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Article
Evaluation of clinical education among students of Nursing College in Babylon University

Author: Salma K. Jihad
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2012 Volume: 2 Issue: 1 Pages: 1-6
Publisher: University of Kufa جامعة الكوفة

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Abstract

Abstract:Nursing College in the University of Babylon. The sample consisted of (30) students from both sexes and from the 2nd and 4th year. The instruments used included a questionnaire to identify the way of evaluation and the purposes of the study. The main results shows the sample mean for the evaluation of the clinical education was (89.1), standard deviation (4.8) while the hypothetical average was (68) with t-test of (7.9) which indicates strong significant results that means students benefit from the clinical learning was very good and the clinical part of the learning process is very interested. The primary objective of measuring clinical performance in nursing education is to ensure students can provide safe care. The main recommendations included more studies should be conducted to include bigger sample from all the colleges of Nursing in lraq.Keywords: clinical education, clinical performance, nursing education programs

دراسة ميدانيه اجريت على طلبه كليه التمريض / جامعه بابل للتعرف على تقييم الطلبة للتدريب العملي في المستشفى شملت العينة ( 30) طالب وطالبه من المرحلتين الدراسيتين الثانية والرابعة. وقد صممت استمارة استبيانيه خاصة لذلك واعتمدت فيها اللوائح الخاصة بمفردات المناهج العالمية والمعتمدة ايضا في العراق لجمع البيانات الخاصة بالدراسة. اظهر التحليل الاحصائي للبيانات إن المتوسط الحسابي لدرجات فاعليه التعليم السريري قد بلغ (89.1) وبانحراف معياري قدره (4.8) اما المتوسط الفرضي فقد بلغ (68) ولمعرفه دلاله الفرق استخدم الاختبار التائي لعينه واحده وعند مقارنه القيمة التائيه المحسوبه البالغه (7.9)مع القيمه الجدوليه البالغه (3.98) عند مستوى دلاله (0.01) ظهر ان الفرق دال إحصائيا وهذا يعني ان التدريب السريري وما يقدم للطالب من خلال ذا فاعليه فهو يفوق الحدود المعتدله. توصي الدراسة باجراء بحوث مفصله ذات عينه اكبر وتشترك فيها كل كليات التمريض في العراق.


Article
Chronic ulcerative Cutaneous Vasculitis of the legs Clinical and histopathological study

Authors: Husam A. Salman --- Hayder R. Al-Hamamy --- Thamir A. Hamed
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 1 Pages: 34-38
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Cutaneous small vessel vasculitis characterized by necrosis and inflammation of upper dermal blood vessels. It presents with ulcers and systemic manifestations after extensive acute onset. Many patients have a form of cutaneous vasculitis that presents with chronic painful ulcerations & purpuras involving the ankles without systemic manifestations, with some similarity in clinical presentation to livedoid vasculopathy. Patients and Methods: Thirteen patients were seen in the Department of Dermatology and Venereology, Baghdad Teaching Hospital, for a period extending from January 2004 to March 2005. They were evaluated clinically, histopathologically and other laboratory studies. In addition, evaluation of the clinical response to prednisolone 0.5mg/kg/day and azathioprine150mg/day was done.
Results: Thirteen patients were included in this study; eight females and five males, with male to female ratio of 1:1.6. Their ages ranged between 26-66 years with a mean ±SD of 42 ± 13.8 years. The duration of the disease ranged from 0.5 – 18 years with a mean ±SD of 38 ± 59.2 months.The clinical examination revealed multiple oval punched out ulcers, with an indurated base, and surrounded by a zone of erythema; affecting mainly the ankles and dorsa of feet. Histopathological evaluation showed upper dermal vessels' wall necrosis, fibrinoid deposition, obliteration of the lumen, extravasation of red blood cells, endothelial cells swelling with perivascular and vascular wall infiltration mainly by mononuclear cells.The treatment was started with prednisolone & azathioprine. The ulcers healed completely with residual hyperpigmentation - hypopigmentation, atrophy and scars within 10-15 weeks Conclusions: Chronic ulcerative cutaneous vasculitis is often a neglected and misdiagnosed variant of vasulitis. Histologically it has vascuiltic features, and clinically looks like livedoid vasculopathy.


Article
A clinical and histopathological evaluation of different pulpotomy agents in primary teeth
تقييم سريري و نسيج مرضي للأسنان اللبنية باستعمال عدة مواد لعملية تحنيط لب السن

Author: Maha Abdul- Kareem
Journal: Al-Rafidain University College For Sciences مجلة كلية الرافدين الجامعة للعلوم ISSN: 16816870 Year: 2012 Issue: 29 Pages: 83-102
Publisher: Rafidain University College كلية الرافدين الجامعة

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Abstract

The purpose of this investigation is to compare the response of primary teeth clinically and histopathologically to vital pulp therapy using formocresol (FC), Ferric sulfate (FS), and Pulpotec (PD). A total of 60 primary molars were treated in 43 children aged 7-9 years. Twenty primary molars received FC, and an equal number received FS, and PD by random selection. Clinical evaluations were performed at 3 and 6 months recall for the whole samples. Histopathological evaluations were carried at 6 months for the teeth indicated for extraction (total 30) as part of the orthodontic treatment. Statistical analysis using Z-test was performed on the data to determine significant differences between the groups. Three and six months results showed a highly significant difference (P< 0.01) between the tested materials in most clinical findings, while histopathologically after 6-months in the FC group mild inflammation was seen in two cases, severe inflammation in three cases, necrosis in two, and abscess in one case. In the FS group mild in one case, severe in three cases, necrosis in one case, and abscess in two cases, finally in PD group mild inflammation was seen in one case, severe in one case, necrosis in one case, with no abscess formation in any case. Clinical and histopathological evaluations showed that Pulpotec (PD) can be considered as a replacement for FC and FS.

إنّ الهدف من هذا البحث هو مقارنة استجابة الأسنان اللبنية سريرياً ونسيج مرضياً لعملية تحنيط لب السن الحي واستعمال مادة الفورموكريزول ,مادة الفريك سلفيت,ومادة البلبوتيك. شملت الدراسة للأسنان 60 طاحن لبني من مجموع 43 طفل تتراوح أعمارهم بين 7-9 سنوات. قسمت الاسنان الى ثلاثة مجموعات, المجموعة الاولى تضمنت 20 طاحن لبني عولج بمادة الفورموكريزول, والمجموعة الثانية 20 طاحن لبني عولج بمادة الفريك سلفيت, والمجموعة الثالثة 20 طاحن لبني عولج بمادة البلبوتيك تم اختيارالمجاميع عشوائياً.جميع الحالات قيمت سريرياً بعد 3 و 6 أشهر متابعة,أمّا التقييم النسيج مرضي فقد تم بعد 6 أشهر للأسنان التي تحتاج إلى قلع كجزء من المعالجة التقويمية.أظهرت النتائج السريرية عند 3و6 أشهر متابعة فروق معنوية كبيرة بين المواد المختبرة, أما النتائج النسيجية بعد 6 أشهر فقد أظهرت:-حالتي التهاب طفيف, 3 حالات التهاب شديد, حالتين موت اللب, وحالة واحدة خراج من مجموع 10 حالات لمجموعة الفورموكريزول. أمّا مجموعة الفريك سلفيت فكانت حالة واحدة أظهرت التهاب طفيف , 3حالت التهاب شديد, حالة واحدة موت اللب, وحالتين خراج من مجموع 10 حالات أيضاً, و أخيراً مجموعة البلبوتيك فكانت حالة واحدة التهاب طفيف, حالة واحدة التهاب شديد, حالة واحدة موت اللب ولم تظهر أي حالة خراج. أظهرت النتائج السريرية والنسيج مرضية أنّ مادة البلبوتيك يمكن اعتمادها كبديل عن مادتي الفورموكريزول والفريك سلفيت لعملية تحنيط لب السن. .


Article
PERICARDIAL DISEASES SIX YEARS CLINICAL AND ECHOCARDIOGRAPHIC STUDY

Author: ASSISTANT PROFESSOR,DR H A ALCHALABI
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2008 Volume: 11 Issue: 2 Pages: 177-184
Publisher: University of Kufa جامعة الكوفة

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The pericardium is a fibroserous sac that surrounds the heart and great vessels and contain small amount of serous fluid, it has three vital functions but removal of the pericardium is still compatible with life.Diseases of the pericardium are considered to be rare in cardiology practice and estimated to reach to 2% among cardiac diseases, and higher incidence was found among postmortem cases of 3.4%.Investigations for cases with pericardial disease are rather many and in particular Echocardiography is quite valuable in confirmation of the presence of the disease and to study underlying cardiac status.This study was carried out in Basra General Hospital- Cardiac unit over a period of six years to study the incidence and the types of pericardial diseases among cases studied by echocardiography.The number of cases studied was 7890 over the study period of six years out of which there was 121 cases with pericardial involvement proved by echo study (1.6 %).The cases with pericardial diseases were studied in detail for the etiological diagnosis and that include careful search in each case and the result was 108 (89%) cases with pericardial effusion; out of which malignancy, tuberculosis, and viral pericarditis are the leading causes, and 13 cases with other pericardial pathology.

غشاء التامور عباره عن غلاف ليفي لزج يحيط القلب والاوعيه الدمويه الكبيره ويحتوي على كميه قليله من السائل اللزج ويعمل التامور على الحفاظ على القلب ولكن ازالته لاسباب طبيه لايتعارض كثيرآ مع عمل القلب.أمراض غشاء التامور نادرة الحدوث وتشكل حوالي 2% من امراض القلب في كثير من الدراسات ولكن نسبه أعلى (3.4%) تكتشف عند اجراء التشريح العدلي.الفحوصات اللتي تجرى لتشخيص امراض التامور كثيره ومتعدده واصبح فحص القلب بالموجات الصوتيه من اهم هذه الفحوص واوسعها استعمالآ لسهولته وتوفره في اغلب المراكز القلبيه.هذه الدراسه اجريت في مستشفى البصره العام – وحدة امراض القلب وتعتمد على فحص القلب بالموجات الصوتيه وكانت العينه جميع المرضى الذين اجري لهم الفحص بالموجات الصوتيه ولمدة الست سنوات السابقه.كان عدد المرضى المفحوصين خلال السنوات الست هو 7890 حاله وكان عدد المصابين بامراض التامور هو 121 حاله وهذا يشكل نسبة (1,6 %) من عدد المرضى عامة.تم دراسة ومتابعة الحالات المرضيه للتامور وذالك بمتابة الحالات ودراسة الملفات الطبيه بتمعن للتوصل الى الحاله المرضيه المسببه للاصابه في كل حاله .كان هناك 108 حاله لأستسقاء التامور و 13 حاله للأسباب الأخرى, بين حالات الأستسقاء كان المرض السرطاني هو الأكثر سببآ يليه التدرن ومن ثم الألتهابات الفيروسيه.


Article
Hypothyroidism in Adults Early Clinical Presentation in Relation to Age

Authors: Karim O. Al-Naffii --- Hassan A. A. Nasseralah --- Kadhum A. Al-Hillali --- Akram F. M. Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2008 Volume: 2 no.4, 5 Issue: 3 Pages: 352-356
Publisher: Kerbala University جامعة كربلاء

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Abstract

Background: Hypothyroidism in adults is not a rare disease but has non –specific clinicalpresentation which may delay its diagnosis.Objective: the aim of the study is to identify the presenting symptoms of hypothyroidism,their frequency & their relation to age.Patients & Method : All adult patients > over 18 years of age who attended the consultationclinic, in Al-Hussein Teaching Hospital / Karbala, from January 2002 to December 2007showing clinical features suggestive of hypothyroidism were sent for T3, T4 & TSH.Results: Sixty eight patients were found to have hypothyroidism, 52 females & 16 males(F/M ratio 4.7:1). Seventy percent of the group are less than 55 yr of age, their mean age is42.3 yr. Malaise & arthralgia were the main complaints especially in those aged 55year &over (69% & 25%) respectively while skin changes were the main early physical signs inthose less than 55yr of age (26%).Discussion: Hypothyroidism is a disease which may present in a nonspecific clinical picturesuch as malaise or fatigability especially in elderly or skin changes in young age group or asmenstrual irregularities in young females.Conclusion: High index of suspicion is the main initial tool for diagnosis of hypothyroidism& should be considered in any elderly patient with unexplained malaise or fatigability or inyoung females with unexplained menstrual irregularities. To look for other physicalsymptoms & signs in those patients which may mandate sending them for thyroid functiontest or at least only TSH level.


Article
Blood pressure changes following extracorporeal shock wave lithotripsy in Kirkuk province
تغير ضغط الدم بعد تفتيت الحصى من موجة الصدمة خارج الجسم في محافظة كركوك

Authors: Omeed O. Darweesh --- Muhammad A. Alshawni --- Kamaran Y. Muhammadamin
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 3 Pages: 256-261
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: : Hypertension has been reported as a possible sequela of extracorporeal shock wave lithotripsy. The aim was to determine, in a clinical trial, the ef-fect of extracorporeal shock wave lithotripsy (ESWL) on blood pressureMethods: This study included 216 patients, aged (12-65) years, with asymptomatic renal stones that underwent ESWL in lithotripter unit/ Azadi teaching hospital –Kirkuk Province. Blood pressure was recorded randomly using a standardized protocol. Patients undergoing ESWL received a mean (±SD) of 3608.8 (±475.9) shocks over a mean (6.81) of sessions on one lithotripter. Patients were then followed-up by assessing their blood pressure. Data were analyzed on an intention to treatment basis.Results: At randomization (13.42) % of the study group were hypertensive. Of (320) pa-tients referred to the study, (258) were recruited based on the inclusion and exclusion crite-ria. A total of (216) patients (83 % of patients included) completed follow up, (137) (63.42%) were male and (79) (36.57%) were female. The mean follow-up period was (15.03) months. In the present study there was no association between mean diastolic and systolic blood pressure before and after ESWL.Conclusion: : In the present study there was no evidence that ESWL causes changes in BP. More randomized control trials are needed to demonstrate the relationship between ESWL and hypertension.

Keywords

ESWL --- Hypertension --- Clinical trial


Article
Clinical learning Environment and the Influential Factors from Nursing Students perspectives
بيئة التعلم الميداني والعوامل المؤثرة من وجهات نظر طلاب التمريض

Authors: Nadia Mohamed Ali نادية محمد --- GhonaAbd El-Nasser Ali غني عبد الناصر
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2017 Volume: 7 Issue: 2 Pages: 1-14
Publisher: University of Kufa جامعة الكوفة

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Background:Clinicalenvironmentisall that surrounds the nursing student within clinical areas, such as places, resources, staff skills, patients, peer group and nursing tutors.Aim: to assess the clinical learning environment and the influential factors from nursing students perspectives.Methodology:A descriptive study is carried out in Faculty of Nursing, Sohag University at the end of 1stsemester(2015-2016).The samplecomprised of (183) out of the total number of 2ndyear nursing students. Data was collected using the Clinical Learning Environment Inventory, Obstacles to Learning Clinical Skills tools and analyized by using a descriptive statistics in the form of frequencies, percentages, mean and standard deviation and independent t-test using (SPSS v.16). Results: The average score of total clinical learning environment scale was (112.3 ±14.0) from the total score(168), and about from 50% to 86% of the students' had a negative opinionstowards theirclinical learning environment,and majorityof them 72.2% were moderately satisfied.Although the mean scores of clinical learning environment domains were higher in some domains,nostatistical differences were found between the respondents viewpoints depend on age groups (p>0.05). Moreover,it was found that the mean scores of clinical learning environment domains were higher in females than males but no statistical differences were found between the students opinions based on gender except in the following domains: task orientation and teaching innovation only(17.2±3.4,16.1±4.0;15.7±3.1,15.3±3.9) respectively .The most significant obstacles which faced the students during clinical learning were lack of educational facilities (69.3%), and the least was interference between the training schedule with other trainers (36.6%). Conclusion: There are significant obstacles and challenges that facenursing students in clinical learning environment, all of which could influence their learning and competencyafter graduation.Recommendations:Educational authorities at Sohag University and nursing educators in the faculty should pay special attention to the issues and take assertive action to overcome the learningobstacles in order to create a desirable clinical climate. KeyWords:Clinical Learning Environment;Obstacles; clinical settings; Nursing students.

خلفية البحث: بيئة التعلم الميداني (العملي) هي كل ما يحيط بالطالب فيهذه البيئةمن مستلزمات وكوادربشرية قائمة علي التدريب كالمدربين والممرضات بالإضافة الي المرضى ولتحقيق التعليم المرغوب فيه يتطلب من القائمين علي التعلم تقييم مستمر لفهم الأوضاع الحالية للتعليم الميداني وتحديد نقاط القوة والضعف والتركيز على نقاط الضعف. الهدف:تهدف الدراسة الي تقييم بيئة التعلم الميداني والعوامل المؤثرة من وجهات نظر طلاب التمريض.المنهجية : دراسة وصفیة أجريت بكلية التمريض جامعه سوهاج على 183 طالب وطالبة بالفرقة الثانية في الكلية للفصل الدراسي الاول 2015-2016.وقد تم جمع البیانات من الطلاب بعد الإنتهاء من فترة التدريب العملي بإستخدام (إستبيان تقييم بيئة التعلم الميداني وإستبيانقياس أهم المعوقات التي تواجهم اثناء التدريب)وتم تحلیلھا إحصائیا من خلال إستخدام برنامج التحليل الإحصائي (SPSS) الاصدار(16) لإدخال وتحليل البيانات.النتائج: أظهرت النتائج أن مجموع متوسطات مقياس تقييم بيئة التعلم الميداني بلغت 14.0±112.3من المجموع الكلي للإستبيان البالغ 168 درجة وأن حوالي من50 % الي 86%من أراء الطلاب كانت سلبية تجاه بيئة تعليمهم الميداني وكانت درجة رضا أغلب الطلاب متوسطة ما بين 61-79درجة. وأظهرت الدراسة أيضا بوجود فروق ذات دلالة إحصائية بين متوسطات أبعاد المقياس على أساس الجنس في المحاورالتالية (معرفة الطلاب للمهام المطلوبة وأستخدام الإبتكار في التدريس). بينما لم تظهر الدراسة أي فروق ذات دلالة إحصائية لمتغير العمر رغم أن أغلب متوسطات محاور بيئة التعلم الميداني كانت أعلى في الفئات العمرية الأكبرمن 20 عاما. وتوصلت الدراسة أن معظم الطلاب يعانون من كثير من المشكلات المتعلقة بالتعليم الميداني وكانت أكثر مشكلة واجهتهم أثناء التعليم الميداني هي نقص المرافق التعليمية المناسبة في بيئة التعليم الميداني (69.3%)، وأقلها كانت التداخل بين جدول التدريب العملي والمتدربين الآخرين (36.6%).الإستنتاج: هناك معوقات وتحديات تجابه الطلاب في بيئة تعلمهم الميداني والتي قد توثر على تعلمهم وكفاءاتهم بعد التخرج.التوصيات:على الجهات المسؤولة والقائمة على العملية التعليمية بجامعة سوهاج ومعلمي التمريض بالكلية أن يولي إهتماما خاصا للقضايا التعليمية التي تواجه الطلاب وإتخاذ إجراءات حازمة للتغلب على عقبات التعلم من أجل خلق بيئة التعلم الميداني المرغوب فيها وتحقيق الاهداف المرجوة منه.


Article
Clinical types and possible etiologies of neonatal seizures:A hospital based study

Authors: Meisloon J. Kadum محجوب النداوي --- Numan N.Hameed --- Mahjoob N.AL-Naddawi محجوب النداوي
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 1 Pages: 1-5
Publisher: Baghdad University جامعة بغداد

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Background: Seizures in the neonatal period are common. They can present asfocal clonic, focal tonic, myoclonic, generalized tonic and subtle seizures.They can be caused by a variety of conditions, ranging from benign self-limited illnesses to severe life-threatening disorders.Patients and methods: A prospective study included 75 neonates with seizures in the first 28 days of life were admitted to neonatal care unit in Children Welfare Teaching Hospital from January 15th 2009 to August 15th 2009.A Full history was obtained and patients were examined by a specialist in the neonatal care unit and the researcher. Laboratory investigations and neuroimaging studies were done for all patients.Results:Out of 75 neonates,(55%) were males and (45%) were females with a male: female ratio of 1.2:1, (76%) of them was delivered at term. The onset of seizures was reported in the first 72 hours of life in(42.6%) of neonates. The most common type of seizure was tonic type (48%) followed by subtle type (24%), focal clonic 16% and multifocal clonic(12%).Hypoxic ischemic encephalopathy (HIE) was the commonest etiology (25.34%) then sepsis (24%), hypocalcaemia (14.67%), pyogenic meningitis (13.33%), hypoglycemia (9.33%),Kernicetrus(8%), IVH 4%and TORCH (1.33%).The consanguinity was detected in (26.7%) of patients. A response to Phenobarbitone alone was found in (42.1%) and to a combination of bothphenobarbitone and phenytoin in(19.1%).The case fatality was (8%), (50%)of themwere due to IVH.Conclusions: Neonatal seizures occurred mainly in full term neonates with male sex preponderance with the majority reported in their first 72 hours of life and the tonic seizures were the commonest pattern. Hypoxic ischemic encephalopathy is the main etiologic factor of neonatal seizures followed by sepsis. Intraventricular hemorrhage occurs mainly in preterm infants and it was a major cause of death.Keywords: Neonatal seizures, etiology, clinical types.


Article
Demographic and Clinical Presentations of Pediatric Hydrocephalus in Medical City

Authors: Mahjoob N. Al Naddawi --- Numan Nafie Hameed --- ,Amal A. Rasheed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 2 Pages: 139-144
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Hydrocephalus is distension of the ventricular system of the brain related to inadequate passage of cerebrospinal fluid from its points of production within the ventricular system to its points of absorption into the systemic circulation.OBJECTIVE:To study the demographic and clinical presentations of pediatric hydrocephalus in medical city complex , Baghdad.PATIENTS AND METHODS:This is a prospective study ,which was carried out on 100 children with a mean age+- standard deviation ( 24.3 +/- 16.06 )months and median 16 months, who were admitted to Children Welfare Teaching Hospital & neurosurgical department ( Surgical Specialties Hospital) / Medical City complex, Baghdad in the period from April first 2009 to October first 2009. A specially designed questionnaires were used to aid the investigators in performing a family interview. General and neurological examinations, and investigations including neuroimaging studies were done.RESULTS:Of 100 patients,(62%)were males and (38%) were females, with male to female ratio of 1.6:1. Family history of congenital anomaly was positive in (26%) of patients, while hydrocephalus was positive in (14%). Seventy-Two percent of patients had congenital hydrocephalus. Eighty–Seven percent of patients were full term. Fifty-Seven percent of patients were products of NVD ,while (43%) were products of CS,(2%) of them were emergency CS& (41%) were elective. The macrocephaly was diagnosed or noted at birth in (32%)of patients. The study showed that U/S finding of hydrocephalus was positive in (49%).CONCLUSION:The majority of the patients had congenital hydrocephalus, but there was delay in the diagnosis of macrocephaly. Prenatal ultrasound diagnosis yield was low in this study. Family history of hydrocephalus and other neural tube defect was important to be elicited


Article
Perniosis: Clinical and Epidemiological Study in Iraqi Patients

Author: Adil A. Al-Nuaimy
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 11-13
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Perniosis(chilblains) is a common skin problem. This condition results from abnormal reaction to cold which is usually seen during the cold months of year.OBJECTIVE:The aim of the present study is to shed a light on different clinical and epidemiological aspects of perniosis in Iraq.METHODS:A total of 40 patients with perniosis were seen between January to march 2008 in the department of dermatology and venereology of Baghdad Teaching Hospital.A detailed history was taken from each patient regarding age, sex, occupation, duration of attack, family history, smoking, drug history, medical history, relieving and aggrevating factors and previous treatment modality.Full examination was done to each patient to assess the distribution and extent and morphology of the lesions and to see if there other skin diseases. Biopsies was done for 6 patients for histopathological study.RESULTS:A total of 40 patients were assessed. Their ages ranged from 5-60 years with a mean age of 22 SD± 6.2, 31 females and 9 males (3.5:1).Main sites of involvemnt were; toes 39% , fingers 22% ,heals 10% and nose 2.5% .Main types of lesions were ; erythematous cyanotic swellings 82% , vesicular lesions 23% ,ulcerations 10% and erythema multiforme like lesions 15%. Family history was positive in 22.5% of patients.CONCLUSION:Perniosis occur mainly in females between 10-20 years . Most common sites of involvement are toes and fingers . genetic susceptibility is an important factor in the development of the disease. Majority of patients are healthy without any medical or dermatological diseases .Majority are non smokers and did not have any history of drug intake.

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