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Article
HISTOPATHOLOGICAL CHANGES IN ADULT MALE RAT’S LIVER INDUCED BY CONTINUOUS DARKNESS

Authors: Samia A Eleiwe سامية عباس عليوي --- Basim Sh Ahmed باسم شهاب احمد --- Salman S Salman سلمان شفبق سلمان
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 3 Pages: 249-254
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:It is well known that liver is an endocrine as well as exocrine gland; it also synthesizes, accumulates, detoxifies and transports certain substances. Melatonin is the principle hormone of the pineal gland, which is mainly secreted at night and it is definitely documented to regulate the physiology of all tissues and cells keeping their normality.Objective:This work is designed to study the effect of continuous darkness on hepatic tissues.Methods:Adult Wister albino rats were kept in complete 24 hours darkness for successive 4 periods. Rats were divided into 16 groups. Group II, III, IV and V were left in continuous darkness for 2, 4, 6 and 8 weeks, respectively. Group I†, Group I††, Group I†††, and Group I†††† were the control groups for group II, III, IV and V correspondingly. After the last day of the dark period for each group, the animals were dissected under effect of anesthesia. The liver was weighed and right lobe of liver was processed for study its histopathology.Results:The results showed no important histopathological effect on short and medium periods, while on long periods; there was histopathological changes represented by clear lobulation and inflammatory cell infiltrations.Conclusion:Continuous darkness affects the hepatic tissues of rats depending on the length of exposure.Key words:Melatonin, Darkness, Liver injury.

Keywords

Melatonin --- Darkness --- Liver injury.


Article
Evaluation of Management of Closed Spinal Injury

Author: Dr. Haider K. Radhee. FICMS,.Dr. Ayad Yousif AbdulnabI.. FICMS, Dr. Basim Saed. FICMS
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 80-83
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: to evaluate the role of conservative, decompression, spine fixation in management of closed spinal injury.Methods: The study was conducted at Specialized Surgical hospital and Al-Kadhemayia Teaching Hospital, in the period between July 2003 and July 2005.The study included 61 patients categorized Into many groups according level of vertebral injury (cervical, cervicodorsal, dorsal, dorsolumbar, Lumbar and lumbosacral), type of injury (compressed fracture, burst fracture and fracture dislocation) And according the severity into three groups as G1( complete motor paralysis and sensory loss ) G2 ( complete motor paralysis and incomplete sensory loss) and G3 ( incomplete motor paralysis And incomplete sensory loss ).The methods of treatment include (conservative, decompression, And open reduction and internal fixation).Results: no deterioration of the neural function occurred in any case .All patients who had full neural Function on admission remained so. The patients who at time of admission was completely paraplegic Or tetraplegic did not show any neural improvement .Internal fixation was done to maintain good alignment of the spine and stabilize the fracture dislocation segment for early mobilization and rehabilitation no significant improvement in the neural status has occurred in patients with complete motor and sensory loss below the level of the injury at time of admission. The value of decompression of the spinal Canal may improve neurologic recovery or rate of recovery in some patients with an incomplete deficit.Conclusion: clinical awareness is the most important diagnostic point. Other associated injuries which frequently co-exist should not be forgotten. Adequate radiological examination must be done.MRI is very helpful especially in incomplete spinal cord injury. Conservative treatment consists of immobilization. Laminectomy was performed for patients who have incomplete neural deficit. Internal fixation Performed for patients who have fracture dislocation.Key word: closed spinal injury, conservative, surgery.


Article
Review the Assessment of Effects Of Lost Time Injuries in an Industrial System By Using an Explanatory Program

Author: Iman Q. Alsaffar
Journal: Journal of Engineering مجلة الهندسة ISSN: 17264073 25203339 Year: 2012 Volume: 18 Issue: 5 Pages: 572-590
Publisher: Baghdad University جامعة بغداد

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Abstract

Health and safety problem can be described by statistics it can only be understood by knowing and feeling the pain, suffering, and depression. Health and safety has a legal responsibility to protect it for everyone who can affect in the workplace. This includes manufacturers, suppliers, designers and controllers of work places and employees. Work injury is one of the major problems in manufacturing and production systems industries; it is reduced production efficiency and affects the cost. To gain flexibility from a traditional manufacturing system and production efficiency, this paper is about the application of estimating technology to preview and synthesis of Lost Time of Work Injuries in industry systems aims to provide a safe working environment for all employees to achieve safe workplaces, safe systems of work, and safety understanding within our workforce. Our industry often has a poor record in dealing with modern and development techniques. Thus, as one of the targets, this leads to perform a helpful program plane to provide guidelines of management, employees to eliminate hazards, given the enormous cost of occupational personal damage in industry and to develop safe work methods work site. This work proposed a general methodology for constructing an explanatory software system to review and analysis workers injuries in a work site. The program language used is Axes, which suitable to shows categories of incidences and estimates costs to workers, employers and society of workplace injuries and work-related ill health. Data of the system was collected in the State Company for Woolen Industries in Al-Kadhumiaa in Iraq. The resulting is to provide a simple obvious outline system to evaluate lost time injury and the net-costs on safety interfering at the company level to reduce occupational morbidity and generating a helpful system to estimate of the total costs to employers and workers of workplace accidents and work-related ill health.

توصف الية الصحة والسلامة بالإحصائيات التي لا يمكن فهمها إلا من خلال المعرفة والشعور بالألم، والمعاناة والاكتئاب. تعد الصحة والسلامة المسؤولية القانونية لحماية كل شخص ومن هو مؤثر في موقع العمل، يتضمن ذلك كل من المصنعين، المجهزين، المصممين والمراقبين للعمل والموظفين. تعتبر اصابة العمل من المشاكل الرئيسية التي تقلل من كفاءة الانتاج وتؤثر في الكلف لعمليات التصنيع والانتاج في الانظمة الصناعية. يهدف البحث الى تطبيق تقنية للتقييم والعرض للوقت الضائع في اصابات العمل لنظام صناعي بغية الوصول الى توفير بيئة صحية سليمة لجميع المستخدمين ولتحقيق مواقع وانظمة عمل آمنة قادرة على التجديد والمرونة في الكفاءة الانتاجية لنظام تصنيع تقليدي. تعاني صناعاتنا في الغالب من مؤشرات ضعيفة في التعامل مع التقنيات الحديثة والمتطورة. لذلك، وكاحد اهداف هذا البحث هو ايجاد، خطة برنامج مساعد لتوفير تعليمات للادارةِ وللعاملين لإزالة المخاطر التي تؤدي الى الكلف الهائلةَ للضرر المهنيِ في الصناعة. ولاجل تطوير والوصول الى طرقِ عمل آمنة لموقع العمل. مقترح البحث هو ايجاد الية عامة لبناء نظام برمجي توضيحي لاستعراض وتحليل إصابات العمل. لغة البرنامج المستخدمة (اكسس)، وهي ملائمة في العرض والتحليل لانواع الاصابات والكلف التخمينية للعاملين من عمال، وموظفين، وكذلك لمجتمع او بيئة الإصابات. بيانات النظام تم جمعها وتطبيقها في الشركة العامة للصناعات النسيجية- الكاظمية – العراق. النتائج المتحققة هو توفير مخطط واضحِ وبسيط لتقييم الوقت المفقود في الاصابة والكلف الكلية المؤثرة في السلامة لمستوى الشركةَ لتقليل الاصابات والامراض المهنية وتكوين نظام مساعد في تخمين التكاليف الكلية للحوادث والامراض المرتبطة بموقع العمل للعمال والعاملين.


Article
Evaluation of Early Active Mobilization Protocol of Extensor Tendon Repair At Zone V, VI and VII

Author: Azzam Raheem Abbas
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 2 Pages: 211-219
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Extensor tendon injuries are relatively common. The thin overlying skin makes the tendons vulnerable to sharp injuries. Yet tendon adhesions during the healing phase is a frequent outcome, it might limit the full recovery of the patient.OBJECTIVE:This prospective clinical study was done to evaluate the postoperative protocol of early active mobilization using simple, easy to made static splint. It provides the surgeon with guidelines to treat patients with extensor tendons injuries. It helps the patients to attain best results and least complications.PATIENTS AND METHODS:In this prospective study 27 cases of fresh injury of extensor tendon at zone V to VII were treated with primary repair (within 24 hour) or delayed primary in the Medical City teaching complex between March 2009 to March 2011. A protocol of early active mobilization was undertaken, using an easy to follow rehabilitation plan.RESULTS:Twenty seven patients included in this study, with age ranging between 20 – 60 years. All were assessed according to the Dargon criteria at the sixth postoperative week. The most common injury was caused by glass 74%. Patients were followed up to one year, and 63% of the patients had excellent RESULTS:The most common complication was tendon rupture in 4 cases, 14.7%.CONCLUSION:The early mobilization of repaired extensor tendon reduces the formation of adhesion as compared to rigid immobilization. We recommend the use of this protocol following extensor tendon repair in the hand at zone V, VI, and VII in cooperative patient .It will give fairly acceptable results.


Article
Evaluation of selected parameters of rat liver injury following repeated administration of oseltamivir for different periods
تقييم بعض معايير إصابة الكبد في الجرذان المجرعة لفترات مختلفة بعقار الأوسلتيمافير

Author: Falah Muosa Kadhim Al-Rikabi فلاح موسى كاظم ألركابي
Journal: The Iraqi Journal of Veterinary Medicine المجلة الطبية البيطرية العراقية ISSN: 16095693 Year: 2012 Volume: 36 Issue: 1 Pages: 145-156
Publisher: Baghdad University جامعة بغداد

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Abstract

The effects of oseltamivir administration, an anti influenza viruses A and B, on some functional parameters of rat liver were investigated, to evaluate the possible hepatotoxic effect. Eighteen (18) wister male albino rats with body weight ranged 150-190 gm were divided into three groups, the first group(T1) was treated orally with 1mg/kg.BW as therapeutic dose of Oseltamivir for 7consuctive days. The second group (T2) was treated with the same dose for six weeks, while the control group dosed distill water. The results revealed, there was a significant increase in the onset of barbiturate sleeping time and a significant p ≤ 0.05 decrease of the duration of barbiturate sleeping time of the T2 rats . The liver enzymes activity revealed a significant decrease in ALT in T1 rats and significant increased p<0.05 in the T2 rats, while the AST activity showed only significant increased p<0.05 in the T2 treated rats. The activity of ALP was p<0.05 significantly increased in the rats of treated groups. The blood sugar was significantly decreased p<0.05 only in the T2rats. Cholesterol level was significantly p<0.05 increased in T2 treated rats, while the serum of both treated groups showed a significantly increase p<0.05 in the triacylglycerol concentration.The HDL level was significantly decreased p<0.05 only in theT1 rats. The treated T2 rats showed a significant decrease p<0.05 in the LDL, while the VLDL level revealed a significant increase p<0.05.The total serum protein level was significantly increased p<0.05 in the rats of T2. Liver histopathological lesions of the T1rats revealed large amount of suppurative exudates, severe dilation and congestion of central veins and sinusoids with activation of kupffer cells. The liver of T2 rat showed multiple areas of focal necrosis, fibrous thickening of Glisson capsule with vacuolar degeneration of hepatic parenchyma. In:conclusion, Oseltamivir has hepatotoxic effect in rats treated with therapeutic dose 1mg/ kg.BW. orally in different periods.

تم تقييم يعض معايير وظائف الكبد في الجرذان المعامله بعقار الأوسلتمافير المضاد للأنفلونزا .A,Bأستعملت 18 من ذكورالجرذان المهقاء بأوزان تراوحت150-190 وقسمت إلى ثلاث مجاميع بصورة متساوية وجرعت جرذان المجموعة الاولى(T1) بالجرعة العلاجية لعقار الأوسلتيمافير 1ملغرام / كيلوغرام من وزن الجسم لمدة سبعة أيام, أما جرذان المجموعة الثانية(T2) كانت فترة التجريع لمدة ستة أسابيع وبنفس الجرعة, أما المجموعة الثالثة فعدت سيطرة وجرعت ماء مقطر. وقد أظهرت النتائج,أن فحص وقت النوم المستحث بالثايوبنتال الصوديوم أظهر زيادة معنوية في فترة الكمون مع نقصان معنوي في فترة النوم p≤ 0.05 لجرذان المجموعة الثانية.أما فحص نشاط إنزيمات أذى الكبد فقد أظهرت نقصانا معنويا p<0.05في نشاطALT لجرذان المجموعة الأولى . في حين أظهرت جرذان المجموعة الثانية زيادة معنوية قي نشاط نفس الأنزيم وعلى نفس المعنوية.بينما سجل نشاط انزيم AST زيادة معنوية p<0.05 في جرذان المجموعة الثانية, في حين سجل نشاط إنزيم ALP زيادة معنوية في كلتا مجموعتي المعالجة.و أظهر سكر الدم نقصانا معنويا p<0.05 في جرذان المجموعة الثانية .في حين كانت هناك زيادة معنوية p<0.05 في مستوى الكولسترول في مصل دم جرذان المجموعة الثانية ,أما مستويات الدهون الثلاثية فقد سجلت زيادة معنوية p<0.05 قي مجموعتي المعالجة بالعقار.أما فحص مستويات نمط الدهون البروتينية في الدم فقد أظهرت نقصانا معنويا p<0.05 في مستوى الدهون البروتينية عالية الكثافة(HDL) في جرذان المجموعة الأولى ,وسجلت نقصانا معنويا p<0.05 في مستوى الدهون البروتينية واطئة الكثافة(LDL) في جرذان المجموعة الثانية , أ ما مستوى الدهون البروتينبة الواطئة الكثافة جدا(VLDL) سجلت زيادة معنوية p<0.05 فقط في جرذان المجموعة الثانية أما فحص مستوى بروتين مصل الدم أظهر زيادة معنوية p<0.05 في جرذان المجموعة الثانية .الفحص النسجي المرضي للكبد :- أظهر نضح تقيحي , توسع واحتقان الأوردة المركزية والجييبات ونشاط خلايا كفر في جرذان المجموعة الأولى , أما أكباد جرذان المجموعة الثانية فقد أظهرت بقع تنخرية متعددة , تثخن ليفي لمحفظة كلايسون مع تغيرات فجوية في الخلايا البرنكيمية.تستنتج الدراسة ان لعقار الأوسيلتمافير تأثير سمي في أكباد الجرذان المعاملة بجرعة علاجية 1ملغم/كغم من وزن الجسم ولفترات مختلفة.


Article
Prevalence of Burn in children under (15) years in Mosul City

Authors: Radwan H. Ibraim --- Hanady J. Mahmood --- Habis A. Salih
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2012 Volume: 2 Issue: 2 Pages: 104-109
Publisher: University of Kufa جامعة الكوفة

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Abstract

AbstractObjective: The aim of present statistical study resumption to appear extent prevalence of burn in children under 15 years in Mosul city.Methodology: The sample was collecting from review the register for burn unit in AL-Jaumhory Teaching Hospital through 2 years (2009, 2010). It registry (580) burn case. Where (163) male, and (162) female with ages ranged between (1 - 15) years old for period from 1/11/2009 to 15/12/2010.Results: Resulting appearance high burn percentage at patient aged between (1-5) years, its percentage were (69%), while in male is more than female with percentage (53%). Scalding the main causes of burn with percentage (67%), while flame with percentage (32%). Lower limbs more than another part of the body were (32%), while duration of stay in burn unit (1 – 5) day were (59%). Death of children of them (10%). Recommendation: The study recommended that health education in schools, as a compulsory subject, concerning burn. Of course, the results of such a programme could only be evaluated in the very long run. pediatric and family doctors have a privileged position to influence mothers and families and try to motivate them. Written information (leaflets booklets) could be prepared and distribution to families.

الخلاصة الهدف: تهدف الدراسة الإحصائية الحالية إلى بيان مدى انتشار الحروق عند الأطفال الأقل من (15) سنة في مدينة الموصل. المنهجية: جُمعت عينة الدراسة من خلال مراجعة شاملة لسجلات وحدة الحروق في مستشفى الجمهوري التعليمي. خلال العامين ( 2009 و 2010) تم تسجيل (580) حالة حرق كان من بينها (163) ذكور و(162) إناث والتي تتراوح أعمارهم مابين (1 - 15) سنة للفترة من 1/11/2010 لغاية 15/12/2010.النتائج: أظهرت النتائج إن اكبر نسبة حرق كانت عند الأطفال الذين تتراوح أعمارهم ما بين (1 - 5) سنة حيث كانت نسبتها (69%) وعند الذكور أكثر من الإناث حيث كانت النسبة (53%). كان السبب الأساسي للحرق هو الماء الحار والتي كانت نسبته (67%) أما اللهب فنسبته (32%) وكانت أكثر المناطق معرضة للحرق هي الأطراف السفلى ونسبتها (32%) أما فترة البقاء في ردهة الحروق كانت أكثر نسبة وقعت في (1 – 5) أيام هي (59%), أما نسبة وفاة الأطفال فقد شكلت (10%).التوصيات: أوصت الدراسة بان التثقيف الصحي في المدارس تعتبر مادة إلزامية فيما يتعلق بالحروق. وللحصول على النتائج من خلال هذه البرامج يمكن تقيمها على المدى الطويل جدا.كما أن أطباء الأطفال والعائلة لهم مكانة خاصة في التأثير على الأمهات والأسر ومحاولة تحفيزهم. ويمكن إعداد معلومات مكتوبة من خلال منشورات وكتيبات يتم توزيعها على العائلات.


Article
Incidence of Renal Injuries in Abdominal Trauma at Al-Kindi Teaching Hospital

Author: Ridha J. Al-Basri*, Mohammed A. Alrubiae**, Ali H. Mutar***
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 2 Pages: 89-93
Publisher: Baghdad University جامعة بغداد

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Abstract

Background : The kidneys may be injured in abdominal trauma, both blunt & penetrating. Renal trauma may manifest in a dramatic fashion for both the patient and the clinician. Objectives: To evaluate the incidence, management, morbidity &mortality of renal injury in blunt & penetrating abdominal trauma. Methods: A retrospective study includes 45 patients sustaining renal injury. These trauma patients were admitted to the casualty department in Al-Kindi Teaching Hospital during the period between 1st June 2006 – 31st May 2007. The patients were analyzed regarding their age, sex, mechanism of injury & grade of injury according to Organ Injury Scaling (OIS) classification of the American Association for the Surgery of Trauma (AAST). Management, morbidity & mortality were also noticed.Results:The majority o f patients were males (35= 77.8%), the rest were females (10= 22.2%). The average age was 37 years (range= 18-56 years). The most common grades were grade1, grade2 and grade3 (40=88.9%), while 5 patients (11.1%) were grades 4 and 5.The most common associated injuries were liver, spleen, small & large bowels and diaphragm. The mortality was 20% (9 patients). The most common cause of death was multiple organ injuries in 2 patients (4.4%), kidney with injury of a second organ in 6 patients (13.3%), while delayed surgery was the cause in 1 patient (2.2%), while the most common cause of morbidity was wound infection in 5(11.1%) and wound dehiscence in 2 patients (4.4%), a total morbidity is of 7 patients (15.5%).Conclusion: Renal injuries are not uncommon injuries, but they are less common than other intraabdominal organs e.g. liver, spleen and bowel. Injury grading using the OIS system (liver, spleen and kidney) of AAST is a useful tool for comparison and to evaluate management according to injury grade.Keywords: Renal Injury, abdominal trauma, blunt trauma, penetrating trauma.


Article
Risk Factors for Less Common Postoperative Complications Following Surgical Extraction of Mandibular Third Molar: A Prospective Cohort Study

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Background: The less common postoperative morbidity following third molarsurgery such as inferior alveolar nerve paresthesia, lingual nerve paresthesia,adjacent tooth injury and post-perative bleeding is affected by a number of riskfactors.Material and methods: In this prospective randomized study 159 consecutive casesin which removal of impacted lower third molars in 107outpatients wereevaluated. Five groups of variables have been studied which are regarded as apotential factor for one or more than one complication after mandibular thirdremovalResults: The incidence of inferior alveolar nerve paresthesia, lingual nerveparesthesia, adjacent tooth injury and post-operative bleeding is addressed withlocation of the most significant risk factors.Conclusions: It was found that the difficulty of surgical extraction and the operationtime are the main high significant risk factors; sex and smoking aren’tsignificant factors for any complication. The oldest age group has a littlestatistics significant differences.Background: The less common postoperative morbidity following third molarsurgery such as inferior alveolar nerve paresthesia, lingual nerve paresthesia,adjacent tooth injury and post-perative bleeding is affected by a number of riskfactors.Material and methods: In this prospective randomized study 159 consecutive casesin which removal of impacted lower third molars in 107outpatients wereevaluated. Five groups of variables have been studied which are regarded as apotential factor for one or more than one complication after mandibular thirdremovalResults: The incidence of inferior alveolar nerve paresthesia, lingual nerveparesthesia, adjacent tooth injury and post-operative bleeding is addressed withlocation of the most significant risk factors.Conclusions: It was found that the difficulty of surgical extraction and the operationtime are the main high significant risk factors; sex and smoking aren’tsignificant factors for any complication. The oldest age group has a littlestatistics significant differences.


Article
Impact of an Educational Program upon Nurses’ Knowledge and Practices Concerning Neurogenic Bladder Rehabilitation for Spinal Cord Injured Persons

Authors: Raheem A. Badir --- Batool A. Jaddoue Al- Ani
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2012 Volume: 25 Issue: 2 Pages: 71-83
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: To determine the impact of an educational program on nurses’ knowledge and practices concerning neurogenic bladder rehabilitation for spinal cord injured persons through a follow-up approach each two months post program implementation for six months.Methodology: "Follow-up" longitudinal design by using time series approach of data analysis and the application of pre-post tests approach for the study and the control groups. The study was carried out at Ibn Al-Kuff hospital for (SCI) in Baghdad governorate from 5th of July 2010 to 15th of October 2011. To achieve the objectives of the study, a non-probability (purposive) sample of (60) nurses (males and females) were working in SCI units were selected. The sample is divided equally into study and control groups. A questionnaire format was used for data collection which consisted of (3) three parts (185) items, including their knowledge, practices, and demographic characteristics. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of Pearson correlation coefficient for the test-retest approach, which is (0.92) for their knowledge and (0.88) for their practices. Analysis of data was performed through the application of descriptive statistics (frequency, percentage) and inferential statistics (mean of scores, relative sufficiency, Pearson correlation coefficient, t-test and one way analysis of variance and chi- square test).Results: The results of the study indicated that the nurses in study group benefited from the implementation of health education program, their knowledge and practices were adequately improved and developed. Recommendations: The study recommends that there is a need to conduct annual examinations for nurses to evaluate their nursing care for SCI persons, with a focus on the practical side, and not upgrading any of them if they did not pass the examination successfully.

الهدف: تحديد تأثير البرنامج التثقيفي على معارف وممارسات الممرضين والممرضات ذات العلاقة بتأهيل المثانة المتضررة عصبيآ للأشخاص المصابين بأصابات الحبل الشوكي من خلال نهج المتابعة لكل شهرين بعد تنفيذ البرنامج ولمدة ستة أشهر متتالية.المنهجية: تم اعتماد تصميم المتابعة الطويلة واستخدام أسلوب التوقيت المتعدد في تحليل البيانات وتطبيق نهج ما قبل الاختبار وبعد الاختبار للمجموعة الاختبارية والمجموعة الضابطة. وقد أجريت الدراسة في مستشفى ابن القف لإصابات الحبل ألشوكي في مدينة بغداد للفترة الواقعة بين 5 آب 2010 ولغاية 15 تشرين الأول 2011.ولتحقيق أهداف الدراسة اختيرت عينة غرضيه غير احتمالية مكونة من (60) ممرضآ وممرضة من العاملين في ردهات اصابات الحبل الشوكي ، قسمت العينة على مجموعتين متساويتين ، المجموعة الاختبارية والمجموعة الضابطة، وجمعت البيانات الخاصة بالدراسة من خلال استخدام استبانة مصممة لغرض جمع المعلومات تكونت من (3) ثلاثة أجزاء وبواقع (185) فقرة تضمنت معارفهم ، ممارساتهم، وصفاتهم الديموغرافية.. وقد تم بناؤها وتصميمها من قبل الباحث لأغراض الدراسة الحالية. تم تحقيق ثبات أدوات القياس من خلال استخدام معامل ارتباط بيرسون والذي كانت نتيجته (0,92) لمعارفهم و0,88) لممارساتهم. أما مصداقية أدوات القياس فقد تحققت من خلال عرضها على مجموعة من الخبراء لغرض مراجعتها وتقويم درجة مصداقيتها. تم تحليل بيانات الدراسة باستخدام الإحصاء الوصفي ( التوزيع التكراري والنسبة المئوية) والإحصاء الاستنتاجي الذي شمل الوسط الحسابي الكفاية النسبية، معامل ارتباط بيرسون، الأختبار التائي، ومربع كاي. النتائج: أشارت نتائج الدراسَة الى أن المجموعة الاختبارية من الملاك التمريضي استفادت من تنفيذ البرنامج التثقيفي الصحي حيث تحسنت وتطورت معارفهم وممارساتهم بشكل كاف. التوصيات : أوصت الدراسة بالحاجة الى اعداد وتطبيق فحص أو أختبار سنوي للممرضين والممرضات لتقويم العناية التمريضية التي يقدمونها الى مرضى أصابات الحبل الشوكي، مع التركيز على الجانب العملي، وكذلك عدم ترقية أي منهم ما لم يجتاز الأمتحان بنجاح.


Article
A Prospective Study for Functional Outcome of Tension Band Wiring in Treatment of Proximal Humerus Fractures Neer’s Type III

Author: Ahmed Alkhuzai
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 2 Pages: 180-186
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Many methods used for treatment of proximal humerus fractures, in this study used the tension band wiring in treatment of proximal humerus surgical neck as figure of 8 in treatment of these fractures.OBJECTIVE:To prove the advantages of tension band wiring in treatment of proximal humerus fractures.Patients& Methods:From December 2003- December 2006, 16 patients with closed two part surgical Neck proximal humerus fractures Neer’s type III were admitted to the department of orthopaedic surgery and traumatology in Alkarama General Hospital &Sulaimania Teaching Hospital. All patients were males mean age 32 years, all patients were treated by figure –of- 8 tension band wiring techniques with minimal osteosynthesis in fixation, surgical deltoid splitting approach without disturbing the Vascularity of the humeral head, but with a stable secure fixation.RESULTS:The out come of this method of treatment was reviewed monthly for 12 months. The results were evaluated according to the Neer’s criteria and scores. The final follow up 13 patients out of 16 (81.25%) achieved excellent and satisfactory results, 3 patients (18.75%) was rated as unsatisfactory result. So the final outcome according to Neer’s scores was good and excellent result.CONCLUSION:Two parts displaced proximal humerus fractures in young adults patients Treated by open reduction with fixation by tension band wiring has improved the functional outcome results of these type fractures

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