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Article
Obesity and Asthma Severity Among Adults Presenting to the Out Patient Clinic

Author: Hashim M. Al-Kadhimi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 2 Pages: 205-210
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:Recent studies have suggested a relationship between asthma and obesity. The risk for developing asthma increases with increasing obesity among individuals. Yet little is known about how obesity influences asthma.OBJECTIVE: To determine whether a relation of Obesity to asthma exists among adults presenting to the out patient respiratory clinic , and the correlation between Obesity and spirometric changes in patients with asthma. METHODS: A cross-sectional study was done for one hundred patients aged 17 to 70 years patients with asthma diagnosed by clinical and pulmonary function test , in the respiratory outpatient's clinic in AL Kadhmia Teaching Hospital.Collected from May to December 2010 The following parameters were assessed:Weight, height, body mass index, gender,spirometric parameters which includes of forced expiratory volume in 1 second (FEV1), forced vital capacity(FVC),FEV1FVC ratio, and forced expiratory flow50% (FEF50%)RESULTS:There were 100 asthmatic patients,32 male and 68 female. There age between 17-70 year, classified into four groups according to BMI. There was significant relation between obesity and asthma (p=0.03),this relation was statistically significant in female(p=0.003) but not in male.spirometry in male showed no statistically significant (p-value > 0.05) for FEV1, FVC FEV1FVC ratio, FEF50% in both non obese and obese, but in female statistically significant for FEV1FVC(p 0.05) ,FEF50% (p 0.036) , while no statistically significant for FEV1, FVC in both groups, for both male and female according to BMI there is statistically significant for FEF50% (p 0.015),while no statistically significant for FEV1FVC, FVC, FEV1 in both groups.CONCLUSION:There was a significant relation between asthma and obesity , in female ,but not in male. There is statistically significant difference for FEF50% ,and FEV1FVC in obese female .Also there is statistically significant difference for FEF50% in both male and female according to BMI.

Keywords

asthma --- obesity --- BMI


Article
Obesity and Overweight among Medical Teachers in College of Medicine in university of Kufa

Author: *Salam Jasim Mohammed, FIBMS. *Huda Ghazi Hamid, FIBMS.
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2012 Volume: 15 Issue: 1 Pages: 279-285
Publisher: University of Kufa جامعة الكوفة

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Objective: this study was conducted to determine the prevalence of obesity and overweight and some associated factors among teachers in medical college in Kufa university.Design and methods: A cross sectional study on obesity and overweight covering 96 medical teachers in medical college in Kufa university was carried out during the period 1st of April to 1st of august 2011, data collection done by using questionnaire and measurement of weight and height by using weight display instrument which is present in community medicine departmentResults : results of this study shows that there is 36.5% of participants suffering from overweight and 18.8% suffering from obesity.In the current study no significant association between sex and body mass index (BMI) (P=0.417) and also no significant association between BMI and obesity in first degree relatives (P=0.944).This study shows no significant association between BMI and having chronic disease (P=0.856).This study shows significant association between BMI and number of meals taken between the main meals (P=0.024) also significant association between BMI and exercise (P=0.023)Conclusion: the results show that the problem is big among this group of community and the need to change their lifestyle from sedentary lifestyle to more active one and change dietary habits and establish a center for exercise inside the university and encourage all medical teachers to participate in it.

أجريت هذه الدراسة لمعرفة مدى انتشار زيادة الوزن والسمنة لمجموعة من اساتذة كلية الطب في جامعة الكوفة وبعض العوامل المساعدة على ذلك. ولهذا الغرض تم اجراء دراسة مسحية مقطعية شملت 96 استاذ في كلية الطب للفترة من الاول اربيل الى الاول من آب 2011. تم جمع المعلومات من الاساتذة من خلال استمارة تحتوي على مجموعة من الاسئلة متعلقة بالموضوع قيد البحث كذلك تمت عملية قياس الطول والوزن من خلال جهاز متخصص موجود في قسم طب المجتمع. نتائج هذه الدراسة اظهرت ان 36.5% من المشاركين يعانون من زيادة الوزن بينما 18.8% يعانون من السمنة .هذه الدراسة اظهرت انه لا توجد علاقة بين الجنس و مؤشر كتلة الجسم ( P=0.417) كذلك لا توجد علاقة بين مؤشر كتلة الجسم والسمنة لدى الاقارب من الدرجة الاولى (P=0.944) .كذلك لا توجد علاقة بين مؤشر كتلة الجسم ووجود مرض مزمن لدى الاستاذ.اظهرت هذه الدراسة انه هنالك علاقة بين الوجبات التي يتم تناولها بين الوجبات الرئيسية ومؤشر كتلة الجسم(P=0.024) كذلك هنالك علاقة بين مؤشر كتلة الجسم و التمارين الرياضية التي يمارسها الاستاذ.هذه الدراسة بينت ان حجم المشكلة كبير لدى هذه الشريحة من المجتمع والحاجة لتغيير نمط حياتهم من حياة الخمول الى حياة ذات حركة اكثر وكذلك تغيير طبيعة الغذاء .كذلك الدعوة الى بناء مركز رياضي داخل الجامعة وتشجيع الاساتذة على ممارسة الرياضة في اوقات الفراغ.

Keywords

obesity --- overweight --- BMI


Article
Spermatozoal creatine kinase (CK) concentration as an indication of idiopathic obese subfertile males with normozoospermia
مستوى إنزيم الكرياتين كاينيز في الحيامين الطبيعية يعتبر مؤشر لمرضى البدانة في حالات العقم الدكوري الغير المفسر

Author: Ahmed S. Al-Hilli. Med MSc. Ph .D¹, Noorhan Shakir Mhao; MBCHB, DOG, FICOG² , Najah R. Haddi;MBCHB ,M.Sc, MD ,Ph. D, FACP,FCCP ³
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2012 Volume: 15 Issue: 1 Pages: 196-203
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: To determine the mean of spermatozoal creatine kinase (CK) concentration in idiopathic obese subfertile males with normozoospermia and healthy normal fertile control group. And to compare spermatozoal CK concentration between idiopathic obese normozoosperpmic subfertiles and healthy normal fertile volunteers (control group). Design: A prospective study.Setting: Maternity and Childhood Hospital, Najaf province, during period from April 2006 to January 2007.Patients and Methods: The present study determined the mean of spermatozoal CK concentration in 47 idiopathic obese male subfertiles with normozoospermia ,their ages ranging between 25-45 years ,and sperm count million ml, motility% , morphology %, vitality% are registered as normozoospermia according to WHO criteria. Fifteen apparently healthy normal fertile were regarded as control group. Traditional semen analyses and sperm parameters were assisted by same examiner. CK concentrations were measured using CK kit after the sperm enzyme was extracted within triton –X. The results of spermatozoal CK concentration was determined and compared between both groups.Result(s): There was a statistically significant differences (P<0.05) in active sperm motility % and sperm immotility % in comparison to sperm mean CK concentration in both groups. And sperm mean CK concentration was significantly higher in idiopathic obese male subfertiles with normozoospermia in comparison to control group.Conclusion(s): Elevated levels of spermatozoal CK concentration in idiopathic normozoospermic obese subfertile males may suggest an indication of sperm oxidative stress status which could play a role in idiopathic normozoospermic obese subfertility and fecundity that warrants more detail studies. Recommendation(s): creatine kinase concentration could be use an indication of sperm oxidative stress in idiopathic obese subfertile males with normozoospermia

الخلاصة: لقد اهتمت الدراسات المتقدمة في مجال التناسلية والعقم إلى اللجوء في تشخيص الخلل الوظيفي للحيمن من خلال استحداث فحوص متطورة لغرض التنبوء والتشخيص والعلاج.لقد أشارت الدراسات الحديثة إلى وجود علاقة وثيقة بين البدانة والعقم بشكل عام والعقم الدكوري الغير المفسر بشكل خاص مع وجود تفاسير عديدة لهده العلاقة. تشير نتائج هده الدراسة إلى إن ارتفاع مستوى أنزيم الكرياتين كاينيز في الحيامين الطبيعية يعتبر مؤشر لمرضى البدانة في حالات العقم الدكوري الغير المفسر مما يتسبب في احتمالية قلة الإخصاب.


Article
Assessment of Neck Circumference Measurement among Type 2 Diabetic

Author: *Hayder Sabah Hasan ,M.B.CH.B., M.Sc.
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 1 Pages: 41-45
Publisher: Baghdad University جامعة بغداد

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health problem in both developed and developing countries. Traditional obesity indices as body mass index, waist circumference, waist-hip-ratio are well known measures to identify obese subjects, however, neck circumference as an index of upper-body obesity was found to be a simple and time-saving screening measure that can be used to identify obesity and the likelihood of developing metabolic syndrome in type 2 diabetic patients.Aim: to investigate the relationship of neck circumference (NC) to obesity and metabolic syndrome in Iraqi subjects with type 2 diabetes.Methods: The study group included 90 type 2 diabetic subjects (48 men and 42 women) aged 30-68 years. The subjects were those who attending The Specialized Center for Endocrinology and Diabetes/Baghdad. Main indicators studied included Neck Circumference (NC), waist circumference (WC), waist-to-hip ratio (WHR), body mass index (BMI), blood pressure, fasting blood glucose, and lipoprotein levels.Results: Pearson's correlation coefficients indicated a significant association between NC and body circumference, and waist-hip-ren and from 0.014 to less than 0.0001 in women). Also NC is positively correlated with systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides (TGA), fasting blood glucose level (p value from 0.092 to less than 0.0001). Cross tabulation between NC and BMI indicated that NC identified obese persons with 100% sensitivity in men and 90% in women, also a cross tabulation between NC and metabolic syndrome indicated that NC can identify metabolic syndrome with 100% sensitivity in both men and women. Metabolic syndrome was identified according to a modified criteria proposed by the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATPIII).mass index, waist atio (p <0.0001 in mConclusion: Neck circumference is positively correlated with BMI, waist circumference, waist-hip-ratio, and positively correlated with components of metabolic syndrome in Iraqi individuals with type 2 diabetes. Accordingly, the measurement of neck circumference could be useful in clinical screening for obese persons and for persons who are at risk of developing metabolic syndrome.Keywords: neck circumference, obesity, metabolic syndrome.


Article
Knowledge, Attitude and Practice Regarding Obesity Management among Family and Non Family Physicians Working in Primary Health Care Centers in Baghdad

Author: Huda Adnan Habib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 6-12
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:The rising level of obesity has been called the most urgent challenge to public health for the 21stcentury. While many social institutions should be involved in addressing this problem, familyphysicians have an important role in identifying and managing obesity.OBJECTIVE:To assess and compare the knowledge , attitudes and practice regarding obesity management amongfamily and non family physicians working in primary health care centers.Methodology :A cross-sectional survey has recruited a randomly selected sample of primary health care physiciansworking in primary health care centers in Baghdad in 2010. A structured self-administeredquestionnaire was used to collect data from 232 physicians. These include family medicine boardcertified and other non-family medicine certified physicians. The questionnaire had four main parts:personal data, knowledge, attitude and practice.RESULTS:The majority of the respondents depend on the waist circumference to diagnose obesity with 100%among the family physicians and (74.2%) among non-family physicians. The majority of therespondents think that obesity is a major health problem in Iraq with 49 (96.08%) among the familyphysicians and132 (72.93%) among non family physicians. About (84.3%, 72.5% and 41.2%) offamily physicians agreed to prescribe Weight reduction medication when BMI >30, Patient not ondiet and on patient request respectively. Almost all family physicians (92.1%) agreed that is it betterto have a training course in obesity management compared to 49.46% among non- familyphysicians.CONCLUSION:Both the family and nonfamily physicians working in the primary health centers need to improvetheir knowledge and skills regarding obesity management


Article
Subclinical Hypothyrodism and Central Adiposity

Author: Ikhlas Khalid Hammed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 3 Pages: 423-429
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT: BACKGROUND: The pandemic of central obesity has driven new interest in the relationship between thyroid hormone and body weight distribution since it is well known that thyroid hormones play a key role in regulating energy homeostasis and that subtle elevation in TSH as in subclinical hypothyroidism (SCH)is associated with deficiency in resting energy expenditure and increased body weight. OBJECTIVE: The aim of our study was to assess possible associations of subclinical hypothyroidism with central obesity in apparently healthy women. METHODS: 133 apparently healthy, clinically euthyrotic women were included in this study; 91of them were centrally obese and 42 were centrally non obese, Thyroid function tests and waist circumference measurement were done in all participants. RESULTS: 13.5 %( n=18) of the studied population had subclinical hypothyroidism.In the centrally obese group the frequency was 17.5 %( n=16), while in the non obese it was 4.7% (n=2), the highest frequency was found in the 40-49 years old women (38.8%). Positive significant correlation was found between waist circumference and age, negative significant correlation was found between age and T3. CONCLUSION: The frequency of SCH is more in centrally obese women. Assessment of thyroid function must be regarded as part of the screening program in obese.


Article
Obesity and Overweight among Students in Arabic Secondary Schools in Erbil City

Author: Kareema A. Hussein
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2012 Volume: 25 Issue: 2 Pages: 90-97
Publisher: Baghdad University جامعة بغداد

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Objective(s): The aim of the study was to identify the prevalence of overweight and obesity in adolescence and to estimate the effect of socio- demographic and health behaviors that predicting obesity in adolescents.Methodology: A cross-sectional descriptive study was being carried out at three public Arabic secondary schools in Erbil city from October 1st 2010 to January 30th 2011. A systematic randomly sample size of 461 students was selected.Results: In this study, the age of (46.2%, 122) of males students were ranged between (17- 18.9) years old com-pared to females students (74.1%, 146) their age ranged between (15 -16.9) years old. About (3.4%, 9) of males adolescents having overweight while all female adolescents were recorded as normal weight with significant asso-ciation between weight status and gender (p-value= 0.006). There were (0.5%, 1) overweight that watching TV during eating but (3.1%, 8) was did not watching TV during eating with significant association between weight status and watching TV during eating (p- value= 0.041).Recommendation: This study recommended placing posters throughout the school showing foods rich in vari-ous nutrients, healthy food tips in the school news letter for parents and educational activities with more orienta-tion about their diet and physical exercise at early ages involving the whole family to control the excess of weight.Keywords: anthropometric measure weight status, adolescent, physical inactivity, fast food.

الهدف: تهدف الدراسة للتعرف على و تيرة زيادة الوزن والبدانة في سن المراهقة وتقدير تأثير السلوكيات الاجتماعية والديموغرافية والصحية التي تسبب السمنة لدى لمراهقين. المنهجية : اجريت دراسة وصفية مقطعية لثلاثة مدارس عربية عامة في مدينة أربيل. من الفترة 1 / تشرين الاول/ 2010 إلى 30 / كانون الثاني / 2011. تم اختيار عينة عشوائية منهجية من 461 طالب وطالبة.النتائج : أظهرت الدراسة أن خصائص المراهقين حسب نوع الجنس والسن تقريبا ) 122%, 46.2 و 146, 0.0074 %) من المراهقين من الذكور والإناث واعمارهم بين سن (17 – 18 ،9 و 15 -16.9) سنة على التوالي . استخدم الارتباط المتعدد لتحليل لانحدار و أظهرت الدراسة أن الاناث بدلالة احصائية (0.006)، ومشاهدة التلفزيون أثناء تناو ل الطعام بدلالة احصائية ( 0.041 ) تنبئ من حالة السمنة في هذه الدراسة. التوصيات : أوصت الدراسة بأن المراهقين بحاجةالى ملصقات جدارية في أماكن مختلفة من المدرسة عن الأطعمة الغنية بالمواد الغذائية المختلفة ونصائح صحية للتغذ ته المدرسية ورسالة اخبارية للوالدي اضافة الى تقديم التسهيلات لممارسة الرياضة البدنية في المدارس وبرامج تثقيفية في سن مبكرة لان الأسرة لها دورها للتحكم في زيادة الوزن لديهم.


Article
The relation of salivary antioxidants and lipid peroxidation biomarker to periodontal diseases among overweight and obese adult aged 55-65 year-old at Textile factory in Mosul city

Author: Baydaa A. Yas بيداء ياس
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 1 Pages: 90-95
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Overweight and obesity might be a potential risk factor for periodontal diseases. The principle objectiveof this study was to identify the relationship of salivary antioxidants (vitamin E and uric acid) and lipid peroxidationbiomarker (malondialdehyde/MDA) with periodontal diseases among overweight and obese adult aged 55-65 yearoldsubject at Textile factory in Mosul city.Materials and methods: All subjects aged 55-65 year-old (thirty five subjects) at Textile factory in Mosul city took partin this study. Salivary flow rate was measured after collection of unstimulated saliva then salivary samples wereanalyzed for the measurement of salivary antioxidants (vitamin E and uric acid) and lipid peroxidation biomarker(malondialdehyde/MDA). Periodontal diseases were evaluated by using the gingival index (GI), periodontal pocketdepth (PPD) and clinical attachment level (CAL). Body weight was determined by using the Body Mass Index (BMI).Results: Malondialdehyde (MDA) level was higher among obese and overweight than non-obese with highlysignificant difference (F=5.52, P<0.01). Similarly vitamin E and uric acid levels were elevated among obese andoverweight compared with non-obese though statistical differences were not significant (P>0.05). In contrast salivaryflow rate was lower among obese and overweight than non-obese with highly significant difference (F=8.11, P<0.01).Regarding periodontal diseases, obese subjects showed higher periodontal destruction in comparison with nonobese.Conclusions: Overweight and obese subjects could be considered as special group who need educational andpreventive programs that include maintaining a normal body weight, eating a well-balanced diet and engaging inphysical activity in addition to oral hygiene practices to improve their oral and general health.


Article
Changes in Body Weight, Serum (Sodium, Potas-sium) and Serum Albumin after Intermaxillary Fixation in Traumatized and Obese Patients (Comparative Study)

Authors: Wael Sheet --- Mohmmed K. Hassouni
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 1 Pages: 52-56
Publisher: Mosul University جامعة الموصل

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Aims of the study: to evaluate the effects of intermaxillary fixation (IMF) on body weight, serum electrolytes ( Na+ and K+ ) and serum Albumin in traumatized and obese patients and to compare the changes between these two groups. Materials and Methods: A non randomized prospective study was done. The anthropometric measurement included 4 sites of skin fold thickness (triceps, biceps, subsca-pular and suprailiac skin folds), upper arm circumference, body mass index and laboratory investiga-tions to assess serum(Na+ and K+) levels and serum albumin level. The patients were divided in to 2 groups, the first group included 25 traumatized patients and the second group included 7 volunteer ob-ese patients and IMF was placed for those patients as one of the treatment lines for their body weight reduction and were considered as the control group. The parameters were recorded for each patient in the 2 groups preoperatively, one week, three weeks and six weeks postoperatively. Paired and un paired T tests were used in the statistical analysis, a P value < 0.05 was considered highly significant. Results: The changes of the anthropometric measurements, body mass index, serum K+ and serum albumin were statistically highly significant in traumatized patients with body weight loss ranging be-tween (5-8) Kg in this group. The changes of the anthropometric measurements and body mass index in the obese patients group were also statistically highly significant with a loss of (5-6) Kg in body weight in this group. The changes of anthropometric measurements and body mass index were statisti-cally highly significant in traumatized patients than in obese patients, while the changes in serum (Na+ and K+ ) and serum Albumin level were statistically not significant between the two groups. Conclu-sion: IMF compromises the nutritional status of the patients leading to loss of water, fat and protein in both traumatized and obese patients but the effect more pronounced in traumatized patient due to the metabolic and hormonal response to trauma together with the limited oral intake.


Article
The impact of Organizational obesity on job Decortication
البدانة التنظيمية وأثرها في عملية التصحر الوظيفي

Author: Sultan Ahmed Khleaf سلطان احمد خليف
Journal: Managerial Studies Journal دراسات ادارية ISSN: 98612076 Year: 2012 Volume: 5 Issue: 9 Pages: 123-147
Publisher: Basrah University جامعة البصرة

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Abstract

Temporary organizations faced contingencies which It Barriers of following activates with righting from that allocated in framework of organizational obesity that concerned with recruitment of a large number of workers in the field of job that's aims of hiring an reinforcement of organization with new blood as well as response of requirements of workers misemployment. Infect nightfall of many dilemmas such as rumoring of loafing and down level of productivity that warning of organizational problem founding that represented the job is nearing with a desertification measuring of greening.Depending that problem study Declaring in Question Involving Do organizational obesity leaving positive effects in position job that it making is the source of dryness. The study depended Questionnaire that’s tool collecting of data concerned with phenomena of study as well as using of statistical methods.The study reaching of main concluding organizational obesity learning differentiates effects of dimensions desertification job in allocation of field study.

تتعرض المنظومات المعاصرة لظروف تعيقها عن مسايرة أنشطتها على نحو صحيح, وقد تقع تلك في إطار البدانة التنظيمية سواء تعلق الأمر بزج أعداد كبيرة في المجال الوظيفي بهدف التعيين وسد الشواغر أو رفد تلك المنظومات بدماء جديدة فضلاً عن محاولات سد الشواغر والاستجابة الظاهرية لمطالب العاملين عن العمل وما إلى ذلك من مبررات, إلا أن الحقيقة تغص بكثير من الإشكاليات من بينها شيوع حالات قد تنذر بانحراف الأرضية الوظيفية وجعلها أقرب إلى التصحر والجفاف منه إلى الاخضرار عليه تجلت مشكلة الدراسة في تساؤل فحواه : هل تترك البدانة التنظيمية آثاراً وتبعات سلبية في الواقع الوظيفي وعلى النحو الذي يجعل من الوظيفة مصدر جفاف؟ وقد اعتمدت الدراسة الاستبانة بوصفها الأداة لجمع البيانات الخاصة بالظاهرة قيد الدراسة كما تمت الاستعانة بعدد من الأساليب الإحصائية. وقد خرجت الدراسة باستنتاج رئيس أن البدانة التنظيمية تترك تأثيرات متباينة في أبعاد التصحر الوظيفي في الموقع ميدان الدراسة.

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