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Article
Anthropometric Measures Among Hospitalized Diabetic Patients; Case Control Study
الأنثروبومترية التدابير فيما بين مرضى السكري في المستشفيات؛ دراسة حالة مراقبة

Author: Sarab K. Abedalrahman,
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2012 Volume: 18- 2 ج1 Issue: 182 Pages: 98-105
Publisher: Tikrit University جامعة تكريت

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Abstract

Background: Although many older people with diabetes are obese, a proportion is recognized to have malnutrition or lesser degrees of nutritional impairment. This study aimed to assess the nutritional status of hospitalized elderly diabetic patient using the anthropometric measures Hospital based case control study in Tikrit teaching hospital with random sampling method of 50 hospitalized elderly diabetics compared with 50 hospitalized non-diabetics. Nutritional assessment done depending on anthropometric measures : Height, weight, BMI, mid arm circumference , and calf circumference. About 6% of diabetics had BMI <18.5 with odds ratio2.17 , 30% had BMI<22 as an indicator of high mortality with odds ratio 2.17. About 12% of diabetic group had MAC ≤ 21 cm versus 4% for non- diabetic group, with odds ratio of 3.3. Calf circumference was <31cm for 48% of diabetics, vs36% of the non-diabetic group, with odds ratio of 1.64. Hospitalized elderly diabetics had non-significant lower anthropometric measures than non-diabetics, indicating nutritional status affection and, the need for an overall nutritional assessment tool encompassing all areas of nutritional evaluation other than anthropometric measures among elderly patients.

خلفية: على الرغم من أن العديد من كبار السن يعانون من مرض السكري يعانون من السمنة المفرطة، ومن المسلم به أن يكون نسبة سوء التغذية أو ضعف درجات أقل من التغذية. هدفت هذه الدراسة إلى تقييم الحالة التغذوية للمسنين في المستشفى مريض السكري باستخدام القياسات البشرية القائمة على مستشفى تدابير الرقابة دراسة حالة في مستشفى تكريت التعليمي مع طريقة أخذ العينات العشوائية من مرضى السكري المسنين في المستشفى 50 مقارنة مع 50 في المستشفى غير المصابين بالسكري. تقييم عمله الغذائية اعتمادا على القياسات البشرية التدابير: الطول، الوزن، مؤشر كتلة الجسم، محيط منتصف الذراع، ومحيط الساق. كان 30٪ حوالي 6٪ من مرضى السكري كان BMI <18،5 خلاف مع ratio2.17، BMI <22 كمؤشر للوفيات عالية مع نسبة الأرجحية 2.17. كان حوالي 12٪ من مرضى السكري مجموعة MAC ≤ 21 سم مقابل 4٪ لغير مرضى السكري المجموعة، مع نسبة احتمالات 3.3. وكان محيط ربلة الساق <31cm عن 48٪ من مرضى السكري، vs36٪ من مجموعة غير المصابين بالبول السكري، مع نسبة الأرجحية بلغت 1.64. كان مرضى السكري المسنين في المستشفى غير هامة تدابير أقل القياسات البشرية من غير مرضى السكري، مشيرا إلى حالة والمودة الغذائية، والحاجة إلى أداة تقييم التغذية الشاملة التي تشمل جميع مجالات التقييم الغذائية الأخرى من التدابير القياسات البشرية بين المرضى كبار السن.

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Article
Adherence to WHO guidelines of diarrhea management among children under 2 years old in Tikrit city

Author: Sarab K. Abedalrahman
Journal: Tikret Journal of Pharmaceutical Sciences مجلة تكريت للعلوم الصيدلانية ISSN: 18172716 Year: 2012 Volume: 8 Issue: 2 Pages: 318-327
Publisher: Tikrit University جامعة تكريت

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Abstract

Diarrhea, has a major impact on global health, due to its high worldwide prevalence and health costs, and because it can be reduced by appropriate interventions and treatment. The aim of this study is to evaluate the adherence of health workers with the WHO guidelines of diarrhea management for children under 2 years old. A cross sectional study, done in 4 primary health care centers and Tikrit Teaching hospital . Three samples tested ; Random sample of 491 mother of under 2 years old child with diarrhea,14 GPand 17 nursing staff in PHCCs, 22 residents and11 nursing staff in Tikrit teaching hospital. Drugs alone or with ORS had given by 90% of all respondents and non-had received ORS alone. About45.5% of the residents and 21.4% of GP prescribe antispasmodic and antiemetic drugs during diarrhea. Only one 4.5% of the residents know that zinc is used in the treatment of diarrhea, and only 21.4% of the GP and 9.1% of the residents know the relation between vitamin A and diarrhea. Only 14.3% of the GPs and 9.1% of the residents didn’t use antibiotics in the management of diarrhea. Only 14.3% of the GPs and 13.6% of residents give correct indication of antibiotic use in diarrhea. Only 70.3% of the PHCC nursing staff and 18.2% of hospital nursing staff mentioned dextrolyt as the best treatment for diarrhea. Conclusion: There is overuse of antibiotics which is due to the wrong knowledge of the health workers.


Article
Toward Iraqi National Medical Licensing Examination

Authors: Ashoor R Sarhat --- Sarab K. Abedalrahman
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 77-84
Publisher: Diyala University جامعة ديالى

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Abstract

Many factors that necessitate the need for a national medical licensing examination in Iraq, and these are the following; the rapid increase in the number of medical schools and their students, the expected influx of Iraqi and foreign medical graduates from foreign countries to work in Iraq especially after 2003. The expected increasing number of students and award of scholarships to increasing numbers of students to study medicine in various countries with the absence of published national guidelines for minimal acceptable competencies of a medical graduate are of driving forces for this examination. This article is to discuss the need for consensus of lists of competencies that a graduating medical student is expected to master in order to practice medicine, and then to design national licensing examinations to address these different competencies.


Article
Reliability of fine needle aspiration biopsy in diagnosis of breast lump

Authors: ***Ali Sakhar --- **Najim Abid Issa Al-Khalidy , --- *Sarab K.Abedalrahman,
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 1 Pages: 61-67
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: breast cancer is commonest cancer globally and the 1st cancer in Iraq among females, its management and prognosis depend on early diagnosis, the traditional method was excisional biopsy which is expensive and invasive leading to delayed diagnosis, FNAB is cheap nom invasive more acceptable to women, Aim of the study: to test the reliability of FNAB in preoperative diagnosis of breast lump.Methodology: This is a retrospective study of 204 cases, 102 breast cancer cases and 102 benign breast lesions, taken between Jan. 2017 – Nov. 2017. The sample taken from the breast cancer early detection center in Al-Alwiyaa maternity teaching hospital, during the year 2017Results: Invasive ductal carcinoma (IDC) was found among 82(80.4%) of malignant cases, ILC was 14(13.7%) , fibroadenoma was the most common benign lesions 51(50%), The absolute sensitivity was 96% , specificity 100%, with 4% false negative the accuracy was 98%. The complete sensitivity was 96%, and specificity was 83%, with 4% false negative and 17% false positive cases, the accuracy was 90%,Conclusion and recommendation: fine-needle aspiration biopsy (FNAB) is accurate for breast lump diagnosis. With high sensitivity and specificity. FNAB is a good screening method and help in an improvement of treatment planning

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