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Article
Combat Gunshot Head Injury

Author: Mazin S. Mohammed Jawad
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 1 Pages: 72-78
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Combat Gunshot Head Injury is an increasingly important issue with all its drawbacks on the health care system .OBJECTIVE:This study presents an evaluation of traumatic brain injury caused by gunshots and discusses possible predictive factors for the outcome of surgical intervention.PATIENTS AND METHOD:A prospective study performed at Al Shaheed Mohammed Al Majed hospital, Samarra, Saladin, Iraq consisted of 60 patients who underwent surgery for penetrating TBI over a 1 year period (2015 – 2016). All injuries were caused by gunshot.RESULTS: Mean patients’ age was 31.5 years. The Glasgow Coma Scale (GCS) score on admission was > 8 in 43 patients (71.7%) and ≤ 8 in 17 patients (28.3%). Commonest site of brain injury is the frontal lobe (28%). Ballistic trajectory through brain affects the post operative outcome with good outcome (50%) in the anteroposterior bullet trajectory plane. 5 patients (8.3%) died despite surgical management.CONCLUSION:Admission GCS score, bullet trajectory and ventricular involvement are the most powerful prognostic indicator with a score of more than 8, no ventricular hemorrhage, anteroposterior trajectory of bullet and lesions limited to a single lobe of the brain, have improved surgical outcomes. Early and less invasive surgery in conjunction with short transportation time to the hospital could decrease mortality rates..


Article
Effects of green laser therapy on healing of infected wound in mice.
ثاثير العلاج بالليزر الاخضر على التهام الجروح عند الفيران

Authors: Mawada .M. Funjan موده موسى فنجان --- Fareed F. Rasheed فريد رشيد --- , Alaa Nazar الاء نزار
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2017 Volume: 30 Issue: 2 Pages: 101-108
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:Background: Little studies focused on stimulation of healing process of infected wound in mice. The predominant pathogens that infected wound were gram positive such as Staphylococcus aureusand gram negative such as P. aeruruginosa and Acinetobactor Baumannii. A. baumannii cause wide range nosocomial infections. Objective: study the influence of green laser 532nm at constant power density (irradiance) at different exposure times (5, 15) on healing of wound infected by Acinetobacter Baumannii created on BALB/C mice.Methods: An elliptical full thickness skin wound was created aseptically on a back of 45 adults, females BALB/C mice. The wounds were infected by Acinetobacter Baumannii and the mice were randomly divided into two sets, first one was infected ( non-irradiated controls)15 animals (five in each subgroup)dividing according to the days of irradiation, second set was infected(irradiated groups)randomly divided in to two groups, first group irradiated for 5 mints and second group irradiated for 15 minutes. Both irradiated groups subdivided according to follow up period 3, 5, 10 days. Animal killed on day 3, 5, and 10 after treatment and control group killed also on 3,5,10 after contamination. Cold laser therapy (CLT) achieved by semiconductor diode laser 532nm, output power =40mw, continuous wave laser, power density =5.71 mw/cm2 and doses 1.7J/cm2, 5.14J/cm2. The output of green laser fitted with beam expander to irradiate a circular area of diameter 7cm2. CLT started after surgery and repeated for 3, 5, and 10 days. Wound healing studied by calculating the percentage of wound closure and histopathological evaluation. Conclusion: the present study showed that green laser therapy had obvious influence on healing of infected wound especially with a dose 5.14 J/cm2.


Article
The Outcome of Retained Metallic Foreign Bodies in Upper and Lower Limbs…………...

Author: Ali Khairi Toman
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.8, 9 Issue: 5 Pages: 692-696
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Retained metallic fragments represent a common problem thatcan be encountered in surgical practice.They could be bullets, part of bullets or other fragments and shells frombombs or mines or in rare occasion, different foreign particles from the environment.They are always the cause of patients complain to whom they refer their pain ordisabilities and sometime they insist for their removal.Operations for removal of deep retained foreign bodies are not beneficial, take longtime and consume a lot of materials and sometime could be very risky, cause moredamage and in some cases, ended without finding the foreign body.There are only few indications for removal of retained metallic fragments.Objectives: We want to assess the problem of retained metallic foreign bodies andfind the indications of their removal.Patients and Methods: This is a prospective study of 300 patients with retainedmetallic foreign bodies presented to the out-patient department of Alhindiya generalhospital between July 2006 and July 2008 with different complains.Results: Three hundred patients were included in this study, 264 patients(82%) weremales and 36 patients (18%)were females, 270 patients about (90%) presented withinthe first week after injury, 243 patients(81%) have foreign bodies in the upper andlower limbs, 45 patients(15%) in the trunk and 12 patients(4%) in the head & neck.Conclusion: Palpable foreign body can be removed safely and successfully in most ofthe cases while deep foreign body should not be removed unless there are indications.


Article
Bacterial Colonization of Burn Wounds
الاستعمار البكتيري لجروح الحروق

Authors: Kifah A. Jassim** كفاح احمد جاسم** --- Khalid A. Habib خالد عبد الرزاق حبيب --- Iman A. Hussien إيمان علوان حسين
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2012 Volume: 9 Issue: 4 Pages: 623-631
Publisher: Baghdad University جامعة بغداد

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Abstract

The objective behind this work was to find out the bacteriological profile of post burn infections in wound. The study was carried out from December 2010 to February 2011 at the Burns Unit of Al –Kindy Hospital and Al-Yarmook Hospital in Baghdad. Sixty burn patients have been investigated for bacterial profile of burn wound infections. Specimens were collected in the form of wound swabs. The organisms were isolated and identified by standard microbiological methods. Antimicrobial susceptibility test has been done by ATB-PSE5 kit(BioMereiux). Pseudomonas aeruginosa 35(58.3 %) was found to be the most common isolate followed by Klebsiella pneumonae 10(16.6%), Staphylococcus aureus 7(10%). ,E.coli 3(5%), Proteus merabilis 1(1.6 %), others 2(3.3 %).and sterile cultures 2(3.3 %). Antibiotic susceptibility pattren for Pseudomonas aeruginosa isolates have shown high susptibility for Amikacin 30(85.0%), Pipracillin-Tazobactam 27(77.2%) Piperacillin 25(71.4%), Ciprofloxaqcin 25(71.4%) and Colistin 24(68.5%) and low susceptibility for Tobramycin 20(57.2%) Gentamycin 18(51.0%). Psudomonas was found to be resistant to most of the therapeutic agent.

الغرض من هده الدراسة هو لمعرفة البكتيريا المسببة لاخماج جروح الحروق . تمت الدراسة في وحدة الحروق لمستشفى الكندي ومستشفى اليرموك التعليمي في بغداد للفترة الممتدة من شهر كانون الثاني 2010 الى شباط 2011.تم التحري عن البكتيريا المسببة لاخماج الحروق في 60 مريض مصابين بحروق مختلفة,حيث جمعت العينات على شكل مسحات جروح .ثم تم تشخيص وعزل البكتيري بطريقة قياسية.وتم اختبار حساسية بكتيريا Pseudomonas aeruginosa, للمضادات الحيوية بواسطة عدة ATB– PSE5 اظهرت النتائج ان البكتيريا السالبة لصبغة غرام هي اكثر سيادة من البكتيريا الموجبة لصبغة غرام, وكانت النسب كالتالي : 35(58.3%) Pseudomonas aeruginosa تلتها Klebsiella pneumoniae بنسبة 10(16.6%) ثم 7(10%) Staphylococcus aurous ثم 3(5%) Escherichia coli و Proteus mirabilis (13(5% وبكتيريا اخرى 2(3.3%) واخيرا مسحات عقيمة (%2(3.3.واظهر فحص الحساسية للمضادات لبكتيريا P. aeruginosa زيادة حساسيتها للمضادات التالية : 30(85.0%) Amikacin و Pipracilin- 27(77.2%) Tazobactam و Piperacillin 25(71.5%) و 25(71.4%) Ciprofloxacinو Colistin وقلة حساسيتها لمضادي Gentamycin بنسبة18 (51.0%) و Tobramycin20 (57.2% ) .وكانت بكتيريا Pseudomonas aeruginosa, مقاومة لمعظم المضادات.


Article
Comparison between Cefoxitin disk diffusion, Crome agar and EPI-M Screening Kit for Detection of Methicillin- Resistant Staphylococcus aureus
المقارنة بين Cromeagar, Cefoxitin disk diffusion وEPI-M Screening kitلاجل التحري عن بكتريا المكورات العنقودية المقاومة للمثسلين

Authors: Samarah J. Alwash سمارة جعفر علوش --- Dhuha S. Saleh ضحى سعد صالح
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2013 Volume: 54 Issue: 4 Pages: 847-850
Publisher: Baghdad University جامعة بغداد

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Abstract

Specimens have been collected from one hundred and seventeen patients residing in local hospitals, 33 with burns and 84 wound injuries,. Three different methods ,Cefoxitin disk diffusion, EPI-M Screening Kit and Crome agar (MeReSa agar)with selective supplement were used to detect methicillin-resistant Staphylococcus aureus (MRSA) . A comparison was made between these 3 methods according to the results. It was found that the results of the Cefoxitin disk diffusion test were compatible with the results of culturing on Crome agar, while those obtained from the EPI-M Screening kit were not accurate and some of them gave false negative results.

تم جمع العينات من 117 شخص راقدين في المستشفيات المحلية, 33 مصاب بحروق و 84 شخص مصاب بجروح. استخدمت ثلاثة طرقCefoxitin disk diffusion, EPI-M Screening KitوCrome agar (MeReSa agar) مع الملحق الخاص بالوسط, للتحري عن بكتريا المكورات العنقودية المقاومة للمثسلين (MRSA) وقورنت هذه الطرق بالاعتماد على نتائج استخدام كل طريقة. لقد وجد ان نتائج طريقة Cefoxitin disk diffusion و الزرع على وسط Crome agarكانتا متطابقتين, بينما النتائج الحاصلة من استخدام EPI-M Screening kitلم تكن دقيقة و اعطت لقسم منها نتائج سلبية خاطئة.

Keywords

MRSA --- Burns --- wounds --- EPI-M --- Cefoxitin --- MeReSa agar


Article
Bacteriological study for some aerobic bacteria contaminated the post–operative wounds

Author: Shaimaa M.S. Zain Ulabdeen
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2016 Volume: 3 Issue: 1 Pages: 38-42
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

This study include isolation and diagnoses of some aerobic bacteria contaminated the post–operative wounds from infected wounds,100 samples were collected from surgery units of teaching hospital, and Al-Samawah general hospital during September 2014 to February 2015, then the samples cultured on various media (Blood agar, MacConkey agar,chrom agar). Our results showed that from 100 samples included, 73(73%) had growth and 27(27%) had no growth. Further, the present data reported that S. aureusas the commonest isolate at percentage (23.2%),followed by Staphylococcus epidermidis (20.6%), Escherichia coli (12.3%), Pseudomonas aeruginosa, Proteus mirabil, Klebsiellapneumoniae (8.2%), Enterococcus faecalis (6.8%),Citrobactersp (2.7%) and Klebsiella oxytoca, Serratiamarcescens, Acinetobactersp at percentage (1.4%). Fomites should be regarded as a possible source of since bacteria from them can be carried from the hands of theatre personnel to the patient.


Article
Molecular Identi cation of 16S rRNA gene in Staph- ylococcus aureus Isolated from Wounds and Burns by PCR Technique and Study Resistance of Fusidic acid
التشخيص الجزيئي لجين 16 S rRNA في بكتريا المكورات العنقودية الذهبية المعزولة من الجروح والحروق بواسطة تقنية PCR ودراسة مقاومتها لمضاد الفيوسديك اسد

Authors: Shaymaa Khudhr Al–Alak شيماء خضر العلاق --- Darem kadhim Qassim دارم كاظم قاسم
Journal: Iraqi Journal of Cancer and Medical Genetics المجلة العراقية للسرطان والوراثة الطبية ISSN: 20786123 Year: 2016 Volume: 9 Issue: 1 Pages: 25-30
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Thirty six samples were collected from patient suffering from wounds and burns in Baghdad Hospitals .The samples were analyzed for the presence ofStaphylococcus aureus. Ten positive samples screened by phenotypic microbiological and Biochemical tests and genotypic by DNA extracted from all isolates and the PCR carried out using 16S rRNA gene for S. aureus. In this method for identifying and con rmed all the staphylococcal isolates as S. aureus.The present study was carried out in an attempt to detect the distribution of antibiotic-resistant and we have tried to cover the ever increasing problems fac- ing the treatment and containment of bacterial skin infections.Therefore we are studySusceptibility of Staphylococcus aureus to antibiotics .The results showed relatively high resistance to MethcillinME ,Amoxicillin-Clavilonicacid, Azithromycin with frequencies of 100%, 100% and 70% respectively and moderate resistance to Vancomycin VA, Amikacin AK with frequencies of 60% and 62% respectively, low resistance to Fusidic acid with frequencies of 30% because that we determined the Mini- mum Inhibitory Concentration for Fusidic acid ,the isolates incorporated in this test were those have intermediate resistant to Fusidic acid.

ستة وث ثون عينة جمعت من مرضى يعانون من الجروح والحروق من مستشفيات بغداد .وقد تم تحليل العينات عن وجود بكتريا المكورة العنقودية البرتقالية. عشرة عينات إيجابية للفحص من قبل الميكروبيولوجية, المظهرية وا ختبارات البايوكيميائية والفحوصات الوراثية بواسطة استخ ص الدنا لكل العز ت واجراء تقنية التضاعف التسلسلي PCR باستخدام جين 16S rRNA للبكتريا المكورة العنقودية البرتقالية استخدمت هذه الطريقة لتحديد وتأكيد جميع والمكورة العنقودية وتأكيدها انها العنقودية الذهبية. وقد أجريت هذه الدراسة في محاولة للكشف عن انتشار مقاومة المضادات الحيوية، وحاولنا لتغطية المشاكل المتزايدة التي تواجه معالجة وتلوث اصابات الجلد بالبكتريا. لذلك درسنا حساسية بكتريا المكورات العنقودية الذهبية للمضادات . اظهرت النتائج مقاومة عالية لمضاد Methcillin Vancomy- بترددات %100, %100 و %70 على التوالي . مقاومة متوسطة لمضادات ME ,Amoxicillin-Clavilonic acid, Azithromycin cin VA, Amikacin AK بترددات %60 و %62 على التوالي , مقاومة منخفضة لمضاد Fusidic acid بتردد %30 وبسبب ذلك حددنا التركيز المثبطا دنى)MIC( لمضاد Fusidic acid على عز ت بكتريا المكورات العنقودية الذهبية حيث اظهرت مقاومة متوسطة لهذا المضاد .


Article
Antibiotic Sensitivity profile of bacteria isolated from wounds and skin infections
حساسية البكتيريا المضادات الحيوية المعزولة من الجروح والالتهابات الجلدية

Author: Orass M.S. Al –Taee اوراس الطائي
Journal: Al-Kufa University Journal for Biology مجلة جامعة الكوفة لعلوم الحياة ISSN: 20738854 23116544 Year: 2013 Volume: 5 Issue: 1 Pages: 199-107
Publisher: University of Kufa جامعة الكوفة

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Abstract

The choice of antibiotic is usually based on previously published susceptibility testing and previous s clinical success. Anaerobic bacteria are important because they dominate the diagnose flora. Some of these infections are serious and have high mortality rate. It has to be paid more attention to anaerobic infections because special precautions are needed for appropriate collection and transport of specimens.Aim of the study: To study the sensitivity profile of bacterial strains isolated from several types of infected skin and wounds toward several antibiotics. Methods: The study included 98 strains isolated from 150 patients with skin and wound infections patients hospitalized into Al-Diwanya teaching hospital from January 2009 to January 2010. A total of 150 samples were selected from patients with skin and wounds Infections including samples of burn wounds, cutaneous ulcer, surgical wounds, acnes and pustules . For the disc diffusion testing: ampicillin, gentamicin, amikacin, cefuroxime, cefoperazone, ciprofloxacin, piperacillin, Erythromycin, Cloxacillin, ceftriaxone, ceftazidime, Amoxicillin, Rifampin, Metronidazole, clindamycin, Ceftazidim, penicillinV, trimethoprim-sulfamethoxazol and amoxicillin _ clavulanic acid, disc were used.Results: In our research, we examined 150 specimens. Aerobic bacteria were recovered from 48 (32%) specimens, anaerobic bacteria only were recovered from 27 (18%) specimens, and mixed aerobic and anaerobic bacteria were recovered from 75 (50%) specimens. Ciprofloxacin was highly active drug that could eradicate the major pathogens bacteria from skin and wounds infection. Although metronidazole has relatively poor efficacy by itself, in combination with penicillin V the susceptibility of the bacteria in this study was virtually the same as amoxicillin.Conclusions: Ciprofloxacin seems to remain the antibiotic of choice because of its efficacy in polymicrobial infections, relatively narrow spectrum for bacteria found in skin and wounds infections, low toxicity, and low cost.

وعادة ما يستند اختيار المضادات الحيوية على المنشورة سابقا اختبار الحساسية والنجاح السريرية السابقة ق . البكتيريا اللاهوائية هي مهمة لأنها تهيمن على الحياة النباتية تشخيص. بعض هذه الإصابات خطيرة و يكون معدل وفيات عالية. لا بد من إيلاء المزيد من الاهتمام للالتهابات اللاهوائية لأن هناك حاجة إلى احتياطات خاصة لجمع و نقل المناسبة specimens.Aim الدراسة: دراسة الملف الشخصى حساسية السلالات البكتيرية المعزولة من عدة أنواع من الجلد المصابة والجروح تجاه العديد من المضادات الحيوية. الأساليب: وشملت الدراسة 98 سلالات معزولة من 150 المرضى الذين يعانون من التهابات الجلد و الجروح المرضى في المستشفيات في اغتيال الحريري، Diwanya تعليم المستشفى خلال الفترة من يناير 2009 إلى يناير 2010، تم اختيار ما مجموعه 150 عينات من المرضى الذين يعانون من التهابات الجلد والجروح بما في ذلك عينات من حروق . ، القرحة الجلدية والجروح الجراحية، حب الشباب و البثور . لاختبار القرص نشرها : الأمبيسلين ، جنتاميسين ، الأميكاسين ، السفيوركسيم ، cefoperazone ، سيبروفلوكساسين ، بيبيراسيلين ، الاريثروميسين ، كلوكساسيلين ، السيفترياكسون ، السيفتازيديم ، أموكسيسيلين ، ريفامبين ، ميترونيدازول ، الكليندامايسين ، Ceftazidim ، penicillinV ، ميثوبريم - sulfamethoxazol و أموكسيسيلين _ حمض الكلافولانيك ، قرصية استخدمت .النتائج : في بحثنا ، درسنا 150 العينات. تم انتشال البكتيريا الهوائية من 48 ( 32 ٪ ) عينات ، والبكتيريا اللاهوائية تم انتشال 27 فقط من ( 18 ٪ ) عينات ، و انه تم انتشال مختلطة البكتيريا الهوائية واللاهوائية من 75 ( 50 ٪ ) عينات . كان سيبروفلوكساسين المخدرات نشطة للغاية التي يمكن القضاء على البكتيريا الممرضة الرئيسية من الجلد والعدوى الجروح. على الرغم من أن لديه ميترونيدازول فقيرة نسبيا فعالية في حد ذاته، في تركيبة مع البنسلين V كانت حساسية البكتيريا في هذه الدراسة تقريبا نفس أموكسيسيلين .الاستنتاجات : سيبروفلوكساسين يبدو أن يظل المضاد الحيوي في الاختيار بسبب فعاليته في التهابات متعدد المكروبات ، الطيف الضيقة نسبيا للبكتيريا موجودة في الالتهابات الجلدية والجروح ، سمية منخفضة، والتكلفة المنخفضة.


Article
Gun shot of the spine Surgical out come and prognosis

Author: Ali K. AL-Shalchy *
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 3 Pages: 312-316
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: the management of gun shoot wounds of the spinal cords (G sws) is still a
debate whether to interfere surgically or not, the interferance is usually laminectomy & Bullet
extraction.
Objectives: A comparative prospective study between surgical & non-surgical management of
G sws.
Methods: A case series study of (52) patients with G sws were managed by the neurosurgical
unit in Ibn Sinna hospital in Mosul. 27 patients surgery was done, 25 patients non-surgical
management.
A comparative study done according to the surgical outcome, improvement, mortality between
the 2 groups in a mean follow up period of 4.5 months.
Results: The mean age was 35, (9-50 years) , mean follow up 4.5 months (3-7 months)no
patients with non-surgical treatment show any improvement while 10 out 13 of incomplete
injury show significant improvement by surgery, the mortality rate was also higher in the non-
surgical group.
Conclusion:Bullet in the spinal cord with partial injury of the cord should be removed with
decompression of the cord complete injury of the cord show poor prognosis with or without
surgical intervention.


Article
Civilizational Confrontation in Bushra Al Bustani Poetry Andalusia to Iraqi wounds As amoded
المواجهة الحضارية في شعر بشرى البستاني ( قصيدةأندلسيات لجروح العراق ) انموذجاً

Author: Raid Foad Talib Al-Rodayni رائد فؤاد طالب الردوني
Journal: Adab AL Rafidayn اداب الرافدين ISSN: 03782867 Year: 2014 Issue: 69 Pages: 227-274
Publisher: Mosul University جامعة الموصل

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Abstract

The current study tries to explain the bitter experience of the poet, describing the invasion of her country ... She compares herself with her occupied country Despite the fact that the poet concludes a tragic end but it embodied the occupation by all the main points...

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