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Article
Regional Differences of Drinking Water Iodine and Its Association with Thyroid Disorder and Serum Iodine

Author: Jwan Ibrahim Jawzali
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 1 Pages: 198 -208
Publisher: Babylon University جامعة بابل

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Abstract

The study aims to evaluate relationship between drinking water iodine and serum iodine with thyroid disorders in patients with symptomatic thyroid disease in Erbil province, Iraq. Outpatients attending Rizgariy and Hawler teaching hospital, Erbil province, were participated in this cross sectional study and samples of drinking water were collected randomly from different geographical region of Erbil province. Biochemical analyses included; serum thyroid hormones, serum iodine and drinking water iodine. Level of water and serum iodine were deficient 24.1± 6.8 μg/l (SD)μg/l and 24.4 ± 21.4 (SD) μg/l respectively. Highest level of the water iodine was in south west of Erbil city and the lowest one was in the east districts. Water iodine showed significant negative correlation with thyroid stimulating hormone (TSH) in patients with abnormal thyroid function and significant increase risk of hypothyroidism in regions with low water iodine. 20% of patient had hypothyroidism. Serum iodine didn’t correlated with water iodine while there was significant negative correlation of it with TSH hormone. Deficiency of drinking water iodine reflects effect of environmental factors on water quality. It is a potential risk factor for developing thyroid disorder especially hypothyroidism in reproductive age of housewives. Continued monitoring treatment and iodized salt programs could prevent hypo and hyperthyroidism.


Article
Association between Nutrient Contents of Foods and Occurrence of Breast Cancer, A Case –Control Study
دراسة ارتباط ما بين مكونات الغذاء والاصابة بمرض سرطان الثدي مقارنة بالأشخاص الاصحاء

Authors: Jangi Shawkat Salai --- Jwan Ibrahim Jawzali
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2017 Volume: 7 Issue: 1 Pages: 66-81
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: The study conducted to identify association of nutrient contents of foods with occurrence of breast cancer compares to control group. Design: It is descriptive (analytic case-control study). Interview questionnaire was used to collect data of; socio-demographic properties, reproductive history, familial cancer history, and life style factors included indices of obesity, and diet history data to calculate intake of; energy, macronutrient, vitamins and minerals by quantitative food frequency questionnaire. Methodology: The study included (59) women with diagnosed breast cancer, and (65) controls women free from all types of cancer attending Rizgary and Hawler teaching hospital / Erbil / Iraq , from the period of 1st April to 30 July 2011. Statistical analysis included Descriptive statistic, and logistic regression analysis Results: The results showed significant increase in the risk of breast cancer by; low income and low awareness, family history of cancer, and higher intake than controls of; energy, digestible and high glycemic load carbohydrates, saturated fats, cholesterol, vitamins; thiamin, and cholecalciferol and minerals; phosphors, sodium zinc, manganese, and selenium. While primary education level act as significant protective factor in addition to slight protective effect of; vitamins K (naphthoquinones), insoluble fiber and (beans and tea) as foods.Conclusion: High dietary intake of rich energy nutrients, and salty foods could cause; oxidative stress, hormone disturbance and associate with breast cancer risk. Low and safe levels of dietary micro-nutrients and their blood homeostasis may decrease tissues damage and risk of breast cancer.Recommendations: The study recommended implementation nutritional status assessment and nutritional educational program by nutritional specialized nurses, and nutritionists.

هدف البحث:تهدف الدراسة إلى مقارنة محتوى الغذاء ما بين مرضى سرطان الثدي والاشخاص الاصحاء.المنهجية: شملت هذه الدراسة 59 مريضة بسرطان الثدي و 65 حالة سالمة من جميع انواع الامراض السرطانية يترددون على المستشفى التعليمي الجمهوري ومستشفى رزكاري في اربيل/ العراق .تم جمع المعلومات الديموغرافية , النسائية , والمعلومات عن نمط الحياة والاغذية بواسطة استبيان مكون أربعة أجزاء, من 1 اذار الى 30 تموز سنة 2011.النتائج :أظهرت الدراسة زيادة معنوية في الإصابة بسرطان الثدي نتيجة قلة الوعي والدخل, وتاريخ العائلة للإصابة بمرض السرطان, وزيادة اخذ الاغذية الغنية بالطاقة و كربوهيدرات بسيطة و شحوم مشبعة و كوليسترول و فيتامينات ( ثايمينB1 , و الكوليسيفيرول D,), والمعادن (فوسفور, صوديوم, زنك, منغنيز, مع سلينيوم) تأثيرات وقائية من الاصابة بسرطان الثدي وجدت ضمن الاشخاص ذات مستويات التعليم المتوسطة, و اخذ الكميات المقررة من العناصر الصغرى و فيتامين ك .K و الياف غير الذائبة, والبقوليات و الشاي. الاستنتاج: نستنتج بان الاطعمة الغنية بالطاقة والملح يؤدي الى الاكسدة الكامنة و عدم توازن الهورمونات وبالتالي زيادة الإصابة بسرطان الثدي. اخذ كميات محدودة من العناصر الصغرى و بالمستويات المتوازنة في الدم يحمي الانسجة من السرطان.التوصيات: توصي الدراسة بتطبيق تقييم الحالة التغذويه وبرنامج التثقيف الغذائي من قبل ممرضين مختصين بالتغذية وأخصائيي التغذية

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