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Article
Intestinal Parasitosis in Samarra’a City

Author: Aroub Abdul Rahman Al-Kaisi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 1 Pages: 80-83
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Intestinal parasitic infections represent a relevant clinical problem especially in the developing countries, where they are responsible for morbidity and mortality in adults and children.Many epidemiological data are available for this type of infection in Iraq and other developing countries, but still we need to investigate more localities in order to know the difference in it’s frequency among different areas and to evaluate factors that affect such difference.AIM OF THE STUDY:This study was subjected to emphasize the problem of intestinal parasitosis among people in Samarra’a City and to visualize its distribution according to age and sex.METHODS:A total of 1050 patients (580 males and 470 females) , referred to the laboratory in a health center in Samarra’a City for the suspect of intestinal parasitosis, were subjected to stool examination by direct method during the period from January to May 2002.RESULTS:Among the 1050 stool samples examined, intestinal parasites were reported in 254 (24.19%), both sexes were nearly equally affected (24.46% in females & 23.96% in males). Interestingly infection with protozoa was predominating, the most common protozoa was Entamoeba histolytica /E.dispar (13.33%), the next common pathogenic protozoan found was Giardia lamblia (9.04%). Non pathogenic protozoan Entamoeba coli was seen in 17 individuals (1.62%).Only two cases of helminthes infections were reported in this study (0.2%), both were infected with Hymenolepis nana which is a tapeworm.Double infection was detected in two cases , one was infected with both Entamoeba histolytica /E.dispar and Giardia lamblia and the other one was infected with Giardia lamblia and Hymenolepis nana at the same time. No triple infection was reported during this study.CONCLUSION:Intestinal parasitosis represent a remarkable cause of gastrointestinal diseases, this study demonstrates that these infections are common in thearea under study


Article
Comparative study between stapled versus hand sewn method for large bowel anastomosis surgery

Author: Tariq E. Al-aubaidi طارق العبيدي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 1 Pages: 23-26
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: intestinal anastomosis is one of the most commonly performed procedures it required to re-establish gastrointestinal continuity after surgical resection, traumatic disruption or bypass procedures. In last decade, advances in intestinal stapling devices have led to an increased frequency of stapled anastomosis. There are varieties of proposed benefit from a stapled technique: better blood supply, reduced tissue manipulation, less edema, uniformity of suture, adequate or perhaps wider lumen at the site of anastomosis, ease and rapidity. Patient and methods: a prospective study was conducted on 103 patients who suffered from benign and malignant diseases in addition to trauma patients. They were divided in to two groups (SA)(stapled group) which involved 51 patients where the anastomosis were done by stapler and other group of 52 patients where the anastomosis were done by hand sewing named as HS group (hand sewing group). Both groups had the same preoperative characters such as age and gender, and the types of outcome analyzed were specific mortality, clinical anastomotic leak, stricture, anastomotic hemorrhage, reoperation, wound infection and hospital stay.Results: A total of 9 patients (17.6%) in SA group developed complications compared to 20 patients (38.5%) in HS group (p-value 0.019). nine patients developed fistula in HS group (17.3%) compared to two patients (3.9%) in SA group (p- value 0.035). mean postoperative hospitalization time for SA group (6.5) days while for HS group (8.8) days (p-value 0.75) . there is a significant difference regarding fistula in favor of stapled anastomosis .Conclusion: staples anastomosis is safe and effective and associated with fewer leaks than hand sewn anastomosis.Keywords: stapled intestinal anastomosis, sewn intestinal anastomosis.


Article
Upper gastro-intestinal bleeding in Erbil Governorate

Author: Nooraddin I. AIla Qoli نور الدين
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2008 Volume: 34 Issue: 2 Pages: 135-140
Publisher: Mosul University جامعة الموصل

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Abstract

Objectives: To define the aetiology, management, and outcome of upper gastro-intestinal bleeding, and to assess the role of endoscopy in the management. Also to assess the factors to improve the management of this problem in this region.
Patients & methods: A prospective study of 102 patients admitted to the main hospitals under the care of the author (1999-2006). Patients were assessed, resuscitated, and investigated by the standard methods. All were endoscoped by the author (OGD).
Fifty patients were treated surgically, by laparotomy and according to the findings; mainly under running suturing of bleeding duodenal ulcers. Analysis of the causes, type and source of bleeding, indications of surgery, and the role of endoscopy was done.
Results: Total number of patients was 102, ninety males (88.2%), and 12 females (11.8%). Age range was (8-68years), with peak incidence at the fourth decade. All patients were admitted to hospital, and received blood (2-18 units). Melena was found in 22 patients (2 1.5%). History of aspirin and NSAID ingestion was found in 18 patients (17.6%). All patients were endoscoped during day working hours. Causes of bleeding were: Chronic d.u. in 60 patients (58.8%) oesophageal varices in 15 patients (14.7%), and no source of bleeding could be detected in 7 patients (6.8%). Fifty patients needed surgery (laparotomy); active bleeding vessel was the main pathology, present in 20 cases (40%). Fifty two patients were managed successfully on conservative treatment.
Conclusion: The most common cause of upper g.i.t. bleeding in Erbil is bleeding duodenal ulcer, followed by oesophageal varices. Gastroscopy proved to be a reliable and accurate method for diagnosis and treatment. Lack of facilities for therapeutic endoscopy and intensive care, led to a high percentage of surgical treatment in about 50% of patients. Improvement of health infrastructure is essential to achieve a better care for our patients.

تم دراسة (102) حالة من النزف الحاد من الجزء العلوي في الجهاز الهضمي – أسبابه وعلاجه و نتائجه في ثلاث مستشفيات في أربيل في فترة بين 1999-2006.لم تدرس هذه الحالة في أربيل من قبل لذا يستوجب الوقوف على هذه الحالة لأهميتها. تبين أن هذه الحالات تعتبر من الحالات الطارئة ويحتاج إلى إسعاف وتداخل فوري يشمل إجراء الفحوصات (وأهمها فحص المعدة والأثني عشر بالناظور). شمل التداخل إجراء عملية جراحية مستعجلة لوقف النزيف (في حوالي 50% من المرضى). وتبين أن النزف من قرحة ألاثني عشري كان أكثر الحالات شيوعا وان التشخيص والعلاج السريع يبقى أهم عامل في التأثير على نتائج العلاج.أن عدم توفر الأجهزة الناظورية وملحقاتها الخاصة بالتداخل العلاجي (ومنها إيقاف النزيف) أدى إلى ارتفاع عدد العمليات الجراحية للمرضى. ونوصي بتوفيرها لرفع مستوى المعالجة المقدمة لمرضانا.


Article
The presence of protozoal cysts and helminthic ova on Vegetables collected from Baghdad markets

Author: Guirges.Y.
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2005 Volume: 47 Issue: 1 Pages: 89-91
Publisher: Baghdad University جامعة بغداد

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Abstract

SummaryThe vegetables are considered as an important source of human infection with intestinal parasites. Aims: to try a detection of the protozoal cysts or helminthic ova from vegetables collected from Baghdad markets.Methods: The study was carried out during three months I'1 of September to the end of November 1999. Four different kinds of vegetables were selected for this study including tomato, onion, cucumber and celery. The vegetables soaked and washed in saline, centrifuged and the sediment examinedfor the presence ofprotozoal cysts, helminthic ova or fungi.Results: Ova of Ascaris lumbricoides and Enterobius vermicularis were isolated from tomato and celery. Hookworm ova were isolated from celery leaves. Entamoeba histolytica cysts were present on tomato, celery and cucumber. Giardia lamblia cysts found on tomato and celeiy. In addition, the monilia (Candida albicans) and Geotrichum candidum were isolated from tomato and celery. Conclusion: Vegetables may play an important role in intestinal parasites infection.


Article
دراسة وبائية لبعض الطفيليات المعوية التي تصيب الإنسان في محافظة النجف الاشرف

Author: سحر جابر محسن
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2012 Volume: 2 Issue: 2 Pages: 1-7
Publisher: University of Kufa جامعة الكوفة

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Abstract

Abstract The study revealed the Percentage of human infection with intestinal parasites in (246) patients came to AL_Sadder general hospital & AL_Monadara general hospital in Najaf Governorate between Januwary 2011 &Desamber 2011.The total number of I ntestinal parasitic was 124 (85.4%) which included : 61 (88%)of Amoebiasis cases,42 (73.6%) of Giardiasis cases , 21 (35%) of Ascariasis Cases. The infection was generalized and not related to age group, sex occupation or socio_economic state.

تضمنت هذه الدراسة الكشف عن نسبة الاصابة البشرية بالطفيليات المعوية ,(246) من المرضى الوافدين إلى مستشفى االصدر العام ومستشفى المناذرة العام في محافظة النجف الاشرف للفترة من كانون الثاني 2011 ولغاية كانون الاول /2011 ,وكان مجموع الاصابات (124) 85.4% اصابة توزعت بين داء المتحولات الأميبيAmoebiasis(61) 88.4%والذي يسببه طفيليEndameba histolytica و الإصابة بداء الجيارديات Giardiasis ( 42 ) 73.6%والذي يسببه طفيلي Giardia lambliaوالإصابة بداء الاسكارياسس Ascariasis لديدان الاسطوانية (21)35% والذي يسببه طفيليAscaris lumbricoides , اثبتت هذه الدراسة الإصابة المعوية بالطفيليات كانت عامة وليس هناك استثناء للجنس اوالعمر او المهنة او المستوى المعاشي للفرد.


Article
Prevalence of Intestinal Parasitic Infestations in Al-Anbar Province , West of Iraq.
انتشار الاصابة بالطفيليات المعوية في الأنبار‘غرب العراق

Author: Abbas Obaid Farhan عباس عبيد فرحان
Journal: Journal of university of Anbar for Pure science مجلة جامعة الانبار للعلوم الصرفة ISSN: ISSN: 19918941 Year: 2012 Volume: 6 Issue: 1 Pages: 12-15
Publisher: University of Anbar جامعة الانبار

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Abstract

Intestinal parasitic infestation still represents an economic and public health problem in the world particularly in the developing countries including the Middle East. To estimate the current prevalence of intestinal parasitic infection among people living in Al-Ramadi City/ West of Iraq. 1804 faecal samples were collected from males and females of different ages attending Al Gailani-Central Medical Laboratory, Al-Ramadi/Al-Anbar, from June 2006 to October 2009. One methods used were direct faecal microscopic examination and formol-ether concentration. The total infectivity rate by intestinal parasites was 19.7%. The overall infection rate by intestinal protozoa was significantly higher than intestinal helminth infection. E. histolytica was the most prevalent intestinal parasitic infection, whereas E. vermicularis was the predominant helminth. The frequency of the parasitic infestations was slightly higher among females (20.7%) than males (19.1%). A significantly higher prevalence of parasitic infections among younger age groups than the older age groups, since age group ≤5 years showed the highest infection rate (33.3%) when it was compared with other age groups (5.3%). Intestinal parasitic infestation was more prevalent among younger age groups. Screening for parasitic infestation is necessary as part of the general health care programme. Preference should be given to screening the younger age group to improve the standards of infant care.

لاتزال الاصابة بالطفيليات المعوية تمثل مشكلة اقنصادية وصحية في العالم وخاصة في الدول النامية منها الشرق الاوسط.الغرض من الدراسة : لتحديد معدل انتشار الاصابة بالطفيليات المعوية لسكان محافظة الانبار/غرب العراق. المواد وطريقة العمل: 1804عينة من البراز جمعت من الذكور والاناث من مختلف الاعمار والمترددين لمختبر الكيلاني الطبي المركزي في الرمادي للفترة من حزيران 2006 الى تشرين الاول 2009بأستخدام طريقة الفحص المجهري المباشر للبراز والتركيز بالايثر الفورمال.النتائج: معدل الاصابة الكلية للطفيليات المعوية كانت 19.7%. معدل الاصابة بالطفيلي المعوي كانت بمغزى معنوي اعلى من معدل الاصابة بالديدان المعوية. الاصابة ب E. Histolytica كانت اكثر انتشارا من الاصابة ب E.Vemiclaris , تواتر الاصابة بالطفيليات لدى الاناث (20.7%) كانت قليلا اعلى مما لدى الذكور (19.1%). معدل انتشار الاصابة بالطفيليات المعوية لدى الصغار كانت اكثر مما هوعليه لدى الكبار وذي مغزى معنوي حيث ان معدل الاصابة لدى الفئة العمرية الاقل من خمس سنوات كانت (33.3%) عند مقارنتها مع معدل الاصابة لدى الفئة العمرية الاكبر سنآ (5.3%) .الاستنتاج والتوصيات: الاصابة بالطفيليات المعوية كانت اكثر انتشارآ لدى الصغار وعليه فان التحري عن الاصابة بالطفيليات ضروري كجزء من البرنامج العام للرعاية الصحية ويفضل ان يركز التحري للصغار لتحسين الرعاية النموذجية للطفل .


Article
Neonatal Intestinal Obstruction in Mosul City

Authors: Sinan Nief Lotfi Aljarrah --- Kais Alwattar
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 704-711
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Intestinal obstruction is the most common surgical emergency of the newborn. Those cases require specialized care and facilities for survival. It may be caused by several embryonic and functional anomalies. we studied the causes of neonatal intestinal obstruction in mosul in the north of Iraq to get data that was not available about this subject.OBJECTIVE :To study the causes of neonatal intestinal obstruction and the pattern of their distribution in Mosul city and its drainage areas in the north of Iraq.METHODS:A prospective study of 156 cases with neonatal intestinal obstruction ,all of our patients were managed in Al-Khansa' teaching hospital in the period between( February 2001-2003).RESULTS:The male:female ratio was 1.9:1. Mean duration of symptoms 4.33 days. The most common cause was imperforate anus(22.4%), followed by intestinal atresia (15.4%), meconium plug syndrome (13.5%), medical causes (12.2%), congenital megacolon (11.5%), neonatal perforation (4.5%), necrotizing enterocolitis (NEC) and simple meconium ileus (3.9%) malrotation (2.6%), respectively and other rare causes (< 2%). The overall mortality was 22.2%. the mean duration of hospital stay 5.4 days.CONCLUSION:The causes of neonatal intestinal obstruction and the percentage of each cause are in variance with other studies. Imperforate anus and functional causes (e.g. ileus, sepsis) were higher, while intestinal artesia , meconium ileus and malrotation were lower than recorded by others.The mortality is near to that in developing countries with higher mortality in cases of necrotizing enterocolitis, meconium ileus and other rare causesof obstruction; delayed presentation and the lack of neonatal intensive care units at the time of the study being the main problems, that resulting in high mortality rate


Article
The role of oral gastrografin (Diatrizoic acid) in the management of postoperative adhesive small bowel obstruction

Author: Dr. Waleed Q. Rajab, Dr. Ahmed S. Khazaal, Dr. Hamid H Sarhan, Dr. Ziad T. Abbas
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2016 Volume: 21 Issue: 1 Pages: 88-96
Publisher: Tikrit University جامعة تكريت

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Abstract


Article
HISTOPATHOLOGICAL INVESTIGATION OF OVINE INTESTINAL ADENOMAS IN BASRAH ABATTOIR
التحري النسجي المرضي للغرنات الغدية لأمعاء الأغنام في مجزره البصرة

Author: Jihad Abdulameer Ahmed
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2016 Volume: 15 Issue: 2 Pages: 267-276
Publisher: Basrah University جامعة البصرة

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Abstract

In order to investigate the histopathological features of ovine intestinal adenomas, the study achieved in 27 macroscopically suspected intestinal adenomas of sheep aged between 2-3 years, which diagnosed in Basrah abattoir, the intestines of slaughtered sheep were fixed and processed for light microscopy.The histopathological results showed multiple stages of neoplastic differentiation, mainly circumscribed areas suggesting adenomatous form by proliferating mucous glands in sub mucosal region of colon of varying sizes, some of which with clear proliferating hypertrophic and hyperplastic epithelial lining with area of angiogenesis and hemorrhage around them. Morever, the results showed circumscribed areas of adenomatous glandular structures enclosed by superficial mucosal epithelium and in sub mucosal region of rectum. It had been concluded that the ovine intestinal adenomas showed a degree of differentiation in mid aged sheep (2-3 years old aged) that may resembles other adenomatous intestinal lesions reported in more older age of others domestic animals.

Keywords

: Adenomas --- Intestinal --- Ovine.


Article
Prevalence of Intestinal Parasitic Infection in Baghdad City

Author: Lazem H. K. Al-Taie* PhD
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 2 Pages: 187-191
Publisher: Baghdad University جامعة بغداد

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Background: Intestinal parasites are endemic in many developing areas (WHO report 1998), and they considered as one of the most common tropical disease in developing countries ranges between 30-60 % Patients and Methods: The present study is a survey to determine the prevalence of intestinal parasites in out and in patients of Al-karama hospital during the period from Jan 1999 to Nov. 2000. Stool samples examination was the test in establishing the results of the present study by direct microscopic examination. Q –square statistic test were used for evaluation the results Results: Results of the present study reveled that the most affected group of patients’ with intestinal parasites, those with 11-20 years old (32%), protozoa percentage of infection were (18.56%) significantly more than helminthes with (2.45%). Males were more infected with intestinal parasites (44.18%) than females (28.96%). The highest infection rate with helminthes was recorded at the period between March and Jun. Conclusion: Infection rate in BaghdadCity21.01,rotozoal18.56%,whichinclude E.histolytica12.14%,G.lambilia 4.9 % While helminth infection rate,2.45 %,include H.nana,1.17 %Enter.vermicularis,0.38 %,Asca.lambricoidus0.37 %.Femal infection rate8.21 % more than male4.01 %.

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