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Article
Prevalence and Risk Factors for Congenital Anomalies in Mosul City

Author: Zhraa Abd-Alkader Taboo
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 4 Pages: 458-470
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Congenital anomalies define as abnormalities of body structure that originated before birth, about 3% of all children are born with a serious structural defect that interferes with normal body function and can lead to lifelong handicap or even early death. There is a variation in the frequency of congenital anomalies in different populations.OBJECTIVE:To determine the prevalence of the easily identifiable congenital anomalies also to estimate the risk factors which may predispose to anomalies and pattern of distribution of congenital anomalies of newborn in Mosul city.METHODS:In a cross-sectional study, charts of forty six thousand and seven hundred seventy five deliveries including live births and stillbirths in Al-Batool Teaching Hospital of Obstetrics and Gynecology , during the period from January -2009 to December-2010. The anomalies were then grouped according to the organ, system involvement, gender, maternal age, consanguinity, mortality rate, and mother’s natal history.RESULT:A total of 323 cases of fetal congenital anomalies were detected, central nervous system were the most common abnormalities while complex congenital malformation was second in rank. The prevalence of anomalies was 0.69%. The majority of fetal malformation was seen in primigravida furthermore the maternal age between20-24years was the largest age group that had congenital anomalies. Mean gestational age at delivery was 36 weeks as well as the mean gestational age at diagnosis of anomaly by ultrasound was 30week. Fetal malformations had predilection to female fetuses, with male to female ratio1:1.09, in addition to 2.167% of ambigunity. Overall perinatal mortality rate was 79.25%.CONCLUSION:Congenital anomalies are one of the most important causes of fetal deaths. The present study showed a high incidence of congenital malformations in the young age group and among primi gravida woman. The commonest associated risk factors was consanguineous marriage the frequency of which may be reduced by creating awareness regarding the avoidance of consanguineous marriages . anencephaly was the most prevalent anomaly detected. So proper and timely counseling, regular antenatal care. folate supplementation especially during the most sensitive period of embryogenesis is essential to avoid major congenital malformation for future pregnancy.


Article
The Effect Of Folic Acid On The Newborn Of Pregnant Women At Al-Najaf Government
تأثير حامض الفوليك على المواليد للنساء الحوامل في محافظة النجف الأشرف

Authors: Abdulhadi Sallal Mohammed --- Shukriyia Shedhan Chyad --- Ruqayah Ali Salman
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 1 Pages: 145-150
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: Across section analytic study was carried out to identify the effect of folic acid on birth of pregnant women at Al-Najaf government and to determine the statistical significant differences between folic acid and some variables.Methodology: A purposive sample of (1054) of pregnant women was selected from Al-Zahra maturity pediatric hospital, data was collected through the interview of women. Question forma was designed and contained (3) parts demographic variables, reproductive variables and variables related to effect of folic acid.Results: Descriptive and in fevential statistical procedures were used to analyze the data. The result of the study revealed that the age of women was ranged between (21-25) years and the highest percentage of them house wife (640).The result indicate that a significant association between takes folic acid and congenital anomalies. The present study was revealed that the percent of normal deliveries (38.9%), while in cesarean sections (58.8%). In normal deliveries the percent of congenital anomalies was (1.2%), and the percent of congenital anomalies in cesarean sections was (0.9%).Conclusion: The study concluded that there was a significant difference between taking folic acid and congenital anomalies Recommendation: According to these finding it is recommended to emphasize on prenatal care early as possible and education improve health services presented to the mother during pregnancy that the health team must take the role in reducing the incidence of congenital anomalies by taking folic acid.

الهدف: تم اجراء دراسة تحليلية مقطعية لغرض التعرف على تاثير حامض الفوليك على مواليد النساء الحوامل في محافظة النجف الاشرف وإيجاد الفروق المعنوية ذات الدلالة الإحصائية بين العوامل المرتبطة بالموضوع مع حامض الفوليك. المنهجية:اختيرت عينة غرضية متكونة من ( 1054) امراة حامل اللائي يتعاطين حامض الفوليك بجرعة( 5mg) طيلة مدة الحمل من المراجعات لمستشفى الزهراء للنسائية والاطفال في محافظة النجف الاشرف، جمعت المعلومات بطريقة المقابلة الشخصية مع الأمهات.صممت الاستمارة الاستبيانية والتي تكونت من (3) اجزاء شملت المعلومات الديمغرافية للعينة، المعلومات الإنجابية للعينة، معلومات متعلقة بحامض الفوليك والتشوهات الخلقية، وتم استخدام الاحصاء الوصفي والاستنتاجي لتحليل البيانات.النتائج: تشير نتائج الدراسة ان النسبة المئوية للولادات الطبيعية(38.9%) ، بينما كانت النسبة (58.8%) للولادات القيصرية. في الولادة الطبيعية كانت النسبة المئوية للولادات المشوهة (1.2%)، بينما كانت النسبة المئوية (0.9%) للولادات المشوهة في الولادة القيصرية واللاتي يتعاطين حامض الفوليك.تشير نتائج الراسة ان معظم النساء هن من الفئة العمرية (25-21) سنة ومعظمهن (640) امراة ربات بيوت، كذلك وجود فروقات معنوية بين تناول الفوليك اسد والتشوهات الخلقية.الاستنتاجات: أستنتجت الدراسة ان هناك دلالة احصائية ذات مستوى معنوي بين تناول الفوليك اسد والتشوهات الخلقية. التوصيات:وطبقا للنتائج اوصت الدراسة بالتاكيد على العناية المبكرة خلال فترة الحمل والتثقيف الصحي وتحسين نوعية الخدمات المقدمة للامهات خلال فترة الحمل على ان يأخذ الفريق الصحي دوره في هذا المجال لتقليل نسبة التشوهات الخلقية للأجنة وذلك بتناول حامض الفوليك اسد.


Article
SURGICAL OUTCOME OF 65 CASES OF CONGENITAL ESOPHAGEAL ATRESIA WITH TRACHEOESOPHAGEAL FISTULA: EXPERIENCE OF 5 YEARS IN TWO INSTITUTES

Authors: Ahmed Z. Zain احمد زبار زين --- Salah S. Mahmood صلاح سلمان محمود --- Sarah Z. Fadhil سارة زهير فاضل
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 168-172
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Congenital esophageal atresia and tracheoesophageal fistula are well-known congenital anomalies which affect 1 in 2400 – 4500 live births. The survival rate has dramatically improved in the last decades due to the advances in the neonatal intensive care, anesthetic management, ventilatory support and the surgical techniques.Objective:To evaluate the surgical outcomes and postoperative complications in patient with esophageal atresia and tracheoesophageal fistula who were admitted to our hospital.Methods:A retrospective study of 65 cases of esophageal atresia with distal tracheoesophageal fistula was studied over a period of 5 years from January 2008 to January 2013. Patients demographic, frequency of associated anomalies, postoperative complications and surgical outcomes were studied.Results:There were 38 male and 27 female with frequency of forty-seven (72%) infants were full term and 18 (28%) were preterm. Survival rate was (66%) for newborn who underwent surgery within the first 24 hours which was higher than those newborn with age above two days. Congenital heart disease was the commonest associated congenital anomalies and accounted for 28% of all our patients. Our patients developed many complications including respiratory tract infection (26%) and anastomatic leak (20%) as the most common complications.Conclusion:The survival rate of the patients with EA/TEF is influenced mainly by associated life -threatening congenital anomalies, prematurity of newborn and the age at the time of surgical repair.Keywords:Esophageal atresia, tracheoesophageal fistula, congenital anomalies.


Article
THE PREVALENCE OF NEURAL TUBE DEFECTS AMONG NEWBORNS DELIVERED IN AZADI HOSPITAL IN DOHUK CITY, KURDISTAN REGION, IRAQ
مدى أنتشار تشوهات الانبوب العصبي لدى الاطفال حديثي الولادة في مستشفى ازادي في مدينة دهوك، أقليم كوردستان، العراق

Author: KHALID N. ABDURRAHMAN خالد نواف عبدالرحمن
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2007 Volume: 1 Issue: 1 Pages: 42-48
Publisher: University of Dohuk جامعة دهوك

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Abstract

Aim The study was performed to highlight the prevalence of neural tube defects (NTDs) among newborns delivered in Azadi teaching hospital in Dohuk. Methods Study lasted over one year period started from 1st of December 2004 to 30th of November 2005. Fifty six newborns (alive and stillbirth), 40 females and 16 males, were found to have different types of NTDs. Results The prevalence of NTDs was found to be 4.7 per 1000 live births, which was higher than similar rates estimated in other areas in the world. The mothers of the affected newborns were not consuming folic acid before conception, which may, to some extent, explain the high rate in this study. Conclusions Further similar studies, however, are required in North of Iraq to document the findings of this study. All women should consume 0.4 mg folic acid daily during their reproductive years to protect against this defect.

الهدف: اجريت هذه الدراسة لبيان مدى انتشار حالات تشوه الانبوب العصبي لدى الاطفال حديثي الولادة في مستشفى ازادي التعليمي في مدينة دهوك(اقليم كردستان، شمال العراق)المنهجية: مدة الدراسة كانت سنة واحدة،ابتداء من الاول من شهر كانون الاول 2004 ولغاية الثلاثين من تشرينالثاني 2005 في مستشفى ازادي التعليمي في مدينة دهوك.النتائج: عدد الولادات الحية خلال هذه الفترة كان 11945 ولادة .ست وخمسون من هؤلاء الاطفال ( 40 انثى و 16 ذكر) كان لديهم تشوهات مختلفة في الانبوب العصبي.ان نسبة انتشار التشوهات في هذه الدراسة كان 4.7 لكل الف ولادة حية ،وهي نسبة عالية اذا ماقورنت بباقي مناطق العالم . امهات الاطفال المصابين لم يتناولن حامض الفوليك قبل وفي بداية حدوث الحمل،وهذا قد يفسر، الى حد ما ، حدوث هذه النسبة العالية.الاستنتاجات: نحتاج الى دراسات اخرى مشابهة في شمال العراق لتأكيد النتائج التي ظهرت في هذه الدراسة.ولغرض تقليل نسبة حدوث هذه التشوهات فأننا ننصح بتناول النساء لحامض الفوليك طيلة فترة خصوبتهن.


Article
Study of the Relationship between Some Microorganism Isolated from Congenital Anomalies Neonatal Screening and Their Mothers in Iraqi Patient
دراسة العلاقة بين بعض الاحياء المجهرية المعزولة من الاطفال المصابين بالتشوهات الخلقية الولادية وامهاتهم من المصابين العراقيين

Author: Raya Ezat Alsaade ريا عزت
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2017 Volume: 30 Issue: 1 Pages: 76-85
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives : This study was seeks to determine the IgG and IgM in serum mothers and their babies of Iraqi patient suffering from congenital anomalies toward some microorganisms such as Cytomegalovirus (CMV), Congenital toxoplasmosis , Congenital rubella and Genital herpes simplex virus (HSV) correlated with age and babies gender the sample was collected from AL- Alwayia hospital for children / Baghdad . Methodology : Fifth blood sample have been collected from mothers and their babies suffering from congenital anomalies to detection IgG and IgM of some viruses including as Cytomegalovirus (CMV), congenital toxoplasmosis , Congenital rubella and Genital herpes simplex virus (HSV) was diagnosed by , enzyme-linked immunosorbent assay ELISA .Results : This study was showed that 27 male and 23 female , the mother’s age was 18-33 years old while babies’ s age was 1 day – 18 months , the mean of this study was 24.46 with Std 4. 35 . The current study was noted the IgG of Congenital Toxoplasmosis in serum of mothers more than their infant at 37 , 20 (74 , 40 ) % respectively as positive result , also the highest frequency for the disease was IgG in mothers more than IgG in male babies of 19, 10 ( 70.37 , 37.04 ) respectively and 18 , 10 ( 78.26 , 43.48 ) respectively in female babies , also the high level of IgM of CMV in babies was 3 ( 6 %) (1 male and 2 female )of positive result distributed as IgM in mothers and baby at 3, 2 ( 11.11 , 8.7 )% respectively , on the other hand the IgM of HSV in babies was 3 (6% ) positive result 2 ( 7.41 %) positive result with male babies while 1 ( 4.35 %) with female baby. Finally the positive result of Rubella infection was with IgM babies at 3(6%) distributed the positive result was 2 (7.41%) in male babies and 1 ( 4.35 %) in female baby.

الهدف : سعت هذه الدراسة الى تحديد IgM وIgG في مصل الامهات واولادهم من الاطفال الذين يعانون تشوهات خلقية من المرضى العراقيين اتجاه عدة فايروسات وهي التوكسوبلازما وفايروس الحصبة الالمانية وفايروس الهربس البسيط وفايروس المظخم للخلايا وعلاقتها مع العمر للام والابن وجنس الاطفال وجمعت العينات من مستشفى العلوية للاطفال . المنهجية : 50 عينه دم جمعت من الامهات واطفالهم المصابين بالتشوهات الخلقية الولادي للكشف عن IgM و IgG لبعض الاحياء المجهرية وهي طفيلي التوكسوبلازما وفايروس الحصبة الالمانية وفايروس الهربس البسيط وفايروس المظخم للخلايا وشخصت بطريقة فحص الانزيم المناعي الاليزا . النتائج : الدراسة الحالية اظهرت 27 ذكر و 23 انثى واعمار الامهات كانت ما بين 18- 33 اما الابناء من 1 يوم – 18 شهر معدل متوسط الدراسة 24.46 مع والانحراف المعياري 4.35 . لوحظ في الدراسة الحالية بان IgG للتوكسوبلازما كان مستواه عالي عند االامهات اكثر من الابناء عند 37 و 20 ( 74 و 20 ) % غلى التوالي كنتيجة موجبة وكان اعلى تردد IgG للمرض عند الامهات اكثر من IgG عند الاطفال الذكور 19 و 10 ( 70.37و 37.04 ) % على التوالي و 18 و10 ( 78.26 و 43.48 ) % على التوالي عند الاطفال الاناث . وكذلك كانت نتيجة IgG موجبة للفايروس المظخم للخلايا للاطغال 3 (6%) بتوزيع 1( ذكر 2 انثى ) كنتيجة موجبة و IgM للفايروس عند الام 3 ذكر و2 انثى ( 11.11 و 8.7) % على التوالي . من جهة اخرى ارتفاع IgM لفايروس الهربس البسيط للاطفال كان 3 ( 6%) كنتيجة موجبة بينما انثى واحدة و2 ذكر ( 7.41و 4.35 )% على التوالي واخيرا النتيجة الموجبة للمصابين بفايروس الحصبة الالمانية كان 3(6%) لل IgM للاطفال وزعت 1 انثى و2 ذكر (7.41 و 4.35 ) % على التوالي . التوصيات: توعية الوالدين حول الامراض المنتقلة جنسيا وخصوصا حول الاحياء المجهرية المسببة لها كذلك اوصي بالدراسات الجزيئية لتشخيص ومعرفة دور هذه الاحياء المجهرية المسببة للامراض الجنسية لكل من الام وطفلها .


Article
UNUSUAL CASE OF ACCESSORY NOSE ASSOCIATED WITH UNILATERAL COMPLETE CONGENITAL CHOANAL ATRESIA

Author: DR. SAAD MAHBOBA DLO
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2008 Volume: 11 Issue: 2 Pages: 88-92
Publisher: University of Kufa جامعة الكوفة

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Abstract

ABSTRACTWe describe here a very unusual case of 2 weeks Iraqi boy who was referred to our Otolaryngology department at the Assadar Teaching Hospital in Al - Najaf governorate in Iraq with history of cylindrical shaped mass projecting from area just medial to the medial canthus of the right eye. The mass was found since his birth and parents confirmed that the mass kept growing as the child grows.Clinical and histological examination showed that the mass structure is consistent with an accessory nose. No other congenital abnormalities were detected apart from complete mixed bony- membranous choanal atresia on the same side of the mass in which contemporary treated with simple mass surgical excision and closure. We regret that CT scan pictures are not available because the system was down during the surgery time.


Article
Incidence of Cleft Lip and Palate in Al-Ramadi City (Descriptive Epidemiological Study)

Authors: Saria Dhakir Mahmood سارية ذاكر محمود --- Ausama A. Al-Mulla اسامة احمد الملا
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2016 Volume: 28 Issue: 2 Pages: 139-144
Publisher: Baghdad University جامعة بغداد

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Abstract

Background Birth defects are one of the causes of pediatric disability and mortality in all around the world. Data onbirth defects from population-based studies originating from developing countries are lacking. Cleft lip (CL), cleft lipand palate (CLP), and isolated cleft palate (CP), collectively termed oral clefts, occur in all races, both sexes, and allsocioeconomic groups and vary internationally (1). The main aim of this research is to establish the frequency of cleftlip and/or palate in the population of the Al-Ramadi City, and to characterize the demographic features of affectedindividuals and find possible risk factors.Materials and methods We conducted a survey of the Educational Maternal and Pediatric Hospital in Al-Ramadi city.The sample population comprised all 5100 babies born at Al-Ramadi City during the 5 months period 1 January 2013to 31 May 2013. Statistical tests used Pearson’s chi-square test, Student’s t-test and Spearman’s correlation coefficienttest according to the type of parameter tested.Results: During the study period 15 babies were born with oro-facial cleft. The overall incidence of cleft lip and palatewas 2.94 per 1000. Cleft palate was significantly more frequent in male than female babies (P = 0.81).Conclusions: A high incidence of facial clefts in this city was seen. This change may be attributed to the wars thatoccur in Iraq in the last years so increased pollutions and decreased prenatal care in the Iraqi population as part ofsocial and health-related behavior changes


Article
A Five Years Retrospective Study of Congenital Anomalies at Karbala City, Iraq

Author: Ashwaq Ali Hussein
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2017 Volume: 10 Issue: 1 Pages: 2620-2627
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Congenital anomalies are one of the commonest causes of disability in the world but the data from community –based studies originating from developing countries are scanty.Objectives: To study the frequency and distribution patterns of congenital anomalies in Karbala city, Iraq during five years and to find any related aetiological factor for congenital anomalies occurrence.Materials & Methods: It is a retrospective study includes all appearant congenital anomalies in newborns during January2011-December2015.The data were collected from the neonatal care unit admission register & a specific register of recording congenital anomalies according to ICD-10(International classification of diseases &related health problems-10th revision) that’s introduced by WHO.The data were collected at the Karbala teaching hospital for pediatric where majority of sick newborns care occurs in this city. Variables were represented in a frequency tables & column charts.Results: The total enrolled cases of congenital anomalies in five years were 327 that’s form 9.19% of total admission to the neonatal care unit in our hospital(3586) ,the highest percentage were anomalies of the cardiovascular system(29.36%) followed by the gastrointestinal system(27,83%) then the musculoskeletal system (13.76%) and the least percentage was of cutaneous system(1.83%).Individually, there was a fluctuating increment in overall prevalence during the study period, but the highest numbers in 2014 & the least in 2012.Higher percentages for the urban residency, 18-35 years old maternal group, families of positive consguanity, & multipara’s mothers.Conclusions& recommendations: preponderance of the malformations of the cardiovascular system despite the underestimation of them due to delayed exhibition of symptoms so there are a great benefit from screening for a hidden congenital heart anomalies., I invite all countries for searching congenital anomalies & I recommend encouragement of higher education researchers to study genetic specialty & preventive health services as our country really required such services in addition to proper preparation of health care staffs.Keyword: Congenital anomalies, retrospective study, neonatal care unit, Karbala, Iraq


Article
Analysis of 340 Cases Visited Rizgary Hospital in Hawler City during 2009-2010

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Abstract

During two years period from 2009-2010 cases with oral lesions and oral diseaseswere recorded and analyzed, based on clinical, radiographic and biopsy examinations.The oral diseases were divided into 8 groups ,including 110 cases oral lesion, otheroral diseases were trailing well behind ,followed by soft tissue swelling 51 cases,,congenital anomalies48 cases ,bone diseases 45 cases ,salivary gland diseases31,other conditions 18cases , and neuralgia 14 cases.


Article
(Structure Logistic Regression Model Of Anomalies Birth In Iraq Except Kurdistan Region, for 2015)
بناء أنموذج الانحدار اللوجستي للولادات المشوهة في العراق عدا اقليم كردستان لعام 2015

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Abstract

Congenital anomalies commonly occur in humans, possibly visible. If these anomalies appear in visible parts in human body such as face, hands and feet. They may only appear after utilizing a number of special tests in order to show by means of the anomalies that occur in the internal organs of the body such as heart, stomach and kidneys. Research data have comprised accessible information in the anomalies birth statistics form situated of Health and Life Statistics section at the Ministry of Health and environment, where the number of anomalies births involved in the study (2603 anomalies birth) in Iraq, except Kurdistan region, at 2015. A two way-response logistic regression analysis has been applied of the dependent variable (y) type of deformation (simple, Complex) and estimation of its parameters in the greatest possible way (ML). Test significance of model as well as the significance of parameter information that reached the six variables affecting determinant of anomaly type of (sex of male type, sex of female type, the degree of relationship existence- type, profession of father of governmental employee-type, type of previous birth to a live birth type, and a former anomaly premature birth).

تحدث التشوهات الخلقية عند الإنسان بشكل شائع، وقد تكون ظاهرة للعيان وذلك إذا ظهرت هذه التشوهات في الأعضاء الظاهرة من جسم الإنسان كالوجه واليدين والقدمين. وقد لا تظهر هذه التشوهات إلا بعد اللجوء لعدد من الفحوصات الخاصة لإظهارها كما في التشوهات التي تحدث في الأعضاء الداخلية للجسم كالقلب والمعدة والكُلية. شملت بيانات البحث المعلومات المتوفرة في استمارة احصاء الولادات المشوهة المأخوذة من قسم الاحصاء الصحي والحياتي في وزارة الصحة والبيئة، اذ بلغت اعداد الولادات المشوهة المشمولة بالدراسة (2603) ولادة مشوهة في العراق عدا اقليم كردستان لعام 2015 م. وتم اجراء تحليل الانحدار اللوجستي ثنائي الاستجابة للمتغير التابع(y ) نوع التشوه (بسيط, معقد) وتقدير معلماته بطريقة الامكان الاعظم (ML) ثم اختبار معنوية الانموذج وكذلك معنوية المعلمات وتوصلنا الى ستة متغيرات تؤثر في تحديد نوع التشوه وهيَ (الجنس من نوع ذكر، الجنس من نوع انثى، درجة القرابة من نوع يوجد، مهنة الاب من نوع موظف حكومي، نوع الولادة السابقة من نوع ولادة سابقة حية, ونوع ولادة سابقة ميتة).

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