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مقالة
PREVALENCE AND RELATED RISK FACTORS FOR GIARDIA LAMBLIA INFECTION AMONG CHILDREN WITH ACUTE DIARRHEA IN THI- QAR , SOUTHERN IRAQ
معدل انتشار الإصابة وعوامل الخطورة المتعلقة بالجاردية اللامبلية لدى الأطفال المصابين بالإسهال الحاد في محافظة ذي قار جنوب العراق .

المؤلف: Dr. Tariq khudair Hussein د. طارق خضير حسين
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2010 المجلد: 4 الاصدار: 4 الصفحات: 68-74
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT :The aim of this study was to determine the prevalence and to identify the risk factors associated with Giardia lamblia infection among diarrheic children who had been attended outpatient department of maternity and children teaching hospital for acute diarrhea and dehydration in Thi- Qar , Southern Iraq. Fecal samples were collected from ( 396 ) children aged from( 0 – 120 ) months and were examined by direct wet preparation and floatation method . Data relating to sociodemographic , environment and host were also collected by questionnaire. Giardia lamblia were present in faces of ( 94) diarrheic children ( 23 . 7% ) . The age group ( 24 – 48) month had the highest rate of infection ( 33 .3% ). Male had higher rate of infection than female ( 24. 7% vs 22.5% ) respectively . Living in rural area , low education level of mothers , drinking raw or municipal water , hot seasons ,living with four or more house hold children were significantly associated with Giardia lamblia infection ( p < 0.05 ). Based on the results of this study , it is concluded that the high prevalence of Giardia lamblia infection among children with acute diarrhea is a significant public health problem in Thi-Qar. الخلاصة :الهدف من هذه الدراسة هو تحديد معدل انتشار الإصابة وتميز عوامل الخطورة المتعلقة بالجاردية اللامبلية لدى الأطفال المصابين بالإسهال الحاد في ذي قار . تم فحص ( 396) نموذج من عينات البراز للمرضى المصابين بالإسهال بالطريقة المباشرة وطريقة التعويم وتم أيضا جمع معلومات عن المرضى عن طريق الاستبيان حيث بلغ معدل انتشار الإصابة بالجاردية اللامبلية ( 23,7%) ولوحظ أعلى نسبة للإصابة في الفئة العمرية (24- 48 ) شهر بمعدل ( 33,3%) وكانت معدلات إصابة الذكور أعلى من الإناث . وقد أظهرت الدراسة هناك ترابط إحصائي بين معدل الإصابة والعيش في المناطق الريفية , المستوى التعليمي المنخفض للام , شرب مياه الغير المعقمة أو مياه الإسالة , المواسم الحارة والعيش مع أربعة أطفال أو أكثر. نستنتج من هذه الدارسة أن معدل الإصابة المرتفع للجاردية اللامبلية لدى الأطفال المصابين بالإسهال الحاد يمثل مشكلة صحية في ذي قار .

الكلمات المفتاحية


مقالة
CORONARY ANGIOGRAPHIC FINDINGS IN PATIENTS WITH METABOLIC SYNDROME
بيان مدى انتشار تواجد انسداد شرايين القلب التاجية المثبتة عن طريق قسطرة القلب و الشرايين في مرضى متلازمة الايض

المؤلف: Assistant prof.Adnan Taan AL khafaji. MBCHB,JMCC,CABMS,FRCP أ.م.د.عدنان طعان الخفاجي-كلية طب ذي قار
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 1 الصفحات: 1-18
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT:Background and objectives:metabolic syndrome is a common disorder associated with increased risk of cardiovascular diseases and diabetes , its prevalence in Iraq is not well estimated , many studies relate the relation of this syndrome to coronary artery disease due to the clustering of the cardiovascular risk factors in this syndrome , for this reason we tried in our study to evaluate the relationship between this syndrome and ischemic heart disease documented by coronay angiography , furthermore we planned in our study to classify and determine the severity of different coronary lesion in this syndrome.Patients and methods: in this study we enrolled 146 patients with lschemic heart disease, 76 of them having the criteria of metabolic syndrome and 70 patients with IHD and no metabolic syndrome were taken as controls between February 2010 to February 2011- angiography was done for all the patients, and the different types of coronary lesions and their complexity scores analyzed and reported according to the American heart association criteria and syntax scoring system. Results &Conclusion: The mean syntax score was significantly higher among patients with this syndrome and also, complex coronay lesions in from of, ostial, bifucational and multi vessels disease were significantly higher in this group wether they are diabetics or not in comparison to the control group.

الكلمات المفتاحية


مقالة
Clinical and epidemiological assessment of supracondylar humeral fractures in children in Alhusain teaching hospital
الكسر فوق اللقمي لعظم العضد في الاطفال. دراسة لتقييمه من الناحية الوبائية والسريرية في مستشفى الحسين(ع) التعليمي في الناصرية

المؤلف: Wahby Ghalib Shaty, FJMS, CABM, MR د. وهبي غالب شاتي, مدرس في قسم الجراحة, كلية الطب, جامعة ذي قار
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 1 الصفحات: 86-101
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT:Supracondylar humeral fracture represents the commonest pediatric elbow fracture. It mostly occurs below the age of 10 years after simple fall on outstretched hand or on the elbow. The factors that contribute to its high frequency include weakness of the supracondylar area and the relative ligamentous laxity in children as well as the more liability to fall in this age group. It is a source of relatively high morbidity rate. Possible complications include neurovascular injury, compartment syndrome, joint stiffness and deformity. In this study we to assessed multiple epidemiologic factors including the crude number of cases over the period of time of the study, the fracture type according to displacement and rate of each possible complication. We also followed cases prospectively documenting the modality of treatment offered, the healing time, the way of dealing with complications and their prognosis. The output results of the study help in standardizing the orthopaedic handling of this fracture in our locality. This includes the proper assessment of the size of the problem and its complications and the best way of dealing with it.

الكلمات المفتاحية


مقالة
Antifungal Activities of Alcoholic and Aqeuous Extracts of punica granatum against Some Non-Dermatophytic Fungi
الفاعلية المضادة للفطريات للمستخلص الكحولي والمائي لقشور نبات الرمان ضد بعض مسببات الاصابات الفطرية الغير جلدية

المؤلف: Lecturer: Faten Naeem Abbas م.م فاتن نعيم عباس, قسم الاحياء المجهرية-كلية الطب-جامعة ذي قار
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 1 الصفحات: 101-119
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT: A clinical and mycological study of superficial mycosis was conducted on 23 cases (7 males and 16 females) , and collected from patients (5-50) years old. Direct microscopy by KOH (potassium hydroxide) mount and culture was undertaken to isolate the fungal pathogen in each case. Non-dermatophyte molds were isolated from 18 cases (78.26%) and 21 isolates were identified from these cases ; 10 isolates Candida albicans (47.61%), 5 isolates Rhizopus stolonifer (23.8%), 2 isolates Penicillium sp. and 2 isolates Aspergillus nidulans (9.5%) respectively, 1 isolate Alternaria alternata and1 isolate Fusarium sp. (4.7%) respectively . Alcoholic & aqueous extracts of the punica granatum (Pomegranate) peels were prepared. The anti-fungal activity of the extracts was evaluated on isolated fungi by means of the agar-well diffusion assay. The Minimum inhibitory concentrations were 10-300 mg/ml against isolated fungi. Their was little difference between the activities of alcoholic extract & aqueous extract. These results suggest the Pomegranate Peels extract which contains active constituents as a promising anti-fungal agent.

الكلمات المفتاحية


مقالة
Failed Closed Reduction of Fracture Forearm Bones in Children The Outcome of K-Wire Fixation
النتائج العملية لتثبيت الكسور المتباعدة لعظمي الساعد (الكعبرة والزند) في الاطفال باستخدام اسلاك كرشنر (سلك K) بعد فشل التعديل المغلق

المؤلف: Dr.Jamal K. Shwayel AL-Saeedi د.جمال كاظم شويل السعيدي, مدرس, جامعة ذي قار كلية الطب
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 2 الصفحات: 25-40
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT:The aim of our study is to know the functional outcome of K.wire fixation for failed closed reduction of displaced forearm bones fracture in children on AL-Hussein teaching hospital of Nassiriyah city between: 1/2/2006 to 30/1/2008. It is a descriptive study for K.wire fixation of unstable fracture of radius& ulna in children less than 16 years old. The compound fractures, single bone, multiple trauma and adult patients all are excluded from this study. A eighty six (86) children were included, a sixty two ( 62 ) male & twenty four (24) female with age ranging from ( 4 to 16 ) years, with average age of( 11.21) years. The average time of radiological union and K. wire removal was 6 weeks follow by complete P.O.P cast for the average of 12 weeks to consolidation, then 3monthly follow up with physiotherapy and functional assessment for regaining of full movement up to 12 month. In the sixth month assessment there were 66(76.7%) Excellent, 14(16, 2%) Good, 6(6.9%) Fair. The final assessment in the 12th month were 86(100%) are Excellent. We conclude that the Kirschner wire intramedullary fixation followed by complete P.O.P cast and physiotherapy is the method of choice for treatment of failed closed reduction of displaced forearm bones fracture in children, in which it is safe, less invasive, less time consuming, effective, and easily performed with excellent outcome.

الكلمات المفتاحية


مقالة
Antibacterial Susceptibility Of Commonly Encountered Uropathogens In Al-Hussain Teaching Hospital-Thi-Qar Province: A Retrospective Study
دراسة ارتجاعية حول حساسية البكتيريا المسببة لعدوىالقناة البولية للمضادات البكتيرية في مستشفى الحسين التعليمي- محافظة ذي قار

المؤلف: Dr.Rana M. Khalaf د. رنا محسن خلف
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2010 المجلد: 4 الاصدار: 2 الصفحات: 74-81
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT: Background: Antibacterial resistance is an evolving problem which reflects the antibacterial prescription in our community. Such problem has great impact on proper management and consequences of urinary tract infection (UTI)Aim: To determine the relative role of uropathogens and their antibiotic susceptibility pattern in community-acquired urinary tract infection (UTI) in Al-Hussain Teaching Hospital/ Thi-Qar Province.Methodology: A retrospective study was carried out to review urine culture and antibiotic sensitivity testing from symptomatic outpatients visiting Al-Hussain Teaching Hospitals/ Thi-Qar Province over the period from June 2007 to June 2008. Results: Of 236 samples, 124(52.5%) were culture positive. Staphylococci and Escherichia coli were the leading cause of UTI accounting for 75% of all isolates. The rates and roles of other pathogens, including Klebsiella species (11%), Pseudomonas species (8%), Enterobacter, Proteus, and Streptococci were responsible for the remaining 6%. More than 75% of isolated Staphylococci and Escherichia coli were sensitive to nitrofurantoin and amikacin, while more than 60% were sensitive to ciprofloxacin. Sensitivity to commonly prescribed antibacterials as co-trimoxazole, amoxicillin,ampicillin and gentamicin were less. Conclusion: Common uropathogens were highly sensitive to nitrofurantoin, amikacin and to lesser extent to ciprofloxacin, while exhibiting low sensitivity pattern against commonly prescribed antibiotics including co-trimoxazole, amoxicillin, ampicillin, nalidixic acid and gentamicin. الخلاصة: من اجل تحديد نمط حساسية البكتيريا المسببة لعدوى القناة البولية للمضادات البكتيرية في مستشفى الحسين التعليمي- محافظة ذي قار تم اجراء دراسة ارتجاعية لنتائج زرع البول و فحوصات حساسية المضادات البكتيرية للمرضى المراجعين للعيادة الاستشارية في المستشفى المذكور ابتداءا من حزيران 2007 و لغاية حزيران 2008.من بين 236 عينة وجد ان 124 (52.5%) عينة موجبة للنمو البكتيري, الستافيلوكوكس و اي كولاي كانت السبب الرئيسي لعدوى القناة البولية(75%) من بين العينات الموجبة, فيما وجد ان الكلبسيلا مسؤلة عن 11%, سودوموناس 8%, اما الانتيروبكتر والبروتيس و الستربتوكوكس فقد شخصت في 6% من العينات.البكتيريا المرضية الاكثر شيوعا اظهرت حساسية معتد بها لكل من الناتروفيورانتوين و الاميكاسين وبدرجة اقل للسبروفلوكساسين. بينما اظهرت حساسية محدودة للمضادات البكتيرية الشائعة الاستعمال و هي الكوترايماكسازول, اموكسسلين, امبسلين, جنتامايسين و نالدكسك اسد.


مقالة
USE ELISA TECHNIQUE TO DETECT VIRAL HEPATITIS IN THI-QAR PROVINCE : A RETROSPECTIVE STUDY
دراسة ارتجاعية حول إستعمالْ تقنيةَ الاجسام المناعية المرتبطة بالانزيم لإكتِشاف إلتهابِ الكبد الفيروسي في محافظةِ ذي قار

المؤلف: Faten Naeem Abbas فاتن نعيم عباس
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2011 المجلد: 5 الاصدار: 3 الصفحات: 71-76
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACTThis study reports the prevalence of hepatitis A Virus (HAV), hepatitis B virus (HBV) and C virus (HCV), and the frequency of potential exposure to these viruses among patients were admitted to Hormones laboratory in Al-Hussain teaching hospital /Thi-Qar province. Serum samples were tested for HAV , HBV markers and antibodies to HCV by enzyme-linked immunosorbent assay (ELISA). From the results of the present study , 2775 patients were tested, divided into tow groups. Group A included the catheter patient and other group (Group B) included outpatient. Results showed no positive result for anti- HAV. While, Anti-HBs were positive 4 cases and 6 cases for group A and group B respectively. Contrast, anti- HCV were positive 2 cases for group A and 5 cases for group B. Statistically significant observation P<0.05 between the two groups, Group B was the highest sensitive to Hepatitis B,C infection than group A .Background: Diagnosis is a vital decision point at which adequate evidence has to be accumulated to get a clear clinical picture about the patient before initiation of the treatment . Laboratory tests for hepatitis are very critical for the physician to confirm his findings about the clinical condition of the patient because of several causative agents of the disease. Hepatitis being caused by the virus A,B,C diagnosis is even more complicated as all of them present similar symptoms. Therefore, laboratory testing is important to identify the exact causative virus so that the appropriate treatment can be initiated accordingly. أستهدفت الدراسة الحالية ِ إلتهاب الكبد الفيروسي بانواعه (أ،ب،س )وتردد التعرّضِ لهذه الفيروساتِ بين المرضى المراجعين لمختبر الهورموناتِ في مستشفى الحسين التعليمي / محافظة ذي قار. تم فحص عينات المصل باستخدام ِطريقة الاجسام المناعية المرتبطة بالانزيم . تبين من الدراسةِ ِ،أن2771 مريض قسموا الى مجموعتين الاولى تشمل مرضى القسطرة والثانية تشمل المراجعين الخارجيين, بينت النتائج أنه لاتوجد حالات موجبة للالتهاب الكبدي الفيروسي نوع أ ضمن الدراسة الحالية َ، بينما كان هنالك اربعة حالات أيجابية لالتهاب الكبد الفيروسي نوع ب وستة حالات لالتهاب الكبد الفيروسي نوع س للمجموعتين الاولى والثانية على التوالي و حالتين أيجابيتين للمجموعة الاولى وخمسة حالات للمجموعة الثانية للالتهاب الكبدي الفيروسي نوع س على التوالي. المجموعة الثانية كانت اكثر حساسية للاصابة بالتهاب الكبد الفيروسي مقارنة مع المجموعة الاولى وبفارق معنوي

الكلمات المفتاحية


مقالة
Study of levels of malondialdehyde (MDA) among pateints with acute myocardial infarction in al-Nassiriah city
دراسة مستويات المالونداي الديهايد عند مرضى احتشاء عضلة القلب الحاد في مدينة الناصرية

المؤلف: Dr.Wajdy J Majid , Dep.of biochemistry,Thiqar college of medicine أ.م.د.وجدي جبار ماجد , فرع الكيمياء السريريه , كلية طب ذي قار
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 1 الصفحات: 19-26
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

SUMMARY : Serum malondialdehyde (MDA), as an index of lipid peroxidation, and the serum enzymes creatinin kinase (CK) , lactate dehydrogenase ( LDH ), were evaluated in a group of 32 patients with acute myocardial infarction (AMI) , 12 with angina pectoris (AP), and 88 healthy subjects as a control group . MDA values were within the normal range in those with angina pectoris patients, while in those with acute myocardial infarction patients a significant increase in serum MDA was observed in the days following the acute event, reaching a peak level in 6-8 days later, a significant relation was found between the integrated concentration-time MDA curve and the integrated serum enzymes activity curves reached during the nine days after the acute event. The "in vivo" relevance of the increased serum MDA in the post-infarct period is unknown at the present, but as lipid peroxides are known to harm cellular structures and to inhibit prostacyclin synthesis.

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مقالة
Colonic cancer: incidence, pattern &role of radical surgery in stage 11AND 111,in al nassiryia
دراسة حول دور الاستئصال الجراحي لسرطان القولون في الناصرية

المؤلف: Dr. alaa jamel hasin - (C.A.B.S), medical college, the-qar university. د.علاء جميل ,كلية الطب جامعة ذي قار
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2013 المجلد: 7 الاصدار: 2 الصفحات: 1-11
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACTBackground:Invasive colorectal cancer is a preventable disease. Early detection through widely applied screening programs is the most important factor in the recent decline of colorectal cancer in developed countries .Full implementation of the screening guideline scan decrease mortality rate from colorectal cancer in the United States by an estimated additional 50%; even greater reductions are estimated for countries where screening tests may not be widely available at present. New and more comprehensive screening strategies are also needed.[1] Fundamental advances in understanding the biology and genetics of colorectal cancer are taking place. This knowledge is slowly making its way into the clinic and being employed to better stratify individual risks of developing colorectal cancer, discover better screening methodologies, allow for better prognostication, and improve one’s ability to predict benefit from new anticancer therapies.[2] In the past 10 years, an unprecedented advance in systemic therapy for colorectal cancer has dramatically improved outcome for patients with metastatic disease. Until the mid-1990s, the only approved agent for colorectal cancer was 5-fluorouracil. New agents that became available in the past 10 years include cytotoxic agents such as irinotecan and oxaliplatin,oral fluoropyrimidines (capecitabine and tegafur), and biologic agents such as bevacizumab, cetuximab, and panitumumab.Though surgery remains the definitive treatment modality, these new agents will likely translate into improved cure rates for patients with early stage disease (stage II and III) and prolonged survival for those with stage IV disease. Further advances are likely to come from the development of new targeted agents and integration of those agents with other modalities such as surgery, radiation therapy, and liver-directed therapies.[3] this study was done in Al Nassyria in Al Hussein teaching hospital through 2 years from April 2008 to March 2010 with 3 years fallow up on 32 patients complaining from stage 11 and stage 111 colonic cancer, 10 of them they arrived to the hospital as an emergency cases with intestinal obstruction or uncontrolled bleeding per rectum and 22 cases as an elective cases who presented from either sub acute intestinal obstruction, chronic loss of weight, chronic loss of appetite abdominal mass and or intermittent bleeding per rectum , ages of patients range between 30 to 80 years.18 patients males and 14 patients were females. Aim is To make screening for stage 11& 111 colonic cancer admitted to our unit and role of radical surgery in emergency cases comparing with radical surgery in elective surgery . Ca. of rectum was excluded from the study. We get 84%(27 patients) above 50 years, males were more,18 patients, annular type were the commonest type (50%). , about histopathological study 18 patients (56.25%)were moderately differentiation ,9 patients (28.1%)poorly differentiation and 5 patients (15.6%) were well differentiation. There were no significant differences of radical surgery in elective and emergency presented cases in recurrence and post operative complications.

الكلمات المفتاحية


مقالة
Prevalence of parasitic infestation among primary school children in Thi-Qar governorate
دراسة مستوى انتشار الطفيليات المعوية لدى اطفال المدارس الابتدائية في محافظة ذي قار2005

المؤلف: Dr. Razzaq Jameel AL-Rubaee د. رزاق جميل الربيعي
ﺎﻠﻤﺠﻟﺓ: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 السنة: 2008 المجلد: 2 الاصدار: 1 الصفحات: 63-68
الجامعة: Thi-Qar University جامعة ذي قار - جامعة ذي قار

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الخلاصة

ABSTRACT :Prevalence of intestinal parasites was determined for 252 children(primary schools for boys and girls ) in Alemarat and Al zaitoon areas in nassirryia city.The age of children ranged from 6-11 years 180 females (71.5%) and 72 males (28.5%) .For stool sample inspection and direct smear microscopy the general prevalence of intestinal parasite was 46.4%.different types of intestinal parasites were detected during this survey .Giardial Lamblia seemed to be the most common parasite (21.2 %) whereas Entameba Histolytica (14%),Enterobious vermicularis (11%)& Hymenolespis nana (0.7%) الخلاصةتم تحديد مستوى انتشار الطفيليات المعوية في محافظة ذي قار في دراسة امتدت من كانون الاول 2004 الى مايس 2005وقد شملت هذة الدراسة 252 طالب وطالبة في مدرستى الغساسنة الابتدائية في منطقة العمارات السكنية و مدرسة الفيحاء الابتدائية في منطقة الزيتون في مركز محافظة ذي قار.وكان عمر الطلاب يتراوح بين 6-11 سنة. 180 طالبة(71.5%)و 72 طالب (28.5%).وبعد مقابلة الطلاب واستجوابهم حول علامات وإعراض الطفيليات المعوية واخذ عينات البراز لهؤلاء الطلاب وفحصها مختبريا تبين ان المستوى العام لانتشار الطفيليات المعوية كان 46.4%وتم الكشف عن انواع مختلفة من هذة الطفيليات خلال هذة الدراسة .حيث كان مستوى انتشار طفيلي الجيارديا اللامبلية هو الاكثر(21.2%) ويلية الزحار الاميبي (14%) ثم الديدان الدبوسية(11%) واخيرا الهامينولبس نانا(0.7%).

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