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Article
Trichomoniasis Among Females WithVaginal Discharge in Baghdad Medical City

Authors: Raja Al-Tikriti , --- Bahjat Al-Janabi --- Aroub Abdul Rahman Al-Kaisi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 1 Pages: 37-41
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:
Background:
Trichomonas vaginalis is a pear shaped parasite, with a short undulating
membrane, lined with a flagellum and four anterior flagella. It is one of the most
common organisms causing infection in the female genital tract, which is normally
limited to vulva, vagina and cervix. It doesn't usually extend to the uterus. The
mucosal surface may be tender, inflamed and covered with a frothy yellow or
cream colored discharge.
Aim:
To evaluate the infection rate of Trichomonas vaginalis among females
complaining of vaginal discharge with or without pruritis vulvae, and to isolate the
parasite by different laboratory methods, such as wet mount method, culture on
special media and staining by special stains e.g. Leischman's stain, Giemsa's stain
and Papanicolaou's stain.
Fac Med Baghdad
2008; Vol.50,
No.1
Received Feb. 2007
Accepted Setp.2007
Methods:
The study was conducted in the period from November 1992 to August 1993 on
480 female patients presented with vaginal discharge with or without prurits vulvae
attended the Gynecological and Antenatal Outpatient Clinics in Medical City in
Baghdad, compared to 50 females complaining of gynecological problems other
than infection attended the same clinic.
Investigations carried out during this work include:
Wet mount examination ,Culture on artificial media ,Examination of fixed stained
smears with: Gram’s stain , Leishman's stain ,Giemsa's stain, Papanicolaou's
stained smear.
Results:
Among 480 females presented with vaginal discharge with or without pruritis
vulvae, an infection rate of (19.16%) was reported. Females subjected to this study
were classified into different groups, non-diabetics, diabetics, workers in hospital
and control group, giving an infection rates of (20.5%), (2.5%), (33.33%) and (8%)
respectively. Evaluation of the rate of infection among different age groups
revealed that the highest infection rate was in the ages of greatest sexual activities
from (14-39) years old. The signs of Trichomonas vaginalis infection were those of
vulvar, vaginal and cervical erythemae. The presenting symptoms were those of
discharge, discharge & itching, discharge & dysuria, itching, discharge & itching &
dysuria. However (12.5%) of the patients were asymptomatic. The discharge was of
different characters and the patients presented in different stages of the disease.
Conclusion:
Trichomonas vaginalis is a common cause of vaginits , most frequently seen at
the ages of greatest sexual activity where the patient usually presents with vaginal
discharge of different character which may or may not be associated with itching.
It has been noticed that clinical judgement alone is unsatisfactory for the
diagnosis of trichomoniasis and it must be aided by laboratory examination.


Article
Isolation and Idintification of candida albicans from vagina and Study of some Virulance Factors
عزل وتشخيص المبيضات البيضاء Candida albicans من المهبل ودراسة بعض عوامل ضراوتها

Authors: Shaimaa Nghamish Mizi’l شيماء نغيمش مزعل --- Ayad F. Nakkash أياد فضيل نقاش --- Ilham Saeed Banno الهام سعيد بنو
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2010 Volume: 7 Issue: عدد خاص بمؤتمر العلمي النسوي 1 Pages: 233-240
Publisher: Baghdad University جامعة بغداد

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Abstract

197 vaginal swabs were collected from women of different ages. (60) Isolates of Candida albicans (30.4%) were obtained, and the other species of Candida represent (18.27%). Bacterial infections showed (41.11%), and infection with Trichomonas vaginalis was (2.03%).Ten isolates of C. albicans were chosen randomly for farther study which include two virulence factors tendency of adhesion wich showed a percentage of (52%) to(32%) , and the ability to produce phospholipaze enzyme and it’s activity which showed (50%) of the isolates have the ability to produce the enzyme in different degrees .

جمعت (197) مسحة مهبلية من نساء في اعمار مختلفة، وتم الحصول على (60) عزلة للمبيضات البيضاء Candida albicans أي بنسبة (%30.45) وبلغت الانواع الاخرى للمبيضات نسبة (%18.27)، اما الاصابات البكتيرية فكانت نسبتها (%41.11) في حين شكلت المشعرات المهبلية Trichomonas vaginalis (%2.03) من حالات التهاب المهبل .تم اختيار (10) عزلات عشوائياً من المبيضات البيضاء لدراسة عاملين من عوامل ضراوتها وهي الالتصاق، حيث كانت اعلى نسبة التصاق (%52) واقل نسبة (%32) ،و عامل الضراوة الاخر وهو قدرة العزلات على انتاج انزيم الفوسفولايبيز وقياس فعاليته )،فقد كانت (%50) من العزلات غير منتجة لهذا الانزيم و (%50) انتجته بدرجات مختلفة من الفعالية.


Article
Urethral trichomoniasis in Iraqi females

Author: Aroub Abdul Rahman Al-Kaisi, Ph.D Bahjat Al- Janabi, *Ph.D Raja Al-Tikriti Ph.D د. عروب عبد الرحمن القيسي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 3 Pages: 312-314
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Trichomonas vaginalis has long been recognized as a cause of infectious vaginitis in women different studies have demonstrated a significant burden of the parasite to cause urethritis as well. It has been assumed that the localization of parasite in the urethra may be responsible for the recurrence of vaginal infection.Aim: To evaluate the infection rate of urethral trichomoniasis and to evaluate two different laboratory’ methods used in the diagnosis.Methods: The present study consisted of420female patients presented with vaginal discharge with or without itching or disorient, investigated for urethral trichomoniasis who were compared to 50 females represented the control group.Each female M’as asked to collect first 10-20 ml of urine in a sterile screw capped bottle; the deposits were examined microscopically by:. Wet mount method for Trichomonas vaginalis.2.Culture in a specific ready made culture media.At the same time high vaginal swabs were taken and examined by both wet mount and culture methods for vaginal trichomoniasis.Results: Among 420 female patients examined for both urine sediments and vaginal swabs ,80 (19.04%) females were found to be positive for T. vaginalis by vaginal SM'abs. The parasite was seen either in the vagina alone in 39 (9.28%) or in the vagina and urethra in 41(9.76%), but it M’as never isolated from urethra alone.Conclusion: Trichomonas vaginalis is a common parasite offemale urethm as well as of the vagina, the localization of this flagellate in the urethra may be responsible for the recurrence of vaginal infection, since it may survive in the urethra, possibly in the Paraurethral glands (skene's) so when the treatment is limited to the vagina, this will often fail to reach the urethra and the trichomonads may contaminate the vagina following urination or sexual intercourse, that is why systemic rather than local treatment is indicated.Keywords: Trichomonas vaginalis. Trichomoniasis. Urethritis.


Article
Immunological study for infected women with T.vaginalis in AL-Najaf AL-Ashraf province
دراسة مناعية للنساء المصابات بمرض T.vaginalis في محافظة النجف الأشرف

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The study was conducted on 450 out patients and 30 healthy women, whom have visited the department of infertility at Al-Sadder medical city, Al-Zahra Hospital and in Najaf Province during the period from January till August, 2012. The infection with T.vaginalis in clinical suspected women determine by using the wet amount microscope, the infection women numbers and percent by wet mount microscope gave 49 and 10.88% respectively. The results showed significant elevation (P<0.01) in serum concentration of IgA, IgG, IgM and IgE in serum of T.vaginalis infection patients in comparison to healthy control group.

أجريت الدراسة على 450 مريضاً و 30 امرأة يتمتعون بصحة جيدة ، حيث قاموا بزيارة قسم العقم في مدينة الصدر الطبية ومستشفى الزهراء ومقاطعة النجف خلال الفترة من يناير حتى أغسطس 2012. العدوى مع ت. تحديد المهبلية في النساء المشتبه بهم السريرية باستخدام المجهر كمية الرطب ، أعطى عدد النساء العدوى ونسبة من المجهر جبل الرطب 49 و 10.88 ٪ على التوالي. أظهرت النتائج ارتفاع معنوي (P <0.01) في تركيز المصل IgA ، IgG ، IgM و IgE في مصل مرضى T.vaginalis العدوى بالمقارنة مع مجموعة السيطرة الصحية.


Article
The prevalence of trichomonas vaginalis in association with other micro-organisms among women with vaginal discharge in Mosul

Authors: Ghada A. Al-Daheen غادة الدهين --- Nawfal Y. Al-Dabbagh نوفل ياسين الدباغ --- Haytham M. Al-Habib هيثم محمد الحبيب
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2005 Volume: 31 Issue: 1 Pages: 37-44
Publisher: Mosul University جامعة الموصل

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objective: To screen women with vaginal discharge for Trichomonas vaginalis as well as other pathogens and to follow them up.Setting: outpatient Gynaecologic Clinic, Family Planning Clinic, and Antenatal Clinic at Al- Batool Teaching Hospital for Gynaecology and Obstetrics. Participants: a 440 women with vaginal discharge (July 1997 to June 1999).Intervention: Full medical, gynaecological, sexual and social history was recorded. Clinical examination was carried out. Laboratory investigations including vaginal, cervical and urethral swabs for direct examination, gram-stained smear, as well as culture on appropriate media.Results: The total number of Trichomonas vaginalis infection was 68 (15.5%). The isolated microorganisms in association with Trichomonas vaginalis were candida albicans in 19 women (27.9%), Staphylococcus epidermidis in 10 women ( 14.7%), and Lactobacilli in six women constituting (8.8 %) . Both Diphtheroids and Neisseria ganorrheae showed lower incidences, as only eight women were positive (5.9 %) for each. Escherichia. Coli was present in one patient (1.5%).24 patients were positive for Trichomonas vaginalis only (35.3 %).The remaining 372 women who were negative Trichomohas vaginalis showed a high rate of infection with Candida species (21.5%),followed by Staphylococcus epictermidis(18.3%) and lactobacilli (15.3%).other isolates included Streptococcus species (8.6%)., E.coli (5.9%), Klebsiella ( 3.8%) ,Enterococcus fecalis (3.0%), Gardnerella vaginalis (2.6%), Neissenria gonorrheae (2.4%), Proteus (2.2), Diphtheroid (1.9%), staphylococcrus aureus(1.3%) and Pseudomonas aeruginosa (0.8%). Moreover, 46 (10.5%) of women showed no growth. 50.0% of infection with Trichomonas vaginalis was at age 26-35 years Considering marital status, the highest rate (76.4 %) of infection was among married women followed by divorced (14.7 %), widows (5.8 %) and singles ( 2.9%). Pregnant women positive for Trichomonas vaginalis represented (45 .6 %) of cases. 61.7% of infection was among illiterate women.Metronidazole (flagyl) was given to all in a dose of 250mg orally thrice daily for seven days.Metronidazole was prescribed at the same time to husbands of infected women. other specific medications (antifungal, antimicrobial agents) were given when indicated either alone or in combination with metronidazole.Two weeks later only 112 women came for reassessment clinically and by repeating direct smear and culture, that showed fifteen positive cases. Five of them still having Trichomonas vaginalis, eight were having Candida albicans, and two showed normal smears. Further courses of treatment were given as indicated.conclusion: Vaginal discharge is common among women in reproductive life.Culture is indicated for precise diagnosisKey words: Trichomonas vaginalis. Vaginal discharge, Metronidazole.


Article
Factors influencing the Prevalence and pathogenicity

Author: Aroub Abdul Rahman Al-Kaisi*Ph.D د. عروب عبد الرحمن
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 2 Pages: 271-276
Publisher: Baghdad University جامعة بغداد

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Summary:Background: Trichomonas vaginalis is a common parasite of both male and female genital tracts. Transmission of the infection is mainly by sexual intercourse; however contaminated towels, douche equipments, examination instruments and other objects may be responsible for some infections.Aim: Is to study the influence of some factors that affect the spread of this parasite such as socioeconomic status, marital status, pregnancy and parity …….etc.Methods: The study was conducted in the period from November 1992 to August 1993 on 480 female patients presented with vaginal discharge with or without itching, compared to 50 females complaining of gynecological problems other than infections.Investigations carried out during this study include:.Wet mount examination.,.Culture on artificial media.,Examination of fixed stained smear with:a.Gram's stain.b.Leischman's stain.c.Giemsa's stain.d.Papanicolaou's stained smear.4. Measuring the PH of the vaginal discharge or the PH of the vaginal side wall.Results: The effect of some factors on the prevalence and pathology of Trichomonas vaginalis was evaluated in this study. Among different socioeconomic groups, the higher infection rate (65.22%) was seen in the low socioeconomic group. The infection rate of trichomoniasis was found to be higher among married females (19.81%), than divorced (16.66%), widowed (12.5%) or singles (11.11%). Regarding the menstrual cycle, infection with Trichomonas vaginalis was found to be increasing during the postmenstrual phase of the cycle (24.21%) compared to the infection rate obtained from patients in the premenstrual phase of the cycle (16.09%). A higher infection rate was reported among non pregnant females (20%) than pregnant (9.09%).Females using different contraceptive measures showed an infection rate of (28.88%), which was higher than that reported among those not using any contraceptive measures (18.95%). The PH values of the vaginal discharge were measured in 90 patients and the highest infection were seen at PH values 6.0 (28.88%) and 5.5 (20%) respectively.Conclusion: The spread of Trichomonas vaginalis infection may be affected by many factors such as socioeconomic status, marital status, pregnancy status and parity, phase of the menstrual cycle, the use of different contraceptive measures and the PH values of the vaginal discharge..Key words: Epidemiology of Trichomonas vaginalis. Trichomoniasis.


Article
HISTOLOGICAL STUDY OF THE EFFECT OF THE PARASITE Trichomonas vaginalis ON SOME ORGANS OF THE WHITE SWISS MICE STRAIN BALB/C
دراسة نسيجية لتأثير طفيلي المشعرات المهبلية Trichomonas vaginalis على بعض اعضاء الفأر الابيض السويسري Mus musculus سلالة (Balb/c)

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The study showed that the effect of experimental Trichomonasis caused histological change to some of organs under investigation (prostate and testes and penis) in albino rats .In our study, albino rats were divided into three groups [Group I (Single infected within Albritton –Intrapereationial by use the concentration 106), group II (Single infected under the skin – Subcutaneous by use 106 as concentration for the infected solution ),and group III (double infected for Intrapereationial and Subcutaneous by use 106 as concentration for the infected solution)].The result showed that the prostate and penis more effect by the infection than testes , In which the histological changes were appears as congestion , necrosis , vaculation , infiltration of inflammatory cells and deposition of fibrin in some locations in addition to an increase in these changes bleeding with tearing of the tissue of a member of the penis while shown testes less impact of these changes was to happen necrosis with vaculation and fibrin deposition in some locations tissue.

تم اجراء دراسة تجريبية لتاثير الاصابة بداء المشعرات المهبلية على احداث تغيرات نسيجية لبعض اعضاء الفأر الابيض السويسري المنتخبة (البروستات و الخصى والقضيب ) ,حيث قسمت الفئران بواقع ثلاث مجاميع [المجموعة الأولى (إصابة مفردة داخل البريتون (Intrapereationial) بتركيز106), المجموعة الثانية (اصابة مفردة تحت الجلد (Subcutaneous) بتركيز106), المجموعة الثالثة (أحدثت إصابة مزدوجة 106 داخل البريتون و 106 تحت الجلد), أبدت أعضاء البروستات والقضيب تأثرا كبيرا تمثل بتغيرات نسيجية بشكل أحتقان وتنخر وتفجي وارتشاح الخلايا الالتهابية مع ترسب الليفين في بعض المواقع أضافة لزيادة في هذه التغيرات بنزف مع تمزق لنسيج عضو القضيب , في حين ابدت الخصى تأثيرا أقل من هذه التغيرات تمثلت بحدوث تنخر مع تفجي وحدوث ترسب الليفين في بعض المواقع النسجية.


Article
a study on trichomonas vaginalis and comparison between the efficacy of metronidazole and secnizole on women in Kirkuk province

Authors: fayez AL-Dalableh --- suheila SH.Tahir --- Ayla Kh. Ghalib --- Mohammed A. Kadir,* Ph.D.
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 1 Pages: 94-97
Publisher: Baghdad University جامعة بغداد

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Article
A comparison between Trichomoniasis Infection and other Vaginal Infection among Females in Baghdad Governorate- Iraq
مقارنة بين العدوى بداء المشعرات المهبلية والعدوى بالاصابات المهبلية الاخرى بين الإناث في محافظة بغداد- العراق

Authors: Entsar J. Saheb انتصار جبار صاحب --- Rash H. Kuba رشا حسين كبة --- Khawla H. Zghair خولة حوري زغير --- Israa S. Mosa اسراء سالم موسى
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2016 Volume: 57 Issue: 1C Pages: 545-551
Publisher: Baghdad University جامعة بغداد

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Abstract

Trichomoniasis is a parasitic disease caused by the protozoan Trichomonas vaginalis. It is the most common sexually transmitted protozoal infection. There is no estimated of infection intensity among reproductive-age females. Further studies of the infection intensity of trichomoniasis and other vaginal infection will highlight the importance of this pathogen as a public health problem. A total of 614 females from Baghdad city were screened for T. vaginalis from March 2015 to September 2015. Females aged 13–61 years old provided vaginal swab specimens. The vaginal fluids extracted from these swabs were checked for the presence of T. vaginalis and other vaginal infection using microscopic examination. Overall, 525 (85.5%) of 614 was screened positive for T. vaginalis, 89 of 614 females gave negative results for T. vaginalis instead; they were infected with other vaginal infection. In tested females, 82 (13.36%) of the females were infected with bacteria (including Haemophilus vaginalis, Escherichia coli and Pseudomonas); 7 (1.14%) of females was infected with Monilia. In addition, the main age group of infected females concentrated in (more than 30 years) which recorded a higher rate of infection. There were 122 (85.31%) of patients had (4) pus cells per field of microscope in Trichomonas infection, 29 (69.05%) of patients had (2) pus cells per field of microscope in bacterial infection, and 2 (33.33%) of patients had (2) pus cells per field of microscope in Monilia infection that was statistically significant. Taking together, the results of this study demonstrate that T. vaginalis is endemic of females in Baghdad city and has a higher intensity rate compare with females infect with bacteria or Monilia. A prevention strategy of T. vaginalis infection could control the transmission of this parasite

داء المشعرات المهبلية هو مرض يسببه طفيلي Trichomonas vaginalis وهذا المرض هو الأكثر شيوعا من بين الطفيليات الابتدائية التي تنتقل بالاتصال الجنسي. لا توجد دراسة وافية عن شدة الإصابة بين النساء في سن الإنجاب وإجراء المزيد من الدراسات لشدة الإصابة من داء المشعرات والعدوى المهبلية الأخرى سوف تسلط الضوء على أهمية هذا العامل الممرض كمشكلة صحية عامة. تم فحص ما مجموعه 614 امرأة من مدينة بغداد للفترة من اذار2015 الى ايلول 2015. تم فحص عينات المسحة المهبلية في النساء الذين تتراوح أعمارهم بين 13-61 عاما باستخدام الفحص المجهري. (85.5%) 525من 614 إمرأه اعطت نتيجه إيجابية للمشعرات المهبلية، 89 من 614 امرأة اعطت نتيجه سلبية للمشعرات المهبلية بدلا من ذلك، كانت مصابة بانواع اخرى من العدوى المهبلية, 82 (13.36%) إمرأه كانت مصابة بعدوى بكتيرية تشمل Haemophilus vaginalis, Pseudomonas, Escherichia coli ,7 نساء(1.14%) كانت مصابة بالمونيللا. بالإضافة إلى ذلك فقد تركزت الاصابة في الفئة العمرية (أكثر من 30 عاما) التي سجلت أعلى معدل واعلى شدة للإصابة. كان هناك 122 (85.31٪) من المرضى لديهم (4) خلايا صديد في مجال المجهر الضوئي ضمن المرضى المصابين للمشعرات المهبلية، 29 (69.05٪) من المرضى كان لديهم (2) خلايا صديد ضمن المرضى المصابين بعدوى بكتيرية، و2 (33.33٪) من المرضى كان لديهم (2) خلايا صديد في المرضى المصابين بالمونيللا. نتائج هذه الدراسة تثبت أن المشعرات المهبلية منتشره بشكل وبائي بين النساء في مدينة بغداد ومعدل شدة الاصابة بها أعلى مقارنة مع معدل شدة اصابة بالبكتيريا أو عدوى المونيللا. وعليه فأن هناك حاجة الى استراتيجية للوقاية من العدوى بالمشعرات المهبلية للتحكم في انتقال هذا الطفيلي الممرض.


Article
PREPARATION AND EVALUATION OF LOCAL MEDIUM FOR CULTURE AND GROWTH OF Trichomonas vaginalis ISOLATED FROM PATIENTS IN MOSUL, IRAQ
تحضير وتقييم وسط محلي لزرع ونمو طفيلي المشعرات المهبلية المعزول من المرضى في الموصل / العراقTrichomonas vaginalis

Authors: وحدة عبد الرزاق خروفة --- نوفل ياسين الدباغ
Journal: Iraqi Journal of Biotechnology المجلة العراقية للتقانات الحياتية ISSN: 18154794 Year: 2007 Volume: 6 Issue: 2 Pages: 110-119
Publisher: Baghdad University جامعة بغداد

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Abstract

ABSTRACTThis study was conducted to prepare a local culture medium from orangeleaves for cultivation of Trichomonas vaginalis. Five culture media, namely:Oxide Trichomonas media (CM 161), CPLM, Barbarowski, Protose pepton andPavlova, which are used for clinical diagnosis of vaginal trichomoniasis werecompared in vitro to this new medium. Growth studies using fresh clinicalisolates from different patients showed clear ability of Trichomonas to grow onthis medium. The organisms inoculated initially (25´l04 cm-3) into this mediareached a population of (78´l04 cm3) organism in 72 hours. Although (CM 161)and (CPLM) media allows more prolific growth over a shorter period of time(24 hours). It was obvious that the orange leaves media (OLM) was suitable fordetecting T. vaginalis in patients with vaginitis.

الخلاصةلغرض نمو (OLM) أجريت هذه الدراسة لتحضير وسط زرعي محلي يعتمد على أوراق البرتقالطفيلي المشعرات المهبلية وأستعملت لهذه الدراسة خمسة أنواع من الأوساط الزرعية وهي:Protose و Barbarwski و CPLM و Oxide Trichmonas Medium (CM 161)لغرض تشخيص هذا الطفيلي. تمت مقارنة هذه الأوساط الخمسة في الزجاج Palvova و Peptoneإذ أظهرت دراسة النمو لهذا الطفيلي والمأخوذة من عدة عينات (OLM) مع الوسط الجديد (In vitro)104× مرضية أن طفيلي المشعرات المهبلية قد نما في الوسط الجديد. إن عدد الطفيليات الابتدائي ( 25104 /سم 3) خلال 72 ساعة. × /سم 3) التي تم استخدامها لغرض الزرع في الوسط الجديد قد نمت الى ( 78قد أظهرت نمو الطفيلي بوقت أقصر ( CPLM و CM على الرغم من أن الأوساط الآخرى مثل ( 161خلال 24 ساعة, إلا أن هذه الدراسة أظهرت أيضاً ملائمة هذا الوسط الجديد لغرض الكشف عن الطفيليفي المرضى الذين يعانون من الالتهاب المهبلي

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