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Article
Association between Ramadan Fasting and cerebrovascular diseases
العلاقة بين صيام رمضان والأمراض الدماغية

Authors: Namir G. Al-Tawil --- Srood N Jarjees --- Mutaz Fadhil Hummadi --- Abdullah Faky Yazdeen --- et al.
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2017 Volume: 21 Issue: 3 Pages: 1853-1858
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Cerebrovascular diseases are attacks of sudden neurological deficits (motor, sensory or cerebellar). There are a lot of risk factors for stroke like age, diabetes, hypertension, smoking, hyperlipidemia, cardiac diseases and others. This study aimed to show if there is increasing rate of cerebrovascular events during Ramadan in relation to fasting in our city during the summer season.Methods: This case-control study was carried out in Rizgary Teaching Hospital, Erbil- Iraq from 1st of August to 30th of August 2011. Patients were included in this study if they were middle aged and elderly patients having clinical and radiological features of stroke, another group of in-patients was selected as a control group. Chi square test and logistic regression analyses were used to show the association between stroke and fasting.Results: A sample of 60 patients and 60 control cases were included in this study. Fasting was significant risk factor for stroke in our studied sample, 66.7% of the cases were fasting compared with 40% of the control group (P = 0.03). Hyperlipidemia and history of ischemic heart disease found also to be associated with stroke (P = 0.017 and 0.011, respectively). Logistic regression analysis showed that only fasting and hypercholesterolemia were independent risks factors in causing stroke in our studied sample.Conclusion: In Erbil, where the summer is too hot and the daytime (fasting hours) is long, fasting during Ramadan was found to be an independent risk factor for stroke, and specifically ischemic stroke.

Keywords

Ramadan --- Fasting --- Stroke --- Summer season


Article
Study of The Fasting of Ramadan on Asthmatic Patients and The Outcome with Treatment Modification

Author: Ali Salih Baay
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 1 Pages: 216 -224
Publisher: Babylon University جامعة بابل

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Abstract

Ramadan, the 9th month of Islamic calendar ranging for 29-30 days in duration, during which Muslims are fasting . It was demonstrated that most of the asthmatics Muslim in our regions did not consider asthma to be a problem to Ramadan, and they pass in fasting by arranging their treatment as use the controller inhaler on Iftar and Sohoor time & stop taking the reliever inhaler in the day time. the Aim is to study the effect of Ramadan fasting on the clinical, spirometric figures of patients with stable asthma with treatment modification . Methods: A prospective cohort study was performed before, during and after Ramadan fasting on well-controlled asthmatic patients as they were classified according to the treatment types as:group 1: on inhaled budesonide + formoterol fixed single device (symbicort, Astra Zeneca, sewed) + on need short acting B adrenergic agonist. group 2 : short acting B adrenergic agonist on needed alonegroup 3: interleukins antagonists tablets Once daily (10 mg montelukast Na tablet) + short acting B adrenergic agonist on needed. Results found that fasting seen to have detrimental effects on fasting in hot weather as FEV1, FEF in 50% and asthma control test score show statistically significant differences before & after fasting but patient on inhaled symbicort with treatment modification show better outcome.


Article
The effect of Ramadan fasting on plaque count of Streptococcus Mutans in patients wearing fixed orthodontic appliance. A clinical study
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Authors: Dr. Munad Jihad AL_Duliamy. * د. مناد جهاد --- Dr. Rehab adil shuker. د. رحاب عادل --- ** Dr. Bassam abdulrazzaq د.باسم عبد الرزاق
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2017 Volume: 14 Issue: 1 Pages: 87-91
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Aim: This clinical study is to investigate the effect of fasting (Sawm) Ramadan on thecount of streptococcus mutans in plaque surrounding fixed orthodontic appliances.Materials and Methods: Fifteen patients with orthodontic appliances wereparticipated in this study. Plaque specimens were collected from those patients attwo occasions, during Rmadan fasting (Sawm) and after they break there fastingafter Ramadan. The plaque Streptococcus mutans number of colony-formingunits (CFU) was analyzed by using Dentocult SM Strip mutans test.Results: This study demonstrated highly significant difference in Streptococcusmutans (CFU) counts in plaque between the values obtained from fasting patientsduring Ramadan and when they are breaking the fast after Ramadan.Conclusions: during Ramadan fasting, persons change timing and types of their foodand beverages consuming as well as teeth cleaning habits. Therefore orthodontistshould be aware of their patients’ oral hygiene during Ramadan by promoting andmaintaining satisfactory teeth cleaning during fasting (Sawm) and Iftar hours.


Article
Effect of Ramadan Fasting Upon Perforated Peptic Ulcer Patients: A Descriptive Analysis
تأثير صيام رمضان في مرضى تثقب القرحة الهضمية

Author: Fadhluddin Nasruddin Shakor فضل الدين نصر الدين
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2017 Volume: 7 Issue: 2 Pages: 1-13
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: Perforated peptic ulcer (PPU) is relatively rare, but life threatening with the mortality varying from 10% to 40%. While common causes of peptic ulcer disease are H. Pylori, increased inadvertent use of NSAIDS, smoking and stress of modern life, the specific etiologic agent cannot be incriminated in the causation of its perforation.Objective: The aim of this study is to evaluate the effect of perforated peptic ulcer in fasting Muslims. Methods: This prospective analysis was conducted for the risk factors associated with perforated peptic ulcer (PPU) in patients attending Surgical Emergency hospital &Sulaimaniyah Teaching Hospital on 312 cases (246 male & 66 females) during the period of one month before Ramadan (Shaban), holy Ramadan and one month after Ramadan (Shawal) for ten successive years from 2006 to 2015. Descriptive analysis and Chi square test was used to find an association between studying variables.Result: The number of PPU per month was higher in Ramadan, 16.6 patients per month vs. 7.3 patients per each other month and also high among group 1 fasting patients. Predisposing factors played a major role in these differences. Conclusion: This study found that the incidence of PPU is relatively high among people who have predisposing factors, including young adults age, but earlier in non-fasting people , male gender, but no difference between the two groups in those using non -steroidal anti-inflammatory drugs, history of dyspepsia. Those patients have previous peptic ulcer disease diagnosed on esophagogastroduodenoscopy more prone to perforation. Long period day after day fasting, but not daytime length duration may increase PPU. Recommendations: This study recommends that the people with these risk factors must be well informed and need special care to avoid such complications. This study also suggests further studies regarding this subject.Keywords: Peptic ulcer perforation, risk factors, Ramadan fasts, duration of fasting, Shawal, Shaban.

خلفيةالبحث: إنثقاب القرحة الهضمية قليلة الحدوث نسبيا ولكنها تهدد الحياة حيث تتراوح نسبة الوفاة منها بين 10%-40% ومع أن السبب الشائع للقرحة الهضمية هو جرثومة H.Pylori,فان شيوع تعاطي مضادات الإلتهاب غير الستيرويدية و التدخين و الضغط العصبي للحياة الحديثة تجعل من الصعب تحديد عامل سببي محدد لتلك الحالة.الهدف : الهدف من الدراسة هو تقييم العوامل المؤثرة لانثقاب القرحة الهضمية عند الصائمين.المنهجية:أجريت هذه الدراسة للمرضى الداخلين الى مستشفى الطوارئ ومستشفى السليمانية التعليمي والبالغ عددهم 312 حالة (246 رجال و 66 نساء) المصابين بإنثقاب القرحة الهضمية خلال الفترة من بداية شهر شعبان حتى نهاية شهر شوال مرورا بشهر رمضان الكريم و لعشر سنوات متتالية من عام 2006 الى 2015 ميلادية.بإستعمال التحليل التوضيحي كاي سكوير تيست لتحديد العلاقة الإحصائية ما بين التغييرات البحثية.النتائج : عدد الحالات نسبة الى الأشهر كانت أعلى في شهر رمضان و بالنسب التالية :16.6 مريض في رمضان و 7.3 مريض في كل من شعبان و شوال. وكذلك كانت النسبة أعلى في الصائمين وكانت العوامل المسببة قد لعبت دورا أكبرفي هذه النتائج.الإستنتاج : وجدت الدراسة أن نسبة الإصابة بإنثقاب الامعاء أعلى بين الذين لديهم عوامل مسببة مثل أعمار الشباب البالغين , و لكن تبدأ مبكرة في غير الصائمين من الذكور,ولم يكن هنالك فارق بين المجموعتين للذين يتعاطون مضادات الالتهاب غير الستيرويدية أو الذين يعانون من سوء الهضم. إن الذين لديهم القرحة الهضمية سابقة كانت قد شخصت بواسطة عملية تنظير المعدة والإثني عشري أكثر عرضة للإنثقاب . صيام أيام متتالية و ليست طول فترة النهار فقط تزيد إحتمال إنثقاب الامعاء.التوصيات : توصي هذه الدراسة بتوعية الناس الذين لديهم عوامل مسببة وإعلامهم بالمخاطر,و كذلك هؤلاء بحاجة الى رعاية خاصة لتجنب مثل تلك المضاعفات, و توصي بإجراء دراسات أخرى حول الموضوع.


Article
Impact of Ramadan Fasting on Healthy Adult Males: Immuno-Bio-Chemical Study
تأثير صيام رمضان على الذكور البالغين الأصحاء: دراسة مناعية - كيمائية حياتية

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Abstract

Background: The mandatory month is Ramadan on Muslim’s fasting. Muslims cease from ingestion of food and water starting onset to grass widower to who wants to be fasting in this month that’s according to the lunar calendar; so many immunological, physiological and biochemical changes may happen. Objective: To evaluate some vitamins, hormones and immunological markers in the first and the 28th day of fasting.Patients and Methods: Twenty five healthy adult male who were subjected to this study. The age range was 24-49 years with mean ± SD (31.6±7.07). Body weight, BMI, serum glucose, total cholesterol, high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), very low density lipoprotein-cholesterol (VLDL-C), triglyceride (TG), aspartate amino transferase (AST), alanine amino transferase (ALT), alkaline phosphatase (ALP), total serum bilirubin (TSB), serum creatinine, blood urea, serum electrolytes (Na, K, Cl,) haemoglobin concentration (Hb), haematocrit, vitamin-D, testosterone and C-reactive protein (CRP) were estimated in the 1st day and the 28th day of Ramadan month. The while-interval of study was 27 days. Human privacy, statistical analyses and P value were used. Results: Serum glucose, LDL, ALT, TSB, serum creatinine, blood urea, vitamin D and CRP were significantly decreased in 28th day of fasting (P=0.0002, P=0.005, P=0.009, P=0.00004, P=0.013, P=0.0074, P=0.0109, respectively). There were no significance change in total cholesterol, VLDL-C, TG, AST, ALP, K, Cl, Hb, haematocrit, testosterone (P>0.05). While HDL-C and serum Na were increased significantly in this study (P= 0=0.004, P=0.0214, respectively). Conclusion: Consuming two meals per a day during month of Ramadan has a balancing effect on biochemical, enzymes and CRP in fasted men.

خلفية الدراسة: شهر الصوم اجباري على المسلمين. المسلمون يمتنعون عن الطعام و الماء ابتداءً من الفجر لغاية المغيب لكل من يرغب ان يصوم في هذا الشهر وفق التقويم الهجري. كثير من التغيرات المناعية و الفسيولوجية واحيائية كيميائية تحدث. اهداف الدراسة: هدفت هذه الدراسة الى قياس بعض معاملات كالفيتامينات, الهرمونات وعوامل المناعية خلال هذا الشهر على الصائمون.المرضى والطرائق : خمسة وعشرون بالغون أصحاء الذين شملوا بالدراسة، الأعمار ٢٤-٤٩ سنة من العمر بمعدل ٣١,٦±7,07. وزن الجسم، مؤشر كتلة الجسم، مصل الجلوكوز، الكوليسترول الكلي، الكوليسترول الدهني عالي الكثافة، الكوليسترول دهني منخفض الكثافة، الثلاثية، أسبارتات أمينو ترانسفراس، ألانين أمينو ترانسفراس، الفوسفات القلوية، بليروبين المصل الاجمالي، كرياتينين المصل، الدم اليوريا، الشوارد المصل، وتركيز المصل الهيموجلوبين، هيماتوكريت، و فيتامين د، التستوسترون، و بروتين التفاعلي c . في اول يوم ويوم ٢٨ من شهر رمضان حيث كان الفاصل الزمني للدراسة ٢٧يوما.النتائج: الأمصال جمعت بعد يوم الاول المدخول الغذائي من الصيام و من ثم يوم الثامن و العشرون أيضا مرة اخرى الأمصال جمعت و قدرت كل العلامات. مصل الجلوكوز، LDL، ALT، TSB، كرياتنين المصل، الدم اليوريا، وفيتامين د و CRP كان انخفضت لحد كبير بعد يوم ٢٨ من الصوم (p=0.0002, p=0.005, p=0.09, p=0.00004, p=0.013, p=0.0074, p=0.0109) متتاليا. ليس هناك اي تغير ملحوض للالكوليستيرول الكلي، VLDL-C، الثلاثية، AST, ALP, K, Cl, Hb, هيماتوكريت و التستوسترون (p>0.05). ولكنHDL-C و صوديوم المصل كانا ارتفاعهما ملحوضا في هذه الدراسة (p<0.004, p<0.0214) على التوالي.الاستنتاجات : استهلاك وجبتين غذائية في الْيَوْمَ في وقت محدد لكل واحد خلال شهر رمضان لديه تأثير مباشر على توازن المواد الكيموحيوية, الانزيمات و بروتين التفاعلي c.

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