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Article
Interpretation of Clinical, Radiological, Electrocardiographic and Echocardiographic Findings in Pulmonary Hypertension

Author: Basil N. Saeed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 2 Pages: 84-87
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:OBJECTIVE:To make correlation between clinical radiological electrocardiographic and echocardiographic findings in cases of Pulmonary Hypertension.METHODS:140 patients refered to the medical departments, Baghdad Teaching Hospital ( 90 of them admitted in this study were as follow);(52 (47%) cases having Ischemic heart disease,28(25%) cases having C.O.P.D., 10(9%) cases having connective tissue diseases, 9(8%) cases of Rehematoid Arthritis, 1 case S.L.E.). The remaining 50 cases were excluded from the study because they have another chronic disorder like Diabetus mellitus, Renal failure, Malignancy, Skeletal deformity.Fourty normal volunteers were admitted in this study both groups were assessed clinically, radiologically, electrocariograpically, echocardiographically plus the routine blood tests including F.B.S, B.urea,lipid profile.RESULTS:90 cases of patients admitted in this study showed variable findings the prominent finding was loud pulmonary sound "p2" in 100% of cases, 19.6% of cases showed cardiomegaly, 33% prominent pulmonary marking, 11.4% percardial effusion, 28% Right Ventricular Hypertrophy.CONCLUSION:It is not necessary to find all the clinical, radiological, electrocardiographic and the echocardiographic changes in any patient with pulmonary hypertention>30 mm Hg.


Article
Turkish policy to wards the Iraq 1991- 2003
سياسة تركيا اتجاه العراق 1991-2003م

Author: Gazi F. Ghader غازي فيصل غدير
Journal: Al-Ma'mon College Journal مجلة كلية المامون ISSN: 19924453 Year: 2009 Issue: 14-A Pages: 27-56
Publisher: AlMamon University College كلية المامون الجامعة

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Abstract

The research hypothesis is basic idea is that Turkish foreign policy is continuity and change at same time.. continued adherence to the highest interests of Turkey .. And change and the amendment is to adjust policies through a system of means and mechanisms highlight the pragmatic nature of the accounts of profit and advantage in how to build positions and minimize the negative impression on Turkey In light of this vision the Turkish foreign policy.after the end of cold war is to reconcile the regional affiliation of Turkey to the middle East and international alliance with the united states in particular and Europe in general . this policy and launched a rush Caucasus Islamic republies central Asia which are emerging after the soviet union callapse also Turkey involve in the second Culf war as a member of NATO to demonstrate its continuing role in the hunt for the new tasks in this ally .The Second GuIf War and its circumstances and the results made Turkey Key player and an integral part of a global role in the middle East through the factors of water and oil security and the Kurdish issue in northern Iraq and the emergence of a Kurdish issue in northern Iraq and the emergence of a Kurdish entity in which the nucleus directly affiect the situation of Turkey Goe- security the Political settlement between the Arabs and Israel.After the end of the second GuIf War and the acceprance of most Arab counrriesg the State of Israel and the lsigning of peace agreements between the parties involved in the conflict which allow Turkey overcome a lot of caution and sensitivity in its relations with the Arabs' which departed fore Turkey as an ally of Israel.

اتسم العقد الأخير من القرن العشرين بالعديد من المتغيرات في العالم، وفــي مقدمتها انهيار الاتحاد السوفيتي وانتهاء الحرب الباردة، والتي انعكست على منطقة الشرق الأوسط التي شهدت تحولات في العلاقات الإقليمية واكبتها أحداث مثل حرب الخليج الثانيــة والتسوية السياسية بين العرب وإسرائيل، وتعرض مكانة تركيا في الإستراتيجية الغربية إلى الاهتزاز ومحاولة إيجاد دور تركي إقليمي بديل في أكثر من دائرة من الدوائر الإقليمية المحيطة بها، خاصة مع المنطقة العربية ليمهد الطريق أمام سياسة تركية أكثر فاعليـة. عبّر الرئيس التركي أو زال عن التوجه المستقبلي لبلاده أثناء حرب الخليج بالقول: "بعد انتهاء هذه الحرب لن يعود الشرق الأوسط إلى ما كان عليه إذا ما أخذنا في الاعتبار كل الحقائق التاريخية في المنطقة، فقد يكون بإمكاننا جلب السلام إلى المنطقة وأرى أن على القوة الأخرى من خارج المنطقة أن تسهل لنا هذه المهمة". وفي بحثنا هذا سندرس سياسات تركيا اتجاه العراق في المجالات السياسية والأمنية والاقتصادية والمائية فلم تكن العلاقات العراقية التركية السياسية حسنة في عقد الثمانينات، وذلك لوجود مشاكل ترتبط أساساً بالعلاقات التركية المتميزة مع كل من الولايات المتحدة وإسرائيل، فضلا عن العلاقات المائية، فالمعروف أن دجلة والفرات ينبعان من تركيا، والموقف التركي من هذين النهرين يتناقض مع الموقف القانوني الدولي، والمشكلة الكردية كذلك كانت في صميم العلاقات العراقية التركية بحكم الوجود القومي الكردي في كلا البلدين، ولذلك يحاول كل من الطرفين الاستفادة منها طبقا لمصالحه وأولوياته. وجاءت حرب الخليج الثانية في مطلع عقد التسعينات لتضع حدا لعلاقاتهما التجارية النشيطة وإعلان تركيا التزامها بـقرار مجلس الأمن 661 في 6 آب 1990 والقاضي بفرض عقوبات اقتصادية، وهو دور مهم بحكم جوار تركيا للعراق وبحكم العلاقات الاقتصادية الوثيقة بين الطرفين وبحكم أهمية تركيا جغرافياً واستراتيجياً والحدود المشتركة لتركيا مع العراق، والتي يبلغ طولها «331» كيلومترا، إذ يصدر العراق عبر تركيا نصف صادراته البترولية ويتلقى العراق من خلالها جزءاً كبيراً مــن وارداته من المواد الأولية والخدمات، ولم يكن من المتخيل نجاح أي محاولة لفرض الحصار الاقتصادي على العراق دون التزام تركي بالحظر، ولم تحصل تركيا على كل التعويضات المقررة من حلفائها وتحملت خسائر قدرت بعشرات المليارات من الدولارات في عقد التسعينات، كما واجهت تركيا الفراغ الأمني الذي نشأ بفعل الحظر الجوي على الطيران العراقي فوق الخط 36ْ وقرار انسحاب الدولة من منطقة الحكم الذاتي، وقيام حكومات محلية في كل من اربيل والسليمانية بإدارة شؤون المنطقة واتبعت تركيا سياسة مركبة في الحالة الكردية العراقية، فقد عملت على ملء الفراغ الذي ظهر بعــد1991 فأقدمت على دعم الفصيلين الكرديين بقيادة مسعود البارزاني وجلال الطالباني لضمان استقرار شمال العراق، ولكنها في الوقت نفسه لــم تسمح لأي منهما بالذهاب بعيدا باتجاه نضوج فكرة الدولة الكردية والانفصال. وعارضت تركيا توجهاتهما في ضم مدينة كركوك كجزء من تطلعات وآمال الأكراد المستقبلية، والتي يضفون عليها قدرا كبيرا من القداسة، ويعدونها رمزا للكيان الكردي، فقد شدد مسعود البرزاني زعيم الحزب الديمقراطي الكردستاني في حوار مع صحيفة "الحياة (10/11/2002) على أن الأكراد لن يساوموا على الهوية "الكردستانية" لكركوك، وأنهم سيستردون المدينة في أية لحظة يستطيعون استردادها، واشتهرت تسمية جلال الطالباني زعيم الاتـحاد الوطني الكردستاني لكركوك بقدس كردستان. فهذا الإصرار على اعتبار كركوك عاصمة الكيان الكردي المستقبلي، فيه قدر كبير من الاستفزاز للأتراك ،فضلا عن استفزاز العراقيين بوصف هذه المدينة غنية بالنفط، فحقل كركوك النفطي هو أول حقل عراقي اكتشف في العشرينيات من قبل شركة نفط العراق، كما أنه أكبر حقل حتى الآن، باحتياطي يبلغ 11 مليار برميل. على الرغم من ان أكراد العراق كانوا يتحدثون بصيغة الفدرالية مع سلطة بغداد. كل ذلك دفع تركيا لمعارضة الحرب على العراق بسبب الأضرار الاقتصادية المحتملة والمخاوف من قيام دولة كردية، وتأثيرات ذلك في حدوث مزيد من الاضطرابات في مناطق جنوب شرق تركيا التي تشكل أكثر المناطق تراجعا في مجالات التنمية الاقتصادية والاجتماعية، كما إنها تمثل مسرحا لنشاط حزب العمال الكردستاني التركي p.k.k لكل هذه الأسباب عملت تركيا جاهدة لمنع وقوع غزو أمريكي ضد العراق، وجاء قرار البرلمان التركي برفض الطلب الأمريكي ان تكون الأراضي التركية منطلقا لهذا الغزو ودعت دول الجوار الى مؤتمر يعقد في اسطنبول لإيجاد حلول بوجه الحرب، لكن هذا المؤتمر انعقد على مستوى وزراء الخارجية واصدر بيان لم يرق الى مستوى الإخطار المحدقة بالمنطقة. ولم تلتزم الحكومة التركية بقرار البرلمان كليا، حيث أنها كانت تدرك ان الحرب ستوفر للمشاركين فيها بعض الغنائم على الأقل ولإبعاد تركيا عن مواقف انتقامية ربما تتخذها الولايات المتحدة الأمريكية في حالة كسبها الحرب. لذلك دافع رئيس الوزراء التركي رجب طيب أردوغان عن قرار حكومته بفتح المجال الجوي التركي أمام طائرات التحالف الغربي الذي يشن هجمات على العراق (19اذار 2003) ودعا في كلمة وجهها للشعب إلى وحدة الأمة في مواجهة الحرب على العراق والأزمة الاقتصادية الطاحنة التي تهدد البلاد. وقال إن تركيا لم يكن أمامها خيار آخر سوى فتح مجالها الجوي عندما طلبت منها الولايات المتحدة، حليفتها، ذلك كما قال إن قرار أنقرة إرسال قوات إلى شمال العراق سيضمن سلام المنطقة واستقرارها.

Keywords

Iraq --- العراق


Article
Effect of infection on semen parameters in a sample of Iraqi infertile males.

Authors: Jawad K. Al-Diwan --- Eman Al-Kaseer --- Ali A. Lazem
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 3 Pages: 272-274
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Several studies were carried out on association of infection with male infertility, which revealed great variations in the prevalence of genital infection in different parts of the world. This work was designed to study the effect of infection on semen parameters in a sample of Iraqi infertile males.Methods: A sample of 400 infertile male patients attending the High Institute for Embryo Research and Infertility Treatment for laboratory investigations and treatment were selected. This study was carried out during the period Nov. 2002 to April 2003, inclusive. Seminal fluid analysis was performed on samples obtained by masturbation into a glass container after 48 to 72 hours from of abstinence from sexual intercourse. Analysis (examination of volume, liquifaction, sperm count, motility percent, normal morphology percent and presence of pus cells) was performed within an hour after ejaculation. Results: Clinical infection was detected in 14% of infertile males and 29% had subclinical infection. Liquifcation time and leukocyte had significant variation between infected and non infected patients. Conclusion: Early diagnosis and treatment of genitourinary infection in necessary to reduce complication and infertility in future.

Keywords

Infertility --- semen --- infection --- Iraq


Article
Results of Kidney Biopsies among Adult Iraqi Patients in a Single Center

Authors: Nawar S.Jameel نوار جميل --- Mohammad Abdul Mahdi محمد عبد المهدي --- Ali Jasim H. Al-Saedi علي جاسم الساعدي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 1 Pages: 82-84
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Patients requiring renal biopsies have various glomerular diseases according to their demographic characteristics.Objective: To study types of glomerular disease among adult Iraqi patients in a single center in Baghdad/IraqMaterial and Methods: A total of 120 native kidney biopsies were studied. All biopsies were adequate and were processed for Light Microscopy.The age range of the study patients was 17-67 years, with a mean of 38.5 years. The mean follow up period was 28 weeks (4-52 weeks)Indication for biopsy included: Nephrotic syndrome (N=72; 60%), Asymptomatic proteinuria (N=21; 17.5%), acute nephritic presentation (N=17; 14.16%), asymptomatic haematuria (N=10; 8.33%).Results: Primary glomerulonephritis (GN) was seen in 102 of 120 patients (85%), focal segmental glomerulosclerosis, and membranous nephropathy were the most common histological diagnosis (33.3% and 21.5% respectively).Conclusion: The study further emphasize the need for national GN registry and long term follow up, to recognize the common pattern of GN, their natural history, the appropriate line of management, and to try to halt their progression to end stage renal disease (ESRD).Key Words: Iraq, Glomerulonephritis, Renal Biopsy.


Article
Compliance of Diabetic patients

Author: Riyadh K Lafta
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2009 Volume: 8 Issue: 1 Pages: 17-22
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background Diabetes is likely to be the fifth leading cause of death. Global excess mortality attributable to diabetes is estimated at 2.9 million deaths which is equivalent to 5.2% of world all-cause mortality. Compliance with medical advice is essential for controlling the disease; it is affected by many factors related to the patient, the disease, the physician and the family. Objective To assess the level of diabetic patients’ compliance with diet, drugs and visits, and to assess its effect on the disease control through certain indicators. Methods A total of 300 diabetic patients from different age categories, both males and females, were included in this study. The patients are usually either self-referral or referred from other hospitals, primary health care centers, governmental general practice clinics or private clinics. A questionnaire form was constructed to collect data about the demographic characteristics of the patients, about diet and medications. Files of the patients were reviewed to have an idea about their compliance. Results Compliance with diet was medium in half of the patients, while with drugs; it was good in 60.3%, and 38.7% had good compliance to visits. The best compliance with diet (38.2%) was seen in the age group 40-49 year while the least (19.2%) was in the age group (30-39)[ (χ²=2.65, P>0.05), 37.4% of the patients who are using oral hypoglycaemic agents, and 36.7% of those using insulin had good compliance with diet (χ²=7.10, P<0.05). Conclusion We can conclude from this study that the diabetic patients (represented by the study sample) have poor compliance with diet and visits, the duration of the disease was the most common variable found to predict compliance.

Keywords

Diabetic --- compliance --- Iraq


Article
التأريخ وسيلة لتقوية فكرة المواطنة في العراق المعاصر

Author: إبراهيم خليل العلاف
Journal: Regional Studies دراسات اقليمية ISSN: 18134610 Year: 2009 Issue: 13 Pages: 301-314
Publisher: Mosul University جامعة الموصل

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Abstract

Arab Intellectuals and educators si0nce the age of renaissance in the second half of 19th century have known the importance of history and the human need to study history in order to build the society culturally and knowing the cultural history. In Iraq since the establishment of its modern state, important attempts have risen aiming at presenting history by scientific and national approach which helps in developing the trend towards nation loyalty and its unity. This will help in understanding this approach

أدرك المفكرون والتربويون العرب مند بدء عصر النهضة في النصف الثاني من القرن التاسع عشر أهمية التاريخ وحاجة الإنسان إلى دراسته واستلهامه باعتبار إن بناء المجتمع بناء حضاريا أصيلا يتطلب وعيا أصيلا للماضي الحضاري.. وقد برزت في العراق مند تأسيس دولته الحديثة محاولات مهمة استهدفت التخطيط لتقديم التاريخ بمنهج علمي ووطني يساعد في تنمية الاتجاه نحو الولاء للوطن وترسيخ وحدته والبحث هذا يساعد في فهم ذلك الاتجاه


Article
The Echocardiographic Abnormalities in 52 Iraqi Patients with Rheumatoid Arithritis

Author: Salim M. Saeed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 2 Pages: 92-96
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:OBJECTIVE:To study the prevalence of echocardiographic findings in unselected population of patients with rheumatoid arthritis (RA)METHODS:Fifty two RA patients and fifty two normal healthy people assessed clinically, Echo Cardiografically, ECG, pulmonary function tests and laboratory investigations.RESULTS:Two-dimensional echocardiography demonstrated significant cardiac disease in (59%) of patients in form of right ventricular dilatation (25%), left ventricular dilatation (11.5%), left atrial dilatation (3.8%), mitral valve abnormalities (11.5%)(M.V.regurgitation, M.V.thickening, M.V.prolapsed, M.V.stenosis), septal hypertrophy(5.8%), diastolic pressure dysfunction(5.8%), thick aortic calcified cusps(3.8%), aortic regurgitation(5.8%), mild pericardial effusion(13.5%), tricuspid Regurgitation (11.5%) and raised pulmonary artery pressure above 30 mmHg (3.8%).The normal healthy people had only two people one had M.V.regurgitation and the other had mild M.V.prolapse and there were no other abnormalities in (ECG) of (PFT).CONCLUSION:Wide and frequent varieties of echocardiographic cardiac abnormalities were found in an unselected population of patients with RA, using Doppler echocardiography giving different grades of severity of cardiac manifestation


Article
Clinical Profile and OutComeOf Respiratory Failure In Iraqi Children

Author: Muhi Al-Janabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 132-137
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND:The frequency of acute respiratory failure is higher in infants and young children than in adults.Acuterespiratory failure remains a significant cause of morbidity and mortality for children .PATIENTS AND METHODS:One hundred and twenty children under the age of 15 years presented with respiratory failure andadmitted to RICU in Children Welfare Teaching Hospital and Surgical Specialty Hospital in MedicalCity - Baghdad in the period from the 1st of May -2003 to the 30th of June 2005 were enrolled in adescriptive study.RESULTS:Seventy nine (65.83%) cases were males and 41 (34.17%) were females. Male / female ratio was1.93:1.The mean age was 30.21 months, 35 (29.16%) cases were neonates. Sixty eight (56.7%) caseswere from urban areas and 52 (43.3%) were from rural areas. Seventy eight (65%) children wereadmitted for medical diseases and 42 (35%) were admitted for surgical problems. The most commonmedical causes were respiratory (50%) followed by neurological (37. 17%).The most commonrespiratory cases were bronchiolitis (28.2%) and most common neurological cases were Guillain- BarreSyndrome (58.6%).The majority (90.47%) of surgical cases were admitted post-operatively. Theaverage duration of stay in RICU was 9.71 days. Fifty three patients (44.17%) survived and 67(55.83%) died.CONCLUSIONS:The most common age group admitted to RICU is infancy, medical cases are more commonly admittedthan surgical cases, the most common medical causes of admission are respiratory followed byneurological causes, the most common respiratory cause of admission is acute bronchiolitis.


Article
Iraqi Children with Acute Bacterial Meningitis... Who May Need Ventilatory Support?

Author: Muhi Kadhem Al-Janabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 2 Pages: 100-105
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Acute bacterial meningitis (ABM) is one of the most potentially serious infections occurring in infants and older children. Indications for PICU admission are shock, markedly elevated intracranial pressure (ICP), coma, and refractory seizures (1).METHODS:This cross sectional study enrolled children 2 months-12 years of age presented with (ABM) who were admitted to Children Welfare Teaching Hospital (CWTH) -Medical City- Baghdad, including those who needed Pediatric Intensive Care Units (PICUs) admission in CWTH Unit and Surgical Specialty Hospital (SSH) Unit in the period from the 1st of Feb 2004 to the 1st of Feb 2006. The diagnostic inclusion criteria of (ABM) were clinical symptoms and signs of meningitis plus a CSF neutrophilic pleocytosis with a CSF cells count of more than 5 cells/mm3 (1). Data included history, clinical examination, investigations, complications, PICU management, and outcome. Statistical analysis was done by using SPSS version 13.0 computer facility, Chi-square test and T test were used when needed and a P.value < 0.05 was considered significant.RESULTS:In the present study (ABM) in children 2 months -12 years constituted 7% of cases admitted to PICUs. The majority of cases (77.2%) were below 2 years of age. The mean age of children with (ABM) was 18.3+6.80 months. The PICU cases of (ABM) differed from the neurological ward cases in their more acute onset, higher body temperature, higher peripheral WBCC, lower CSF glucose, and higher CSF cell count, higher CSF protein, lower serum calcium and longer duration of stay and all these characteristics showed highly significant differences The case fatality rate of children with (ABM) is 13.3%.CONCLUSION:The study concluded the need for PICU admission in children with (ABM) with acute onset, higher body temperature, higher peripheral WBCC, lower CSF glucose, and higher CSF cell count, higher CSF protein, lower serum calcium, and recommended laboratory and PICU service expansion

Keywords

meningitis --- children --- picu --- Iraq.


Article
Compliance of Diabetic patients

Authors: Riyadh K Lafta --- Ula Faiq --- Abdul-Hameed Al-Kaseer
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2008 Volume: 7 Issue: 2 Pages: 17-22
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Diabetes is likely to be the fifth leading cause of death. Global excess mortality attributable to diabetes is estimated at 2.9 million deaths which is equivalent to 5.2% of world all-cause mortality. Compliance with medical advice is essential for controlling the disease; it is affected by many factors related to the patient, the disease, the physician and the family.Objective: To assess the level of diabetic patients’ compliance with diet, drugs and visits, and to assess its effect on the disease control through certain indicators.Methods: A total of 300 diabetic patients from different age categories, both males and females, were included in this study. The patients are usually either self-referral or referred from other hospitals, primary health care centers, governmental general practice clinics or private clinics. A questionnaire form was constructed to collect data about the demographic characteristics of the patients, about diet and medications. Files of the patients were reviewed to have an idea about their compliance.Results: Compliance with diet was medium in half of the patients, while with drugs; it was good in 60.3%, and 38.7% had good compliance to visits. The best compliance with diet (38.2%) was seen in the age group 40-49 year while the least (19.2%) was in the age group (30-39)[ (χ²=2.65, P>0.05), 37.4% of the patients who are using oral hypoglycaemic agents, and 36.7% of those using insulin had good compliance with diet (χ²=7.10, P<0.05). Conclusion: We can conclude from this study that the diabetic patients (represented by the study sample) have poor compliance with diet and visits, the duration of the disease was the most common variable found to predict compliance.

Keywords

Diabetic --- compliance --- Iraq

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