospitalized in NICU of maternity and children teaching hospital in Al-diwaniah governorate from first of September 2013 to the end of august 2014.About 1466neonate patients was admitted to the neonatal care unit directly either from the labor room or from the operation room and the neonate only in contact with health personnel ; from those we study all 193 hospitalized neonates that died due to different causes.In this study, of 1466 neonates , were hospitalized in NICU (neonatal intensive care unit) in maternity and children teaching hospital from first of September 2013 through august 2014 ; from which 193 (13.1% )cases were died . Those infants died in the hospital with male to female ratio approximately 2:1[ male 64.25% and female 35.75% respectively] ; 36.8% of them were full term and 63.2 % were premature . the most common cause of the neonatal death were the RDS (respiratory distress syndrome) 93 (48.1%) and the second most common cause were the complication of prematurity other than the RDS which form 55 (28.4% ) like apnea , extreme immaturity with low birth weight , hypoglycemia and hypothermia and necrotizing enterocolitis. Theothercauses were birth asphyxia 7.7 %, congenital anomalies 4.1% and sepsis 5.6% r, the meconium aspiration syndrome infant represent about 9 (4.6 %)and miscellaneous causes( least or rare causes) like hydropsfetalis and intraventricular hemorrhageand congenital heart diseasewas 3 (1.5 %). The final conclusion shows the common cause of neonatal death was sever immaturity with its complications and mainly the respiratory distress syndrome .almost the death occur in sever low birth weight associated with prematurity. The study proves the relations between certain maternal and neonatal factors and neonatal mortality. Good antenatal care especially in third trimester to avoid prematurity should be provided to any pregnant woman.


Article
The Apparent Death In Electrocution

Author: Thamer Mohammad Kadhim ثامر محمد كاظم
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2015 Volume: 11 Issue: 19 Pages: 124-129
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Background: Electrical injuries, though uncommon and largely preventable ,they usually have serious consequences including death. Objectives: To study the pattern of electric injuries, and recognize the factors that increase their mortality so that we can reduce it . Materials & Methods :A retrospective study of sever electrically injured cases in Babil Governorate during a period of 15 months, from January 2006 to March 2007 (included) was carried out. From the records of the burn wards of Hilla Teaching General Hospital and the autopsy records of Forensic Pathology Department of Babil Health Directorate, sever electrically injured victims were retrospectively studied according to the type of electric injury, the voltage, associated secondary traumatic injury and whether it is work related or not. .The age ,sex , location of entry and/or exit of the electric current and the emergency resuscitative measures applied in the Emergency Departments (EDs)were considered .Results:. The total number of electrically injured victims ( both hospitalized and non hospitalized ) were 33, 30(90.9%) cases due to contact with low voltage, 2(6.7%) due to high voltage and 1 (3.3%) due to lightning strike. Out of 28 cases for whom cardiopulmonary resuscitation was indicated, only in 14(50%) cases ,its application was recorded in the cards of Emergency Departments. Conclusions: The mortality rate following electrocution ,in Babil, was 93.93% which is too high in comparison with the international studies rate of 3-15%

بالرغم من أن أضرار التيار الكهربائي قليلة الحدوث ومن الممكن تجنبها، إلا أن عواقبها خطيرة جدا قد تصل إلى الموت. أجريت دراسة راجعة على(33) مصاب متعرض لأضرار التيار الكهربائي في محافظة بابل ولمدة (15) شهرا، للفترة (كانون الثاني 2006- آذار 2007)، معتمدين على سجلات ردهة الحروق لمستشفى الحلة التعليمي والتقارير التشريحية للطبابة العدلية في بابل، آخذين بنظر الاعتبار : نوع الضرر، مقدار الفولتية ، الإصابات الرضية المصاحبة، مدى تعلق الإصابة بالمهنة، العمر، الجنس، موضع مدخل ومخرج التيار، والجهد الاسعافي والإنعاشي المقدم في ردهات الطوارئ.معدل الوفيات في محافظة بابل من جراء أضرار التيار كان مرتفعا جدا (93’93%)، مقارنة بالدراسات الدولية (3- 15%).من الضروري أن يألف الطبيب المعالج أعراض الموت الظاهري عند المتعرضين لأضرار الكهرباء والذي بالإمكان معالجته باستخدام وسائل الإنعاش المتوفرة(القلبي والرئوي) حتى ولو كان وصول الضحية متأخرا.


Article
Post-Mortem Assessment of Glycemic Control in Sudden Diabetic Deaths Using Glycated Hemoglobin (HbA1c)

Author: Saad kadhum Kareem
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 4 Pages: 493-498
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Post-mortem diagnosis of uncontrolled diabetes and its complications remains a common problem due to lack of unequivocal biochemical or histological proof of hyper or hypoglycaemia.In this study we evaluated glycated hemoglobin (HbA1c) as a post-mortem tool to identify uncontrolled diabetes.OBJECTIVE:To assess the use of glycated hemoglobin as an indicator for glycemic control in sudden diabetic deaths.METHODS:A cross-sectional study was carried out in the period from January 2015 to December 2015 on 47 sudden diabetic deaths and 22 natural non diabetic deaths at the Medico-Legal directorate in Baghdad. Information was collected from relatives, medical and police reports. A blood samples were drawn from the right ventricle of the heart of each decedent included in this study during autopsy. Blood was collected into sealed plastic tubes containing EDTA as anticoagulant and stored at 4ᵒc temperature. These samples were analyzed within a period of 48 hours. One micro liter sample of thoroughly mixed whole blood was placed into the glass capillary tube provided in the HbA1c reagent kit and analyzed with variant-Hb- testing system. Data were recorded in the SPSS for window 11.0.RESULTS:The study showed that the mean age group of diabetic sudden death was 50.28+-10.01 while 44.36+-16.11 year was non diabetic sudden death.Male gender was the predominant in both groups (diabetic and non diabetic) 27.30%, 21.30% respectively.%HbA1c was significantly deferred in diabetic and non diabetic group, when it was positive 100% in diabetic group, while it’s negative in non diabetic group (the cut off point is 6.5).Type 2 diabetes was the predominant over type 1 with 59.60% and 40.40% respectively. The main system involved in sudden death in both study groups was the cardiovascular system accounting for 48.94% in diabetic group and 40.91% in control group, with the predominance of ischemic heart disease as the main cause of death in the system involved in both study groups accounting 40.43% for diabetic group and 22.73% for control group.CONCLUSION:HbA1c considered more reliable than post mortem glucose levels and provide guidance in the diagnosis of chronic diabetes mellitus in medico-legal autopsy cases.c

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