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Article
Assessment of Bio-social Aspect with Cholelithiasis Patients in Baghdad City

Author: Abd Al-Kareem Hamza Shanon
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2006 Volume: 19 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract:Objective: To find out the relationship between the bio-social aspect with cholelithiasis patients and demographic characteristics in Baghdad city.Methodology: A purposive (non-probability) sample of (100) patients, from (20-70) years old, who were selected from patients who were admitted to hospital at preoperative stage, from Gastroenterology and Hepatology Hospital, Baghdad Teaching Hospital, Al-Yarmook Teaching Hospital, Al-Karama Teaching Hospital, Teaching Hospital. A descriptive study was carried out from 25th of June 2004 to the end of October 2004.An assessment form was constructed for the purpose of the study. Test-retest reliability was employed through computation of Pearson correlation coefficient. Content validity of the assessment form was determined through a panel of experts. Data were collected with interview technique. Data were analyzed through descriptive statistical approach (frequency and percentage) and inferential statistical approach (chi-square and correlation coefficient).Results: The study indicated that the mean of age was (52.6) year. The majority of them were females who fair; multiparty lived in urban, obesity, illiterate, low socio-economic status. The result of the study confirmed that the bio-social aspect had an effect on the incidence of cholelithiasis.Recommendations: The study recommended that the number of Gastroenterology and Hepatology Hospital should be increased in Iraq because; some of the patients come to Baghdad to treatment. Patients with positive family history for cholelithiasis must be educated and informed about [diet and fluid, which are related to gallstones, exercise, Regular follow-up include, (routine X-ray, ultra-sound general laboratory investigations), drugs use and side effect].Keywards: Cholelithiasis, Gallstones.

الخلاصــة:الهدف: إيجاد العلاقة بين الصفات الديموغرافية والحالة الجسمية-الاجتماعية لمرضى حصى المرارة في مدينة بغداد.المنهجية: تم اختيار عينة غرضيه (غير احتمالية) لـ 100 مريض, من عمر 20 سنة إلى 70سنة ممن ادخلوا المستشفى قبل إجراء العملية الجراحية في كل من مستشفى الجراحة التخصصي لأمراض الجهاز الهضمي والكبد التعليمي, مستشفى بغداد التعليمي, مستشفى اليرموك التعليمي, ومستشفى الكرامة التعليمي للفترة من 25 حزيران 2004 حتى نهاية تشرين الأول 2004 وحسب مواصفات العينة, صممت استمارة استبيا نية لغرض الدراسة وتم تطبيق (الاختبار – وإعادة الاختبار) لثبات الاستمارة من خلال حساب معامل الارتباط (بيرسن). تم تحقيق محتوى الاستمارة من خلال مجموعة من الخبراء. وتم تحليل البيانات من خلال أسلوب الإحصاء الوصفي (التكرار, النسب المئوية) والأسلوب الإحصائي ألاستنتاجي (معامل الارتباط ومربع كاي).النتائج: أظهرت الدراسة إن معدل العمر 52.6سنة, وان اغلب العينة من النساء (ذا البشرة الشقراء), متزوجة, ولود (لديها أطفال), تعيش في المدينة, بدينة, لاتقراْ ولاتكتب, ذا الدخل الاقتصادي الضعيف. كذلك أثبتت نتائج الدراسة, وجود تأثر لمرضى حصى المرارة من الناحية الجسمية والاجتماعية.التوصيات: أوصت الدراسة ضرورة إنشاء مركز تخصصي لجراحة الجهاز الهضمي والكبد في المحافظات, وتأليف كتيب يحمل في طياته العوامل المساعدة التي تسبب حدوث حصى المرارة, توعية المرضى الذين لديهم استعداد عائلي ايجابي لحصى المرارة تخص الأغذية والسوائل, ممارسة التمارين الرياضية, متابعة منتظمة تتضمن (أشعة سينية روتينية, فحص السونار, فحوصات مختبريه عامة), استعمال الأدوية والآثار الجانبية الناجمة عنها.

Keywords

Cholelithiasis --- Gallstones


Article
The Prevalence of Silent Gall Stones And Its Relation To Some Risk Factors in Iraq

Author: Safa M. M. AL-Obaidi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 146-150
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND :Gallstone disease is a common condition all over the world as well as in Iraq. Symptomatic gallstonesdefinitely need surgical or medical treatment . To remove or treat silent gallstones is still a debatablesubject. Gallstones are about twice as common in women than in men and their incidence varyaccording to some physical fastersMETHODS :1016 adult volunteers from both sexes and of different age groups were examined by ultrasound inMedical city teaching hospital between January 2004 and August 2005, for the estimation of theprevalence of silent gallstones among Iraqi people and it's relation to some physical and familialfactors was studied .RESULTS:The incidence of silent gallstones in both sexes was 3.3%. It is more common in women 4.09% than inmen 2.2% and it increases with age, parity, and the use of contraceptive pills, and high intake of blacktea The size of most of the stones was less than 20 mm and they were less than three in number, thegall bladder was with a normal wall thickness, no associated mass , or gallbladder wall calcifications,and no association with specific blood group or obesity was found.CONCLUSIONS:Silent gallstones were found in 3.3% of healthy Iraqi individuals, and they are associated with the samerisk factors of symptomatic gall stones such as age , parity , familial contraceptive except that obesityand blood groups are not a major risk factor.

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