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Article
Incidence of facial soft tissue injuries among patients attending surgical casualty reception in Rojh-halat emergency hospital
حدوث إصابات في الأنسجة الرخوة في الوجه بين المرضى الذين يراجعون استقبال الحالات الجراحية في مستشفى الطوارئ روزهلات

Authors: Omed I. Shihab --- jalal Hamasalih Fattah --- Rasool Hamed Awlla
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 300-304
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objective: Facial soft-tissue injuries are the most common injuries presenting to surgical causality reception. The present study aimed to provide a preliminary data base about the distribution, type, pattern and etiology of facial soft tissue injuries. Methods: In a prospective clinical study all patients with facial injury were enrolled in this study, over a ten months period (from 1st October 2010- 1st July 2011), who attended Surgical Casualty Reception in Rojh-halat Emergency Hospital. A questionnaire was used to collect patients’ database and relevant information. The wound configuration was divided as laceration, abrasion and contusion as well as the site of facial soft tissue injuries were recorded using the modified MCFONTZL system. Results: A total of 168 patients with facial soft tissue injuries were received and managed at Surgical Casualty Reception in Rojh-halat Emergency Hospital. The age of the patients were ranged from 1-80 years old. Most of the patients were within the age range of 1-10. Male patients constitute 62.5% of the cases. The most common etiology of facial soft tissue injury was falls. Regarding type of the injury, laceration was the most common type. The lips and chin region were mostly involved. Conclusion: Fall is the most common cause of facial injury. Lower third of the face is mostly involved. road traffic legislations have a role in decreasing road traffic accidents.

Keywords

face --- soft tissue --- injury


Article
Management of Retroperitoneal Soft Tissue Sarcomas

Authors: Safa M. AL-Obaidi --- Alaa A. AL-Wadees --- Mohammed Abd-Zaid Akool
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 166-174
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT: Hospital , Baghdad.*Department of surgery ,Kufa Teaching Hospital , Najaf. BACKGROUND:Most retroperitoneal tumors are malignant and about one third are soft tissue sarcomas. Sarcomasare uncommon malignant tumors arising from mesenchymaltissue . Retroperitoneal sarcomasaccount for approximately 10%-15% of soft tissue sarcomas and less than 1% of all malignantneoplasms. Surgery is the only curative treatment for retroperitoneal soft tissue sarcomas. OBJECTIVE:To define the best extent of surgery that would optimize the safe margins on retroperitoneal softtissue sarcomas , where the recurrence of tumor greatly depends on feasibility of completeresection and the grade of tumor.PATIENTS AND METHODS:Between June 2007 and December 2010,28 patients (female 16,male 12, mean age; 43.93 years,range18-69 years)were evaluated for survival and response to therapy by gender, age ,preoperativesymptoms ,symptoms duration , primary or recurrent tumors , the extended of surgical resection, orpalliative procedures .Complete resection was defined as removal of gross tumor withhistologically confirmed clean resection margins. RESULTS:Eighteen patients(64%) out of 28 patients under went simple surgical resection ,5patients(28%)underwent compartmental resection (systematic resection of noninvolved contiguousorgans),1 patient (3%) underwent enucleation of tumor ,while debulking done in 4 patients (15%).The surgical resection margin was involved only in one patient (due to tumor rupture duringresection) of those patients underwent compartmental resections, it’s was free in only (10/18,56%)patients underwent simple resection ,while it was involved in all tumors removed with enucleationor debulking (incomplete resection) .The recurrence of tumor greatly depends on state of surgical margin in resected sample (pvalue=0.001,significantlyassociated).Thehistopathological grade of tumor on the other hand also proved an important factor in therecurrence of tumor where it was higher with high grade tumor versus low grade tumor (Pvalue=0.001,significantlyassociated).CONCLUSION:Complete compartmental surgery without tumor rupture should be performed when possible toachieved clear margins. Wide resection lowers the local recurrence and improves survival rate.Both the state of surgical margin and grade of tumor are the most important prognostic factorswhich determine the survival rate and recurrence tumor.


Article
The early results of surgical treatment of congenital clubfoot by a modified soft tissue release
النتائج المبكرة للعلاج الجراحي للقدم المشقوقة بواسطة تحرير الأنسجة الرخوة

Authors: Mustafa Adnan Mustsfa --- Omar Ameen Saeed
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 3 Pages: 577-581
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Talipes Equinovarus (TEV) or Congenital Clubfoot is the most common congenital anomaly of the foot. The incidence of TEV is 1-2 per 1000 life births, about 30% of these cases is bilateral with a higher incidence in males than in females (2:1). Congenital Clubfoot is a complex deformity which has four components: Heel in equinus, hind foot in varus, mid foot in cavus, forefoot in adduction and supination. The presented study aimed to evaluate the surgical treatment outcome of congenital club foot by a modified soft tissue release (i.e. division of tendons of tibialis posterior and flexor hallucis longus).Methods: This is a prospective study done on the Result of treatment of congenital Clubfoot by soft tissue release. Numbers of patients are thirty three patients, forty eight feet, fifteen patients (45.46%) had bilateral, and eighteen patients (54.55%) had unilateral deformities. Twenty one patients (63.64) were male and twelve patients (36.37) were female, male to female ratio was 1.75:1, their ages range between 4-35 months (mean ages in months = 15.43 months). The patients whom included in this study had no previous treatment because of delay in presentation.Results: All patients were assessed clinically and radiologically. The result of our study was as follow: Excellent result for 28 feet (58.3%), Good result for 16 feet (33.3%), Poor result for 4 feet (8.3%). The over all result can be sub divided to two categories; a) satisfactory which involve both the excellent result and the good result (91.67%) and b) unsatisfactory result which involve only the poor result (8.33%).Conclusion: The study revealed that the use of this surgical method is of good result and lower rate of complication.


Article
THE OUTCOME OF 810 NM SURGICAL DIODE LASER IN THE MANAGEMENT OF ORAL SOFT TISSUE LESIONS

Author: Ammar S Al-Alawi عمار صالح رضا العلوي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 2 Pages: 109-112
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Surgical diode lasers have been used in oral surgical procedures with beneficial effects as compared to the conventional techniques.Objective:To evaluate the efficacy and safety of 810 nm surgical diode laser in the field of oral and maxillofacial surgery.Methods:Forty patients who had different oral lesions were attending consultation clinic of the Maxillofacial Surgery Department in the Al-Kadhimyia Teaching Hospital. The patients have been treated by 810 nm diode laser. The power of the diode laser was 2-5 Watts in continuous mode. Excisional biopsies were sent for histopathological examination. Intraoperative and postoperative clinical examinations were done.Results:The clinical observations revealed no bleeding intraoperatively and postoperatively, no infection and minimal swelling was seen postoperatively.Conclusion:The benefits of 810 nm diode laser application in oral and maxillofacial surgery have been justified based on its efficacy and safety. There is a good acceptance for this new modality of treatment by the patients.Keywords:Surgical diode laser, soft tissue lesion, oral surgery


Article
Biochemical Study of Ribonuclease in Serum and Tissues of Patients with Uterine Tumors
دراسة كيموحيوية لأنزيم الرايبونيوكليز RNase في مصل دم وأنسجة المصابات بأورام الرحم

Authors: Saba Z. Al-Abachi صبا زكي العباجي --- Duaa H. Omar دعاء حسين عمر
Journal: Rafidain journal of science مجلة علوم الرافدين ISSN: 16089391 Year: 2013 Volume: 24 Issue: 5A Pages: 64-80
Publisher: Mosul University جامعة الموصل

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Abstract

The activity of alkaline and acidic ribonuclease (RNase) was measured in serum and tissues of women with benign and malignant uterine tumors, compared to women with a curettage as a control group. The results indicated that there is a significant increase in alkaline and acidic RNase activity in sera and tissues of patients with uterine tumors when compared with the control group. The research also, includes the isolation and purification of the alkaline RNase from the sera of normal women. It has been found that the specific activity of enzyme in proteinous precipitate, after dialysis and gel filtration, was increased and the enzyme shows two peaks. In addition, it has been found that the enzyme has approximate molecular weight of (28774±1000) dalton. The results also showed that the optimum conditions of the RNase enzyme are: (50) µg/ml of enzyme concentration with reaction (15) minutes at (pH= 8.2) and at (37˚C), while the substrate concentration was about (0.125) mmol/L. When the Lineweaver-Burk plot was used, the value of Michaelis-Mentens constants (Km) is (0.06 mmol). When the duration of storage was studied, the activity of the enzyme is not affected during two months, after that the activity was decreased gradually.

تم قياس فعالية أنزيم الرايبونيوكليز RNase القاعدي والحامضي في مصل ونسيج النساء المصابات بأورام الرحم الحميدة والخبيثة مقارنة مع مصل ونسيج نساء تعرضن لعملية قشط جدار الرحم بوصفها مجموعة سيطرة. لوحظ وجود زيادة معنوية في فعالية الأنزيم القاعدي والحامضي لدى النساء المصابات بأورام الرحم مقارنة مع مجموعة السيطرة. تضمن البحث أيضا عزل وتنقية أنزيم RNase القاعدي من مصل الدم لإمرأة سليمة، وأشارت النتائج الى وجود زيادة في الفعالية النوعية للأنزيم في الراسب البروتيني بعد الترسيب بكبريتات الامونيوم المشبعة وبعد الترشيح باستخدام تقنية الترشيح الهلامي ظهر للأنزيم حزمتين بروتينيتين. تم تقدير الوزن الجزيئي التقريبي للأنزيم إذ بلغ (1000±28774) دالتون. وتم ايضا دراسة تأثير بعض العوامل على فعالية أنزيم RNase القاعدي وتبين أن الظروف المثلى للأنزيم كانت عند تركيز (50) مايكروغرام/مل من الأنزيم وبزمن تفاعل (15) دقيقة عند (pH=8.2) ودرجة حرارة (37˚C)، عندما يكون تركيز مادة الاساس (0.125) ملي مول/لتر وباستخدام رسم لاينويفر- برك وجد أن قيمة ثابت مكيلس هي (0.06) ملي مول. وعند دراسة تأثير مدة التخزين على فعالية الأنزيم وجد أن الفعالية تبدأ بالانخفاض بعد شهرين من التحضير.


Article
Micropropagation of Black Poplar Trees ( Populus nigra L. ) by Tissue Culture
الإكثار الدقيق لأشجار الحور الأسود Populus nigra L. بالزراعة النسيجية

Authors: Omar M. Omar عمر مظفر عمر --- Ammar Z. Kassab-Bashi عمار زكي قصاب باشي --- Nathim Th. Saieed ناظم ذنون سعيد
Journal: Rafidain journal of science مجلة علوم الرافدين ISSN: 16089391 Year: 2013 Volume: 24 Issue: 6A Pages: 1-17
Publisher: Mosul University جامعة الموصل

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Abstract

A successful protocol was used for black poplar (Populus nigra L.) micropropagation through tissue culture, through initiation stage which studied, the effect of concentrations 0.0, 1.0, 1.5, 2.0, 2.5, 3.0 mg / l of Benzyl Adenin (BA) and explants of two different types (single node and shoot tips). In multiplication stage the effect of BA concentrations 0.0, 0.5, 1.0, 2.0, 3.0 mg / l alone or in combination with IBA or NAA 0.1. 0.3 mg / l. The results of initiation stage after four weeks of culture showed significant differences for single node application in comparison with shoot tips, by ratios value of response (80%, 68.33%) at a time the growing node has a significant superiority for growth in MS without regulators in relation with that MS medium having different concentrations of BA. But the results of the multiplication stage, after eight weeks of culture showed different cultured nodes of response to different concentrations of BA, the medium with 1.0 mg / l BA is significantly different for a number of shoot traits (2.7 shoot / node) and the longest shoots more than 0.5 cm. (2 shoot / node) in comparison with other concentrations studied of BA. On the other hand, the combination of 1.0 mg / l BA with 0.3 mg / l of IBA or NAA causes a significant increase for some studied characteristics in comparison with the control (1 mg / l BA) and other studied interactions by which we have got the highest number of shoots (4.7 shoot / node, 4.9 shoot / node) respectively in relation with control (2.6 shoot / node), also we have highest number of leaves (17.4 leaf / node, 17.2 leaf / node) and shoots longer than 0.5 cm. trait of (3.7 shoot / node, 3.5 shoot / node) respectively. The shoot regenerated from tissue culture rooted by ratios of 73.5 % in MS medium with half of the strength of salt with 0.5 mg / l IBA and then adapted and transferred to field conditions at success rate 90% .

صمم برنامج ناجح لإكثار نبات الحور الاسود Populus nigra L. بالزراعة النسيجية، إذ دُرست خلال مرحلة النشوء تأثير التراكيز صفر، 1.0، 1.5، 2.0، 2.5، 3.0 ملغم / لتر من البنزايل ادنين (BA) وعامل نوع الجزء النباتي متضمنا (العقد المفردة، القمم النامية)، وخلال مرحلة التضاعف تأثير التراكيز صفر، 0.5، 1، 2، 3 ملغم / لتر من BA لوحده و متداخلا مع IBA أو NAA بالتراكيز 0.1، 0.3 ملغم / لتر لكل منهما. أوضحت نتائج مرحلة النشوء بعد أربعة أسابيع من الزراعة تفوق العقد المفردة معنويا عن القمم النامية في نسبت استجابتها البالغة 80 %، 68.33% على التوالي. وتفوق العقد النامية في وسط MS الخالي من منظمات النمو معنويا في استجابتها للنمو عن العقد النامية في الأوساط المجهزة بتراكيز متباينة من BA. في حين اوضحت نتائج مرحلة التضاعف بعد 8 أسابيع من الزراعة اختلاف العقد المزروعة في استجابتها للتراكيز المختلفة من BA اذ تفوقت العقد المزروعة في الوسط الحاوي 1 ملغم / لتر BA معنويا في صفات عدد الافرع (2.7 فرع / عقدة) وعدد الأفرع الأطول من 0.5 سم (2 فرع / عقدة) عن بقية التراكيز المدروسة. احدث تداخل 0.3 ملغم / لتر IBA او NAA مع 1.0 ملغم / لتر BA زيادة معنوية في بعض الصفات المدروسة عن معاملة المقارنة ( 1.0 ملغم / لتر BA ) وباقي التداخلات المدروسة وحصول أعلى عدد أفرع (4.7 فرع / عقدة، 4.9 فرع / عقدة) على التوالي مقابل (2.6 فرع / عقد) في معاملة المقارنة وأكثر عدد أوراق (17.4 ورقة / عقدة، 17.2 ورقة / عقدة) وعدد أفرع الأطول من 0.5 سم (3.7 فرع / عقدة، 3.5 فرع / عقدة) على التوالي. جذرت الأفرع الناتجة بنسبة 73.5 % في وسط MS بنصف تركيز أملاحه والمجهز بإضافة 0.5 ملغم / لتر IBA ومن ثم قلمتها ونقلها إلى ظروف الحقل وبنسبة نجاح بلغت 90 %.


Article
Photogrammetric analysis of facial soft tissue profile of Iraqi adults sample with Class I normal occlusion: (A cross sectional study)

Authors: Suhaib M. Al-Janabi صهيب الجنابي --- Fakhri A. Ali فخري عبد علي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 2 Pages: 164-172
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The purposes of this study were to determine the photogrammetric soft tissue facial profile measurementsfor Iraqi adults sample with class I normal occlusion using Standardized photographic techniques and to verify theexistence of possible gender differences.Materials and methods: Eighty Iraqi adult subjects (40 males and 40 females) with an age ranged between 18-25 yearshaving class I normal occlusion were chosen for this study. Each individual was subjected to clinical examination anddigital standardized right side photographic records were taken in the natural head position which is mirror positionwhich the patient looking straight into his eyes into the mirror mounted on the stand. The photographs were analyzedusing AutoCAD program 2011 to measure the distances and angles used in the Soft Tissue Photogrammetric Analysis.Descriptive statistics was obtained for the measured variables for both genders and independent- samples t-test wasperformed to evaluate the genders difference.Results and conclusions: The results indicated that: males had greater facial heights and lengths as well as greaterprominences. The mean values of all angular variables were higher in males than females except in the followingangular measurements: nasofrontal, mentolabial, angle of the middle facial third; and angle of the head position, withlarger male dimensions in all linear measurements of the facial, labial, nasal, and chin areas except Canut’s nasalprominence in nasal area. The nasofrontal, vertical nasal, nasal dorsum, cervicomental, middle facial third and facialconvexity angles showed statistically significant gender differences, in which the male dimensions were larger thanfemales while the nasolabial, the mentolabial, nasal, the inferior facial third, the head position and total facial convexityangles showed statistically non significant gender differences


Article
Urokinase – type Plasminogen Activator System in Human Breast Cancer
نظام منشط البلازمينوجين نوع يوروكاينيز في أورام الثدي

Authors: Reyadh Salim Al-Jubouri رياض سالم الجبوري --- Faeza Aftan Al-Rawi فائزه عفتان الراوي --- Ali Hussien Al-Khafaji علي حسين الخفاجي
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2013 Volume: 54 Issue: 5 Pages: 1050-1056
Publisher: Baghdad University جامعة بغداد

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Abstract

Urokinase plasminogen activator (uPA), urokinase plasminogen activator receptor (uPAR) and plasminogen activator inhibitor-1(PAI-1) are essential for metastasis, and overexpression of these molecules is strongly correlated with poor prognosis in a variety of malignant tumors. This study revealed direct correlation between immunohistochemical expression of uPA with pathological stage. No significant association of immunohistochemical expressions of uPA, uPAR and PAI-1 with immunohistochemical expressions for estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor -2 (HER-2/neu), and direct association between immunohistochemical expressions of (uPA and uPAR) as well as between immunohistochemical expressions of (uPA and PAI-1).

يعتبر منشط البلازمينوجين نوع يوروكاينيز ومستقبل منشط بلازمينوجين نوع يوروكاينيز ومثبط منشط بلازمينوجين نوع 1 ذات اهمية لانتشار مرض السرطان وان التعبير الكيميائي النسيجي المناعي لهذه البروتينات له ارتباط وثيق في التكهن السيء لللأورام الخبيثة, اذ توصلت هذه الدراسة الى وجود علاقة مباشرة بين التعبير الكيميائي النسيجي المناعي لمنشط البلازمينوجين نوع يوروكاينيز مع المرحلة السريرية للمرض. فضلا عن ذلك اظهرت هذه الدراسة عدم وجود علاقة معنوية بين التعبير الكيميائي النسيجي المناعي لكل من منشط بلازمينوجين نوع يوروكاينيز ومثبطه ومنشطه مع مستقبلات الاستروجين والبروجستيرون ومتلقي عامل النمو البشري النوع الثاني, وكانت هناك علاقة معنوية بين التعبير الكيميائي النسيجي المناعي لكلاً من منشط بلازمينوجين نوع يوروكاينيز ومستقبل منشط بلازمينوجين نوع يوروكاينيز وكذلك وجود علاقة معنوية بين التعبير الكيميائي النسيجي المناعي لمنشط بلازمينوجين نوع يوروكاينيز ومثبط منشط بلازمينوجين نوع يوروكاينيز.

Keywords

Breast cancer --- uPA --- uPAR --- PAI-1 --- Tissue microarray


Article
Soft tissue facial profile analysis of adult Iraqis with different classes of malocclusion

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Abstract

Background: Complete analysis of facial profile should also include an evaluation of soft tissue morphology.Materials and Method:The sample consisted of 90 Iraqi adults (45 males and 45 females) aged 18-25 years fromBaghdad city divided into 3 groups according to the ANB angle with 30 subjects in each group (15 males and 15females) for class I, II and III. Lateral cephalometric radiograph was taken for each subject and 8 angular and 5linear measurements were identified and determined, t-test, ANOVA and LSD test were used to compare betweenboth genders and between different classes.Results:Showed that females had greater angular measurements and smaller linear measurements with more lipprominence than males in all classes, there was more convex facial profile with more prominent forehead, moreprominent tip of the nose with increased facial heights and more prominent lips in class II subjects than in class I andIIIsubjects.Conclusion: There is wide variation in soft tissue facial profile among different classes of malocclusion and carefuldetermination of the components of soft tissue facial profile is very important in the diagnosis and treatmentplanning


Article
Reliability of Soft Tissue Analysis in Conventional and Digital Cephalographs

Author: Ruba J Mohammed
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 1 Pages: 108-115
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: This study compared the reliability of measurements of soft tissue cephalometric analysis be-tween the direct digital and conventional cephalometric images using computerized cephalometric pro-gram and hand tracing. Materials and Methods: The adult sample consisted of (30) Iraqi subjects (females and males) with age ranged 18 – 25 years old, the samples satisfied the criteria of this study. Nine soft tissue measurements were recorded from lateral cephalometric radiographs using either hand tracing or digitally directly on the monitor. The data were analyzed using descriptive statistic and stu-dent’s t–test. Results: No significant differences were found between the conventional or hand tracing and digital cephalometric analysis. Conclusions: The analysis of soft tissue profile using digital cepha-lometric analysis is reliable as using the conventional method. Yet, the digital method had more benefit than the conventional method, such as reduction of the radiation dose and the image enhancement.

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