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Article
Sleep Quality and Academic Performance Among Medical College Students

Author: Ameer Kadhim Al-Humairi
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2018 Volume: 26 Issue: 3 Pages: 142-152
Publisher: Babylon University جامعة بابل

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Abstract

Background:Sleep plays a very important role in a human health. Poor sleep quality remains as a frequent feature of student life. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities and academic performance.Subjects and method:The study was a descriptive cross-sectional study conducted to assess sleep quality among medical college students – University of Babylon using Pittsburgh Sleep Quality Index (PSQI). This study was done during April 2016.Results:Mean age of students was (20.63 ± 0.65). Majority was female. According to PSQI(60.4%) of students were poor sleeper. Significant association between quality of sleep and academic performance was found in our study, (72.9%) of those fail in one or more subjects have poor sleep quality. Conclusion: Poor sleep quality was regarded as an important problem among medical college students. Majority of students (60.4%) was poor sleepers. Our study shows significant relation between sleep quality and academic performance among students of Babylon University –College of Medicine.

المقدمة: يعتبر اخد القسط الكافي من النوم عنصر مهم جدا لصحة الانسان.ان اضطراب النوم وعدم الحصول على القسط الكافي منه يعتبر من اهم المشاكل في حياة طلبة كلية الطب والكليات الاخرى مما يؤدي الى ضعف المستوى الدراسي.طريقة العمل: الدراسه هي دراسه مقطعيه لتحديد نسبة قلة وضعف نوعية النوم عند طلبة كليه الطب –جامعة بابل.النتائج: معدل ضعف نوعية النوم واضطرابه عند طلبة كليه الطب –جامعة بابل هو (60.4%) ووجد تاثير سلبي لضعف نوعية النوم على المستوى العلمي للطالب.الاستنتاج:اضطراب النوم وعدم الحصول على القسط الكافي منه يعتبر من اهم المشاكل في حياة طلبة كلية الطب.معدل ضعف نوعية النوم واضطرابه عند طلبة كليه الطب –جامعة بابل هو (60.4%) مما يؤثر سلباًعلى المستوى العلمي للطالب.


Article
Impact of Sleep Quality on Glycemic Control in Type 2 Diabetes Mellitus

Author: Ameer Kadhim Al‑Humairi, Nawar Kadhim Hassan
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 4 Pages: 369-375
Publisher: Babylon University جامعة بابل

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Abstract

Background: Glycemic control is important to reduce the risk of micro ‑ vascular problems among patients with diabetes mellitus. Sleeplimitation leads to increase Hemoglobin A1C (HbA1c) levels; though, slight is known regarding the metabolic impacts of usual sleep limitation.The current study was a hospital‑based cross‑sectional study which performed to evaluate the association between habitual sleep quality withglycemic control and HbA1c fluctuations among contributors in the medical merjan city among Type 2 diabetics. Objectives: The purpose ofcurrent study is to assess sleep quality among Type 2 diabetic patients and to consider the influence of sleep value on glycemic control amongthose patients in Al‑Hilla City. Methods: Our study was “descriptive cross sectional study” to assess the sleep quality using Pittsburgh SleepQuality Index by filling out the questionnaire formats which designed for usage of the study. This study include a “convenient sample” of150 Type 2 diabetic patients who visit the specialist day clinic in diabetic center of merjan medical hospital between the 25th of February tothe end of June, 2018. Verbal approval was attained from each Type 2 diabetic patient, data collection was done through the interviewing ofcontributors by use of structural questionnaire. Results: The mean age of diabetic patients was (53.20 ± 13.53), Male represents (42.7%) andfemale represents (57.3%). Poor sleep quality represent (35.3%). There was a significant increase in level of HbA1c and random blood sugaramong patients with Type 2 diabetics with poor sleep quality and significant decrease of cholesterol and triglycerides levels with increaseduration of diabetes mellitus. Conclusions: Poor sleep was common among diabetic patients. There is close association between sleep qualityand glycemic control, as well as short sleepers have an increased occurrence of diabetes.


Article
A Study of Road Traffic Accidents in Babylon Province

Authors: Sijal Fadhil Farhood Makki Aljoborae --- Ameer Kadhim Al Humairi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 4 Pages: 912-922
Publisher: Babylon University جامعة بابل

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Abstract

Road traffic accidents (RTA) are the leading cause of death especially for the young and contribute to a high degree of morbidity and mortality for all ages. Iraq has one of the worst records both locally and internationally. It ranks fourth in the world in terms of highest road traffic accident deaths and the first among Middle Eastern and North African countries Data on the incidence of RTA in Babylon is limited . In Babylon RTA directly effects society in terms of death, disability, suffering and cost despite the fact that public education, appropriate laws and enforcement, and research .programs have been tried to prevent RTAThis study was conducted to determine the socio-demographic characteristics of road traffic accident victims and to find the proportion of each type of injury among them.It also aims to find out the association between type of injury and the study variablesA hospital based cross sectional study was conducted in Hillah Teaching General Hospital, from May to of September 2013 (summer) and during November 2013 . This study found that the majority(83%)of victims were male,(76%) came from urban areas and (73%) of the victims were non-governmental employees. 69% of victims were exposed to RTA during the day time and (83%) of these occurred on the main roads.(38%) of the victims presented with multiple injuries with speed account ting for (77%) of the RTAs.About half of the drivers had no driving permits and over half (59%) of the victims had a history of previous exposure to RTA.There was a significant association between the type of injury with the prevailing weather condition and also with the cause of accident, also there was a significant association between type of injury and the type of vehicle and cause of the accident


Article
The Role of Bronchial Wash Carcino-Embryonic Antigen Assay In The Diagnosis of Non-Small Cell Lung Cancer

Authors: Hashim Mahdi Hashim --- Ali Salih baay --- Ameer Kadhim Al-Humairi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 540 -548
Publisher: Babylon University جامعة بابل

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Abstract

The bronchogenic cancer is one of the most common cancers in human kind & it represents a diagnostic challenge because of the most available tests are either yielding in the late stages or it is some of invasive nature ,so the need for diagnostic test in the early stages is mandatory, aim of the study is to assess the significance of bronchial carcino-embryonic antigen ( CEA) as a tumour marker for aiding the diagnosis of non-small cell lung cancer (NSCLC) and to see if there is any difference between the serum & bronchial CEA and between tumour and non-tumour sidesThirty patients were involved in this study ,divided into 3 groups according to their diagnosis as cancer ,airway disease & Tuberculosis groups, assessment of their socio-demographic features ,clinical features chest X ray ,computerized tomography (CT) scan , fibro-optic bronchoscopy were done & the carcino-embryonic antigen (CEA) level were tested in the samples taken from serum, tumour& non-tumoursides.There was a statistically significant difference in the level of the carcino-embryonic antigen in the bronchial wash of cancer patients group comparing to the serum of the same group & to the bronchial wash level in the other groups in favor of the cancer group patients, but no difference between the tumour& non tumour sides in the cancer group patients.The carcino-embryonic antigen assay in the bronchial wash may be helpful in the diagnosis of non-small cell lung cancer& may be take into consideration in the future work up


Article
Incidence of Ischemic Heart Disease among Patients with Mitral Annulus Calcification in Babylon Province

Authors: Ameer Ahmad Al-Jubawii --- Ameer Kadhim Al-Humairi --- Mohammed Hassan Ali
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2016 Volume: 24 Issue: 5 Pages: 1421-1432
Publisher: Babylon University جامعة بابل

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Abstract

Background: MAC is a common finding in patient undergoes echo study; especially middle and old age group who undergo echo study for different reason .MAC is more common in patient with risk factor for ischemic heart disease.Aim of study: to determine the incidence of ischemia diagnosed by TMT by Duke´s score among patients with mitral annulus calcification and to find the association between grade of mitral annulus calcification and IHD.Material and methods: This study was hospital based cross sectional study carried out at outpatients echo unit at Merjan Medical City. Patients who included in the study had negative past medical history with different symptom either chest pain or shortness of breath or dizziness.Results: Out of 66 patients with mitral annulus calcification (62.1%) of them were male, (48.5%) of them were diabetic, (62.1%) of them were hypertensive, (83.3%) of them had hyperlipidemia, (40.9%) of patients had grade 1 mitral annulus calcification. The incidence of ischemic heart diseases diagnosed by TMT was (57.6%). There was significant association between TMT results and grades of mitral annulus calcification.Conclusion: MAC is associated with IHD, grades of mitral annulus calcification are strongly associated with IHD and MAC frequently associated with multiple risk factor of IHD like hypertension, and hyperlipidemia. Any patient with MAC should be search for IHD and risk factors of IHD.

المقدمه: ان تكلس الصمام الاكليلي هو ظاهره شائعة يتم اكتشافها عند المرضى اثناء فحص اليكو وخصوصاً الاعمار المتوسطة والكبيرة وهو اكثر شيوعاً عند المرضى الذين لديهم مرض ارتفاع ضغط الدم والسكري وغيرها من عوامل الجلطة القلبيه.هدف الدراسه: لمعرفة معدل امراض القلب التاجيه عند المرضى المصابين بتكلس الصمام الاكليلي ومعرفة العلاقه بين مراحل التكلس و امراض القلب التاجيه.طريقة العمل: تم اجراء البحث من خلال دراسة مقطعية في وحدة الايكوفي مستشفى مرجان التعليمي . المرضى الذين تضمنتهم الدراسة ليس لديهم أي تاريخ مرضي سابق لاي من الامراض المزمنة او امراض القلب.النتائج: من خلال دراسة سته وستون مصاب بتكلس الصمام الاكليلي تبين ان اثنان وستون بالمائه منهم ذكور وثمانية واربعون ونصف بالمائه مصابين بالسكري واثنان وستون بالمائة مصابين بارتفاع ضغط الدم. من خلال هذه الدراسه وجدنا ان معدل الاصابة بامراض القلب التاجية عند مرضى تكلس الصمام الاكليلي سبعة وخمسون بالمائه, ووجد ان هناك علاقه معنويه بين مراحل تكلس الصمام والاصابه بامراض القلب التاجية.الاستنتاج: ان تكلس الصمام الاكليلي له علاقة وثيقة بامراض القلب التاجية وكذلك مرحلة التكلس لها علاقه وثيقه بامراض القلب التاجية وايضا تكلس الصمام الاكليلي يرتبط بشكل متكرر مع عوامل الخطورة الخاصه بمراض القلب التاجية مثل ارتفاع ضغط الدم وارتفاع نسبة الدهون. يجب ان يتم فحص اي مريض مصاب بتكلس الصمام الاكليلي بحثاً عن أي موشرات لامراض القلب التاجية او عوامل الخطورة الخاصة بها.


Article
Burden of Right Ventricular Infarction in Patients with Inferior Myocardial Infarction in Babylon

Authors: Mohammed Hassan Ali --- Ameer Kadhim Al-Humairi --- Ameer Ahmad Al-Jubawii
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2018 Volume: 26 Issue: 1 Pages: 247-260
Publisher: Babylon University جامعة بابل

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Abstract

Aim of study: the study aim to comparing the rate of cardiogenic shock and mortality rate between patient with RV infarction and inferior MI and the patient with inferior MI alone.Patient and method: Across sectional study conducted in coronary care unit in merjan medical city at time from the first of March 2014 to the 30th of September 2014 for patient with inferior MI. patients were divided to two group, the first group for patients with inferior MI and RV infarction and the second group for patients with inferior MI alone. The both groups were monitor in the hospital for any complications that can take place in the hospital stay.Result: A total of 80 patient were enrolled in the study and divided to two groups, the first group (26 patients) for patients with inferior MI and RV infarction and the second group (54 patients) for patients with inferior MI alone, both group had the same baseline characteristic. The mean age was 59.30 ± 7.56 for first group and it was 55.03 ± 5.18 for second group, male patients were 17 (65.4%) and 33 (61.1%) in the first and second group respectively. The in hospital mortality was 4 (15.4%) and 1(1.9%) in the first and second group respectively and the P value was 0.036 (significant).The risk of cardiogenic shock was 7 (26.9%) and 5 (5.6%) for first and second group respectively with P value 0.011 (significant).Conclusion:1- The patients with RV infarction and inferior MI expose to higher rate of cardiogenic shock than the patients with inferior MI alone during the time of his hospital stay.2- The patient with RV infarction and inferior MI had higher in hospital mortality rate when compared with patient with inferior MI alone.

هدف الدراسة: هده الدراسة تهدف الى المقارنة في نسبة حصول الصدمة القلبية والوفاة للمرضى الدين يحصل لديهم احتشاء للعضلة القلبية السفلى والمرضى الدين بحصل لديهم احتشاء للعضلة القلبية السفلى مع احتشاء البطين الايمن .طريقة الدراسة : هده دراسة مقارنة اجريت في مدينة مرجان الطبية في وحدة الانعاش للفترة من 1-2-2014 الى 30-9-2014للمرضى الدين الدين أصيبوا باحتشاء العضلة القلبية السفلى .تم تقسيم المرضى الى مجموعتين ,المجموعة الاولى هم المرضى المصابين باحتشاء العضلة القلبية السفلى والمجموعة الثانية هم المرضى المصابين باحتشاء العضلة القلبية السفلى مع احتشاء البطين الايمن للقلب .تم متابعة المرضى طول فترة بقائهم بالمستشفى لأي تعقيدات ممكن ان تحدث.النتائج: مجموع 80 مريض ادخلوا في الدراسة وقسموا الى مجموعتين : المجموعة الاولى26 مريض أصيبوا باحتشاء العضلة القلبية السفلى مع احتشاء البطين الايمن ,والمجموعة الثانية 54 اصيبوا باحتشاء العضلة القلبية السفلى ,المجموعتين لديهم نفس الخصائص .معدل العمر للمرضى هو 59.30 للمجموعة الاولى , 55.03 للمجموعة الثانية .نسبة الذكور للمجموعة الاولى هو 17 (65.4%) و33(61.1%) للمجموعة الثانية .نسبة الوفيات للمجموعة الاولى هو 4(15.4) و1 (1.9) للمجموعة الثانية . قيمو البي 0.036 وتعتبر نسبة مهمة .عدد المرضى الدين اصيبوا بالصدمة القلبية للمجموعة الاولى هو 7(26.9) وللمجموعة الثانية هو 5(5.6) ,قيمة البي هي 0.011 وتعتبر مهمة .الاستنتاجات:1-المرضى المصابين باحتشاء العضلة القلبية السفلى والبطين الايمن لديهم نسبة عالية لحدوث الصدمة القلبية اكثر من المرضى المصابين باحتشاء العضلة القلبية السفلى في فترة بقائهم بالمستشفى .2- المرضى المصابين باحتشاء العضلة القلبية السفلى والبطين الايمن لديهم نسبة عالية للوفاة اكثر من المرضى المصابين باحتشاء العضلة القلبية السفلى في فترة بقائهم بالمستشفى

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