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Article
Analysis of chest x-ray and clinical finding in children with pneumonia
تحليل الصدر بالأشعة السينية والاكتشاف السريري عند الأطفال المصابين بالتهاب رئوي

Authors: Isam Al- Hatam --- Abbas Al-Rabaty --- Salwa Ahmad Al-Najjar
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 2 Pages: 477-481
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: The objectives of the study research were to determine the relationship between clinical and chest X-ray findings of pediatric patients.Methods: A Prospective clinical study carried out at Raparin hospital in Erbil city, Iraq. A sample of 356 children admitted between Decembers 2004 and June 2005 from emergency ward and inwards in Raparin hospital were collected with age range from 2 months to 10 years with mean age of 19 months. All children had chest radiography on the bases of clinical decision by pediatricians. Descriptive and statistical procedures were used to analyze the data. Results: All children had signs and symptoms of respiratory infections for instance, fever (87.4%), shortness of breath (99.5 %),cough (98%), tachypnea (73.5%), wheezes (93.3% ), chest retraction (80%), crepitations (82%) and, 42.4% of chest X-rays showed focal infiltrations. Three clinical parameters related to pneumonia diagnosed by chest X-ray these were, chest retraction with sensitivity of 80%, and specificity of 88.29%), tachypnea with sensitivity of 73.5% and specificity of 56.59% fever with sensitivity of 87.42% and specificity of 60.98%.Conclusion: Tachypnea, chest retraction and fever were found to be highly suggestive of pneumonia, chest x-rays was positive in about 425 of patients with pneumonia.

Keywords

Pneumonia --- Chest-X-ray


Article
The Clinical& Radiological Respiratory Features in Acute Leukemia At Presentation: A Descriptive Study of 118 Iraqi Adult Patients

Author: Adil Siwan Al-Aqabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 57-61
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Acute leukemia is a hematological malignancy characterized by an uncontrolled proliferation ofhemopietic primitive cells. Presenting features of acute leukemia include fever, anemia, pallor;hepatosplenomegaly &lymphadenopathy, bleeding tendency, bone pain&gum hypertrophy.Intrathoracic manifestations of acute leukemia include infection,mediastinal widening , hemorrhage,infiltration, embolism, edema, pericarditis &acute respiratory distress syndrome.OBJECTIVE:To describe the clinical &radiological respiratory features of acute leukemia at presentation,beforestarting chemotherapy.PATIENTS AND METHODS:Patients with acute leukemia of age ranged from 15-75 years were incorporated in this study, patientswere excluded from the study if they had previous malignancy, lung disease, or if received cytotoxictreatment. Every patient had a detailed history of pulmonary symptoms & chest examination,chest xrayexamination, sputum samples & pleural aspirates for relevant patients.RESULTS:Of 118 patients with actue leukemia at presentation, 60% of patients were males& 40% werefemales. Respiratory symptoms including cough,dyspnea&chest pain were found in27.7% of patients(cough 24.4% ,dyspnea 2.5%,chest pain 0.8%) . Respiratory signs including crepitations ,decreasedair entry & bronchial breathing were found in 12.5% of patients(crepitation 3.3%, decreased air entryin 6.7%, bronchial breathing in 2.5%). Chest X-ray abnormalities were found in 14.3% of patients,these include mediastinal widening in 5.9% of patients .Pleural effusion in 4.2% & parenchymalinfiltrates in 4.2% of patientsCONCLUSION:The chest findings in patient with actue leukemia at presentation were not uncommon. mediastinalwidening was the commonest, pleural effusion&parenchymal infiltrates were less common findings


Article
Does Normal Chest X ray in Patients with Chronic Cough Exclude Pulmonary tuberculosis?

Authors: Mohammad Yahya Abdulrazaq --- Abdulla Janger Minshed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 1 Pages: 130-133
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Tuberculosis is the second infection in causing deaths from infectious agent in the world, currently in Iraq approximately 67% of new cases of Tuberculosis involve the lung only ,cough is the most common symptom of pulmonary Tuberculosis , pulmonary Tuberculosis nearly always causes detectable abnormalities on chest film, but still atypical or absent radiologic findings can occur.OBJECTIVE:This study was designed to determine whether in patients with chronic cough normal chest X ray exclude pulmonary tuberculosis.PATIENTS AND METHODS:One hundred seventy two patients attending the respiratory clinic, complaining from chronic cough and they are suspected cases of tuberculosis, were enrolled in this study. A full medical history and physical examination was done then a chest X ray was ordered, for those with normal chest X ray finding (seventy seven patients), sputum smear for acid fast bacilli (AFB) ordered .RESULTS:47 females (61%), 30 males (39%) with chronic cough with females to male ratio = 1.56/1.The age ranged between 17-67, with mean age of 37.16 years. The age of males ranged between 18-67 and the mean was 39.32 years, the age of females ranged between 17-66 and the mean was 34.93 years. X ray finding were negative in all the patients. Positive AFB in sputum smear examination by microscopy was found in only one patient but with ENT examination it was proved to be a case of laryngeal tuberculosis not pulmonary tuberculosis.CONCLUSION:Normal chest x ray in patients with chronic cough excludes pulmonary tuberculosis


Article
Correlation between chest X-ray & sputum investigation of pulmonary Tuberculosis in Salah Al-deen Governorate

Author: Khalid Omar Mohammad Ali.
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2005 Volume: 2 Issue: 112 Pages: 47-49
Publisher: Tikrit University جامعة تكريت

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Abstract

لTo determine the importance of direct smear examination of sputum correlated to the chest X-rayfindings as reliable diagnosis of pulmonary tuberculosis (PTB). The medical records of patientswith PTB in the chest disease center in Tikrit city were reviewed regarding ages, sex, chest X-rayand direct smear examination of sputum. The present study show that the most of cases 37 (57.81%) were positive for sputum smear examination and X-ray findings, while 27 (42.19 %) of patientshad been positive chest X-ray findings . Regarding methods of diagnosis the study shows that 41(64 % ) of cases were positive for direct smear examination. The direct microscopic examinationdose not require cost and sophisticated equipments and can be performed without regular electricityand water supply . It is possible to use this method as a base for the diagnosis of PTB

لتحديد أهمية فحص اللطاخة المباشر من البلغم ربطها الصدر بالأشعة السينية نتائج التشخيص كما يمكن الاعتماد عليها من السل الرئوي (PTB). السجلات الطبية للمرضى مع PTB في الصدر وسط مدينة تكريت في مرض واستعرضت الأعمار فيما يتعلق، الجنس، والصدر بالأشعة السينية وفحص اللطاخة المباشر من البلغم. وتظهر الدراسة أن معظم الحالات 37 (57.81 ٪) كانت ايجابية للفحص لطاخة البلغم ونتائج الأشعة السينية، في حين أن 27 (42.19٪) من المرضى كان الصدر بالأشعة السينية إيجابية النتائج. بخصوص طرق تشخيص المرض تظهر الدراسة أن 41 (64٪) من الحالات كانت ايجابية لفحص اللطاخة المباشر. الفحص المجهري المباشر جرعة لا تتطلب تكلفة ومعدات متطورة ويمكن القيام بها من دون كهرباء منتظمة وإمدادات المياه. فمن الممكن استخدام هذه الطريقة كقاعدة لتشخيص PTB


Article
Frontal Chest X-Ray Image Colorization Using Various Mathematical Experimental Equations
تلوين صورة الأشعة السينية الصدرية الأمامية باستخدام معادلات رياضية تجريبية متنوعة

Authors: Kawther H. Al-khafaji كوثر حسن صاحب الخفاجي --- LaylaAbd al Jaleel Al-Yasiri ليلى عبد الجليل محسن
Journal: Journal of Kufa - physics مجلة الكوفة للفيزياء ISSN: 20775830 Year: 2019 Volume: 11 Issue: 01 Pages: 90-100
Publisher: University of Kufa جامعة الكوفة

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Abstract

Chest x-ray medical images are widely used for diagnostic purposes for several reasons including it available, attainable and excellent imaging of hard tissues like bones, but there is difficulty in imaging of the soft tissues, moreover the saturated colour of the x-ray image causing intricacy to read it, therefore, turned attention to the colorization process which can be used to transform the grayscale medical images to the colour medical images.In this paper, a new pseudo-coloring method proposed for colorizing the frontal chest x-ray medical images which are very important for disease detection and recognition. The key idea of this method is applying different and various experimental mathematical equations on the proposed medical sample image, which it belongs to the patient with Hydatid cyst parasite disease in the lung. The counterfeit coloring had intense contribute in enhancing of the visual attractiveness of medical images, the output colored images have a better visual description, it has a possibility to describe hidden information better than a conventional monochromatic image, this is an excellent indicator of the algorithm's suitability for the purpose for which it was formulated

تستخدم صور الأشعة السينية الطبية الصدرية على نطاق واسع لإغراض التشخيص الطبي وهذا يعود لعدة أسباب منها كونها متاحة وسهولة الوصول إليها وأيضاً قابليتها الممتازة في تصوير أنسجة الجسم الصلبة كالعظام، ولكن هنالك صعوبة في تصوير الأنسجة الرخوة بهذه التقنية علاوة على ذلك إن الألوان المشبعة لصور الأشعة السينية تتسبب في تعقيد عملية قراءتها، لذلك تحول الانتباه إلى عملية التلوين والتي يمكن من خلالها تحويل الصور الطبية ذات التدرجات الرمادية إلى صور طبية ملونة. في هذه الورقة البحثية تم اقتراح طريقة جديدة للتلوين الزائف لتلوين الصور الطبية الصدرية الأمامية الملتقطة بتقنية الأشعة السينية وهي مهمة جدا في عملية الكشف عن الأمراض وتميزها. إن الفكرة الرئيسية لهذا البحث هي تطبيق عدد من المعادلات الرياضية التجريبية على الصورة الطبية المقترحة والتي تعود لمريض مصاب بكيس مائي طفيلي في الرئة. في وقد ساهم التلوين المزيّف في تعزيز الجاذبية البصرية للصور الطبية، كما أن الصور الملونةالناتجة لها وصف مرئي أفضل ، ولديها إمكانية لتوصف المعلومات المخفية بشكل أفضل من الصور أحادية اللون التقليدية , ويعد هذا مؤشر ممتاز على مدى ملائمة الخوارزمية المقترحة للغرض الذي وضعت لأجله.


Article
Idiopathic hypertrophic cardiomyopathy in diyala: echocardiographic analysis of 12000 adolescents and adults
مجهول السبب عضلة القلب الضخامي في ديالى: تحليل تخطيط صدى القلب من 12000 المراهقين والكبار

Author: Adel Hessen AL-Husseiny عادل حسن الحسيني
Journal: Journal of Research Diyala humanity مجلة ديالى للبحوث الانسانية ISSN: 1998104x Year: 2008 Issue: 29 Pages: 12-29
Publisher: Diyala University جامعة ديالى

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Abstract

This study was conducted in diyala governorate, with echocardiographic analysis of 12000 subjects to determine the clinical and epidemiological aspects of HCM from 1999-2005. Six thousands person were healthy and Six thousands patients who presented with cardiac complaints. Age range of the sample was 15-70 year, patients with known cardiac diseases or taking cardiac drugs were excluded. Thorough clinical history, physical examination, electrocardiography (ECG), chest radiographs, echocardiography (M-mode, two dimensional B-mode and continues wave (CW) Doppler mode) and standardized laboratory tests were performed .Our study showed that among 12000 persons screened 18 cases of proved HCM were diagnosed (0.15%),10 males(0.0833%) and 8 females(0.0666%),six cases 33.3% (3 males(50%) and 3 females (50%) were asymptomatic at diagnosis. Among six thousands patients presented with cardiovascular complaints (chest pain, dyspnea, palpitation, features of heart failure, pre-syncope and syncope) twelve (12) cases (0.01%) were diagnosed, seven males (58.3%) and five females (41.6%). Most of cases were in young age group: Fourteen patients (77.7%) were (20-39) years of age, and only 1<20 and 3 >40, male/female ratio was 1.25:1. Fourteen patients 77.7% were in NYHA -1 functional class and 5 patients (27.7%) had positive results on family screening for HCM. Echocardiographic study showed that fifteen patients (83.3) had asymmetrical septal hypertrophy (ASH) and 3 patients (16.6%) had concentric LVH. Doppler echocardiography showed substantial obstruction to left ventricular outflow tract (LVOT) in 7 (38.8%) patients (the range of the mean peak systolic pressure gradient was from 30 to 71 mm Hg: Hypertrophic obstructive cardiomyopathy. Thirteen subjects (72.2%) had abnormal ECG,atrial fibrillation reported in one patient (5.5%) .The estimated total prevalence of HCM in diyala governorate is 0.15% (150/100000).

في هذه الدراسة قد أجرينا مسح بفحص صدى القلب لأثنى عشر ألف شخص لتحديد الخصائص الوبائية والسر يريه لهذا المرض من 1999-2005.ستة آلاف شخص كانوا أصحاء و ستة آلاف مريض تقدموا بأعراض قلبيه . المدى العمري كان 20-75 عاما. المرضى الذين لديهم أمراض قلبيه أو يتناولون أدويه قلبيه قد استبعدوا من الدراسة. تم استبيان التاريخ المرضي الشامل و الفحص ألسريري و تخطيط القلب الكهربائي وفحص أشعة الصدر و فحوص صدى القلب(الحركي ,ثنائي الأبعاد و الدوبلر الطيفي والملون) ,إضافة إلى الفحوص ألمختبريه.أظهرت الدراسة انه من بين 12000 شخص تم فحصهم كان هنالك 18 حالة(0,15%) تضخم العضله ألقلبيه ألاعتلالي ,عشرة ذكور(0,083 )وثمانية إناث(0,06%). ستة حالات(33,3%), ثلالة ذكور و ثلالة إناث, كانوا أصحاء و اثنا عشر حاله (سبعة ذكور وخمسة إناث) كان لديهم أعراض قلبيه .أربعة عشر مريضا كانت أعمارهم اقل من 30,حاله واحده اقل من 20 و ثلاثة حالات كانوا فوق 40 سنه. 77.7% من المرضى كانوا في الصف الاول حسب تصنيف جمعية القلب في نيويورك. خمسة مرضى كانت لديهم نتائج موجبه في المسح العائلي للمرض. أظهرت فحوص صدى القلب أن تضخم الحاجز ألبطيني غير المتناظر هو النوع الأكثر شيوعا للمرض ,حيث وجد في خمسة عشر مريضا (83.3%).فحوص الدوبلراظهرت وجود انسداد (اعاقه) لمجرى البطين الايسرالخارج في سبعة مرضى (38.8%):تضخم العضله القلبية ألاعتلالي ألانسدادي.وجد تخطيط القلب الكهربائي غير طبيعي في ثلاثة عشر مريض(ا72.2%) والارتجاف الأذيني في حاله واحده (5,5%)

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