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Article
Pain In Patients With Multipe Sclerosis

Authors: Mo'taz Fayrouz Abd --- Khalid I. Mussa*.)
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 73-76
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: pain is frequently listed among initial symptoms of MS or an occurring in the course of the disease.
Patients and Methods: one hundred thirty MS patients diagnosed according to Macdonald's criteria compared with 115 matched age and sex control were interviewed about pain Neuropathic, somatic and headache.
Results: Neuropathic pain was significantly higher in MS than control group, while LLD and ARP were of no significance difference between two groups. For somatic pain there was significant increase in MS.
Conclusion: pain is common in MS especially LLD. There is no significant difference between pain subtypes and duration of disease and FS, EDSS.


Article
The incidence of posttreatment pain using two different intracanal medicaments

Author: Dr. Iman M. Al-Zaka. B.D.S, M.Sc. د. ايمان محمد
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2007 Volume: 4 Issue: 2 Pages: 110-116
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractThe purpose of this study was to compare the incidence of posttreatment pain to two medicaments placed in the root canal system. One hundred teeth belonging to 100 patients were included in this study. All teeth under went conventional root canal, which involved the instrumentation to the apices of each canal at the first visit. Canals were instrumented using a step-back technique and hand-files along with irrigant. The canals were dried and one of the following two medicaments was inserted into the canal: group I: Chlorhexidine- containing gutta-percha point; group II Calcium hydroxide- containing gutta-percha point. All teeth were temporized with intermediate restorative material. Patients' assessed posttreatment pain up to 48 hours as none, mild, moderate, or sever. The pain levels in each test group at each time period were compared statistically with Chi-square test, a significant difference was found in posttreatment pain between the two groups at 4h and 24h. No significant difference in posttreatment at 48h.


Article
Effect of different impregnated gutta-percha points on post operative discomfort

Author: Dr. Jamal A. Mehdi, B.D.S., M.Sc. (Assistant Prof.) د.جمال عزيز مهدي
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2007 Volume: 4 Issue: 2 Pages: 102-109
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The purpose of this study was to compare levels of post operative discomfort after cleaning and shaping of root canals using intracanal medicaments. Two hundreds forty teeth requiring root canal treatment were included. At random, canals were cleaned and shaped with crown-down technique and then dried and one of the following medicaments was used. Group I: medicated with chlorhexidine containing gutta-percha points (Activ points). Group II: medicated with calcium hydroxide containing gutta-percha points and finally group III: with no medicaments. Access cavities were closed with a sterile cotton pellet and cavit. The patients recorded degree of discomfort of various time intervals after cleaning and shaping on a visual analogue scale for 72hr. A significant statistical difference was found in the degree of discomfort between the three groups.


Article
ELECTROCARDIOGRAPHIC STUDY ON THE SIGNIFICANCE OF CHEST PAIN IN PATIENTS WITH ACUTE ASTHMATIC ATTACK
دراسة في تخطيط القلب للمرضى المصابين بالربو القصبي الحاد المصحوب بالم الصدر

Author: Zaidan K. Al-Hergani زيدان خلف الحركاني
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2007 Volume: 5 Issue: 2 Pages: 18-22
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Patients with acute asthma are usually presented with dyspnoea, wheezing and cough, but some are presented with chest pain, which is usually overlooked. The pain may be part of the clinical features or due to associated ischaemic heart disease.Objective: To assess the origin of chest pain in acute asthmatic patients.Methods: Tow hundred patients with acute asthmatic attacks were studied for their symptoms and those with chest pain were especially selected and studied by Electrocardiography (ECG) with other investigations. ECG was done on admission and repeated 48 hours later.Results: Thirty cases out of the total 200 with acute asthma were found to have chest pain [15%] as alone or part of the clinical features. The cases with chest pain were commoner in patients older Than 50 years [80%]. ST depression and T wave inversion were the most common abnormalities to be found in cases with chest pain [67%]. After 48 hours some of the ECG changes return back to normal and the remaining cases with ECG changes were [40%] which was considered as a substantial ischaemia.Conclusion: It appears that chest pain occurring in some of the acute asthmatic cases may be due to ischaemia rather than only as a apart of the clinical presentation and it is recommended to be investigated by repeated ECG in all cases.Key words: Asthma, Chest pain ,Ischaemic heart disease

خلفية الدراسة: أن أعراض مرض الربو القصبي الحاد متعددة وتشمل ضيق التنفس الشديد,السعال والاختناق ولكن البعض يصاب بألم الصدر أيضا والذي لا يتم التركيز عليه عادة تداخل الاعراض و حاجة المريض للعلاج الآنيهدف الدراسة: لمعرفة مصدر الم الصدر في مرضي الربو القصبي الحاد وهل هو جزء من الاعراض اوناتج من قصور الشرايين التاجية؟ طريقة العمل : تضمنت الدراسة 200 حالة ربو قصبي حاد وسجلت الاعراض السريرية المختلفة كما تم اختيار الحالات المصحوبة بالم الصدر وتم عمل تخطيط القلب تجميع الحالات مع الفحوصات الاخري واعيد تخطيط القلب بعد مرور 48 ساعة من بداية الحالة وتم تسجيل ودراسة التغيرات الحاصلةالنتائج :تبين من الدراسة ان30 حالة من اصل 200 حالة للربو القصبي الحاد كانت مصحوبة بالم الصدر (15%) وان اغلب الحالات كانت فى الاعمار اكثرمن 50 سنة(80%). ان التغيرات الحاصلة في تخطيط القلب كانت تدلل على احتمال وجودالدبحة الصدرية في (67%) في المرضي المصابين بالم الصدر وتراجعت النسبة الي (40%) بعد اعادة التخطيط للقلب بعد مرور 48 ساعة الاستنتاج: أن نسبة لايستهان بها من مرضى الربو القصبي الحاد تشكو من الم الصدر والذي تبين من الدراسة انه قد يكون ناتجا من قصور الشرايين التاجية للقلب وليس فقط احد الاعراض المصاحبة لحالة الربو والدي يتطلب الانتباه له والتحري عن مصدره. مفتاح الكلمات: الربو القصبي, الم الصدر, قصور الشرايين التاجية

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