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Article
SERUM PROTEINS IN RICKETS PATIENTS AND THEIR MOTHERS

Author: Suad Y. Al-Kass
Journal: AL-TAQANI مجلة التقني ISSN: 1818653X Year: 2009 Volume: 22 Issue: 2 Pages: 35-40
Publisher: Foundation of technical education هيئة التعليم التقني

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Abstract

This research is mainly concerned with study of changes of serum total protein, albumin & globulin in rachitic patients and their mothers. Effect of order of the baby in his/her family, feeding type, skin pigmentation and the stage of the disorder for infants were studied. Also the number of siblings breast fed, socioeconomic state and lactation effect for their mothers were studied. The results showed a decrease in albumin as order of the baby increased, increase in total protein, albumin and globulin in those infants fed human milk in addition to other type of food, total protein and globulin decreased in black skin pigment patients and albumin decreased in severe cases of rickets. In mothers, the results indicate a decrease in total protein and a significant decrease in globulin was observed as parity increase, a significant decrease in globulin in mothers of good socioeconomic state and no effect of lactation was observed.

يتضمن البحث قياس البروتين الكلي والالبومين والكلوبيولين في مصل الدم لمرضى الكساح وامهاتهم. ثم تم دراسة تغيرهذه المتغيرات حسب تسلسل الطفل في العائلة ونوع الغذاء الذي يتناوله ولون الجلد ودرجة الاصابة بالمرض عند الاطفال. اما بالنسبة للامهات فقد تم دراسة تاثير عدد الاطفال الذين ارضعتهم وتاثير الحالة الاقتصادية وتاثير الرضاعة. اوضحت نتائج الدراسة على مرضى الكساح, انخفاض الالبومين مع زيادة تسلسل الطفل في العائلة, زيادة البروتين الكلي والالبومين والكلوبيولين عند الاطفال الذين يتغذون على حليب الام بالاضافة الى انواع اخرى من الاغذية. كذلك لوحظ انخفاض البروتين الكلي والكلوبيولين عند المرضى ذوي صبغة الجلد الغامقة وانخفاض الالبومين في الحالات الحادة من مرض الكساح. اما بالنسبة للامهات فقد اوضحت النتائج انخفاض في البروتين الكلي وانخفاض معنوي في الكلوبيولين مع زيادة عدد الاطفال الذين ارضعتهم وانخفاض معنوي في الكلوبيولين عند الامهات ذوي الحالة الاقتصادية الجيدة واخيرا لوحظ عدم وجود تاثير للرضاعة


Article
Perniosis: Clinical and Epidemiological Study in Iraqi Patients

Author: Adil A. Al-Nuaimy
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 11-13
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Perniosis(chilblains) is a common skin problem. This condition results from abnormal reaction to cold which is usually seen during the cold months of year.OBJECTIVE:The aim of the present study is to shed a light on different clinical and epidemiological aspects of perniosis in Iraq.METHODS:A total of 40 patients with perniosis were seen between January to march 2008 in the department of dermatology and venereology of Baghdad Teaching Hospital.A detailed history was taken from each patient regarding age, sex, occupation, duration of attack, family history, smoking, drug history, medical history, relieving and aggrevating factors and previous treatment modality.Full examination was done to each patient to assess the distribution and extent and morphology of the lesions and to see if there other skin diseases. Biopsies was done for 6 patients for histopathological study.RESULTS:A total of 40 patients were assessed. Their ages ranged from 5-60 years with a mean age of 22 SD± 6.2, 31 females and 9 males (3.5:1).Main sites of involvemnt were; toes 39% , fingers 22% ,heals 10% and nose 2.5% .Main types of lesions were ; erythematous cyanotic swellings 82% , vesicular lesions 23% ,ulcerations 10% and erythema multiforme like lesions 15%. Family history was positive in 22.5% of patients.CONCLUSION:Perniosis occur mainly in females between 10-20 years . Most common sites of involvement are toes and fingers . genetic susceptibility is an important factor in the development of the disease. Majority of patients are healthy without any medical or dermatological diseases .Majority are non smokers and did not have any history of drug intake.


Article
Insight on the Side Effects of Lipid Lowering Agents (Statin) in Iraqi Patients with Ischemic Heart Diseases

Author: Basil N. Saeed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 266-269
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:3-hydroxy-3methyl glutaryl co enzyme inhibitor (MMG-COA) (statin) is a very common drug used in many medical conditions regardless of the presence or absence of dyslipidemia. One of these conditions is the cardiac disorders.OBJECTIVE:Throwing a light on the prevalence of their side effects in Iraqi patients.PATIENTS AND METHODS:Two hundred seventy patients with ischemic heart disease from the period of November 2006-November 2007 referred to Baghdad teaching hospital (the medical city). Those cases were using statin and grouped into two groups.Group A: patients admitted with acute coronary syndrome (myocardial infarction and unstable angina) (230 patients 77%).Group B: patients with associated risk factors (Hypertension, diabetes mellitus, smoking and secondary lipidemia) 40 cases 23%, have history of ischemic heart disease on treatment they use the drug in range of (10-40) daily with review monthly for the side effects. All 270 cases were free from other organic disorders (i.e. renal, thyroid, malignancy, or any longstanding disease). All patients went through a questionnaire which includes: age, gender, risk factors (Hypertension, diabetes mellitus, smoking, and lipidemia), routine blood tests, lipid profile, liver function tests, C-reactive proteins, thyroid function tests, chest X-ray, electrocardiography and echocardiography done for all patients, all patients used to take drugs in the range of 10-40mg daily for at least one year.RESULT:The side effects noticed in this study were gastric, musculoskeletal, elevated liver enzymes (40%, 28.9%, and 1% respectively from the total number of patients). Other side effects in other systems like skin, respiratory, and cardiac were not encountered.CONCLUSION:This study showed that the side effects of statin were not involving all the body systems.


Article
Psychiatric Disorders in Cardiac Patients

Author: Basil N. Saeed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 85-89
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACK GROUND:Psychiatric disorders and coronary heart disease are not uncommonly seen together in the same patient especially in association with myocardial infarction these disorders vary from simple anxiety, depression, posttraumatic stress disorder, adjustment disorder.OBJECTIVE:Studying the depressive disorders in the Iraqi cardiac patients and its prevalence after April 2003. and trying to ascertain any mispractice in management of such patients by ignoring the psychiatric cause.METHODS:260 patients admitted to Baghdad teaching hospital medical departments over the period December 2005- October 2007. Those patients were having cither stable angina unstable angina and myocardial infraction. A uniform questionnaire was used for all patients to find out the prevalence any psychiatric disorders.RESULTS:This study showed the presence of depression during the pre and post cardiac events in 70 cases (27%) anxiety was also a very common problem in about 60 cases (23%), however the percentage of patients whom were had psychiatric disorders after an acute events due to un settled security in the country since 2003 were as follow depression (21% cases 8%) from the total number of cases respectively.CONCLUSION:Psychiatric disorders are becoming a common problem in many Iraqi cardiac patients because of the difficulties of their daily life since 2003 and it represents about 50% of the cases of psychiatrics disorders. This may make it an important issue to use antidepressant drugs in many of those patients


Article
Immunoglobulin Levels and their Bactericidal Activity in Serums of Diabetic Patients
مستويات الكلوبيولينات المناعية وفعاليتها المضادة للجراثيم في مصول مرضى السكري

Author: Zeenah Weheed Atwan زينة وحيد عطوان
Journal: Journal of Basrah Researches (Sciences) مجلة ابحاث البصرة ( العلميات) ISSN: 18172695 Year: 2009 Volume: 35 Issue: 3A Pages: 63-69
Publisher: Basrah University جامعة البصرة

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Abstract

Serum samples were collected from patients suffering from diabetes mellitus, the samples subjected to blood glucose test , Immunoglobulin level detection by Single Radial Immunodifussion (SRID) plates and bactericidal activity test against a reference strain of Escherichia coli ATCC25922 , IgG level decreased in about (91.6%) while IgM level decreased in about (36.11%) , and their serum showed low bactericidal activity when mixed with bacterial cells .

جمعت عينات مصل من مرضى السكري عشوائيا واجريت للعينات اختبارات تحديد مستوى الكلوكوز بالدم و تحديد مستوى الكلوبيولينات المناعية نوع IgG و IgM باستخدام اطباق الانتشار المناعي القطري البسيط وقياس مستوى الفعالية المضادة للجراثيم لهذه المصول تجاه عزلة قياسية لبكتريا Escherichia coli ATCC25922 كانت مستويات IgG منخفضة بنسبة عالية وصلت الى 91.6% بينما انخفضت نسبة IgM بمقدار 36.11% من المرضى واظهرت المصول ايضا انخفاضا ملحوظا في قابليتها المضادة للبكتريا عندما خلطت مع معلق الجراثيم .


Article
PREVALENCE OF INTESTINAL PARASITES AMONG CHILDREN AND OLD PATIENTS IN ALEXANDRIA NAHIA

Author: Amal H. Atia
Journal: AL-TAQANI مجلة التقني ISSN: 1818653X Year: 2009 Volume: 22 Issue: 2 Pages: 112-117
Publisher: Foundation of technical education هيئة التعليم التقني

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In order to confirm the prevalence and rate of infection of intestinal parasites in Alexandria Nahia ( rural area), stool samples were collected from 1154 cases admitted into Alexandria hospital during 6 months in 2003 . Results of examination revealed that 50% of them were positive for parasites, 48% were positive for Giardia lamblia and 33.8% were positive for Entamoeba histolytica which represent the highest prevalence . The lowest prevalence 18.19% was found for Entamoeba coli . Infection were higher in males than in females . No nematodes parasites were revealed in this study .

لكي ُيؤّكد الانتشار ونسبة عدوى الطفيليات المعوية في ناحية اﻹ سكندرية ( منطقة ريفية) ، عينات خروج ُجَِمَعتْ من 1154 حالة دخول إلى مستشفى ا ﻹسكندرية أثناء 6 شهور في العام 2003. كشفت نتائج الفحص بأن 50% منهم كانت إيجابية للطفيليات ، 48% كانت إيجابية لجيا رديا لا مبليا و 33.8 % كان إيجابي لانتا ميــــبا هستولتيكا اللــــــــذان ُيمثلان الانتشار الأعلى . الانتشار لأوطأ 18.19 % وُجد لطفيلــي ألا نتاميبا كولاي . العدوى كانت في الذكـور أعلى من الإناث . .لم يتم الكشف عن ديدان خيطيه في هذه الدراسة . الكلمات ألدليلية: الانتشار، طفيليات معوية ، أطفال ، مرضى كبار السن .


Article
The Influence of Body Weight on the Serum Sialic Acid Levels in Lymphoma Patients

Authors: Dafer A. Faysel --- suaad L. Ibraheem
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.8, 9 Issue: 5 Pages: 623-629
Publisher: Kerbala University جامعة كربلاء

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the a prospective study of the effect of body weight of 70 patients withlymphoma on the levels of serum sialic acid forms, total sialic acid, boundsialic acid, free sialic acid and lipid sialic acid were measured. The resultswere compared with those obtained from control groups which consisted of 50 personof matched age and sex.Objective: To determine the influence of body weight on the serum sialic acid forms.Methods: The patients were categorized into four groups according to the certainstatistical methods. The first group comprised 24 patients who have weight 5-20Kgrange. The second group comprised 13 patients who have weight 21-40Kg range. Thethird group comprised 12 patients who have weight 41-60Kg range. The fourth groupcomprised 21 patients who have weight >60Kg.Results: Significant elevations (P<0.005) of total sialic acid, bound sialic acid, freesialic acid, and lipid associated sialic acid (TSA, BSA, FSA, and LSA respectively)levels were seen in all groups of lymphoma patients when compared with those of thehealthy subjects. Total serum protein was decreased significantly (P<0.005) andTSA/TP, BSA/TP, FSA/TP, and LSA/TP ratios raised significantly (P<0.005) in thecancer patients in comparison with those of the healthy individuals.Conclusion: Sialic acid is not specific marker for detecting lymphoma patients.Keywords: Body weight, lymphoma patients, serum sialic acid


Article
Effect of Hemodialysis and Peritoneal Dialysis on some Hematological and Biochemical Parameters in Renal Failure
تأثير غسيل الكلى وغسيل الكلى البريتوني على بعض معلمات الدم والكيمياء الحيوية في الفشل الكلوي

Author: Dara Khorshed Mohammad
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2009 Volume: 13 Issue: 2 Pages: 79-85
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and Objectives: The purpose of the present study was to determine the effects of hemodialysis and peritoneal dialysis on some hematological and biochemical parameters in patients with renal failure on the dialysis.Methods: Fifty two patients with renal failure were taken in this experiment on dialysis studied in the dialysis and kidney disease center in hawler teaching hospital, twenty six patients were taken for haemodialysis and the remaining patients were taken for the peritoneal dialysis process. Some hematological and biochemical parameters were taken before and after dialysis.Results: In the Hemodialysis Patients: Hemoglobin concentration (Hb gm/dl), Red blood cells (RBCs x106/μl)) and packed cell volume (PCV %) count, blood sugar (mg/dl), serum calcium (mg/dl), serum sodium (meq/L) and serum potassium (meq/L) were high significantly increased in patient with renal failure after hemodialysis in comparison before hemodialysis, while blood urea (mg/dl) were high significantly decreased in patient with renal failure after hemodialysis in comparison before hemodialysis. In the Peritoneal dialysis patients: Hb (gm/dl) and PCV (%) count, blood sugar (mg/dl) and serum calcium (mg/dl) were high significantly increased in patient with renal failure after peritoneal dialysis in comparison before peritoneal dialysis, while blood Urea (mg/dl) and serum Creatinine (mg/dl) were high significantly decreased in patient with renal failure after peritoneal dialysis in comparison before peritoneal dialysis, while there were non significant differences in serum sodium (meq/L) before and after peritoneal dialysis.Conclusions: Hemodialysis significantly increases some RBC, Hb and PCV. Hemodialysis cause significantly decreases blood sugar and urea. Peritoneal dialysis significantly increases PCV and Hb. Peritoneal dialysis cause decreases the blood urea and blood sugar. Hemodialysis was more useful and gives good results than peritoneal dialysis.


Article
Isolation, Identification, and Antimicrobial Susceptibility of Uropathogenic Morganella Morganii

Authors: Ibtesam Gh. Al-Grawi ابتسام الغراوي --- Jamela Gh. Auda جميلة عدي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 28-32
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Morganella morganii is one of the important nosocomial pathogens that may cause urinary tract infection and bacteremia.Methods: The above bacterium was identified from 250 bacterial strains which were isolated from 220 urine samples of patients with urinary tract infection. Antimicrobial susceptibility, by using disk diffusion method, of isolates was tested against some antibiotics.Results: Two M. moganii strains were isolated from female catheterized urinary tract patients, and identified by conventional biochemical tests and API20E system at the first time in Iraq. Both of them produced urease and hemolysin. Antimicrobial susceptibility test showed that these strains are resistant to, amoxicillin-clavulanate, cephalothin, gentamycin, tetracycline, trimethoprim-sulfamethaxzole, penicillin, and piperacillin, while they are sensitive to amikacin, ciprofloxacin, and norfloxacin.Conclusions: M. moganii one of opportunistic uropathogens, especially in catheterized patients. It has produced many virulence factors and exhibited multidrug resistance.


Article
Use of Bees honey for inhibition of bacterial growth which isolated from Burn patients .
استخدام عسل النحل في تثبيت نمو البكتريا المعزولة من المرضى المصابين بالحروق .

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This bacteriogical study was conducted in department of burns of general Baquba Hospital to assess the bacterial of burns , (126) swabs were collected from(70) patients with burns the period from 15/11/2003 to 15/7/2004. The swabs were cultured on suitable media for isolation and diagnosis of bacteria. Different concentrations of honey were tested against 18 isolates from bacterial genera in this study (by diffusion in agar ) whereas , the determination of Minimum Inhibitory Concentration (MIC) for honey were done for all isolates . The result of cultures showed that 101(80.16%) of the burns swabs yielded bacterial growth while 25 (19.84%) were negative. The number and percentage of bacterial isolates were as follow: Enterobacter spp. 35(34.66%) Pseudomonas ,aeruginosa 24 (23.76%), Staphylococcus aureus 21 (20.79%) , Escherichia coli 8(7.92%) , Klebsiella spp. 8(7.92%) , proteus mirabilis 5(4.95%). The diameters of inhibition zones of different concentration of honey(20,40,60,80,100)%. against Ps. aeruginosa , Enterobacter spp ., klebsiella spp., Staph .aureus , E.coli and Pr . mirabilis at aconcentration were (0,0,0,4,6,9) mm, (0,0,3,4,7,10) mm, (0,0,4,5,6,15) mm, (0,0,5,9,11,20) mm, (0,0,0,10,20,25) mm and (0,0,6,20,22,25) mm respectively. Whereas the (MIC) of honey for Enterobacter spp., Ps. aeruginosa,Staph. aureus and, E. coli was (40%) while the (MIC ) for Klebsiella spp., Pr. mirabilis were (30and25)% respectively .

أجريت هذه الدراسة خلال المدة من 15/11/2003 إلى 15/7/2004 وشملت 70 مريضاً راقداً في ردهة الحروق/ مستشفى عام بعقوبة والذين يعانون من حروق ذي درجات مختلفة وذلك لعزل البكتريا المسببة لأخماج الحروق بعد زرع 126 مسحة مأخوذة من المرضى على أوساط زرعيه ملائمة للعزل والتشخيص ثم اختبرت فعالية تراكيز مختلفة من العسل (بطريقة الانتشار في الاغار) ضد 18 عزلة للأجناس البكتيرية قيد الدراسة أما حساب التركيز المثبط الأدنى للعسل فقد أجري للعزلات كافة .أظهرت نتائج الفحوص الزرعية إن (101)(80.16%) من المسحات حوت على نمو بكتيري في حين كانت (25)(19.84%) سالبة.وقد كانت أعداد ونسب العزلات البكتيرية كالأتي: Enterobacter spp. (35)(%34.66), Pseudomonas aeruginosa (24)(%23.76) , Staphlococcus aures (21)(%20.79) , Escherichia coli (8)(%7.92) , Klebsiella spp. 8(%7.92) , Proteus mirabilis (5)(%4.95). أظهرت نتائج اختبار فعالية العسل ضد (18) عزلة بكتيرية عائدة للأجناس Ps.aeruginosa ,Enterobacter spp., Klebsiella spp.,Staph aureus, E.coli وPr.mirabilis عند التراكيز (100,80,60,40,20)% إن معدلات أقطار مناطق التثبيط على الوسط الزرعي للعزلات البكتيرية كانت (0,0 ,6,4 ,9) ملم، (10,7,4,3,0) ملم ،(15,6,5,4,0) ملم ،(20,11,9,5,0) ملم،(25,20,10,0,0) ملم،(25,22,20,6,0) ملم على التتالي. أما قيمة التركيز المثبط الأدنى(MIC) للعسل لعزلات Enterobacter spp. ,Ps.aeruginosa ,Staph. aureus ,E.coli قد كانت (40%) و (25,30)% لعزلات Klebsiella spp. ,Pr.mirabilis .

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