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Article
Psychological Study in Women with Premenstrual Dysphoric Disorder

Authors: Ali A. Al-Hamzawi --- Arafat Hussein Al-Dujaily
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 1 Pages: 95-100
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Premenstrual dysphoric disorder (PMDD) is a somatopsychic illness triggered by changing levels of sex steroids that accompany an ovulatory menstrual cycle. It affects about 3% to 8% of women in their reproductive years. The symptoms of this disorder are primarily affective. The disturbance markedly interferes with work, school or with usual social activities and relationships with others.OBJECTIVE:Are to determine the prevalence and the sociodemographic factors in relation to PMDD and to find out the characteristic features of premenstrual symptoms and their impact on daily living.METHOD:145 women aged between 18 and 55 years with regular menstrual cycles who met the diagnostic criteria of PMDD out of 1792, were assessed regarding their premenstrual symptoms using the Premenstrual Symptoms Screening Tool (PSST). The study was conducted in 1st August 2009 until 31thDecember 2009.RESULTS:The study revealed that 8.1% of women met the diagnostic criteria of PMDD. It was found more common among younger females 36.5% (18-25years of age), the majority of them were married (71%).CONCLUSION:PMDD is relatively common in women especially younger age group


Article
Assessment of mouth opening limitation in myogenic temporomandibular disorder patients

Author: Ahmed A Al–Tuhafi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2005 Volume: 5 Issue: 2 Pages: 180-184
Publisher: Mosul University جامعة الموصل

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Abstract

This research was to evaluate a new assessment of mouthopening limitation in myogenic temporomandibular disorder(TMD) patients. The suggested assessment was accomplishedby calculating the opening ratio (OR) which depends onthe ratio between maximum comfortable mouth opening andmaximum assisted mouth opening.There was a remarked significant difference in the ORbetween the TMD patients and control groups. There was nosignificant relationship between OR with age or sex in bothgroups. A significant reversible correlation between OR withnumber of tender muscles and temporomandibular joint tendernesswas found.It could be concluded from this research that the OR hasdiagnostic value in TMD patients, but unlike other measures,as it independent on age and gender.


Article
Prevalence of Sleep Disorders Among Children in Elementary Schools in Kirkuk City
انتشار اضطرابات النوم بين الأطفال في المدارس الابتدائية في مدينة كركوك

Authors: Abbas Lateef Muheal-deen --- . Radwan H. Ibraim
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 1 Pages: 244-250
Publisher: University of Kufa جامعة الكوفة

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Aim: The purpose of this study was to examine the prevalence rates of several symptoms of sleep disorders in young children, and the relationship between symptoms of pediatric sleep disorders and other childhood problems. Methodology: A descriptive study design , subjects consist of (600) pupils divided in to 336 male and 264 female, aged 6 to 12 years, The data were collected from 20 Kirkuk elementary schools during a period of five months extending from December, 1st , 2011 to May, 1st , 2012. Were selected through parent report and academic assessment. Reliability and validity of questionnaire were determined by performance of a pilot study. Data were analyzed through the application of descriptive statistics ( Frequency , percentage and mean) and inferential statistic analysis ( correlation coefficient and chi-Square test). Children who rated as high risk for having sleep disorder displayed more externalizing and internalizing problems, less developed academic skills, and lower scores on a measure of academic skills, as compared to children whose sleep was rated within the normal range. Results: It was found that 25% of children were at high risk for having at least one type of sleep disorder.Conclusions: High rates of sleep disorder symptoms were observed across all disorder categories, particularly in Excessive daytime sleepiness and Obstructive Sleep Apnea Syndrome . This indicates that the symptoms of sleep disorders are already apparent even at sample (6 – 12) years old.Recommendation: Early identification and intervention were crucial in order to assist children suffering from sleep disorders. Future research should focus on using larger samples in order to gain a more accurate picture of prevalence rates in this population. In addition, larger samples would more precisely determine the differences that exist between the 3 categories of risk for a sleep disorder : normal risk, moderate risk, and high risk .

الهدف: هدفت الدراسة الحالية إلى التعرف على نسب انتشار عدة أعراض اضطرابات النوم عند الأطفال الصغار , والعلاقة بين أعراض اضطرابات النوم عند الأطفال ومشاكل الطفولة الأخرى.المنهجية: دراسة وصفية لعينة من التلاميذ بواقع (600) تلميذ , تتكون من (336) ذكرا و(264) أنثى وأعمارهم تتراوح بين (6 – 12) سنة, وقد جمعت البيانات من 20 مدرسة من المدارس الابتدائية في محافظة كركوك خلال خمسة أشهر بين (الأول من كانون الأول 2011) و (الأول من أيار 2012 ) لتحقيق أهداف الدراسة الحالية . وقد جمعت البيانات من خلال استمارة الاستبيان التي وزعت بين الآباء والتقييم الأكاديمي. وتم تحديد صدق وثبات الاستبيان من خلال الدراسة الأولية , ثم تحليل البيانات من خلال تطبيق الإحصاء الوصفي ( التكرارات, النسب المئوية, والوسط الحسابي ) والإحصاء ألاستنتاجي (طريقة مربع كاي). وقد أظهرت هذه الدراسة أن الأطـفال الذين صنفوا كخطورة عالية من اضطراب النوم لديهم كثير من المشاكل الداخلية والخارجية , وتكون المهارات الأكاديمية لديهم اقل تقدما وتطورا, وكذلك النتائج كانت أوطأ على مقياس المهارات الأكاديمية , بالمقارنة مع الأطفال الذين نومهم ضمن المعدل الطبيعي.النتائج: أظهرت نتائج مقياس اضطرابات النوم عند الأطفال أن (25 %) من الأطفال الذين هم ضمن الخطورة العالية مصابون على الأقل بنوع واحـد من أنواع اضطرابات النوم . الاستنتاجات: كشفت النتائج أن المعدلات العالية لأعراض اضطرابات النوم عند الأطفال لوحظت من خلال كل أصناف الاضطرابات , لاسيما في غفوات نهارية مفرطة ومتلازمة الاختناق أثناء النوم . وهذا يشير إلى أن أعراض اضطرابات النوم تكون ظاهرة حتى في هذا العمر الصغير (6 - 12) ســنة التوصيات: التعرف والتدخل المبكـر يساعد الأطفال الذين يعانون من هذا النوع من الاضطراب , وفي البحوث المستقبلية يجب التركيز على استعمال العينات الأكبر للحصول على صورة أكثر دقة من نسب انتشار اضطرابات النوم في هذه الشريحة من المجتمع. بالإضافة إلى أن العينات الأكبر تكون أكثر دقة لمعرفة الاختلافات التي تبين الفرق بين الأصناف الثلاثة من اضطرابات النــوم ذات الخطـورة المتنوعة مثل : خطورة طبيعية , خطورة معتدلة والخطورة العالية .


Article
Management of Choanal Atresia Saad AL-juboori
طرق تشخيص و معالجة انسداد فتحتي المنخرين الخلفيتين الولادي

Author: Saad AL-juboori
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 1 Pages: 205-214
Publisher: Babylon University جامعة بابل

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Abstract

Background: Choanal Atresia is a congenital disorder in which the posterior choanae unilaterally or bilaterally fail to develop properly.The aim: To evaluate the effectiveness of the available diagnostic methods and surgical techniques for the treatment of congenital choanal atresia . Patients and methods: A prospective study of Twenty one patients The diagnosis was based on clinical examination, and by the following:1.Cold spatula test.2.Failure of passage of 6 -8F catheter tube.3.CT to confirm the diagnosis and evaluate the type and thickness of the atretic plate..4. Endoscopic nasal examination.Results: 15 of our patients were females and6 were males with age ranging between 1 day and 25 years. There was only one adult, the rest of our patients were children. 14 of our patients had unilateral atresia , and 7 had bilateral atresia. Eighteen of the patients showed mixed bony and membranous atresia, by CT scan , 3 cases show pure bony atresia . There was no case with a pure membranous atresia.Thirteen of the unilateral Choanal atresia involved the right side, and only 1 Case had left sided atresia (7.6 % ).A total of 3 cases were associated with other congenital anomalies 14 % .All of them had bilateral choanal atresia. Two of them were with atrial septal defect and one had ventricular septal defect.Ten of our patients were treated by trans-nasal non-endoscopic surgical approach Two of our patients treated by trans-palatal approach Nine of our patients underwent transnasal endoscopic surgical approach Stent was used postoperatively in 13 of our cases for 6 weeks. Only 2 of our patients who underwent surgical intervention had restenosis and required revision surgery . Conclusion: Although the transnasal endoscopic approach requires experience, special equipments and with prolonged duration of surgery, it is more accurate , minimal invasive method and provides an excellent visualization of the plate.

الخلفية : انسداد فتحتي المنخر الخلفيتين هو تشوه ولادي وقد يصيب احد أو كلا المنخرين.الأهداف: تهدف هذه الدراسة للمقارنة بين عدة طرق مستخدمة لتشخيص و علاج انسداد فتحة المنخر الخلفية. طريقة العمل: خلال الفترة من تشرين الأول 2010 الى تشرين الأول 2012، خضع21 مريض لعملية تفويه المنخر الخلفي ,7 من الذكور و14 من الإناث بعد ان تم تشخيص الحالة المرضية عن طريق المفراس الحلزوني للأنف والفسحة خلف الأنف و بواسطة ناظور الأنف .تم تقسيم المرضى الى ثلاث مجموعات المجموعة (أ) اجري لهم التدخل الجراحي عن طريق الانف و بدون استعمال الناظور. و المجموعة (ب) اجريت لهم العملية عن طريق التجويف الفموي والمجموعة (ج ) أجريت لهم العملي،بالطريقة الناظورية عبر الأنف .المعاير التي تم دراستها هي : استجابة المرضى ,الاضرار للانسجه المحيطة، و العقابيل بعد العملية . النتائج:بعد المتابعة وجدنا ان المجموعة (ج) لم يعاني اي مريض من انسداد فتحتي المنخر بعد العملية مما يتطلب إعادة العملية في حين ان مرضى المجموعة (أ ) تطلب اعادة توسيع المنخر و المجموعة (ب )تحتمل الإصابة بعقابيل بعد العملية .التوصيات:الطريقة الناظورية هي طريقة أمينة وفعالة اكثر من الطرق الأخرىلأنها تمكن الجراح من العمل بمدى رؤيا مباشر و ولكنها تحتاج الى مهارة أكثر.


Article
The Relationship between Antisocial Personality Disorder and Addiction in AL-Diwanyia Governorate Case-control
العلاقة بين اضطراب الشخصية المعادية للمجتمع والادمان في محافظة الديوانية:دراسة الشاهد والحالة

Author: Haider A. Jabor
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2016 Volume: 6 Issue: 1 Pages: 40-45
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: The aim of this study is to identify the relationship between antisocial personality disorder and addiction. Methodology: A descriptive Case-control study was conducted in AL-Diwanyia Teaching Hospital, Psychiatric Department from 6 May 2015 to 30 of June 2015 on a non-probability (purposive sample) of 20 addicted patients and 20 of healthy person were matched with them from general population. The data were collected through the use of semi-structured interview, the questionnaire prepared by Robert Harry and translation of AL-Saadani, Data was analysis through descriptive and inferential statistic. Results: The findings of the present study indicate there is relationship between antisocial personality disorder and addiction.Conclusion: The study conclude that the antisocial personality disorder was more frequent in cases than in the control group. Recommendations: Use psychotherapy specially social skills through treating of addiction.

الهدف: تهدف الدراسة الى التعرف على العلاقة بين اضطراب الشخصية المعادية للمجتمع والإدمان .المنهجية: دراسة الشاهد والحالة أجريت في مستشفى الديوانية التعليمي/ قسم الأمراض النفسية والعقلية للفترة من 6 أيار 2015 الى 30حزيران 2015 على عينة قصدية متكونة من 20 مريض من المدمنين حسب التشخيص الطبي و20 عينة ضابطة متكونة من أشخاص أصحاء اختيروا من عامة المجتمع. جمعت البيانات بإتباع طريقة المقابلة شبه المنظمة او شبه الرسمية باستخدام مقياس الشخصية السايكوباثية من إعداد روبت هاري وترجمة السعدني , وتم تحليل البيانات بواسطة الإحصاء الوصفي والاستدلالي . النتائج: تشير النتائج إلى وجود علاقة بين اضطراب الشخصية المعادية للمجتمع والادمان. الاستنتاج : استنتجت الدراسة بأنه المرضى المدمنين كان لديهم اضطراب شخصية معادية للمجتمع اكثر من المجموعة الضابطة . التوصيات: أوصت الدراسة باستخدام العلاج النفسي وخصوصا تعليم المهارات الاجتماعية اثناء علاج المدمنين .


Article
A study of clinical characteristics and psychosocial stressors in patients with conversion disorder

Authors: Waleed Azeez Al-Ameedy1 --- Maythem Al-Yasiry --- Zeid Al-Yasiry
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2016 Volume: 9 Issue: 1 Pages: 2357-2364
Publisher: Kerbala University جامعة كربلاء

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background: Conversion disorder is the term used in the Diagnostic and Statistical Manual of Mental disorders-Fourth edition classification system (DSM-IV). It was coined by Sigmund Freud.Objectives: To study and stratify the clinical presentation and psychosocial stressors of patients with conversion disorder. Method: The sample is composed of 182 patients (52 males and 130 females) referred from emergency department to psychiatry outpatient clinic. DSM-IV criteria were used to diagnose conversion disorder. The Social Readjustment Rating Scale by Holmes and Rahe which ranks the effects of life events was used in our study. Results: (70.3%) of the patients presented with psychogenic non epileptic seizures. Of the referred cases, 76.9% have had previous history of the same condition and 31.9% had previous referral to psychiatrist. There was significant association between score interpretation of the Social Readjustment Rating Scale by Holmes and Rahe and age, gender, occupation, marital status and previous admission for the same condition.Conclusion: Episodes of conversion disorders are triggered by psychosocial stressors the severity of which does not seem to correlate with the risk of relapse. The highest incidence of conversion episodes were detected in married, unemployed young females with lower levels of education. The prognosis of those patients improves with early identification and proper psychiatric assessment and management.


Article
Hypercalcemia of malignancy

Author: Talib Mohsin Husain طالب محسن حسين
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2015 Volume: 11 Issue: 19 Pages: 163-167
Publisher: Al-Qadisiyah University جامعة القادسية

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Hypercalcemia is the most common life threatening metabolic disorder associated with neoplastic diseases, occurring in an estimated 10-20% of all persons with cancer.Solid tumors (such as lung or breast cancer) as well as hematological malignancies (particularly multiple myeloma) are frequently associated with hypercalcemia.Our study aims to detect the incidence of hypercalcemia in variable malignancies,130 patients, 67 female and 63 male who are presented to surgical and medical wards as a proved cases of malignancies by histopathological and/ or cytological examination were included in a prospective study in which serum was obtained with out use of tourniquet in supine position to measure total serum calcium, from all patients collected there were only 7 having hypercalcemia, 3 out of them were having breast cancer, 1 lung cancer, 1lymphoma, 1leukaemia and 1GIT cancer, thus from this study we concluded that the breast cancer is the most common tumor associated with hypercalcemia and this can accuse hypercalcemia in female more than male.

ان ارتفاع مستوى الكالسيوم في الدم يعتبر من اغلب الاضطرابات الايضية المصاحبة لامراض السرطان والمهددة للحياة. تحدث بنسبة 10-20% من مجموع مرضى السرطان،الاورام الصلبة (مثل سرطان الرئة والثدي) وكذلك سرطانات الدم (ورم نخاع العظم المتعدد) غالبا ما تكون مصحوبة بارتفاع نسبة الكالسيوم في الدم.تهدف الدراسة لمعرفة نسبة ارتفاع مستوى الكالسيوم في الدم في انواع السرطانات المختلفة،تضمنت الدراسة (130) مريض (67) نساء (63) رجال كانوا مصابين بامراض السرطان المختلفة والمشخصة بالفحص السريري والخلوي،الكل خضعوا لدراسة منظورة تم فيها اخذ عينات من مصل الدم بدون استخدام الضاغط (تورنيكا) في وضع الاستلقاء لغرض قياس مستوى الكالسيوم الكلي في مصل الدم،اظهرت النتائج ان (7) فقط من المرضى المصابين بمختلف امراض السرطان يعانون من ارتفاع مستوى الكالسيوم بالدم (3) مصابين بسرطان الثدي (1) لكل من سرطان الدم ،الغدد اللمفاوية، الرئة والجهاز الهضمي،لقد اظهرت الدراسة ان سرطان الثدي يعتبر من اغلب السرطانات المصحوبة بارتفاع مستوى الكالسيوم بالدم وهذا ما يبرهن ارتفاع نسبة الكالسيوم لدى النساء اكثر من الرجال.


Article
The Perceptions of the elementary school teachers in Jordan towards Attention Deficit Hyperactivity Disorder (ADHD)
تصورات معلمي المدارس الاساسية بالاردن حول اضطراب تشتت الانتباه وفرط الحركة

Author: Mohannad Khalad Radwan Alshboul مهند خالد رضوان الشبول
Journal: Al-Fatih journal مجلة الفتح ISSN: 87521996 Year: 2017 Volume: 13 Issue: 69 Pages: 198-228
Publisher: Diyala University جامعة ديالى

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Abstract

The study aimed at identifying the perceptions of elementary school teachers in Jordan towards the Attention Deficit Hyperactivity Disorder and weather teachers specialization and years of experience has an effect on their perceptions. The sample of the study consisted of 377 teachers working in schools in Amman District and were chosen by simple random method. Questionnaire was designed based on teachers perceptions towards ADHD. Validity and reliability was ensured. The results indicated that teachers perception was medium. Also results indicated no significant differences based on specialization and years of teaching experience. The study suggests the importance of training teachers on enhancing their knowledge to identify students with attention deficit hyperactivity disorders.

هدف البحث إلى التعرف على تصورات معلمي المدارس الاساسية بالاردن عن اضطراب تشتت الانتباه وفرط الحركة، والكشف عن أثر التخصص، والخبرة التدريسية، في تصورات المعلمين حول اضطراب تشتت الانتباه وفرط الحركة، تكونت عينة الدراسة من (377) معلماً من العاملين بالمدارس الاساسية في مديرية التربية والتعليم لمنطقة عمان الأولى تم اختيارهم بالطريقة العشوائية البسيطة، وتم بناء مقياس لتصورات المعلمين لاضطرابات النشاط الزائد و تشتت الانتباه، وقد تم التأكد من صدقه وثباته بالتطبيق على عينة استطلاعية من خارج عينة البحث الاصلية ، وقد أشارت نتائج البحث إلى أن درجة تصورات المعلمين باضطراب تشتت الانتباه وفرط الحركة متوسطة، وقد تبين أن درجة تصور المعلمين لتشتت الانتباه متوسطة بينما تصورهم لنشاط فرط الحركة منخفضاً، وقد لوحظ عدم وجود فروق بين المعلمين في تقدير تصورهم لاضطراب تشتت الانتباه وفرط الحركة، تُعزى للتخصص والخبرة التدريسية، وأوصى البحث بضرورة تدريب معلمي المدارس الاساسية وخاصة بالصفوف الدنيا على تنمية المهارات المعرفية للتعرف على طلاب فرط الحركة وتشتت الانتباه.


Article
The frequency of agoraphobia and the comorbidity of major depressive disorder in panic disorder
تواتر الخوف من المرض والاعتلال المشترك للاضطراب الاكتئابي الرئيسي في اضطرابات الهلع

Author: Diyar Hussain Tahir
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 3 Pages: 227-232
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Panic disorder (PD) is a common disabling psychiatric con-dition that has a considerable impact on the quality of life. This study was done to estimate the frequency of agoraphobia and the comorbidity of major depressive disorder (MDD) in PD, with related sex difference.Methods: A cross sectional descriptive study, was done on patients who consulted a pri-vate psychiatric clinic for features of PD, in Erbil city from August 2009 to August 2010. A convenient sample of 118 patients, 73 females and 45 males, having PD with or without agoraphobia were taken after giving their informed verbal consent. All patients were checked for the presence of MDD. The diagnoses were done clinically, and then checked according to the diagnostic and statistical manual of mental disorders, 4th edition, text revi-sion (DSM-IV-TR).Results: Mean age of PD with or without agoraphobia was 31.1 years. Female to male ra-tio was 1.6/1. Mean age at onset was 26.3 years. Mean duration of illness was 4.4 years. Patients having PD without Agoraphobia were 81.4%, while having PD with agoraphobia were 18.6% in which the males (20%) affected more than females (17.8%). The comorbid-ity rate of MDD (mild to severe degree) in PD was 61% with higher males (68.9%) than fe-males (57.5%).Conclusion: The majority of patients with PD in our sample had a comorbid MDD. Early detection and management of PD is necessary to reduce complications and improve their quality of life.


Article
The effect of treating generalized anxiety disorder on psychoactive substance abuse and dependency in Erbil city
تأثير علاج اضطراب القلق العام على تعاطي المخدرات النفسي والاعتماد عليها في مدينة أربيل

Authors: Sirwan Kamil Ali --- Baran Kamal Albarazanjy --- Diyar Hussein Tahir
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 1 Pages: 42-46
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background & objectives: Generalized anxiety disorder is a common psychiatric disorder; it may act as a risk factor for psychoactive substance abuse and dependency development. The objectives are to assess the degree of abuse and dependency in generalized anxiety disorder patients, and the effect of treating the disorder on substances abuse and dependency. Methods: 120 patients with generalized anxiety disorder, diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), were studied from January 2007 to June 2008 for the presence of psychoactive substance abuse and dependency according to DSM-IV. All cases were managed for six months by the tricyclic antidepressant imipramine (35-75mg/day), with counseling to decrease anxiety by reassurance and anxiety management including relaxation training, in addition to supporting and encouraging the patients with abuse to stop the used psychoactive substances by a tapering schedule over weeks.Results: Substance abuse were presents in 32.5% of patients (tobacco 17.5%, benzodiazepines 13.3%, and alcohol 1.7%), this rate decreased to 13.3% (tobacco 11.7%, benzodiazepines 0.8%, and alcohol 0.8%) six months after starting treatment. The decrease in benzodiazepines abuse and dependency was greater than that in tobacco or alcohol.Conclusion: Generalized anxiety disorder appears to encourage abuse on psychoactive substances. Treating the disorder decreases abuse and using imipramine appears to have a good therapeutic effect on generalized anxiety disorder with low risk for abuse.

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