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Article
Prevalence of patients with Failure to thrive admitted to Maternity and Children Teaching Hospital in Al-Diwaniya

Authors: Jomah Nasir Al – Obaidi جمعة ناصر العبيدي --- Nasma Naji Al-Hijia نسمة ناجي الحجية
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2008 Volume: 4 Issue: 6 Pages: 143-150
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

This is a prevalence study of patients with failure to thrive under 5 years who were admitted in maternity and children teaching hospital in Al – Diwaniya from 1 / 7 / 2008 to 1 / 9 / 2008 .The total number of patients under 5 years was 420 patient , 59.40% was male , and 40.95% was female . The patients under 1 years of age were 66.66%, from 1 year to 2 years age was 20.47%. From 2-3y.(7.14%),from3-4y.(3.78%),from4-5y(1.90%).The prevalence of patients with failure to thrive was 50.71% , the patients with failure to thrive due to organic causes was 48.33% , and inorganic causes ( psychosocial ) was 2.38% . The prevalence of patients with no FTT was 49.28%.

هذه الدراسة هي نظرة عامة حول المرضى المصابين بفشل النمو دون الخامسة من العمر الراقدين في مستشفى النسائية والأطفال التعليمي في الديوانية للفترة من 1 / 7 / 2008 الى 1 / 9 / 2008 . كان العدد الكلي للمرضى دون الخامسة من العمر 420 مريضاً ، نسبة الذكور كانت 59.04% ، وكانت نسبة الإناث 40.95% . كانت نسبة المرضى الذين تقل أعمارهم عن السنة الواحدة 66.66% ، والذين أعمارهم بين السنة الواحدة والسنتين من العمر 20.47% ، والذين أعمارهم من 2-3 سنة(7.14% ) .من 3-4سنة(3.78% ) .من4-5سنة(1.90%).كانت نسبة الأطفال المصابين بفشل النمو 50.71% ، والأطفال المصابين بفشل النمو نتيجة الأسباب العضوية 48.33% ، والمصابين بفشل النمو نتيجة الأسباب غير العضوية ( اجتماعي نفسي ) 2.38% وكانت نسبة الأطفال غير المصابين بفشل النمو)49.28%).


Article
Rate of Condition Causes Respiratory Failure

Author: Huda Jumaa Ali
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2005 Volume: 18 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract :Objectives: The aims of the study are to identify the condition causes respiratory failure in both sex and to find out the relationship between prognosis and mortality rate with condition causes respiratory failure. Methodology : Descriptive study was carried out in Al- Yarmook Hospital in Respiratory care Unit in Baghdad from the 1st of August 2003 to 1st of August 2004, the sample consist of 300 patients (150) males and (150) females, descriptive and inferential statistics procedures were applied to the data analysis Results : The results shows that 24.4% of patients effect by post-operative complications and trauma as a results of respiratory failure , 11.3% from effected patients at age group (70-79)years and there are no significant relationship between prognosis and mortality rate with type of condition causes respiratory failure . Recommendation : The study recommends to preparing and training of recovery unit staff for respiratory resuscitation and patient care. Keyward : Respiratory Failure, Causes, Nursing.

الخلاصة:الهدف : هدف الدراسة هو التعرف على الحالات المسببة لعجز التنفس لكلا الجنسين وايجاد العلاقة بين حالة الشفاء والوفيات مع الحالات المسببة لعجز التنفس . المنهجية : دراسة وصفية أجريت في مستشفى اليرموك في وحدة انعاش التنفس للفترة من الاول من آب 2003 ولغاية الاول من آب 2004 وشملت عينة البحث 300 مريض (150) ذكور و(150) اناث وتم استخدام الاحصاء الوصفي والتحليلي لغرض تحليل المعلومات .النتائج : أظهرت النتائج بأن 4, 24 % من المرضى قد اصيبوا بمضاعفات بعد العملية والحوادث والذي سببت عجز التنفس ، وأن نسبة( 3, 11 % ) من المرضى المصابين هم ضمن الفئة العمرية من (70-79) سنة واظهرت الدراسة لاوجود لعلاقة ذات دلالة احصائية بين حالة الشفاء ونسبة الوفيات مع نوع الحالة المسببة لعجز التنفس .التوصيات : اوصت الدراسة بتهيئة وتدريب الملاكات العاملة بوحدة الافاقة حول انعاش التنفس والعناية بالمريض


Article
Non Traumatic Acute Abdominal pain (100 days study in Emergency Department)

Author: Taqi Saadoon Atiyah *
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2017 Volume: 13 Issue: 2 Pages: 90-97
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Abdominal symptoms are possibly the most frequent of all symptoms encountered in surgical practice. Pain is the most common of all abdominal symptoms. Causes of acute abdominal pain include both medical and surgical. Most symptoms arise from intra-abdominal organs or systems while some may originate extra abdominally and are then referred to the abdomen. Medical causes of abdominal pain are encountered more frequently.Objective: To study the causes of acute abdominal pain in patients attending emergency department in Al- Imamain Al- Kadhimain Medical City.Type of the study: A prospective cross sectional studyMethods: The patients attending Emergency Department in Al- Imamain Al- Kadhimain Medical City over the period from April-2014 to April 2016. There was a one day call duty per week managed by the same surgical team (total one hundred days study). Onlypatients above 12 years old with acute non-traumatic abdominal pain were included in this study.Results: The total number was 1217 patients over hundred days study. Their age ranges from 12-83 years; average age was 36.18 ±17 year. There was slight female predominance, 638 (52.42%) female patients and 579 (47.58%) male patients. The most common cause of abdominal pain was acute appendicitis 252 (20.70%), followed by ureteric colic 251 (20.62%), and acute cholecystitis249 (20.46%). Conservative management was done for 836 (68.69%) patients, while operative management done for 379 (31.14%) patients. Postoperative mortality was 8 (2.11%) patients.Medical causes of acute abdominal pain were found in 48 (5.74%) patients.Conclusion: Not all the patients attending surgical emergency department needs operations. Causes of acute abdominal pain include both medical and surgical diseases, some of the medical diseases are very serious like acute viral hepatitis, myocardial infarction , and diabetic ketoacidosis; and should not submit those patients to unnecessary operations with serious and may be fatal postoperative complications. General urine examination is a must in all patients with acute abdominal pain. Electrocardiography (ECG) may be needed in old patients.


Article
Causes of maternal death in Mizan Aman and Gebretsadik shawo general hospitals from 2011 – 2015: A case - control study using propensity score matching analysis
مسببات وفيات الامهات للمدة من 2011 - 2015 : دراسة الشاهد والحالة بتوظيف تحليل درجة مطابقة الميل في مستشفيين الميزان امان و جيبريتسادك العامي

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Abstract

Objective: To identify causes of maternal death in MizanAman and Gebretsadikshawogeneral hospitalsMethodology: A case control study on 595 charts, 119 cases and 476 controls was conducted in MizanAman&Gebretsadikshawogeneral hospitals. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes of maternal death. Results:Hemorrhage were the main direct causes of maternal death which accounts 47.9% (β =0.58 (95% CI (0.28,0.87)) in hospital but when projected to population based the sample (β =0.26 (95% CI (0.22,0.31)). Followed by infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92)). when projected to population based the sample PIH 7.6%) is significant cause (β = 0.16 (95% CI (0.13, 0.19). Most death (74.8%) occurred during post-partum period.Recommendation:The health professionals must work on awareness creation on early arrival at health institution for delivery before development of different complications

Objective: To identify causes of maternal death in MizanAman and Gebretsadikshawogeneral hospitalsMethodology: A case control study on 595 charts, 119 cases and 476 controls was conducted in MizanAman&Gebretsadikshawogeneral hospitals. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes of maternal death. Results:Hemorrhage were the main direct causes of maternal death which accounts 47.9% (β =0.58 (95% CI (0.28,0.87)) in hospital but when projected to population based the sample (β =0.26 (95% CI (0.22,0.31)). Followed by infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92)). when projected to population based the sample PIH 7.6%) is significant cause (β = 0.16 (95% CI (0.13, 0.19). Most death (74.8%) occurred during post-partum period.Recommendation:The health professionals must work on awareness creation on early arrival at health institution for delivery before development of different complications


Article
CAUSAL BELIEFS OF SCHIZOPHRENIA AMONG SAMPLE OF IRAQI SCHIZOPHRENIC INPATIENTS’ FAMILIES IN IRAQ

Author: Shalan J.R. Al-Abbudi شعلان جودة رحيم العبودي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2016 Volume: 14 Issue: 3 Pages: 237-242
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Schizophrenia is a debilitating mental illness that affects 1% of the population in all cultures.Objective:To investigate causal beliefs regarding schizophrenia among families of Iraqi schizophrenic inpatients, and discuss the differences and similarities across cultures.Methods:Two hundred Iraqi schizophrenic inpatients fulfilling DSM-IV criteria of schizophrenia were included. Causal beliefs of their key relatives were examined. Information list including open question of the causal beliefs of schizophrenia and sociodemographic data was used. The statistical significance of the findings was tested.Results:Key relatives attributed natural causes to schizophrenia more often than supernatural causes. Stress was 44%. Stresses were related to life events, trauma, social problems, war, prison and poverty. Other causes were: 27% organic and 15% personality attributions. Supernatural causal beliefs were only 29%, including witchcraft, envy, possession, devil, karama and wish or punishment of God. Conclusions:The major causal beliefs of schizophrenia amongst Iraqi relatives of the studied sample were stresses. Families' attribution of supernatural causes was similar across cultures. Organicity was more in the European studies.Key Words:Schizophrenia, causes, beliefs, families, Iraq.

Keywords

Schizophrenia --- causes --- beliefs --- families --- Iraq


Article
Death rates and causes among admitted neonates in Children Welfare Teaching Hospital – Medical city –Baghdad (2000- 2004)

Author: Numan N. Hameed
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 2 Pages: 114-117
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The neonatal deaths account for two-third of all deaths in the first year of life, and 40% of under-five mortality. Extreme prematurity, respiratory distress syndrome , neonatal infections , and congenital malformations are among the common causes of neonatal deaths. Methods: We retrospectively studied 668 neonates who died over 5 years period from first of Jan. 2000 to the end of Dec. 2004 in neonatal care unit of children Welfare Teaching Hospital-medical city, by obtaining data from reviewing their medical records and death certificates.
Results: The death rate in neonates admitted to SCBU (special Care baby Unit) during the period of study was (10.7%), male constituted 432 (64.7%) and female 236 (35.3%) with male to female ratio 1.8:1. The major causes of death were congenital malformations (41.6%), neonatal infections (33.4%),and prematurity (10.3%).
Conclusions: There was no decline in the neonatal death rate in our hospital especially from sepsis and prematurity and low birth weight. Death due to late onset sepsis was lower than that due to early onset sepsis .There was a significant increase in the death from congenital malformations.


Article
General Assessment For Predisposing Factors Of

Author: Munthir Al-Obaidi F.R.C.S د. منذر العبيدي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 2 Pages: 181-185
Publisher: Baghdad University جامعة بغداد

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Summary:Background:Incisional hernia is frequently occurring post operative complication after general surgery with occurance rate 2%-----11%,, it is either appear soon after operation or late occurring incisional hernia..Patient &methods: This is a prospective study that was conducted on 84 patients who were admitted at Baghdad Teaching Hospital during the period from Oct. 1999 to Aug. 2001 for repair of incisional hernias. Their ages were ranging from 24-74 years with mean age of (48 ±12). Sixty-nine patients were elective and 15 patients were urgent. Assessment of the patients for the predisposing factors influencing the development of incisional hernia was done and in our study these factors were: -Results:.Wound infection in 66%, midline incision in 58.3%, obesity 55%, chronic obstructive pulmonary disease (COPD), with, respiratory tract infection (RTI) in 44%, multiparty with gynecological and obstetric procedures were 42.9%, diabetes mellitus (D.M) 28.9%, Old age in 21.4%, contaminated bowel surgery 21.4% & finally wound dehiscence with re-suturing in 7.1%. Simple repair was performed in 57 patients and prolene mesh repair was used for 27 patients and follow-up was continued for 6 months except for 8 patients who were lost from follow-up. Results of simple repair was associated with many complications including recurrence in 4 patients, wound infection in 10 patients, seroma in 3 patients deep venous thrombosis (DVT) in one patient.Whereas Mesh repair was followed with minimal complications of seroma in 3 patients and deep venous thrombosis (DVT) in one patient and no recurrence was recorded.Conclusion: wound infection,,obesity,emergency surgery ,type of suture material & type of wound all areimportant factors leading to I.H. Key word: incisional hernia causes,,simple or mesh repair.__________________________________________________________________________________________


Article
Delayed Management in Acute Abdomen: causes and consequences
إرجاء التدابير العلاجية في حالات البطن الحادة: الاسباب والنتائج

Authors: Haqqi I. Razzouki حقي اسماعيل رزوقي --- Amer H. Salman عامر حسن سلمان
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2013 Volume: 26 Issue: 1 Pages: 78-84
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

ABSTRACT:Background: Acute abdomen is a serious life-threatening condition which needs prompt diagnosis and management. However, in many situations, there is a delay in management which may affect the clinical outcome and worsen the prognosis.Objectives: To determine the causes of delay in diagnosis and treatment in acute abdomen and to study the effects on prognosis.Patients and Methods: A prospective case-series study done in Al-Yarmouk teaching hospital, surgical department over a six months period from 1st of April 2011 to the 1st of October 2011.Ninety five Patients presented with acute abdomen were divided into two groups according to the duration of their symptoms. Thirty five patients who presented after 24 hours were considered delayed and 60 patients who presented before 24 hours were considered as controlled group. Both groups were followed closely and the operative findings, Post-operative complications and the final clinical outcome were documented.Results: There were 35 patients with delayed acute abdomen. The delay was due to the patient or his family in 19 (54.2%) cases and due to medical factors in 11(31.4%) patients. The most common operative finding was perforated duodenal ulcer 5 (14.2%) patients and perforated appendix 5 (14.2%) patients. Thirty (85.7%) patients developed post-operative complications mainly prolonged paralytic ileus, peritonitis and early surgical site infection. The total post operative complications were 25 (71.4%) patients and full recovery was 5 (14.3%).There were 5(14.3%) deaths due to septic shock or cardiovascular complications. Sixty patients presented within 24 hours and considered as controlled group, The most common operative finding was perforated duodenal ulcer 30 (50%) patients, and obstructed or strangulated hernia was 15 (25%) patients, the total post operative complications in this group was (25%) P-value 0.006 (significant), full recovery was found in 42 (66.6%) patients P-value 0.0007(significant), there was no deathConclusions: Although many factors causing delay management in cases of acute abdomen are mainly related to the patient, there were a significant number of cases in which the attending doctor was responsible for the delay. There was a definite relationship between the delay in diagnosis and management and the incidence of complications and Death. Keywords: Acute Abdomen; Delayed treatment; causes, consequences

خلفية البحث: ان حالات البطن الحاد تكون في اغلب الاحيان شديدة مع خطر الموت و تحتاج الى تشخيص سريع و تداخل عاجل . هناك في حالات عديدة تاءخير في المعالجة مما يؤثر على النتائج السريرية و يؤدي الى تدهور في التكهناهداف البحث: لتحديد اسباب التاخير في التشخيص و المعالجة لحالات البطن الحاد و لدراسة المضاعفات المترتبة على هذا التأخير ومدى تأثيرها على التكهنات.المرضى و طرق البحث: دراسة مستقبلية شملت المرضى المصابين بالبطن الحاد الداخلين الى قسم الجراحة في مستشفى اليرموك التعليمي لمدة ستة اشهر. تم تقسيم المرضى الى مجموعتين حسب الفترة ما بين ظهور الاعراض و وصولهم المستشفى واعتبرت الحالات الواصلة بعد 24 ساعة متأخرة0 لاغراض البحث تم متابعة المجموعتين تفصيليا وتوثيق مشاهدات العمليات الجراحية والمضاعفات بعد العمليات و النتائج السريرية.النتائـــــــــج: كانت هناك 35 حالة بطن حاد متأخرة .كانت العوامل المتعلقة بالمريض او عائلته هي سبب التأخير في 19 مريضا و العوامل المتعلقة بالكادر الطبي هي السبب في 11 مريضا.الحالات الاكثر حدوثا هي انثقاب قرحة الاثني عشري و انثقاب الزائدة الدودية.حدثت مضاعفا ت بعد العملية في 30 مريضا اكثرها شيوعا شلل الامعاء المطول و التهاب غشاء البريتون و التهاب جرح العملية. وحدوث خمس وفيات بسبب الصدمة الجرثومية او اختلاطات متعلقة بالقلب و جهاز الدوران .الاستنتاجات: ان العوامل المتعلقة بمعالجة حالات البطن الحادة المتأخره تعود اساسا الى المريض و عائلته الا ان هناك حالات كثيرة يعود السبب للكادر الطبي و لاسباب متعددة. هناك علاقة مؤكدة بين التدابير العلاجية في حالات البطن الحاد المتأخرة و بين زيادة الاختلاطات بعد العملية و كذلك زيادة وقوع الوفيات مقارنة بالحالات التي تم علاجها مبكرا.


Article
Down Syndrome causes, symptoms, and most important methods of functional treatment
متلازمة داون اسبابه، اعراضه، واهم طرق العلاج الوظيفي

Author: Natik Fahal A-Kubaisy ناطق فحل الكبيسي
Journal: Journal Of Educational and Psychological Researches مجلة البحوث التربوية والنفسية ISSN: 18192068 /pissn 26635879 Year: 2017 Volume: 14 Issue: 54 Pages: 131-149
Publisher: Baghdad University جامعة بغداد

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Abstract

This study is descriptive and theory of Dawn syndrome as the problem of research lies in the need to identify the identification of the causes of Dawn syndrome and its symptoms and methods of dealing with it, which has become a problem that needs treatment, especially after the numbers have become high in Iraq, which has not yet taken the necessary importance for treatment and care.The objectives of the research were summarized in the identification of the most important causes of Dawn syndrome and its symptoms and diagnosis and ways or methods of dealing with people with Dawn syndrome in order to develop therapeutic plans for him. The terms of research and presentation of literature have been identified in the relevant theoretical aspect as well as a series of previous local and Arab studies.The research came out with a number of recommendations and suggestions.

هذه دراسة وصفية ونظرية لمتلازمة داون اذ تكمن مشكلة البحث في الحاجة للوقوف على اسباب متلازمة داون من حيث اسبابها واعراضها وطرق التعامل مع المصابين والذي اصبح من المشاكل التي تحتاج الى المعالجة وخصوصا بعد ان اصبحت الاعداد في ارتفاع في العراق والذي مازال لم ياخذ الاهمية المطلوبة للمعالجة والرعاية. وقد تلخصت اهداف البحث في التعرف على اهم اسباب هذه المتلازمة واعراضها وتشخيصها وطرق او اساليب التعامل مع المصابين بها وذلك لغرض وضع الخطط العلاجية له. وقد حددت المصطلحات الخاصة بالبحث وعرض الادبيات في الجانب النظري ذات العلاقة بالموضوع فضلا عن التطرق لمجموعة من الدراسات السابقة المحلية والعربية والاجنبية.وخرج البحث بعدد من التوصيات والمقترحات.


Article
Epidemiology of the poisoning in children admitted to emergency unit at Al-Diwaniah teaching hospital of pediatrics

Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2016 Volume: 3 Issue: 1 Pages: 10-16
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Poisoning in any medical centre is considered as one of the most common medical emergencies in children. Acute poisoning in children constitute about less than three percent of all pediatric emergency admissions. The aim of study; to evaluate acute poisoning in children below 15 year old admitted to emergency unit. Hydrocarbons were the most common poisonous substances leading to hospitalization; we had the highest frequency of admissions in winter. Further, the highest number of poisonous cases was in January and December 79 case and lowest rate 23 case was observed in October; there is an increasing trend in proportion of kerosene poisoning from December to February. The rate of suicidal attempt is very low in our study only 6 cases this result is contrary to other two studies, these are common in adolescent also related to the nature of social environment and learning in each area. In our society accidental kerosene poisoning, which the most common cause of the intoxicated patient admitted to the emergency unit, occur when the patient try to do procedure to prepare kerosene heater stove or for light (lantern). Only very few cases is related to suicidal attack in our study, We recommend to remove all the poisoning agent as soon as possible from the areas easily reach by the child (removal of poisonous plants and removal of fuel sources like kerosene). Poison control centre to triage poisonings, prepare service accurate and timely advice to health personnel and caregiver should be available in each governorate.

Keywords

Poisoning --- Causes --- Hospital outcome --- Aldiwaniah --- Iraq

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