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Article
Effect of stress on arterial blood pressure In dental students

Authors: Maha T Al–Saffar --- Karama MT Al–Nuaimy --- Tahani A Al–Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2007 Volume: 7 Issue: 2 Pages: 118-121
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To study the effect of stress and fear on blood pressure that are imposed on student beforeattending examination in particular final year examination at the College of Dentistry. Subjects andMethods: Arterial blood pressure (indirect method ) was measured for 99 dental student (21 + 0.6years) before 30 minutes of final examination on a particular subject and immediately afterexamination. Result: The data reflected a significant increase in systolic blood pressure before passingthe final examination, whereas there was no significant increase in the diastolic blood pressure in allstudents. Conclusions: Stress produces a significant elevation in blood pressure that can be controlledby systemic defense mechanisms naturally present.

Keywords

Stress --- blood pressure --- examination


Article
Reduction of Blood Pressure by Using Apricot Seeds and Vitamin C
انخفاض ضغط الدم باستعمال بذور حبة المشمش وفيتامين c

Author: Hanna’a Salman Yass هناء سلمان ياس
Journal: Journal of Al-Ma'moon College مجلة كلية المأمون ISSN: 19924453 Year: 2011 Issue: 17 Pages: 165-170
Publisher: AlMamon University College كلية المامون الجامعة

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Abstract

The kernel of apricot seeds were used in the treatment of many diseases .The patients were outpatients from Ur Clinic in Baghdad .Seventy two patients were included in this study (42 male, 30 female). Their ages were between 40-65 years. The first group was supplemented with six kernel apricot seeds three times daily for 21 days. The second group was supplemented with six kernel apricot seeds and 500mg of vitamin c three times daily for 21 days .Every week, the blood pressure of the patients were measured. The results showed that the blood pressure of the first Group of both Systolic and diastolic was reduced while the reduction of blood pressure of the Second group was more than that in the first group. Aim:The aim of this study is to investigate the effect of kernel apricot seeds on blood pressure and its relation with vitamin c .

لب بذرة المشمش استعملت في علاج عدة أمراض، أخذت القياسات لضغط الدم لمرضى يرتادون عيادة أور في بغداد - اِثنان وسبعون مريضاً على شكل مجموعتين 42 من الرجال و 30 من النساء تتراوح أعمارهم بين 40-65 سنة المجموعة الأولى تناولت ستة حبات من لب بذرة المشمش ثلاث مرات يومياً لمدة 21 يوم. المجموعة الثانية تناولت ست حبات من لب بذرة المشمش ثلاث مرات يومياً مع تناول 500ملغم من فيتامين c ثلاث مرات يومياً لمدة 21 يوماً وكل أسبوع تم قياس ضغط الدم(الانقباضي والانبساطي) النتائج أظهرت أن ضغط الدم عند المجموعة الأولى قل بنسبة 29% الانقباضي و26% الانبساطي عند الرجال وبنسبة 28% الانقباضي و 24% الانبساطي عند النساء بينما في المجموعة الثانية قل ضغط الدم بنسبة 34% الانقباضي و 29% الانبساطي عند الرجال و 37% الانقباضي و 29% الانبساطي عند النساء .الهدف: يهدف البحث إلى إيجاد تأثير لب بذرة المشمش على ضغط الدم وعلاقته بفيتامين c


Article
The Accuracy of Blood Pressure Device

Authors: Najla Ayoub --- Hana Alsaeed --- Lamya Ayoub
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2012 Volume: 11 Issue: 1 Pages: 24-26
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: One of the factors affecting the accuracy of readings of blood pressure is the equipment used. Defects or inaccuracy of the sphygmomanometer may be source of error in blood pressure measurement. Aims: This study had two objectives. Firstly, to assess the accuracy of sphygmomanometer used in general practice and secondly to assess the physical condition. Materials and Methods: A total of 50 mercury and aneroid sphygmomanometers were tested for accuracy and physical condition. Results: The results were that of the mercury and aneroid sphygmomanometers tested, 30% were inaccurate, of these, 10% recorded an error greater than 10 mmHg. Both types of sphygmomanometers were evaluated for conditions of cuff/bladder, pump bulb, and valve. Air leaks / holes in the pump bulb was found in 4% and bladder damage in 6% and indicator needles not pointing to the zero. Conclusions: It is necessary that all equipment used for blood pressure measurement should be checked for accuracy on regular period.


Article
Hyperuricemia, is it a cause or an effect of hypertension? A study in Ramadi city, Iraq

Author: Mahmood M. Atia
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2005 Volume: 5 Issue: 1 Pages: 57-60
Publisher: University of Anbar جامعة الانبار

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Abstract

Objective : To evaluate the relationship between Hyperuricemia and hypertension . Patients and methods : 5Q hypertensive patients(30 males and 20 females ) and 24 normal individuals (11 males 13 females ) as control group were investigated at the clinical pathology unit in Ramadi, for the following parameters:- Body mass index (BMI), blood pressure (BP), serum cholesterol (S.Ch), and serum uric acid (S.U.A.) .Results: The four parameters were found elevated in 26(52%) . serum uric acid and S.Ch were elevated in 13 (26%) of them , while S.U.A. and BP elevated in seven (14%) Patients. In the other four patients (8%) BP, elevated only . Correlation studies of demographic variables showed that age was positively correlated with BMI and S.Ch . while S.U.A. showed a higher relationship with blood pressure in males than in females . Conclusion : It can be concluded that the association between hypertension and hyperuricemia is clinically significant , but seem to be over looked .

هدف الدراسة : تقييم العلاقة بين حامض البوليك وضغط الدم المرضى وطرق العمل : اجريت الدراسة على خمسين مريضاً بارتفاع ضغط الدم (20 ذكراً و30 أناث) و24 شخصاً طبيعياً (13 انثى و11 ذكراً) في وحدة المختبر السريري في مدينة الرمادي بالعراق سجل لديهم , وزن الجسم , حامض البوليك , الكولسترول النتائج : ارتفعت القياسات المذكورة آنفاً لدى 26 مريضاً (52% ) وازداد الكولسترول وحامض البوليك لدى 13 ( ) منهم بينما ارتفع حامض البوليك مع ضغط الدم في سبعة (14%) من المرضى وارتفع ضغط الدم فقط في المرضى الاخرين (8%) وتبين من دراسة المتغيرات وجود علاقة قوية بين وزن الجسم وارتفاع حامض البوليك وضغط الدم . ويبدو ان العلاقة بين حامض البوليك وضغط الدم لدى الرجال اقوى منها بين النساء . الاستنتاج: يستنتج من ذلك ان التلازم بين حامض البوليك وارتفاع ضغط الدم يسترعي مزيداً من الاهتمام .


Article
Diagnostic Value Of Post Exercise Systolic Blood Pressure Response In Ischemic Heart Disease

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Abstract

Background: The normal decline in systolic blood pressure during recovery phase of treadmill exercise dose not occur in most patients with coronary artery disease, in others recovery values systolic blood pressure may even exceed the peak exercise value. Objectives: Treadmill exercise test parameters indicating the presence and extent of coronary artery disease have traditionally included such as exercise duration, blood pressure and ST-segment response to exercise. The three –minute systolic blood pressure ratio is another important indicator of presence and significance of coronary artery disease is useful and obtainable measure that can be applied in all patients who are undergoing stress testing for evaluation of suspected ischemic heart disease and this increase the sensitivity of exercise test . Type of the study: A prospective study.Methods: Between April 2011 and April 2012 ,all patients underwent treadmill exercise test , echocardiography coronary angiography in Ibn Ab-bitar Hospital Cardiac Surgery. Clinical and procedural data for patients undergoing treadmill and coronary angiography were prospectively collected and entered into database specially designed for the present study.To calculate mean systolic blood pressure ratio for each , Measurement of blood pressure in the 3rd minute of recovery time and divided by peak systolic blood pressure during exercise test ,after excluding patients . Coronary angiography was done for all patients who under went treadmill exercise test and multiple views were taken accordingly to clarify the lesion and critical lesion defined as >50% stenosis in LMS and >70% stenosis in LAD,LCX and RCA. Results: We studied 100 patients In the period from April 2011 to April 2012, 78(78%) male and 22 (22%) a female with a mean age 55.49±7.60 who undergone treadmill exercise testing and coronary angiography to assess the chest pain, 32 patient had normal blood pressure 68 had hypertension and 24 patients had normal coronary angiography and 76 patients had abnormal coronary angiography. SBP/3 minute recovery blood pressure ratio was significantly higher in patient with coronary artery disease than patient without coronary artery disease (mean ±SD O.92±0.09 VS 0.81 SBP/3 minute recovery blood pressure ratio was significantly related with the severity of coronary artery disease its higher in three vessels than one vessel disease 0.95±0.10 vs0. 91 ±0.01 p-value 0.0001.Conclusions: post exercise blood pressure response in patients with coronary artery diseaseis higher than patients with normal coronary artery .post exercise blood pressure is related to the severity of coronary artery disease


Article
Inter-arm Blood Pressure Difference in Type 2 Diabetic Patients and Ambulatory Blood Pressure Monitoring :A Clinical Dilemma

Author: Hassan Salim Abdulsada
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2240-2251
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Frequently coexistent condition in type 2 diabetes mellitus is hypertension and vice versa. Measurement of blood pressure by ambulatory blood pressure monitoring is superior to ordinary blood pressure . Blood pressure disparity reflects vascular diseases which diabetic patients liable for. Inconsistency in selecting the proper arm for blood pressure measurement may create a clinical dilemma in the presence of systolic and/or diastolic disparity.Aim :We tried in this study to set proper steps in choosing the suitable arm for ambulatory blood pressure monitoring cuff fitting.Material and Methods :Consecutive 140 type 2 diabetes mellitus patients aged 29 years and elder were examined by sequential ordinary blood pressure and simultaneous dual ambulatory blood pressure monitoring.Results: Systolic disparity grade I was dominant (75.7%) as well as diastolic disparity grade I (86.4%). The mean systolic and diastolic blood pressure in the dominant arm was higher than that in the non-dominant arm with significant pressure differences (<0.001).Age and duration of diabetes had positive impacts on systolic and diastolic disparities while gender and Hemoglobin A1C had no impacts. Systolic and diastolic blood pressures were significantly different in both arms when studied over day-time, night-time, and 24-hours ambulatory monitoring. Systolic and diastolic differences in the dominant arm and the non-dominant arm had been shown to have significant mean differences with the mean ambulatory day-time blood pressure.Discussion: Sequential method is an accepted modality and the arm with the higher systolic and/or diastolic blood pressure is the suitable arm for ambulatory monitoring and generally mirroring OBP


Article
Heart Rate and Blood Pressure Responses to Exercise Testing in Relation to Age in Healthy Men

Author: Affan Ezzat Hassan
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 14-20
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:There are many circulatory changes that occur during exercise including the stimulatory effects on the circulation by the mass sympathetic discharge, the increased arterial pressure and cardiac output.OBJECTIVE:To investigate the effect of aging process on the heart rate and blood pressure responses during exercise in normal Iraqi male subjects.METHODS:The subjects involved in the study were normal healthy people, their total number was 80 persons all of them were males. They were grouped into three age groups; 20 ≤ 29 years, 30 ≤ 39 years and 40 ≤ 50 years. Each subject performed the exercise on motor driven treadmill device. Testing was conducted at The Medical City Teaching Hospital-Treadmill and Echo unit. Blood pressure was measured indirectly by auscultation. The heart rate was determined by ECG.RESULT:There was a significant differences in heart rate after the exercise between the three age groups, a significant differences in systolic blood pressure after the exercise between group2 and group3 was also noted, a non significant decrease in diastolic blood pressure among the three age groups and there was a significant increase in mean blood pressure between group2 and group3.CONCLUSION:There was a negative linear correlation between heart rate after the exercise and increasing age, while a positive linear correlation between systolic blood pressure and increasing age was found and there was a positive linear correlation between age and the mean blood pressure after the exercise.

Keywords

age --- exercise --- heart rate --- blood pressure.


Article
Hypertension in Haemodialysis

Author: Jawad K. Manuti
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 3 Pages: 225-228
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Relevant factors involved in the pathogenesis of hypertension among dialysis patients include sodium and water retention, dialysate composition and prescription, increased activity of vasoconstrictive systems(sympathetic nervous system, rennin-angiotensin system, endothelin and vasopressin), decrease activity of vasodilatory systems(nitric oxide, kinins), increased intracellular calcium, increased arterial stiffness, sleep apnea, hyperparathyroidism, erythropoietin and renovascular diseaseOBJECTIVE:The objective of this study is to assess the prevalence of hypertension among uremic patients undergoing haemodialysis and to assess difference of blood pressure reading before and after dialysis.PATIENTS AND METHODS:140 patients with chronic renal failure &acute renal failure on regular haemodialysis. blood pressure was measured by doctors before dialysis, within 2 hour of dialysis , after dialysis and after 48 hours of dialysis. we averaged six routine predialysis systolic and diastolic blood pressure. The same was carried out for postdialysis.RESULTS:Patients with preheamodialysis (office BP) >130/85 mmHg are considered as hypertensive in chronic renal failure, who made up of 74% of the study population. 40% patients were on monotherapy antihypertensive drug. 65% are taking calcium channel blocker, angiotensin converting enzyme inhibitor 38%, angiotensin П receptor blockers 26% and beta blocker 20%. Preheamodialysis blood pressure(Office BP) overestimated BP values in relation to 48 h postdialysisCONCLUSION:Significant difference was shown between predialysis office blood pressure and 48 hour postdialysis in the recognition of hypertension in heamodialysis patients. the prevalence of hypertension in heamodialysis patients is high (74%). most of the patients used combination of antihypertensive drugs, calcium channel blocker commonly used 65%.


Article
Immunofluorescen Study of Trophoblastic Bound Immunolglobuline G in preeclamptic women at term

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Abstract

SummaryBackground: The role of humoral immunity in the pathogenesis of PET is well known so that an altered immune response could be the cause of this disease . Objectives: to evaluate the rule ofplacenta _ bound IgG in the pathogenesis of PET. Methods: 31 pregnant women were included in this study delivered by cesarean section at Baghdad Teaching Hospital , 16 of them were diagnosed and treated for PET. while the rest 15 cases were of normal women of using direct immunoflorescnt test, the level of IgG was detected.Result: Tthe study showed a significant higher level of IgG in the placental biopsy of PET cases than those of control group using ttest, (P<0.025),Conclusion: Trophoblastic bound IgG plays an important role in the pathogenesis of PET as a part of altered humoral immune response against placental tissue in those patients.Key words: PET: preeclampsia, IgG: immunoglobuline. BP: blood pressure


Article
Determination Medical Parameter and the Most Effective Antihypertensive

Author: Basema Sadeq Ahmed * lamea Mohammad Ahmed** ***Suheila Shamse El-den Tahir
Journal: kirkuk university journal for scientific studies مجلة جامعة كركوك - الدراسات العلمية ISSN: 19920849 / 26166801 Year: 2013 Volume: 8 Issue: 3 Pages: 1-11
Publisher: Kirkuk University جامعة كركوك

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Hypertension is one of the major modifiable risk factors for coronary heart disease, stroke, peripheral vascular disease and renal failure. The aim of treating hypertension is to maximize therapeutic efficacy without untoward side effects. The study population was carried out in emergency department of Razgary and Jumhury hospitals in Hawler. Hypertension was highly prevalent among aged persons between 61-70 years 33(27.5%) while the lowest percentage were recorded in the age group 30-40 years 8(6.6%). Female population showed higher percentage 53.3% than male 46.6%.Duration of hypertension more than five years 80 (66.6%) which was higher than those less than two years 8 (6.6%). Family history of hypertension appeared as strong risk factor of hypertension that recoded 76(63.3%). According to educational level found the hypertension was higher in Illiterate-primary education 55 (45.8%) than Intermediate –secondary school education 38(31.6%) and lowest among highest educational level 27(22.5%). Body mass index (BMI) had effect on percentage of hypertension among overweight patients 62 (51.6%) followed by obesity39 (32.5%)and lowest in patients with normal weight 19(15.8%).Co-morbidity was observed in70(58.3%)among which diabetes mellitus was28(23.3%)followed by cardiovascular disease 19(15.8%) and hypercholesterolemia was11(9.1%) . Types of drug used to treat hypertension show diuretics and angiotensin converting enzyme inhibiter were the most drug used 26(21.6%) and 25(20.8%) respectively followed by combined drug and calcium channel blocker were19(15.8%),18(15%) respectively then angiotensin receptor blocker17(14.1%)and beta -blocker used in 15(12.5%).

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