research centers


Search results: Found 140

Listing 1 - 10 of 140 << page
of 14
>>
Sort by

Article
Pregabalin Versus Amitriptyline in the Treatment of Fibromyalgia Patients (A Double Blind Comparative Study)

Authors: Luma Eassa Hammody --- Samir Yousif Matloub --- Sami Salman Shihab
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 1 Pages: 38-44
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACK GROUND:Fibromyalgia is a disorder characterized by widespread musculoskeletal pain, fatigue, sleep and mood disturbances. Its etiology and treatment remain challenging. Oxidative stress may play a role in its pathogenesis.OBJECTIVE:The efficacy of pregabalin to that of amitriptyline on FM and the effect of treatment on oxidative status were examined.METHODS:123 patients fulfilling the Wolfe 2010 criteria for fibromyalgia diagnosis and assessment were randomized to receive amitriptyline (25 mg) or pregabalin (75 mg) once daily for 12 weeks. The revised fibromyalgia impact questionnaire criteria were also used. Malondialdehide and glutathaion levels were checked at the beginning and at the end of the study.RESULTS: Improvement in the pain was better with pregabalin than with amitriptyline (P=0.0001) at 4 weeks of treatment, but achieved comparable improvement at 8 and 12 weeks. The reduction in the somatic symptoms scale was significant for both drugs in favour of pregabalin. Sleep was improved significantly but pregabalin over amitriptyline (P=0.0001). Oxidative status was significantly improved.CONCLUSION:Both drugs improved the symptoms. Pregabalin was better than amitriptyline concerning SSS and sleep, but with a comparable effect on pain. Oxidative status was improved. Amitriptyline was better than pregabalin concerning patient compliance and tolerability.


Article
Characteristics of Multidrug Resistance Tuberculosis Cases in Baghdad

Authors: Arwa Tahrir Ramadhan --- Layth Salihi --- Mohammad Yahya Abdulrazaq --- Hayder H.Ali Al-Sikafi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 1 Pages: 65-70
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) is caused by strains of Mycobacterium tuberculosis resistant to at least isoniazid and rifampicin, the two most effective bactericidal agents currently available for TB treatment.It has emerged as a global public health emergency . It requires treatment with combination therapy consisting of four to six medications for up to 2 years . Additionally, the treatment is generally more toxic and far more expensive than the standardized treatment regimen used to treat drug-susceptible TB . The latest estimates of the World Health Organization (WHO) arrive at 650 000 prevalent MDR-TB cases among the 12 million tuberculosis cases worldwide.OBJECTIVE: To identify the Characteristics of multidrug resistance tuberculosis cases attending the specialized center for chest and respiratory disease in Baghdad during the period 9th of September 2012 – 9th of December 2012.METHODS :A cross sectional study was done in the specialized center for chest and respiratory disease in Baghdad during the period 9th of September 2012 – 9th of December 2012.Any patient attending the specialized center for chest and respiratory disease in Baghdad during the study period diagnosed as a case of MDR TB was enrolled in this study. RESULTS: The sample is composed of 42 MDR-TB patients (29 male and 13 female ) , with age mean of 38.3±12.8 year . Male sex significantly dominates and exceeds two thirds of the sample (69.0%) (P < 0.05). The study find ages between 25-45 year contribute to about two thirds (62.0%) of patients, and ages between 55-65 years constitute about one fifth (19.0%) of the sample. (P < 0.05). Body habit significantly showed that half the sample (50.0%) were underweight and only 10% were overweight or obese (P < 0.05).Smoking is found in 21.4% of total sample.The duration of taking first line antituberculosis drugs (FLD) before being labeled as MDR-TB varied from 14 to 72 months, with mean duration of 27.3±15.2 months with no significant difference in mean duration between the two sexes (P > 0.05,). Time required to diagnose these cases as MDR-TB varied from 0 to 24 months with mean time of 9.0±6.5 months. There was no significant difference in mean diagnosis time between males and females (P > 0.05). This study found that around one fifth (19.0%) of the sample have a history of default from treatment with FLD. Only one female was significant to be a case of primary MDR-TB (P > 0.05). Two cases (both were males) significantly had history of reaction to FLD treatment (P < 0.05). None of the sample had positive HIV testing.CONCLUSION: Most MDR patients in this study were males aged between 25-45 years .Most cases had acquired MDR TB and primary MDR-TB was rare finding in this study. Around one fifth of the sample have a history of default from treatment with FLD.


Article
Effect of Shock Wave Frequency on Treatment Outcomes in Patients with Renal Stone Treated by Extracorporeal Shock Wave Lithotripsy

Authors: Samir Ali Muter --- Ziad Hammad Abd --- Hasan Ali Rasheed --- Noorulhuda Mukhlif Najm Al-Ani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 2 Pages: 197-202
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: since the introduction of ESWL in treatment of renal stones, it remained the first option for most renal and ureteric stones, with a success rate ranging from 60% to 90%. Multiple variables can affect treatment outcome, including those related to the machine, dose administered, and factors related to the patient; the exact role of most of these factors is still under study.OBJECTIVE: We investigated the effect of shock wave frequency on treatment outcomes in terms of success and complication rates.PATIENTS AND METHOD: 139 patients with radio-opaque renal stones, presented to the Urology consultancy clinic during the period June 2010 through January 2012 and decided to undergo ESWL treatment were randomized into three groups, the first group (46 patients) received shock waves at a frequency of 120 waves per minute, the second (47 patients) at 90 w/m, and the third group (46 patients) at 60 w/m. Patients were followed for treatment outcome and appearance of complications at 1 week, 3 weeks, and 6 weeks. Stone free status or insignificant asymptomatic residual gravels of 5mm or less are considered as success. Durations of hematuria and analgesic requirement were the main complications looked for during follow up, while subcapsular and retroperitoneal hematomas were looked.RESULTS: All patients received 3500-4000 shock waves per session at 17-18 KV energy. Success rate was significantly higher in the second and third groups, while the durations of hematuria and analgesic requirement were significantly shorter in groups 2 and 3. There was no significant difference between groups 2 and 3 in all outcome and complication parameters; however, the duration of treatment was significantly longer in groups 2 and 3.CONCLUSION: ESWL efficacy in fragmenting renal stones is significantly improved by decreasing frequency from the standard 120 sw/min to slower rates (90 and 60 sw/min), with significantly decreased analgesic requirement and hematuria durations. There were no significant differences between the 60 and 90 sw/min frequencies. Taking in account the longer treatment duration for the 60 sw/min frequency; the 90 sw/min frequency would be optimal in terms of stone disintegration, complications, and duration of treatment.


Article
Outcome of Endonasal Endoscopic Dacryocystorhinostomy in Nasolacrimal Duct Obstruction

Authors: Ali A.Abdalwahid --- Ragheed T. Miteab --- Hussein J. Mohsin**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 3 Pages: 344-354
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Dacryocystorhinostomy (dcr) is the standard trcatmert for nasolacrimal duct Obstruction .based on opening the lacrimal sac, which is connected to the nose, by removing the bone and the mucosa between these two structures at the level of the middle meatus.OBJECTIVE: To highlight the procedure of endonasal endoscopic dacryocystorhinostomy. PATIENTS AND METHODS: This was a prospective study conducted at Ghazy Al- hariri teaching hospital for surgical specialties during the period from 22nd of February 2011to the 4th of March 2013. A total of 22 patients were referred from the ophthalmologist for endoscopic dacryocystorhinostomy after had been diagnosed as distal obstruction of nasolacrimal duct or sac. Data were collected and all patients were investigated with general pre-operative investigation in addition to CT scanning to exclude any associated abnormalities or neoplasm and rigid nasal endoscopy were performed for all patients. Intranasal decongestant and steroids along with oral antibiotic were given pre-operatively in 14 patients. Endoscopic dacryocystorhinostomy was performed; the patients were followed up for 6 months and evaluated regularly for any complication. RESULTS: The mean age of the patients was (32.9 ± 12.7) years with range of (12– 69) years. About 59% of the patients aged 21-40 years. Females were predominant with a female to male ratio of 3.4:1. All patients had mucopurulant conjunctival discharge. The median duration of presentation was 5-6 months. The DCR performed eleven in right side and eleven in left side, and 4 associated operation were conducted for management of associated abnormalities. Eight complications developed during different time of follow up and only one patient needed re insertion giving a success rate of 95.5%.CONCLUSION: The endoscopic endonasal DCR is a safe procedure for the treatment of nasolacrimal duct obstruction and with high success rate and less serious complications.


Article
EFFECT OF VITAMIN C INJECTION ON SEMEN QUALITY OF AWASSI RAMS.

Author: H.K.J.Al-saab*
Journal: Diyala Journal of Agricultural Sciences مجلة ديالى للعلوم الزراعية ISSN: 20739524 Year: 2015 Volume: 7 Issue: 2 Pages: 12-19
Publisher: Diyala University جامعة ديالى

Loading...
Loading...
Abstract

This study was conducted in the Animal Farm, College of Agriculture, University of Baghdad, from march to may 2013, to clarify the effect of subcutaneous vitamin C injection on semen characteristics of Awassi rams. Six rams (1.5-2 years old) were randomly divided into three groups of 2 rams. Rams in T1and T2 were subcutaneously injected, every other day with dose of 50 and100 mg/kg body weight respectively ,for 45 days while control group in T0 received normal saline. The results showed a significant increase (P<0.05) in the The sperm concentration of T1 as compared with control group, while there were no significant differences among treated groups(T1 and T2). Group 2 showed a significant (P<0.05) increases in mass activity, individual motility and live sperm percentage. There was a significant decrease in individual motility and percentage of live sperm in T2 as compared to T1 and control group.In conclusion, despite of the significant improvement of some semen trail as in T2 group, the lower dose of vit. C(less than 50 mg/kg of body weight) was recommended represented the skin tearing(T2group) as well as the redness and sensitive skin in T1 group.

Keywords

words:Vitamin C --- Semen --- Rams


Article
The antibacterial effect of Ellagic acid on Lacto bacillus acidophilus in comparison to Chlorhexidine

Author: Dr. Saadi Jawad Muslim ,B.D.S, MSc. د. سعدي جواد مسلم
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2015 Volume: 12 Issue: 1 Pages: 126-133
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Ellagic acid is a natural herb extract were prepared from flesh pomegranateextract. The preparation and experiments were done and conducted in a laboratory ofchemistry department of Ministry of Science and Technology. Biological activity ofEllagic acid to ward pathogenic bacteria (Lactobacillus acidophilus) was studied. Thepurpose of this study was to evaluate the antibacterial effect of prepared Ellagic acidwith different concentrations on growth of lacto bacillus acidophilus in comparisonwith Chlorhexidine gluconate 0.2% and deionized water. This in vitro bacteriologicalstudy was tested according to agar well diffusion technique. The results showed that ahighly significant increase in mean values of Ellagic acid compared to Chlorhexidineand deionized water. The concentration, 5 mg/ml and10 mg/ml of Ellagic acid showedstronger effects in inhibition of lactobacillus acidophilus, than Chlorhexidine 0.2%.Ellagic acid 5and10mg/ml has the ability to interfere with the adherence ofLactobacilli in vitro.Previous study showed that Ellagic acid had antibacterial effect on Streptococcusmutans , Ellagic acid could be used as antibacterial mouth washes to preventdental caries.Chlorhexidine.


Article
Haemodynamic and Pulmonary Changes During Laproscopic Versus Open Cholecystectomy

Author: Nidhal H. Aziz, Sanaa F.Qassim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 4 Pages: 474-479
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: Laproscopy is a minimally invasive procedure allowing endoscopic access the peritoneal cavity after insufflation of a gas (CO2)to create space between the anterior abdominal wall and the viscera for safe manipulation.OBJECTIVE: Is to note the haemodynamic and pulmonary changes during laparoscopy in the early postoperative period in comparison with open cholecystectomy.PATIENTS AND METHODS: 30 adult patients of ASA class I and II studied in each group according to surgical procedure used ,monitoring used pulse oximetry ,non invasive automatic blood pressure measurement ,peak inspiratory pressure and capnography.RESULTS: There is slight reduction of mean arterial pressure(MAP) and heart rate(HR) following induction of anesthesiain both groups.Howevere,these effects tended to normalize in open cholecystectomy over time while in laproscopy tend to normalize after desufflation.Postoperatively both groups sustain significant reduction in oxygen saturation(SPO2) but in laproscopy was transient and clinically not significant.CONCLUSION: This study show that laproscopy give better recovery and may decrease the need for postoperative oxygen therapy.


Article
Assessment of Dialysis Adequacy Using Urea Reduction Ratio and KT/V in four Pediatric Hemodialysis Centers in Baghdad

Author: Ali Ahemd, Nariman F.Ahmed Azat, Shatha Ali
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 4 Pages: 522-529
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: The 21st century has been set to enhance dialysis adequacy. Numerous studies have confirmed the association between the delivered dose of hemodialysis and patients outcomes. There is thus some evidence regarding the relationship between dialysis dose and quality of life.OBJECTIVE:To assess dialysis adequacy using (Urea Reduction Rate and KT/V), and to determine the association between dialysis dose and different Hemodialysis characteristics in children with End Stage Renal Failure undergoing Hemodialysis.METHOD: This was an observational cross-sectional study that was conducted for three months, from (November 2014 till January 2015); we enrolled 50 children with End Stage Renal Failure in four hemodialysis centers in Baghdad. Samples for blood urea (predialysis and postdialysis) were drown to calculate the adequacy dose. RESULTS: Thirty two (64%) of patients were male and 18(36%) were females; with male to female ratio was (1.7:1).The mean urea reduction ratio and Kt/V were 59.63 ± 7.345% and 1.29 ± 0.275, respectively, with fair dialysis adequacy .A Kt/V less than 1.2 and a urea reduction ratio less than 65% were found in 42%, and 38% of the hemodialysis patients, respectively. There was a significant correlation between dialysis dose and (Blood flow rate, Dialysis hours, Dialysis frequency /week and Effective surface area), while there was insignificance correlation with (gender, age, volume of ultrafiltration.CONCLUSION: Our results were better than neighbor countries with fair dialysis adequacy. It is important to regularly measure the parameters of dialysis adequacy in order to assess whether targets are achieved in accordance with K/DOQI guidelines.


Article
Serum Progesterone &CA125 Levels as an Aid in the Prediction of Ectopic &Intrauterine Pregnancy

Authors: Maha M. Al-Bayati*, --- Manal Madany A. Qader**, --- Jinan Hadi Salma
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 1 Pages: 7-13
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND : Prompt diagnosis of ectopic pregnancy is a difficult dilemma, and reliable predictors for diagnosis and differentiation of ectopic pregnancy from early pregnancy miscarriage are needed.OBJECTIVE: To evaluate the diagnostic value of serum progesterone and CA-125 levels in ectopic pregnancy and early intra uterine miscarriage.Study design: A prospective case control studySetting: The study was carried out in the department of obstetrics and gynecology of AL-Yarmouk teaching hospital (Baghdad – Iraq) from February 2011 to February 2012PATIENTS AND METHODS: This study was carried out on sixty pregnant women in their first trimester. Twenty women diagnosed as unruptured ectopic pregnancy; treated by laparotomy ,twenty women diagnosed as inevitable miscarriage; treated by curettage and twenty women with healthy pregnancy of a comparable gestational age as control group; follow up of this group was done to ascertain uneventful pregnancy with no complications.We compared the serum levels of progesterone and CA-125 in all groups at the time of presentation and 24h after surgical intervention in first and second groups. RESULTS : There was a significant decrease in mean post operative progesterone level in women with ectopic pregnancy and miscarriage groups with significant difference (P<0.0001). The study observed that the mean level of progesterone in women with ectopic group (6.76±3.63 ng/ml) was lower than that in miscarriage group (15.17±6.01 ng/ml) and control group (17.58±4.57 ng/ml) with significant difference (P<0.0001). This study also observed that the mean level of CA-125 in women with miscarriage group (117.07±94.30 U/ml) was higher than that in ectopic group (38.11±28.79 U/ml) and control group (30.51±16.10 U/ml) with statistically significant difference (P<0.0001).There was a significant decrease in mean level of post operative CA-125 in women with ectopic pregnancy and miscarriage groups with significant difference (P<0.0003).CONCLUSION: Combined measurement of both serum progesterone and CA-125 can be sensitive predictors in diagnosis and differentiation of ectopic pregnancy from inevitable miscarriage and normal pregnancy.


Article
Role of Serum Progesterone in the Diagnosis of Ectopic Pregnancy and Missed Abortion

Authors: Abdulrazak H Alnakash --- Zeina Abdulsahib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 1 Pages: 22-27
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: diagnosis of early pregnancy failure (ectopic pregnancy and missed abortion) still challenging even by using of serial B-HCG and ultrasound. Serum progesterone hormone level value is regarded as one of the important diagnostic tools in the diagnosis of many obstetrical and gynecological conditions; one of these is early pregnancy failure.OBJECTIVE: To assess the role of serum progesterone level in early diagnosis of ectopic pregnancy and missed abortion.PATIENTS AND METHODS: The study is conducted at Al-Elwiyah Maternity Teaching Hospital throughout the period between (April 2010 –July 2011). Ninety women participated in the study, they are at their early weeks of gestation (6-10) weeks. Their ages were between 18-40 years. thirty of them served as a control group (normal intrauterine pregnancy) and sixty pregnant women included in the study group and subcategorized into 2 groups. thirty women with suspected sub-acute or chronic cases of ectopic pregnancy according to ultrasound and β-HCG results and 30 women served as suspected missed abortion. blood samples were taken from the three groups followed by another blood samples after two-day interval to measure of serum progesterone levels. the results were compared among the three groups at first and second readings. p-value, standard deviation and 95% confidence interval calculated and statistically analyzed.RESULTS: P-value of the serial measurements of serum progesterone levels in two-day interval in the three groups was statistically insignificant. while serum progesterone levels of both ectopic pregnancy and missed abortion were greatly lower than serum progesterone levels of normal intrauterine pregnancy in both first and second readings, with statistically significant deference, P-value is CONCLUSION: Serum progesterone levels has a useful role in diagnosing ectopic pregnancy and missed abortion.

Listing 1 - 10 of 140 << page
of 14
>>
Sort by
Narrow your search

Resource type

article (140)


Language

English (86)

Arabic (35)

Arabic and English (14)


Year
From To Submit

2015 (140)