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Article
Lipid profile of controlled and uncontrolled diabetics in Erbil, Iraq

Author: Kameran Hassan Ismail
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2016 Volume: 29 Issue: 4 Pages: 184-187
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Diabetes mellitus is a clinical syndrome characterized by hyperglycemia due to absolute or relative deficiency of insulin. This study was carried out to; compare lipid profile between uncontrolled and controlled diabetics, and find out; the prevalence, age and gender distribution of uncontrolled diabetics in a group of diabetic patients in Erbil, Iraq.Methods: A cross-sectional study was conducted between March 1st, 2012 and October 1st, 2012. A convenience sample of 351 diabetic patients attending Erbil Teaching Hospital was taken. The recommended goal for (controlled) HbA1C is ≤ 7%. Venous blood was collected after at least 8 hours fasting for HbA1c, total cholesterol, triglycerides, high-density and low-density lipoprotein cholesterol.Results: The sample included 351 patients (168 males and 183 females); their mean ± SD age was 61.71 ± 9.5 years (ranged from 40 to 79 years) with a male: female ratio of 0.92:1. The mean ± SD ages of controlled and uncontrolled diabetics were 59.91 ±9.95 and 62.90 ±9.02 years, respectively. ). Results revealed that the prevalence of uncontrolled diabetes is 60.1% and it is increased with age (P=0.015), and the prevalence of uncontrolled diabetes in males (65.5%) is significantly higher than (55.2%) that in females (P=0.049). The means ± SD of serum total cholesterol (198.49± 54.79 mg/dl), serum triglycerides, serum LDL-cholesterol of uncontrolled diabetes were significantly higher than that of controlled diabetes (P<0.001, P=0.042, and P=0.004, respectively).Conclusions: More than half of diabetic were uncontrolled and the prevalence of uncontrolled diabetes was higher in males than that in females and it was increased with age. There was significant difference of means of total cholesterol, triglycerides and LDL-cholesterol levels between controlled and uncontrolled diabetic patients.


Article
The outcome of stroke: A six month follow-up study
نتائج السكتة الدماغية: دراسة متابعة لمدة ستة أشهر

Author: Kameran Hassan Ismail
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 82-88
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Stroke is an increasing problem in developing countries and is the principal cause of disability and dependency in the western world. This study aimed to find out the one- and six-month case fatality, dependency and recurrence rates of stroke in Erbil teaching hospitals. Methods: This hospital-based prospective study included 293 stroke patients hospitalized in Erbil teaching hospitals from January 1st, 2015 through December 31st, 2015. Stroke was diagnosed by a consultant internist or neurologist and confirmed by brain CT-scan and/or MRI. Patients were followed-up for six months, then one- and six-month outcomes were measured including case-fatality, dependency and recurrences rates.Results: The one and six month case fatality rates were 28.3% and 37.5%, respectively. The rates in females (33.3%, 42.6%, respectively) were higher than that in males (23.7%, 32.9%, respectively), but there was no significant association between case-fatality rate and gender. A total of 74.3% and 45.4% of patients at one- and six-month were functionally dependent. The majority (88.9%) of diabetic patients were functionally dependent. Also, the one and six month recurrence rates of stroke patients were 15.7% and 23.2%, respectively. For both one and six month post stroke more recurrence occurred from ischemic (16.2%, 14.3%, respectively) than from hemorrhagic (24.5%, 19.5%, respectively) strokes, but there was no significant association between the recurrence and stroke subtype (P = 0.691, P = 0.367, respectively).Conclusion: The reported outcomes are relatively comparable to that reported in other developing countries, although it is still more than the rates of developed countries. Outcome measures can help to give information and develop guidelines for clinical practice and research.


Article
Satisfaction of inpatients in Erbil teaching hospitals
رضا المرضى الداخليين في المستشفيات التعليمية في أربيل

Author: Kameran Hassan Ismail
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 2 Pages: 98-105
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: It is often felt that developing countries need to improve their quality of healthcare provision. The aim of this study was to identify the satisfaction of patients about different aspects of hospital health care services, and to build a solid database for future health care planning, guiding of health policy, and monitoring health care quality.Method: A cross-sectional study was carried out in Erbil teaching hospitals from November, 15th 2010 to January, 15th 2011. A convenience sample of 720 patients was obtained. Data were obtained by a direct interview using an anonymous questionnaire designed by the researcher. A measurement scale (Likert scale) for satisfaction was used.Results: The mean ± SD age was 43.98 ±13.48 years with a male: female ratio of 0.61:1. The overall satisfaction rate was 73.2%, and the rate in Erbil, Rizgary and Maternity teaching hospitals were 63.8%, 75% and 80.8%, respectively (P<0.001). Binary logistic regression analysis revealed that there was significant association between age (OR= 1.068), years of formal education (OR= 0.742) with the overall satisfaction, and female patients were significantly more satisfied than males (OR=2.342).Conclusion: The satisfaction rate increased with age and there is inverse association between the satisfaction rate and educational level of patients.


Article
Uncontrolled Hypertension In A Group Of Hypertensive Patients In Erbil
ضغط الدم الغیر مسیطر علیھ بین مجموعة من المرضى المصابین بارتفاع ضغط الدم في اربیل

Authors: Kameran Hassan Ismail --- Bushra Baker Khidder
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 126-132
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: Hypertension is a powerful risk factor for fatal and non-fatal cardiovascular disease events, andmany randomized trials showed that hypertension control is associated with a decrease in incidence of stroke andcoronary heart disease.Objective: This study was carried out to identify the prevalence of, and factors associated with, uncontrolledhypertension in a group of hypertensive patients in Erbil.Patients and methods: A cross sectional study was carried out. A convenience sample of 400 hypertensivepatients attended outpatient clinics at Rizgary teaching hospital in Erbil city was included. This study wasextended from 1st April 2011 through 31st March 2012. The data were obtained by a direct interview with thepatients using a questionnaire a specially designed questionnaire. The statistical package for social sciences(SPSS, version 18.0) was used for data entry and analysis.Results: The prevalence of uncontrolled hypertension was (58.8%). The prevalence of uncontrolled hypertensionamong males hypertensive patients were 61.8%.and among females were 57.5%. The Logistic regressionsanalysis of uncontrolled hypertension showed a statistically significant association between uncontrolledhypertension with current smoker (OR=8.77), regularity of treatment (OR=0.296), exercise (OR= 0.414) and typeof antihypertensive drugs: diuretics (OR=11.938), ACEI (OR=7.907) beta blockers (OR=7.096), and CCB(OR=7.169).Conclusions: More than half of the hypertensive patients were uncontrolled. The factors associated withuncontrolled hypertension were smoking, lack of exercise, irregularity of treatment (non adherence to treatment).Recommendations: There is a need to stimulate researches and further studies, such as complete communitybasedcase ascertainment.

ارتفاع ضغط الدم یشكل مشكلة صحیة عامة رئیسیة في إقلیم كردستان، والعدید من التجارب العشوائیة أظھرت أن ارتباط مراقبة ارتفاعضغط الدم مع انخفاض في معدل الإصابة بأمراض القلب التاجیة والسكتة الدماغیة .الھدف: لتحدید مدى انتشار والعوامل المرتبطة بارتفاع ضغط الدم غیر المنضبط بین مجموعة من المرضى المصابین بارتفاع ضغط الدم في اربیل.منھجیة البحث: أجریت دراسة مقطعیة .وقد تم اختیار العینة المكونة من 400 مریض من المصابین با رتفاع ضغط الدم في ھذه الدراسة والمراجعین للعیادات الخارجیة في المستشفى رزكاري التعلیمي في مدینة اربیل .وتم تمدید ھذه الدراسة من الاول من نیسان سنة 2011 الى 31 منآذار 2012 . جمعت المعلومات في ھذا البحث عن طریق المقابلة المباشرة مع المرضى وذلك باستعمال استبیان خاص صمم لھذا الغرض. وقدنسخة 18 ) لادخال وتحلیل البیانات الاحصائیة. ) SPSS استعمل برنامجالنتائج: انتشار ارتفاع ضغط الدم غیر المنضبط وكان بنسبة 58.8 %. كان معدل انتشار ارتفاع ضغط الدم غیر المنضبط بین مرضى ارتفاع ضغطالدم من الذكور 61.8 % وبین الاناث كان بنسبة . 57.5 % وكشف تحلیل الانحدار اللوجستي من ارتفاع ضغط الدم غیر المنضبط أن ارتفاع ضغطو ممارسة الریاضة ،(OR = وانتظام العلاج ( 0.296 ،( OR= الدم غیر المنضبط وكان إحصائیا وجود علاقة كبیرة مع المدخن الحالي ( 8.77، (OR= وحاصرات بیتا ( 7.096 ،(OR =7.907) ACEI ، (OR = ونوع الأدویة الخافضة للضغط: مدرات البول( 11.938 (OR= 0.414).( OR=7.169) CCBالاستنتاجات: اكثر من نصف المرضى المصابین بارتفاع ضغط الدم كان ضغط الدم عندھم غیر منضبط . وكانت العوامل المرتبطة بارتفاع ضغطالدم غیر المنضبط :- التدخین ، و عدم ممارسة الریاضة و عدم الانتظام في تناول العلاج من قبل المرضى المصابین بارتفاع ضغط الدم.التوصیات: یوصي ھذا البحث باجراء بحوث مستفیضة وموسعة ومجتمعیة مبنیة على دراسة حالات في المجتمع


Article
Lipid Profile of Controlled and Uncontrolled Diabetics in Erbil, Iraq

Author: Kameran Hassan Ismail د.كامران حسن اسماعيل
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2014 Volume: 27 Issue: 1 Pages: 10-13
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

ABSTRACT:Background: Diabetes mellitus is a clinical syndrome characterized by hyperglycemia due to absolute or relative deficiency of insulin. This study was carried out to; compare lipid profile between uncontrolled and controlled diabetics, and find out; the prevalence, age and gender distribution of uncontrolled diabetics in a group of diabetic patients in Erbil, Iraq.Methods: A cross-sectional study was conducted between March 1st, 2012 and October 1st, 2012. A convenience sample of 351 diabetic patients attending Erbil Teaching Hospital was taken. The recommended goal for (controlled) HbA1C is ≤ 7%. Venous blood was collected after at least 8 hours fasting for HbA1c, total cholesterol, triglycerides, high-density and low-density lipoprotein cholesterol.Results: The sample included 351 patients (168 males and 183 females); their mean ± SD age was 61.71 ± 9.5 years (ranged from 40 to 79 years) with a male: female ratio of 0.92:1. The mean ± SD ages of controlled and uncontrolled diabetics were 59.91 ±9.95 and 62.90 ±9.02 years, respectively. ). Results revealed that the prevalence of uncontrolled diabetes is 60.1% and it is increased with age (P=0.015), and the prevalence of uncontrolled diabetes in males (65.5%) is significantly higher than (55.2%) that in females (P=0.049). The means ± SD of serum total cholesterol (198.49± 54.79 mg/dl), serum triglycerides, serum LDL-cholesterol of uncontrolled diabetes were significantly higher than that of controlled diabetes (P<0.001, P=0.042, and P=0.004, respectively).Conclusions: More than half of diabetic were uncontrolled and the prevalence of uncontrolled diabetes was higher in males than that in females and it was increased with age. There was significant difference of means of total cholesterol, triglycerides and LDL-cholesterol levels between controlled and uncontrolled diabetic patients. Key words: Uncontrolled Diabetes, HbA1c, Lipid

Keywords

Uncontrolled Diabetes --- HbA1c --- Lipid


Article
Knowledge and practices of a group of adolescents toward some aspects of their health and development
معارف وممارسات مجموعة من المراهقين بعض الجوانب في الصحة والتطوير

Authors: Namir Ghanim Al-Tawil --- Jwan Mohammad Sabir --- Kameran Hassan Ismail
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 1 Pages: 264-270
Publisher: University of Kufa جامعة الكوفة

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Abstract

الخلفية: تعتبر المعرفة مهمة للمراهقين لتنمية نمط صحي للحياة، الوقاية من الأمراض، والمشاركة الفعالة في المجتمع.الهدف: الدراسة تهدف الى تقييم معارف وممارسات عينة من المراهقين في أربيل-العراق حول بعض الامور التي تخص صحتهم.الطريقة: اجريت دراسة مقطعية في مدينة أربيل للفترة من 15/10/2008 الى 15/12/2008. تم تصميم إستمارة جمع المعلومات من قبل الباحثين، وتم توزيع الاستمارات على الطلبة لغرض ملئها. تم أخذ الموافقة الشفهية لجميع الطلبة قبل البدء بالدراسة.النتائج: إشتملت الدراسة على 441 مراهق (257 ذكر و 184 انثى). نسبة الذكور الى الاناث كانت 1.4 :1 . معدل العمر (+ الانحراف المعياري) كان 15.7 + 2.3 سنة (من 11 الى 19 سنة). إعتقد أكثر من نصف العينة (58.8%) أنهم بصحة جيدة، 23.6% يعتقدون أن التدخين مضر بالصحة، أكثر من النصف (52.83%) كانوا يأكلون طعام صحي، 52% يمارسون الرياضة، و 39.46% كانوا يأخذون الفيتامينات للعناية بصحتهم. الاستنتاج: لازالت معلومات وممارسات المراهقين ضعيفة وتحتاج الى المزيد من التوعية والمتابعة لتقديم وتطبيق المعلومات حول الصحة.

Background: Information is important for adolescent to develop healthy lifestyles, protect themselves from disease, and participate meaningfully in society,This study was carried out to assess the knowledge and practices of a group of adolescents toward some aspects of their health in Erbil-Iraq.Methods: A cross sectional study was carried out in Erbil city, from October 15th to December 15th, 2008. The questionnaire was designed by authors and administered to students during class time. Verbal informed consent was obtained from all participants. Results: The study sample was composed of 441 adolescents (257 males, and 184 females). The male: female ratio was 1.4: 1. The mean age (+SD) was 15.7+2.3 years (ranging from 11-19 years). More than half (58.5%) think that they are in a good health, 23.6% believe that smoking affect their health negatively, More than half (52.83%) eat healthy food, around 52% practice exercise, and 39.46% take vitamins to take care of their health.Conclusion:The knowledge and practice of our adolescent toward their health and practice still deficient and need more advanced follow up to increase information regarding this branch.

Keywords

Adolescent --- health --- Erbil


Article
Body weight and eating habits of school students in Kore sub-district of Erbil: A cross-sectional study
وزن الجسم وعادات الأكل لدى طلاب المدارس في منطقة كورى في أربيل: دراسة مقطعية

Authors: Tariq Salman Al-Hadithi --- Awring Marouf Raouf --- Kameran Hassan Ismail --- Yassin Ahmad Asa`ad
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 2 Pages: 942-948
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: The prevalence of obesity is increasing worldwide at an alarming rate in both developing and developed countries. The aim of this study was to assess the weight of a sample of school students and its association with their eating habits and life-style practices.Methods: This cross-sectional study was conducted on 477 students selected from four intermediate and secondary schools in Kore sub-district in Erbil, Iraq. Data on the students’ eating and drinking habits, in addition to weight, height, smoking and other life style habits were collected through a self- administered questionnaire.Results: The prevalence of overweight and obesity (categorized into one group) was more common among female students than male students (19.9% and 11.8%, respectively) with a significantly statistical difference (OR=0.536; 95% CI, 0.321-0.894, P= 0.017). Sleeping hours/night was also significantly associated with overweight and obesity, where sleeping less than 6 hours and between 6 and 8 hours was significantly associated with overweight and obesity (P = 0.004 and 0.001, respectively). There was no statistical association between overweight and obesity and all reported eating habits including breakfast, lunch, fried food, vegetables, salads and fruit juice intake, in addition to intake of crisps and cakes, energy providing drinks, soft drinks, and of milk and dairy products.Conclusion: The prevalence of overweight and obesity among the study sample was low and there was no significant association with the eating habits and life-style practices, apart from those sleeping less than eight hours/nigh.

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