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Article
CHARACTERISTICS AND CLINICAL MANAGEMENT OF FEMALE PATIENTS WITH FISSURE IN ANO IN AL-KADHIMIYA CITY, BAGHDAD

Author: Qahtan A. Mahdi قحطان عدنان مهدي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 3 Pages: 238-242
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Fissure in ano is a common painful anal problem in female patients.Objective:To study the sociodemographic variables of female patients with fissure in ano, and to identified the characteristic of anal fissure and their treatment among those patient in Al-Imamian Al-Kadhimiyian Medical City and two private hospitals.Methods:This is a prospective study that was carried out from May 2008 to May 2011. Two hundred fifty female patients with fissure in ano were interviewed regarding their age, marital state, address, level of education, clinical presentation and the subsequent management.Result:The commonest age of presentation in females was between 21-30 years. 78% of them were living at the peripheral areas of north of Baghdad, and 79.6% were of low level of education (primary school or below). The prevalence was found more in women with high parity especially when their child delivery was supervised by a midwife in their location. All patient has presented with anal pain, 55% were associated with bleeding per rectum and 64.2% with constipation. The location of fissures was 51.6% anterior, 48% posterior, 0.4% lateral in position. Less than half of patients underwent a surgical treatment. 77% of them were treated by lord dilatation under anesthesia and 23% by lateral sphinecteromty.Conclusion:Factors which had an impact on the clinical course and management of fissure in ano in female patients were found to be the social status, the level of education and the parity, therefore to prevent this illness, a cooperation between the heath services and the family health center and the government is necessary in order to overcome such a common problem.Keywords:Fissure in ano, Female

Keywords

Fissure in ano --- Female


Article
Anal Fissure among Female in Erbil City
الشق الشرجي عند الإناث في مدينة أربيل

Author: Bahjat Ahmed Mohammad
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 3 Pages: 21-25
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objectives: to identify the causes of the fissure in ano among child bearing age female in Erbil city because it is very common in the Kurdistan.Methods :- This prospective study of evaluation of fissure in ano among female patients in Erbil city and its surrounding for the period between may 2010 and may 2012, Data collected from 500 cases showed that fissure in ano is most common cause of ano-rectal pain in this locality among child bearing age females from clinic ,Erbil teaching hospital and Erbil gynecological hospital All the patients were interviewed and clinical data were recorded including; age, occupation, marital state, number of children, types of fissure in ano, sites of fissure, associated symptoms, its treatment and recurrence. Period from first onset of symptoms to first medical consultation were recorded and showed that most of them were delayed.Results: from 500 cases showed that fissure in ano is most common cause of ano-rectal pain in this locality among child bearing age females from clinic ,Erbil teaching hospital and Erbil gynecological hospital.Conclusion: the fissure in ano is the most common disease among female childbearing age and usually due to bad post natal careRecommendation: for prevention of this painful condition I advice the gynaecologist and obstetrician to do peri anal care.

الأهداف: هذه دراسة وصفية أجريت لتقييم حالات الفطر الشرجي بين النساء في مدينة اربيل و ضواحيها, الفطر الشرجي هو مشكلة شائعة بين النساء اكثر مما هو في الرجال, وهو تقرح خطي في النصف الأسفل من القنات الشرجية الواقعة في الجدار الخلفي والوسطي.المنهجية: جمعت المعلومات من 500 حالة للفترة الممتدة من ايار 2010- الى ايار 2012 من خمسمائة مريض اجروا مقابلة والفحص السريري وتم تسجيل المعلومات السريرية وكانت تتضمن العمر , محل الإقامة, الوظيفة, الحالة الاجتماعية, عدد الأطفال نوع وموقع فطر الشرجي وكذلك الأعراض المصاحبة والعلاج ورجوع الفطر بعد العلاج مرة أخرى. بالإضافة الى ذلك تم احتساب الفترة الزمنية بين ظهور أول عرض للمرض ومراجعة المريضة للطبيب لغرض العلاج. النتائج: الفطر الشرجي حالة متكررة بين النساء القادرات على الحمل وأظهرت النتائج من مجموع الحالات 76.8% منهم كانوا متزوجات و23.3% كانوا غير متزوجات.الاستنتاج: عدد الأطفال ومكان الولادة والعوامل الاجتماعية والتعليمية هي من العوامل المشاركة في تطور المرض.التوصيات: يجب زيادة التوعية الاجتماعية لهذه المشاكل ومضاعفاتها.

Keywords

fissure --- ano --- female.


Article
An evaluation of three fissure sealants microleakage with presence or absence of bonding agent through time intervals (In vitro study)

Authors: Ali M. El-mosawi علي الموسوي --- Wesal A. Al-Obaidi وصال العبيدي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 1 Pages: 181-187
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Pit and fissure sealant have been considered an outstanding adjunct to oral health care in thedecrease of occlusal caries onset and low progression. The aims of this in vitro study were to evaluate the marginalmicroleakage of three different types of fissure sealants (SDI, Tg and tetric N-flow) by time interval, one day and 45days, in the presence or absence of bonding agent among maxillary and mandibular teeth.Materials and methods: Seventy two sound human maxillary and mandibular first premolar teeth were collectedwhich were free from obvious carious lesions. The teeth were randomly divided into two main equal groups, group (1)and group (2), each group consists of (36) teeth involving equal numbers of maxillary and mandibular teeth. The firstgroup incubated for one day, the second incubated for (45) days. Each group divided into two subgroup; one ofthem treated with bonding agent while the other without. Then each subgroup was treated with three differentmaterials which were; Tg sealant (without fluoride) group (A), SDI sealant (containing fluoride) group (B) and Tetric Nflow(flowable composite) group (C). Each one consist of six teeth involving three maxillary and three mandibular.Then dye penetration tested by using methylene blue dye, then the teeth cleaned and sectioned by sectioningdevice and tested under microscope.Results, the results had shown that, group (C+) in both incubation periods have no microleakage (score 0), but therewas an opposite effect when using bonding agent with sealant materials not containing filler particles that showed asignificant increase in the microleakage rate as shown in groups (A+ and B+). The opposite effect was seen alsowhen used sealant materials containing filler particles but without bonding agent that seen in group (C) during bothincubation periods that showed significant increasing in microleakage rate. While the effect of fluoride was veryclear in decreasing significantly the microleakage rate after (45) days of incubation in both groups that treated withand without bonding agent (groups B and B+). Concerning the anatomical variation, there were no significantchanges in most groups regarding the microleakage rate.Conclusions: Results had shown that the microleakage can be prevented by using of flowable composite containingnanofillers that treated with bonding agent after etching of enamel with 35% phosphoric acid gel

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