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Article
Oral Tumors; Clinicopathological Study amongPatients Attending ENT Clinic in Baghdad

Authors: Yousif A . AL-Raheem يوسف عبد الرحيم --- Hussein J. Muhsen حسين محسن
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 11-18
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Oral tumors are one of the most challenging tumors regarding their good prognosis in early diagnosis and very difficult control in advancing stages.Objectives: To study the prevalence, types and clinical presentation of oral tumors in comparison to other oral lesions among patients attending ENT clinic.Al-Kindy Col Med J 2008 Vol.5(1) 1 1 Original ArticleMethods: This study included 534 patients with differentoral complains attending ENT clinics in AI-YarmoukTeaching Hospital, and AI-Kindy Teaching Hospital -Baghdad, in the period from 1st jan1999 till 31th des 2006 (8years interval).Results: The results of this study showed that the prevalence of malignant lesions was 13.5% (72 out of 534); the males constitute 59.7 % of them. Premalignant lesions constitute only 3.9% (21 out of 534) of patients; the males constitute 66.7 % of them. Benign lesions in 8.6% (46 out of 534); the males constitute 69.6 % of them. Other lesions constitute 74% (395 out of 534); the males constitute 65.8 % of them. Squamous cell carcinoma is the most common malignant tumor (found in 71% of malignant lesions).Conclusions: Most patients are males and the most common manifestation is sore throat. The most common sign of presentation is swelling and the most common histological type of malignant tumors is squamous cell carcinoma (71%). These patients usually attend ENT clinic seeking for simple therapy, we see that it’s the job of the otolaryngologist to diagnose those patients early which has a major influence on prognosis.Key words:

Keywords

Oral --- tumors --- ENT clinic.


Article
Management of Thyroid Isthmus During Tracheostomy

Authors: Adil Hadi Salih Al-Azzawi --- Wissam Kadhum Abdel Amer --- Ahmed Kareem Shiaan Al-Baidhani
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 388 -391
Publisher: Babylon University جامعة بابل

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Abstract

A tracheotomy is a surgical procedure which consists of making an incision on the anterior aspect of the neck and opening a direct airway through an incision in the trachea (windpipe). As with any surgery, there are some risks associated with tracheotomies. Early Complications that may arise during the tracheostomy procedure or soon thereafter include bleeding, pneumothorax, and subcutaneous emphysema.The aim of this study was to evaluate the use of cautery knife instead of artery forceps in management of thyroid isthmus during tracheostomy with regard to time of operation, post-operative bleeding, and surgical emphysema.This study was a cross-sectional research performed on 60 ICU patients in need of tracheostomy through a period started from January 2009 to January 2012. The patients were divided into two groups each formed of 30 patients, one group(group A) dealt with by traditional tracheostomy through clamping of the thyroid by artery forceps and transfixion to expose tracheal rings, and second group (group B) had a new method of management through cautery knife. Time of both procedures and early complications were registered in questionnaires and the data were analyzed for both groups.A tracheostomy was performed in 60 morbidly ICU patients. The two groups had no significant difference in age, sex, and vital signs. Average duration of the procedure was 10-20 minutes in group A patients using the traditional procedure and 5-10 minutes in the second group (group B) using a cautery knife. Three patients out of thirty in group A got post-operative bleeding, while no patient in group B got bleeding. There was a significant difference between the two groups regarding time of procedure and post-operative bleeding, otherwise there was no significant differences between the two groups regarding occurrence of surgical emphysema. The use of cautery knife for thyroid isthmus management during tracheostomy minimize operation time and reduce occurrence of postoperative complication especially bleeding.

Keywords

Tracheostomt --- cautery knife --- ENT


Article
Incidence of Post-Tonsillectomy Bleeding in Al Hilla General Teaching Hospital

Authors: Safaa Sahib Naji --- Harith Fathi Hameed --- Lateef Hussain Alwan
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 4 Pages: 791 -800
Publisher: Babylon University جامعة بابل

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Abstract

This is a prospective study of 606 tonsillectomies patients, which were performed in the theatre of ENT department of Al-Hilla General Teaching Hospital, in the period between July 2012 to July 2014 , to estimate the age– specific incidences of post-tonsillectomy bleedings.We collected a number of patients less than 15 years old (1-14) (pediatric group) and another number of 15 years and more patients (adult group) who did tonsillectomyOur study demonstrates: the incidence of post tonsillectomy bleedings ,bleeding rates according to time, age, sex, and indications and fatality.We found he following : *post – tonsillectomy bleeding occurred more often in adult group than in pediatric group (3.8% vs. 1.5%) . *reactionary bleeding (24hours postoperatively) was more common in adult than pediatric group (81.8% vs. 60%). *post – tonsillectomy reactionary bleedings more common in males than females (2-1) while secondary is equal (1-1).post – tonsillectomy bleedings are more common in patients who have a history of chronic and recurrent infections . *fatality nil.

Keywords

ENT --- Ear --- Nose --- Throat --- Post-Tonsillectomy.


Article
Microbiological Assessment of Chronic SuppurativeOtitis Media
دراسة الأحياء المجهرية المسببة لالتهابالأذن الوسطى القيحي المزمن

Author: Imadfarhan al-zubaidy
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 3 Pages: 101-105
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background : Chronic SuppurativeOtitis Media is a common infectious disease . the microorganisms commonly associated with and their antibiotic sensitivity patterns is important for its treatment .Objectives : to study the microorganisms associated with chronic suppurativeotits media and their antibiotic sensitivity patterns among our patients . Material and Methods : this descriptive study was carried out from January 2012 to December 2012 at ENT Department and microbiology department . of AL-Hakeem general hospital in Najaf city . A total of 100 patients with unilateral and bilateral active chronic suppurativeotits media attending the out patients clinic were included in the study , pus sample were collected from the discharging ears and sent to microbiological department.Results :- from 100 specimens there were 90 (90%) bacterial isolates and 10 (10%) fungi .Pseudomonas aerugenosa 40 (40%) was the dominant isolate followed by Staphylocooccusaureus 19 (19%) and Proteus spp. 15 (15%) . Antibiotic sensitivity pattern of Pseudomonas aerugenosa showed that imipenem was active in 100% and Vancomycin was active in 100% of Staphylococcus aureus isolate .Conclusion :- Pseudomonas aerugenosa is the most common isolates followed by Staph . aureus from the cutluer specimens of chronicsuppurativeotits media . Pseudomonas aerugenosa is increasingly becoming more resistant to the commonly used antibioltic like cephalosporine Amoxicillin & Ampicillin .Recommendation:We advise to do culture and sensitivity test for every patient with chronic suppurativeotits media (CSOM)and to describe systemic antibiotics according to the result of this test .

خلفية البحث:يعد التهاب الأذنالوسطى القيحي المزمن من الأمراض الخمجية الشائعة كما ان دراسة الأحياء المجهرية المسببة للالتهاب وحساسيتها للمضادات الحيوية لها دور أساسي في علا ج هذا النوع من الأمراض.الهدف: هو دراسة الأحياء المجهرية المسببة لالتهاب الاذن الوسطى المزمن القيحي وحساسيتها للمضادات الحيوية بين المرضى المشمولين بهذه الدراسة . المنهجية: اجريت هذه الدراسة للفترة من كانون الثاني 2012 لغاية كانون الاول 2012 في شعبة الانف والاذن والحنجرة وشعبة الاحياء المحهرية في مستشفى الحكيم العام في النجف . شملت الدراسة مائة مريض مصابين بالتهاب الاذن الوسطى المزمن القيحي تم تشخيصهم سريريا في العيادة الاستشارية , وتم جمع العينات Ear swabs من المصابين ارسلت لدراستها بكتريولوجيا في شعبة الاحياء المجهرية في مختبر المستشفى وتم تحليل النتائج بإعتماد النسب المئوية . النتائج: ظهر من خلال هه الدراسة ان 40% من البكتريا التي تم عزلها كانت من صنف ال Pseudomonas aerugenosa تليها الStaph aureusبنسبة (19%) . اظهر نموج فحص الحساسية للمضادات الحيوية ان الPseudomonas aerugenosa كانت حساسة للمضاد الحيوي ( Imipenem) بنسبة 100% وال Staph aureusكانت حساسة بسنة 100% للمضاد الحيوي (Vancomycin) .الاستنتاجات: تعد الـPseudomonas aerugenosa البكتريا المسببة الأكثرشيوعا في حالات الإصابة بالتهابالأذن الوسطى المزمن القيحي تتبعها الـ Staph aureus . اصبحت البكتريا Pseudomonas aerugenosa مقاومة وبشكل متزايد للمضادات الحيوية شائعة الاستخدام مثل السفالوسبورينات والأوموكسيل والامبسلين . التوصيات: يوصى باجراء فحص الزرع والحساسيه للمضادات الحيويه لكل مريض مصاب بالتهاب الاذن الوسطى المزمن ثم وصف المضاد الحيوي المناسب طبقا لنتائج هذا الفحص .


Article
A drug scnsitivity of bacteria isolated from otitis media patients and a study of agent effect on transmission of disease in Diala government
الحساسية الدوائية للبكتريا المعزولة من مرضى التهاب الأذن الوسطى مع دراسة عوامل انتقال المرض في محافظة ديالى

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Abstract

the study Included 'the diagnosis of the pathogenic bacteria w hlch isolated From the Infection of otitis med la patients w Catch arrived the clmical consultant of G eneral Baquba hospital (ENT) w ithin 2006 year it had been detected many agents act for distribution betw een ( 100 ) patients and had been isolated and diag nosed many tyrpe of bacteria after cultured the sw abs on special culture media the di agnosed bacteria were protcus spp . staphylococcus aw eus pseudomonus aeruginosa . esherichia coli sueptococcus pnewmoniae w ith Infection percentage ( 34.5 , 25.5 , 20 , 13.6 6. 4 )% respecvely 'the high percent of Infection in age between - (1.10) y ears w as (40%) and low. percent of Infection in age more than (50) years was ( 5% ) The Infection became ( 60% ) with males and (40%) with femal es the high infection occured in iurural ( 55% ) and urban w as (45% ) the high percent of infection in w inter about (40 %) and low er percent of Infection in summe ( 15% ) a high number of-. Isolated bacteria were sensitivi for ofloxaccid Gip rofloxiccin Tobromy cin antibiotics The high esistant for antibiotics was as by P

شملت هذه الدراسة التحري عن العزلات البكتيرية المسببة للالتهاب الأذن الوسطى لدى المرضى المراجعين للعيادة الاستشارية في مستشفى عام بعقوبة/شعبة الأذن والأنف والحنجرة خلال عام 2006. تم تحديد بعض العوامل المؤثرة في انتشار هذا المرض بين (100)مريض وقد أمكن عزل وتشخيص أنواع من الجراثيم بعد زرع المسحات على الأوساط الزرعية الخاصة ومن الأنواع المشخصة هي : Proteus spp , Stphylococcus aureus, Pseudomonas aeruginosa, Esherichia coli, Streptococcus pneumonia. وبلغت نسبة لإصابة (34.5, 25.5 , 13.6 ,6.4)% على التوالي . كانت أعلى نسب إصابة في الفئة العمرية (1-10) سنة (40)% اما اقل نسبة في الفئة العمرية الأكثر من 50 سنة اذ كانت (5%). بلغت الإصابة (60%) في الذكور و (40%) في الإناث. فيما بلغت أعلى نسبة للإصابة في الريف (55%) وفي الحضر (45%). كانت نسبة الإصابة في الشتاء أكثر اذ بلغت (40%) واقلها في فصل الصيف (15%). أكثر العزلات كانت حساسة للمضادات الحياتية Ofloxaccin ,Ciprofloxiccin , و Tobromycin’, وأكثرها مقاومة هي بكتريا P.aeruginosa .


Journal
Duhok Medical Journal
مجلة دهوك الطبية

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Abstract

Duhok Medical Journal (DMJ) is a peer-reviewed, Open Access and non-profit journal published biannually by Duhok College of Medicine, University of Duhok, Kurdistan Region-Iraq.DMJ is sponsored by the University of Duhok- College of Medicine is a signatory journal to the uniform requirement for manuscripts submitted to biomedical journals, February 2006 [updated 2017] (http://dmj.uod.ac/index.php/dmj/index. It is a peer-reviewed journal that publishes original research and reviews articles in the aspects related to medical disciplines to ensure rapid and wide dissemination of the results of scientific researches to enhance the development of academic disciplines and serve the society. The Journal has obtained the International Standard Serial Number: ISSN 2071-7326 (print) and ISSN 2071-7334(Online). In addition, DMJ has obtained the Digital Object Identifier (DOI) from Crossref Organization which be identified via this link https://doi.org/10.31386/eissn.2071-7334.To present your original work for should be submitted online in English together with Kurdish and Arabic abstracts should be submitted to DMJ online [http://dmj.uod.ac/index.php/dmj/about/submissions#authorGuidelines]

مجلة دهوك الطبية (DMJ) هي مجلة مفتوحة المصدر غير ربحية تتم اصدارها مرتين في السنة من قبل كلية الطب في دهوك، جامعة دهوك ، إقليم كردستان - العراق. مجلة دهوك هي مجلة موقعة على شرط المتطلبات الرسمية للبحوث والمقالات إلتى تقدم المجلات الطبية الحيوية ، تم انشاءها في شباط 2006 [تم تحديثها في 2017.( (http://dmj.uod.ac/index.php/dmj/index.مجلة دهوك الطبية يتم مراجعتها من قبل مقيمين وأساتذه ذوي اختصاصات طبية مختلفه معتمدين ويتم نشر الأبحاث الأصلية وتراجع المقالات في الجوانب المتعلقة بالاختصاصات الطبية لضمان النشر السريع والواسع لنتائج الأبحاث العلمية لتعزيز التطوير العلمي وقد حصلت المجلة على الرقم القياسي الدولي المعياري المطبعي ISSN 2071-7326 و على الإنترنت ISSN 2071-7334، بالإضافة إلى ذلك، حصلت DMJ على معرف الوثيقة الرقمي (DOI) من منظمة Crossref التي يتم تحديدها عبر هذا الرابط https://doi.org/10.31386/eissn.2071-7334.من اجل تقديم بحثتك ل DMJ للنشر ينبغي تقديمه عبرالإنترنت باللغة الإنجليزية مع ملخصات كردية وعربية ينبغي تقديمها إلى الرابط [http://dmj.uod.ac/index.php/dmj/about/submissions #authorGuidelines]

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