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Article
The Effect of Premature Birth on The Primary Dentition

Authors: Baydaa A Al – Rawi --- Aisha A. Qasim --- Ghada Dh Al – Sayagh
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 1 Pages: 18-22
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aims of the present study were to determine if primary teeth eruption and the presence of
enamel defect are affected by low birth weight and prematurely of birth. Materials and Methods: The
total subjects of (420) child aged 4 – 24 months were included in this study, consisted of (210) prematurely
born (<37 gestational weeks and birth weight < 2.500 Kg) children and 210 control children (&#8805;40
gestational weeks and birth weight &#8805; 2.500 Kg). Those children selected randomly the children who
came to the primary health care centers with their mother for vaccination and the mothers asked to participate
in this study. For each child, clinical exanimation was performed in dental chair. The criterion
used for enamel defect to include various enamel hypoplasias, deficiency of enamel in the form of pits,
grooves or other quantitative surface loss and enamel hypocalcifications and opacities. Data were analyzed
using numbers, percentages, means and standard deviations. T – test, Z – test Chi – square (X2)
test were used for determining the differences concerning different variables. The differences were
considered significant at p&#8804; 0.05. Results: There was no significant difference (p>0.05) between different
genders numbers among in each age group for the preterm and control children. The results
showed significantly (p<0.05) delayed eruption of the primary teeth in the prematurely born children as
compared with the control children in all age groups except in 4 – 6 months age group, also there was
significantly higher percentages of enamel defect present in preterm children, than in control children
in all age groups except in 4 – 6 months age group. Conclusions: The findings indicated that the eruption
of deciduous teeth was delayed and the percentage of enamel defect was significantly increased in
prematurely born children.


Article
Causes of Primary and Permanent Teeth Extraction in Children Aged 3–12 Years in Mosul City

Author: Aghareed Gh. Mohammed
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 2 Pages: 238-245
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To establish the different reasons of primary and permanent teeth extraction and the most frequent tooth type extracted among children attending the pedodontic and preventive dentistry clinic atCollage of Dentistry ,Mosul University. Materials and Methods: Out of the 375 pediatric patients aged 3–12 years–old attending pedodontic and preventive dentistry clinic, 130 child patients were selectedfor this study. The teeth were examined carefully, the tooth that needed to be extracted was recorded to determine the cause of extraction for each tooth according to the criteria gathered and modified from the following researchers, Cahen et al; Kay and Blinkhorn and Cawson. Results: Statistical results showed highly significant difference at p < 0.001 between primary and permanent teeth and thecause of tooth extraction, as extraction due to caries was the main reason for primary tooth extraction while extraction for orthodontic treatment was the major cause for permanent tooth extraction. The firstpremolar recorded 43.6% this result showed highly significant difference at p < 0.001 compared with other permanent teeth to be extracted, while the first primary molar registered the higher value as an extracted primary tooth type (35.6%) with high significant difference at p < 0.001. Conclusion: Althoughcaries and it is sequelae were the most common causes of premature loss of a primary tooth, an increasing need for tooth extraction for orthodontic treatment in this population of children was observed.


Article
SYNOVIAL SARCOMA OF THE FOOT: CASE REPORT
الورم اللحمي ألزلالي في القدم ِ: وصف حالة

Author: INTISAR S. PITY أنتصار سالم بتي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2008 Volume: 2 Issue: 1 Pages: 141-146
Publisher: University of Dohuk جامعة دهوك

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Abstract

Synovial sarcoma is a rare soft tissue sarcoma in the foot. It is commonly localized in the extremities, especially the lower thigh and knee areas. The histopathological, immunohistochemical, and cytogenetic findings of a foot synovial sarcoma are described.

الورم اللحمي ألزلالي يعتبر ورم نسيجِ لحمي ناعمِ نادر في القدمِ . هو عموماً شائع في الأطراف خصوصاً الفخذ الأوطأ ومناطق الركبة . تم وصف نتائج الفحص النسيجي المرضي , و فحص الكيمياء النسيجية المناعية مع الفحوصات الخلوية الوراثية لورم اللحمي ألزلالي في القدمِ.


Article
Primary Below Knee Amputation in the Management of Compound Comminuted Fracture Lower Tibia and Fibula Due to High Velocity Missile Injury Associated with Bone Loss and Tibial Nerve Injury

Author: Ali Bakir Al-Hilli
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 4 Pages: 290-294
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Compound comminuted fractures of lower tibia and fibula are very common in Iraq these days due to missile injuries (bullets and blasts), it could be associated with bone loss and neurovascular injury this will interfere with the patients rehabilitation and leads to major social and economic burden on the patient, , his family and the community.OBJECTIVE:To prove that primary below knee amputation in management of compound comminuted fracture lower tibia and fibula due to high velocity missile injury and complete tibial nerve injury is superior to limb salvage.PATIENT AND METHODS:This is a prospective comparative study including 25 patients age 30-60 years presented to the emergency department in Medical City with a history of missile injury during the period 2005-2007 they had compound comminuted fractures of lower tibia and fibula (Gustilo grade II, III) all of them had different degrees of bone loss (more than 5 cm) and all of them had complete tibial nerve injury and 10 of them had associated posterior tibial artery injury which is irreparable. We divided our patients in to two groups the first one (9 patients four of them had also associated vascular injury) we did primary below knee amputation, while the second group (16 patients six of them had vascular injury) who refused amputation we did wound exsion and application of external fixation. Both groups followed up clinically and radiologically for one year.RESULTS:Group I the patients rehabilitated early and a prosthesis were used after one and a half month and the patients return to their original work or changing their work and have almost normal life, group II all of them had prolonged course of treatment with economic and social problems.CONCLUSION:Primary below knee amputation is a very good option for patients with history of compound comminuted fractures of lower tibia and fibula (grade II and III) associated with bone loss and tibial nerve injury. Decreasing rehabilitation time and early return back to work also less cost and less social problems.


Article
A Comparison between primary and secondary wound closure after surgical removal of lower third molars according to pain and swelling

Author: Dr. Jabber Jasim Kareem, B.D.S., M.Sc. Oral surgery.* د. جبار جاسم
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2008 Volume: 5 Issue: 4 Pages: 410-417
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The aim of this study was to compare between Primary and secondary closure techniques after removal of impacted third molars. This comparison was carried out according to the pain and swelling parameter. One hundred patients with impacted third molars were randomly divided into two groups (50 patients in each group). Periapical radiographs were taken for each patient to determine the degree of eruption and angulations of third molars. After surgical extraction in Group I, the socket was closed by hermetical suturing of the flap while in Group II; a 5–6 mm wedge of mucosa adjacent to the second molar was removed to obtain secondary healing. Swelling and pain were evaluated for 7 days after surgery with the VAS scale. The statistical analysis (analysis of variance for repeated measures, P < 0.05) showed that pain was greater in GI, although it decreased over time similarly in the two groups (P=0.003, F=2.6613). Swelling was significantly worse in Group I (P < 0.0001, F=38.395). In Group I, dehiscence of the mucosa was present in 15% of patients at day 7, and 1% showed signs of re-infection with suppurative alveolitis at 30 days. Pain and swelling were less severe with secondary healing than with primary healing.


Article
RECURRENT BASAL GANGLIA HAEMORRHAGE: TRANSIENT ISCHAEMIC ATTACK (TIA) OR ACUTE TRANSIENT FOCAL NEUROLOGICAL DEFICIT (TFND)?
النزف المتكرر من (basal ganglia): TIA أو TFND ؟

Author: FARHAD O. HUWEZ فرهاد حويز
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2008 Volume: 2 Issue: 1 Pages: 146-154
Publisher: University of Dohuk جامعة دهوك

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Abstract

The widely accepted definition of a transient ischaemic attack (TIA) is sudden, focal neurological deficit (cerebral or retinal deficit) lasting for less than 24 hours, which is presumed to be of vascular origin. This case demonstrates that the arbitrary time limit of 24 hours did not help the correct diagnosis and management of this patient. It supports the calls to change our approach to the definition and the management of TIA (under) towards a syndrome of acute transient focal neurological deficits (acute TFND), which could only be guided by imaging.

هذه الحالة تبين بأن تحديد فترة زمنية ب 24 ساعة لا يساعد على تشخيص و معالجة المرضى و يدعم هذه الحالة المحاولات الجارية وضع تعريف و معالجة المرضى المصابين ب TIA نحو متلازمة TFND و التي يمكن تحديدها فقط عن طريق التصوير الشعاعي.


Article
A study on nocturnal enuresis among primary school children
دراسة عن سلس البول الليلي بين الأطفال في المدارس الابتدائية

Authors: Baha D. Alosy --- Thikra M. Al- Kumait --- Alaa H. Alwan
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2008 Volume: 1 Issue: 141 Pages: 71-75
Publisher: Tikrit University جامعة تكريت

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Abstract

Nocturnal enuresis is a common problem amongst school children and the reported prevalence varies across studies. A community based study was achieved to assess the prevalence and factors affecting children with nocturnal enuresis among primary school children and to determine the management methods in these children. A questionnaire send to the parents of 825 children aged between 6-10 years were a socio-economic assessment, enuresis data , medical and psychiatric diseases , school performance and family stress were registered with data analysis the results were demonstrated. The quest. Return back (response rate) was 89.2 %, and we found that the prevalence of enuresis is 7.6 %. Boys affected more than females. 28.5% of patients manifest a positive family history of enuresis. Day wetting also found in 14.2% of patients we found that only 19.6% of parents seeks for a medical help. Socio-economic status and birth problems affecting in a great extent the occurrence of nocturnal. Enuresis and regret ion in school performance also an important finding in those patients. We got a report on these problems and their school performance and the need for family awareness and education

سلس البول الليلي مشكلة شائعة بين أطفال المدارس وانتشار ذكرت يتفاوت بين الدراسات. وقد تحقق في دراسة المجتمع المحلي لتقييم مدى انتشار والعوامل التي تؤثر على الأطفال الذين يعانون من سلس البول الليلي بين الأطفال في المدارس الابتدائية وتحديد أساليب الإدارة في هؤلاء الأطفال. وكان استبيان يرسل إلى الآباء والأمهات من 825 طفلا تتراوح أعمارهم بين 6-10 سنوات لتقييم الاجتماعية والاقتصادية، وبيانات سلس البول، والأمراض الطبية والنفسية، والأداء المدرسي والإجهاد عائلة تم تسجيلها مع تحليل البيانات وأظهرت النتائج. السعي. وكانت عودة (معدل الاستجابة) 89.2٪، ووجدنا أن نسبة انتشار سلس البول هو 7.6٪. يتأثر الفتيان أكثر من الإناث. 28.5٪ من المرضى الذين تظهر لديهم تاريخ عائلي إيجابي من سلس البول. التبول في اليوم كما وجدت في 14.2٪ من المرضى وجدنا أن فقط 19.6٪ من الآباء ويسعى للحصول على مساعدة طبية. الوضع الاجتماعي والاقتصادي ومشاكل الولادة التي تؤثر بدرجة كبيرة في وقوع ليلية. سلس البول وايون الأسف في الأداء المدرسي أيضا اكتشاف مهم في هؤلاء المرضى. حصلنا على تقرير عن هذه المشاكل وأدائهم المدرسي وضرورة توعية الأسرة والتعليم


Article
Needs guidance for primary school students and ways to satisfy
الحاجات الارشادية لتلاميذ المرحلة الابتدائية وطرق اشباعها

Author: Batool Ghalib Al-Nahi بتول غالب الناهي
Journal: ADAB AL-BASRAH آداب البصرة ISSN: 18148212 Year: 2008 Issue: 45 Pages: 313-323
Publisher: Basrah University جامعة البصرة

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