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Article
THE DISEASE BEHIND THE DISEASE

Author: T. A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 2 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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Abstract

Not all that glitters is gold(Shakespeare)

Keywords

DISEASE --- BEHIND DISEASE


Article
KAWASAKI DISEASE IN SULAYMANIYAH/ KURDISTAN/ IRAQ
مرض الکواساکی فی السلیمانیة / کردستان العراق

Authors: JAMAL A. RASHID --- ADNAN M HASAN --- ASO F. SALIH
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2017 Volume: 11 Issue: 2 Pages: 37-45
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background: Kawasaki disease is the most common cause of acquired heart disease in developed countries. Kawasaki disease it has been increasingly reported from developing countries. The aim of this study was to assess the clinical and epidemiological characteristics of Kawasaki disease in children of Sulaimaniyah city.Subject and Methods: In this study all children diagnosed as Kawasaki disease included during the period between January 2010 and December 2014. The hospital records / pediatric cardiology clinic data were reviewed, and data were abstracted onto standardized forms.Results: During the study period from January 2010 to December 2014, 36 patients were diagnosed as Kawasaki disease. Their mean age at diagnosis was 2.8± 2 years (range 6 months -9years). Most of the patients (30 patients 83.3%) were under age of 5 years, and the median age was 2.1 year. Male to female ratio was 1.76. Most of cases occurred during winter and spring season. Out of 36 patients, 16 (44.4%) patients had coronary disease, and 4 cases of coronary cases were classified as A4 and A5 class according to Japanese Classification of Severity of Coronary Artery Lesions. There was non-significant difference between coronary and non-coronary group regarding hemoglobin level, platelet count, ESR and WBC count.Conclusions: Kawasaki disease is not uncommon in Sulaymaniyah, the clinical and epidemiological pattern is not different from other parts of the world. We need to increase the index of suspicion in order not to miss Kawasaki disease cases and avoid its serious cardiac complications.

الخلفية والأهداف: مرض الکواساکی من الامراض الشائعة فی الدول المتقدمـة و فی وقتنا الحاضر المرض اصبح شائعا فی الدول النامیة . الغرض من الدراسة متابعة مرضی الکاواساکی فی السلیمانیة و متابعةالاعراض المتلازمة له.طرق البحث: الدراسة اجریت علی الاطفال اللذین یشکون من المرض الکاواساکی من فترة ٢٠١٠ الی ٢٠١٤فی قسم قلب الاطفال / مستشفی الاطفال التعلیمی فی السلیمانیة ، المشخصة حسب الاعراض المتبعة من مجلس الکاواساکی الیابانیة .النتائج: شخصت ٣٦ ‌‌حالة خلال مدة الدراسة کحالة کاواساکی كاملة ، معدل العمر کان ٢+/- ٢.٦ سنة (٦ اشهر -٩ سنة ) . اکثریة المرضی (٨٣.٣%) کانوا دون عمر ٥ سنوات . نسبة الذکور الی الاناث ١.٧٦، و اکثریة الحالات شخصت فی الشتاء و الربیع . شخصت ١٦ حالة ( ٤٤.٤%) کتوسع شرایین التاجیة للقلب و اربعة حالات صنفت بتصنیف (A4,A5 ) حسب الاعراض المتبعة من مجلس الکاواساکی الیابانیة للقلب.واستنتجت ایضا انە لیس هناک ایة فی نسبة الدم ، کریات البیضاءو صفائح الدم بین المجموعتین.الاستنتاجات: استنتجت من الدراسة ان فی وقت الحاضر مرض الکاواساکی منتشر فی السلیمانیة و لیس هناک اختلاف فی انتشار و اعراض المرض مقارنة بمناطق العالم. و استنتجت ایضا اننا نحتاج الی توعیة الاطباء الاطفال حول اعراض و مضاعفات مرض الکاواساکی لغرض تشخیصـه فی المراحل الاولی.


Article
Chronic Kidny Disease and Risk of coronary Artery Disease,Aprospective study

Author: Ali Abdul Majid Allawi , FICMS(Int.Med.),FICM (NEPH
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2013 Volume: 9 Issue: 1 Pages: 1-8
Publisher: Baghdad University جامعة بغداد

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Abstract

AbstractBackground:Reduced glomeular filtration rate isassociated with increasedmorbidity in patientswith coronary arterydisease.Objectives :To analyze the declining eGFR andmortality risks in a patients with Chronic KidneyDisease and have had Coronary Artery Diseaseincluding risk factors .Patientsand Methods:The study included (160)patientsbetween the ages of 16 and 87years.Glomerular filtration rate was estimated (eGFR)using the Modification of Diet in Renal Diseaseequationand was categorized in the ranges<60 mL· min−1 per 1.73 m2and≥ 60 ml/min/1.73 m2.Baseline risk factors were analyzed by category ofeGFR,.The studied patients in emergencydepartment, were investigatedusing Coxproportional hazard models adjusting for traditionalrisk factors.Results:The study included (106) male (54)and female (52) between the ages of 16 and87Years mean age (54.9±15.2).The eGFR dataare calculated for all randomized studiedPatientseGFR <60ml/min/1.73 m287 (82%),and group of patients with eGFR ≥60ml/min/1.73 m219(18%). Overall there was(44) death 42% mortality risk. Patients witheGFR≥60 ml/min/1.73m219(18%), positivehistory of (CAD) is 3 (15.8%) and negativehistory of (CAD) is16 (84.2%, P=0.0001).group with reduced eGFR <60 ml/min/1.73 m2and positive history of (CAD) 42(48.2%), andwith negative history is 45(51.8%). In eGFR≥60ml/min/1.73 m2group and positive historyof (CAD), the mortality rate is2 (10.5%) and innegative history (CAD) group is 17 (89.5%)Conclusion:This study concluded that impaired GFR,in an adult population, is independentlyassociated with significant levels of increasedrisk of mortality of fatal and nonfatal coronaryevents ,e GFR change over time addsprognostic information to traditional mortalityrisk predictors among patients withchronic


Article
Benign Breast Disorders –a Histiopathological Study in Tikrit City
امراض الثدي الحميدة-دراسة نسيجية في مدينة تكريت

Author: Nadia Adnan Ghani نادية عدنان غني
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2012 Volume: 3 Issue: 1 Pages: 27-35
Publisher: Diyala University جامعة ديالى

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Abstract

The objective of the present study is to determine the frequencies of various benign breast diseases (BBD) in female patient in Tikrit city. A retrospective descriptive study of all female patients visiting surgical clinic with breast problems was performed. This study was conducted at Tikrit Teaching Hospital and the main private histopathological laboratory in Tikrit over the period from January -2000 to the end of December 2007. All the patients were diagnosed as carcinoma were excluded. A total of 485 patients were included in this study. About 35.7% (173/485) patients were belonged to the 3rd decade of life (age between 21-30 year), followed by 30.5% (148/485) were belong to 4th decade (age between: 31-40 years). Fibrocystic disease was the commonest of all benign breast disease, seen in about 33% (162/485) mainly in the 3rd, 4th &5th decades of life with peak at 31-40 years followed by fibroadenoma that is seen in 27.6%(134/485) of the cases mostly in the 2nd & 3rd decades of life. It is found that benign breast diseases are common problem in females of reproductive age.

تهدف هذه الدراسة الى تحديد تواتر الحالات المختلفة من أمراض الثدي الحميدة للأناث في مدينة تكريت و قد تم اجراء دراسة وصفية لكل النساء اللواتي زرن العيادة الجراحية بخصوص مشاكل الثدي.تم اجراء هذه الدراسة في مستشفى تكريت التعليمي وفي مختبر النسيج المرضي الخاص الرئيسي في مدينة تكريت للفترة من كانون الثاني 2000 الى نهاية كانون الأول 2007. تم استبعاد كل المريضات المشخصات بالاصابة بسرطان الثدي, وتضمنت الدراسة 585 حالة. 35.7% (173/485) من الحالات ضمن العقد الثالث من العمر (21- 30) سنة, يتبعها 30.5% (148/485)ضمن العقد الرابع(31-40)سنة. تم التوصل الى ان المرض التليفي التكيسي للثدي كان الأكثر شيوعا" من بين الأمراض الحميدة و يكون 33% (162/485)غالبا" في العقد الثالث والرابع والخامس من العمر وذروته بين 31-40 سنة يتبع هذا المرض الورم الليفي الغددي الحميد حيث لوحظ في 27.6% (134/485) من الحالات في العقدين الثاني والثالث من العمر.


Article
Prevalence of Fibromyalgia in Iraqi Patients with Ischemic Heart Disease

Authors: Ziad S.Al-Rawi* DPM --- Faiq I. Gorial** CABM, FIBMS --- Khudhir M. Al-Bidri* FIBMS (Int. Med), FIBMS
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 2 Pages: 127-129
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Fibromyalgia has been associated with physical and emotional trauma including invasive medical procedures. Both Fibromyalgia and ischemic heart disease have been linked with depression. The aim of the study is to assess the prevalence of fibromyalgia syndrome in patients with ischemic heart disease.Patients and Methods: A cross-sectional comparative study was done in the Iraqi Center for Heart Disease. One hundred patients, angiographically proved to have ischemic heart disease, were subjected to rheumatologic examination by another physician, and compared to hundred healthy individuals as a control group. Diagnosis of fibromyalgia was based on 1990 American College of Rheumatology Classification criteria for the diagnosis of fibromyalgia.Results: Eighteen (18%) patients with ischemic heart disease fulfilled the American College of Rheumatology criteria for fibromyalgia syndrome in comparison to only 6(6%) of the controls, and this difference is statistically significant (P-value = 0.009).There were statistical significant effects of gender, age, and number of coronary vessels on the prevalence of fibromyalgia syndrome. Conclusion: fibromyalgia occurs with high frequency (18%) in patients with ischemic heart disease.


Article
Comparative immunologic and physiologic study of Broiler vaccinated with five different Gumboro vaccines.
دراسة مقارنة للتغيرات المناعية والفسلجية المصاحبة لاعطاء خمسة أنواع من لقاحات مرض &#64404;مبورو في أفراخ دجاج اللحم

Authors: Emad J. Khammas عماد جواد خماس --- Balqees H. Ali بلقيس حسن علي
Journal: The Iraqi Journal of Veterinary Medicine المجلة الطبية البيطرية العراقية ISSN: 16095693 Year: 2010 Volume: 34 Issue: 2 Pages: 162-169
Publisher: Baghdad University جامعة بغداد

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Abstract

Two hundred and four Broiler chicks was used, divided into six equal groups, each group was vaccinated with one vaccine as fellows: BUR-706 group1 (G1), IBD-L (G2), TAD (G3), CH/80 (G4), D78 (G5) and Control (G6). ELISA test was used to estimate ND and Gumboro disease antibodies. Aspartate amino transferase (AST), Alanin amino transferase (ALT), Alkaline phosphatase (ALP) activities, total protein and albumin and globuline concentrations in blood serum were estimated. Newcastle disease antibodies titers were high in G1 but low in G5 significantly. Gumboro disease titers were nonsignificant increase(p>0.05) in G1, G2 and G3 but nonsignificant low(p>0.05) in G4 and G5. Normal total protein, albumin and globuline concentrations and nonsignificant increase(p>0.05) in AST was noticed in vaccinated groups. ALT was significantly increased(p<0.05) in G1, G3, G4 while ALP activity was significantly increased.the BUR_706 and IBDL vaccines showed better results than others in broiler chicks,whileTAD and CH/80 vaccines were better D78.


Article
PREVALENCE OF PARKINSON’S DISEASE IN AL-KADHIMIYA DISTRICT (BAGHDAD CITY): COMMUNITY-BASED STUDY
انتشار مرض باركنسنِ في منطقةِ الكاظمية (مدينة بغداد): دراسة مجتمعية

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Abstract

Background: Parkinson's disease is a chronic neurodegerative disorder affects mostly people above 40ys. Studying its prevalence is crucial for health public planning especially as worldwide communities are getting older. There are some worldwide variations in the estimated prevalence rates and the figures are unknown in our country.Objective: To estimate the prevalence of Parkinson's disease in Al-Kadhimiya district.Methods: Community-based study was conducted as cross-sectional survey on random sample of the population of the district. Suspected cases of Parkinson's disease identified during home visits were referred to the neurological department at the University Hospital of Iraqi Medical College in order to confirm the diagnosis of the senior neurologist. Diagnosis is made by identifying at least two cardinal features of the disease (resting tremor, bradykinesia, rigidity and postural instability) in the absence of signs of secondary Parkinsonism.Results: 25 cases of Parkinson’s disease collected from a random sample of 22,988 individuals (13 were males, 23 were females. 6 lived in rural areas and 19 in urban). Three cases (12%) were newly diagnosed. Tremor was the predominant symptom of onset (80%). 19 cases had bilateral involvement of the disease, in spite of the unilateral onset of all cases. The crude prevalence rate was 108.75 per 105 populations. Age adjusted prevalence rates showed constant increase with age. Gender-adjusted prevalence rates were calculated for male 114/105 populations and for 103/105 populations. Residency-adjusted prevalence rates were 114,3 and 94,3 per 105 populations for urban and rural living respectively.Conclusion: Prevalence rate of Parkinson’s disease is just lower than the figures in Europe and North America, but higher than those of Africa and China. It increases constantly with increasing age. There was no significant gender or rural difference in the prevalence rates. The prevalence figure can be applied to the population of Baghdad City because of the similar population structure and characteristics to those of Al-Kadhimiya district.Keywords: Parkinson disease, prevalence, Baghdad, cross sectional study

خلفية الدراسة: مرض باركنسن مرض تحطمى مزمن يصيب على الغالب البشر فوق 40 سنة. دِراسَة انتشار المرض حاسمُ لتخطيط الصحةِ العامةِ خصوصاً بعد التقدّمُ في السن ّعالميا. هناك بَعْض الاختلافات العالميةِ في نِسَبِ الانتشار المُخَمَّنةِ والأرقامِ مجهولة في بلادِنا.هدف الدراسة: لتَخمين انتشار مرض باركنسنِ في منطقةِ الكاظمية.طرق العمل: دراسة مجتمعية أجرتْ كمسح عرضي على العينة العشوائيةِ مِنْ سكانِ المنطقةِ. الحالات المشكوك فيها لمرض باركنسنِ ميّزتْ أثناء زيارات بيتيه أحيلتْ إلى قسمِ العلوم العصبيِة في مستشفى الكاظمية لكي يُؤكّدَ التشخيصَ ِ. التشخيص يُثبت بتَمييز العلامات الحركية.النَتائِج: 25 مِنْ حالاتِ مرض باركنسنِ جَمعَ مِنْ عينة عشوائية مِنْ 22,988 فردِ (13 كَانتْ ذكورَ، 23 كَانتْ إناث. 6 من المناطق الريفية البعيدةِ و19 حضريةِ). ثلاث حالاتِ (12 %) شُخّصتْ حديثاً. الارتعاش كَانتْ العلامةَ السائدةَ للبدايةِ (80 %). 19 حالة كَانَ عِنْدَها تدخّلُ ثنائيُ مِنْ المرضِ، بالرغم مِنْ البدايةِ الأحادية الجانبِ لكُلّ الحالات. نسبة الانتشار العامِّة كَانتْ 108.75 لكلّ 105 سكانِ.نِسَبَ الانتشار وّضحت زيادةَ ثابتةَ بالعُمرِ. نِسَب الانتشار ِحُسِبَ الجنسَ للذكرِ 114/105 للسكان وللاناث103/105 سكان. نِسَب الانتشار المعدّلةِ إقامةَ كَانتْ 114,3 و 94,3 لكلّ 105 للسكانِ للمعيشة الحضريةِ والريفيةِ على التوالي.الإستنتاج: نسبة انتشار مرض باركنسنِ أوطأ مِنْ الأرقامِ في أوروبا وأمريكا الشمالية، لكن أعلى مِنْ تلك أفريقيا والصين. يَزِيدُ بشكل ثابت بزيَاْدَة العُمرِ. لم يكن هناك اختلاف هامَّ للجنسَ أَو السكن في الريف في نِسَبِ الانتشار. رقم الانتشار يُمْكِنُ أَنْ يُقدّمَ إلى سكانِ مدينةِ بغداد بسبب التركيبِ وخصائصِ السكانِ المماثلةِ إلى تلك مِنْ منطقةِ الكاظمية الكلمات المفتاحية: مرض باركنسن


Article
QUANTIFICATION OF PAIN THRESHOLD IN PARKINSON’S DISEASE

Authors: Aqeel K Hatim عقيل كريم حاتم --- Munther T Hamzah منذر طاهر حمزة --- Hasan A Hasan حسن عزيز حسن --- Zaki N Hasan زكي نوح حسن
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 1 Pages: 83-86
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

BackgroundParkinson's disease (PD) is the second most common degenerative neurologic disorder after Alzheimer’s disease. Pain is one of the major clinical symptoms of Parkinson's disease, occurring in 50-83% of patients. Pathways mediating pain are complex and include basal ganglia and thalamocortical-basalganglia circuits.ObjectiveTo quantitatively assess pain perception in Parkinson disease patients, by determining pain threshold in patients with and without pain through using electrical stimulation.MethodsA cross sectional observational study recruiting 18 patients with a clinical diagnosis of Parkinson disease and healthy controls from the neurologic unit in Al-Kadhimiya Teaching Hospital in Baghdad; between May 2010 to Jan 2011. There were 13 men and 5 women with a mean age of (66.5 ± 10.2 years). The control group includes 18 healthy subjects, [12 males/ 8 females] with a mean age of 56.6±6.74 years. Quantitative sensory testing was carried at the neurophysiology laboratory in Al-Kadhimiya hospital; using bipolar stimulating electrodes on the forearm, index finger, mid leg, and big toe.ResultsFourteen Out of 18 patients (77.7%) reported pain, while 4 (22.3%) had no pain. There was a highly significant statistical difference in electrical perception between the affected and unaffected side, and between Parkinson disease patients and the controls. There was no statistically significant difference between males and females [p =0.8248], and between patients with and those without pain [p =0.3279]. And between upper and lower limbs on the affected side [p =0.1412], and body side involvement whether right or left in both the patients and controls.ConclusionChronic pain is present in 77.7% of Parkinson disease. Patients with Parkinson disease had lower pain threshold compared to controls. The affected side had lower pain threshold. The left or right body side and gender had no effect on pain threshold.Key worldsParkinson disease, Pain

Keywords

Parkinson disease --- Pain


Article
The Prevalence of Silicosis Among Iraqi Silica Quarrying Workers

Author: Waleed Gh. Al-Tawil
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 435-441
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Silicosis is reported as the most prevalent, chronic and irreversible lung disease which is caused by the inhalation of respirable silica dusts and associated with prolonged exposures among workers dealing with. It is one of the oldest fibro-nodular, occupational, incurable lung disease caused by inhalation of dust containing free crystalline silica.OBJECTIVES:This study aimed to assess the prevalence and risk factors for silicosis among workers exposed to freesilica.METHODS:In this cross –sectional study, we studied ninety male workers in the quarrying zone of silica in the IraqiWestern Desert. The workers were subjected to clinical interviews and examinations, spiro-metric andchest radiographic examinations.RESULTS:It was found that the prevalence of silicosis among these 90 workers was 25(27.8%), 18(20%) and16(17.7%) depending on suggestive clinical, spiro-metric and radiographic findings respectively.CONCLUSIONS:Silicosis is an important and common health hazard affecting quarrying workers in Iraq. The ill healtheffects of silicosis (diagnosed by suggestive clinical findings, radiograph &/or spirometry) are moreprevalent in workers with direct exposure or have more than 10 years exposure to silica dust. Smokingis not a risk factor for silicosis. The implementation of accurate and scientific medical supervision forthe workers, with the establishment of proper medical recording system are important steps inprevention the adverse health effects of silica.


Article
Lymphocyte Predominance Hodgkin Lymphoma Clincopathological and Immunohistochemical Interpretations Using CD15 and CD20

Author: Yarab Edresse Abdul-Qadir
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 3 Pages: 259-263
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

SUMMARY:BACKGROUND:Hodgkin disease is a lymphoid tumor that accounts for less than (1%) of all DeNovo neoplasms occurring every year worldwide.OBJECTIVE:The aims of the study was to assess the expression of immunohistochemical markers namely (CD20,CD15) in malignant cells of Hodgkin's disease.METHODS:Over the period extending from (January 2006-March 2008), specimens form 31 cases of lymphocyte predominance Hodgkin lymphoma (Rye's classification) as formalin fixed, paraffin embedded tissue blocks from excisional lymph node biopsies. For each case, five representative sections were prepared. One stained with hematoxyline and eosine (HxE), and four other sections (on positively charged slides) prepared for IHC procedures using CD15, and CD20. For the evaluation of markers expression, a semiquantitative evaluation system was used to register the staining intensity and the numbers of positive cells.RESULTS:The most common site of lymph node biopsy was the cervical lymph node in (61.2%) of cases. Immunohistochemically, CD20 was expressed in (12.9%) of cases, while CD15 was expressed in (77.4%) of cases.CONCLUSION:This study has shown that HD with a nodular growth pattern and a lymphocyte-rich background encompasses 2 entities with distinct morphologic, phenotypical features. Therefore, the precise classification of such case requires a combination of conventional histology and immunohistology with distinct panel of antibodies.

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