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Article
Management of Esophageal Foreign Bodies, retrospective study.

Authors: Uday H.Juma محمود هادي --- Abdulameer M.Hussein --- Mohammed H. Nemat
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2011 Volume: 53 Issue: 1 Pages: 35-39
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Foreign body impaction in the esophagus is a common problem. Our Objective is to draw conclusions from a retrospective over viewing a number of cases to assess current methods of management and to come out with recommendation from collected experience.Patient and method: A retrospective study of (62) patients admitted to the Department of Thoracic and Cardiovascular Surgery at Medical City Teaching Hospital from January 2002 to December 2004 with history of foreign body swallowing and impaction. Six patients excluded from the (62) patients after having negative esophgoscpic findings. On presentation, history about type and time of ingestion, associated signs and symptoms were recorded, x- ray was taken. Rigid esophagoscopy or direct laryngoscopy and Magill forceps has been used. After the procedure completion, type and site of the foreign body and state of esophageal mucosa at the site of impaction were recorded. Chest X-ray done postoperatively in certain patients when we had peroperative findings of bleeding, suspicion of perforation. All patients except 2 were discharged within 24 hours after the procedure.Results: The results showed that the commonest age group was among children between 1-10 years (27) patients, and 77% of the patients presented with dysphagia as the most common presenting symptom, site of impaction mostly in upper third of esophagus 68%, and 68% of the FB were radiopaque. Types of the FB were versatile but 50% of them were metalic objects.Conclusion: Esophageal FB is a common problem especially among children; it requires urgent intervention because of its deleterious complications if left untreated.Suspecion is enough indication especially in children. Management requires good experience in using the appropriate tools like Magill forceps, which is safe and quick in good hands.Keywords: Foreign body, esophagus

Keywords

Foreign body --- esophagus


Article
ANTOMICAL AND HISTOLOGICAL STUDY OF ESOPHAGUS IN
دراسه تشريحيه ونسيجيه في للمري البط المحلي

Author: Shehan. N. A ناظم عزيز شيحان
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2012 Volume: 11 Issue: 1 Pages: 13-22
Publisher: Basrah University جامعة البصرة

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Abstract

Esophagus of geese was tubular organ situated at right side of the body. it was divided into,cervical and thoracic part, the cervical part longer than thoracic part.The length of cervical part ,crop, thoracic part were recorded and the mean and S.D. wasfounded: 16. 4,1 .35cm;7.3,1.06cm;3.83,0.57cm respectively.The crop was merely enlargement fusiform in shape which located at the entrance of the thorax.The esophagus parts showed that composed of four layer, the mucosa, sub mucosa, muscular andserosa. The mucosal layer was thickened in the thoracic part than the crop and constituted bythick nonkertenized stratified squamous epithelium, lamina propria and mucous glandsThemucous glands and nodular lymphatic tissues in was rich in thoracic part. The sub mucous layerwas no evidence and composed of loose connective tissues, the muscular layer constituted bycircular inner and longitudinal extra.Serosa layer composed of connective tissue, collagen andelastic fibrous.

يعد المري في البط عضو انبوبي يقع عند الجانب الايمن من الجسم ويقسم الى جزئين هما العنقي والصدري الجزء العنقياطول من الجزء الصدري, بلغ المعدل والانحراف المعياري للطول كل من الجزء العنقي والحوصلة )الجزء الصدري( لها4سم، 13 ,,سم.على التوالي , أظهرت الدراسه بان الحوصله في البط عباره عن تركيب ,, 3سم ،,,,,: 1 ,,؛4,, 4سم، 1 ,,1مغزلي الشكل يقع في مقدمة الصدر..

Keywords

Esophagus --- fusiform --- serosa.


Article
COMPARATIVE STUDY OF TRANSVERSE AND OBLIQUE PARTIAL RESECTION OF ESOPHAGUS IN DOG
دراسة مقارنة للتفمم المائل والمستعرض للقطع الجزئي للمرئ في الكلاب

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Abstract

This study has been done to evaluate the effect of transverse and oblique anastomosis on esophageal healing. Partial esophagectomy were performed on sixteen adult dogs, animals were divided into two equal groups ,in the group one a transverse anastomosis ,while in group two oblique anastomosis were done . Two layers of simple interrupted pattern were used to closed the anastomosis site, the first layer was oppose the mucosa and submucosa by simple interrupted suture with the knots tided inside the lumen and the second layer was appose muscularis and adventitia by simple interrupted suture using catgut (2.0). The results of histopathological and radiological were revealed that ,the healing of group two was faster than group one ,which manifested by collagen fiber formation with complete mucosal formation in a shorter time compared with group one . In addition to that the mean degree of stenosis was less in second group at 30 days post operation(14.24±0.21), in spite of no significance difference between two groups at the level of p≤ 0.05.

الخلاصةتهدف هذه الدراسة الى تقييم تأثير التفمم المائل والمستعرض على التئام المرئ؛اجريت الدراسة على ستة عشر كلبا بالغا حيث قسمت حيوانات التجربة الى مجموعتين متساويتين’ المجموعة الاولى استعملت طريقة التفمم المستعرض بينما استعملت طريقة التفمم المائل في المجموعة الثانية اظهرت تتائج الفحص الشعاعي والنسجي حصول الالتئام في المجموعة الثانية بصورة اسرع مما عليه في المجموعة الاولى والذي تميز بتكون الياف الكولاجين مع تكوين الكامل للمخاطية في وقت اقصر مقارنة مع المجموعة الاولى، بالاضافة لذلك كان معدل درجة التضيق أقل مما هو عليه في المجموعة الثانية عند اليوم 30 بعد العملية (14.24±0.21 )بالرغم من عدم وجود فروقات معنوية بين كلا المجموعتين عند المستوى ( 0.05.(p≤

Keywords

transverse --- oblique --- resection --- esophagus


Article
ENDOSCOPIC DILATATION OF ESOPHAGEAL STRICTURES IN CHILDREN: CAUSES AND OUTCOME IN 47 PATIENTS
التوسيع التنظيري لتضيق المرىء لدى الأطفال: الأسباب والنتائج في 47 مريضا

Authors: AZAD J. ALI ازاد علي --- ARAS A. ABDULLAH اراس عبدالله --- TAHA A. KARBOLI طه كربولي --- ADNAN MH. HAMAWANDI عدنان حموندي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2010 Volume: 4 Issue: 2 Pages: 30-38
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background and Objectives Esophageal strictures in children have serious effects on the child health; the advances in digestive endoscopy opened the door for many therapeutic options, mainly endoscopic dilatation. The aim of the current study was to assess the causes of esophageal strictures in children and the outcome of endoscopic dilatation in Kurdistan center for gastroenterology and hepatology.Methods Retrospective study of 47 children with esophageal strictures undergone endoscopic dilatation at Kurdistan center for gastroenterology and hepatology.Results The predominant cases were corrosive strictures 46.8%, followed by postoperative 25.6% and peptic 21.3% strictures. They were submitted to 257 dilatation sessions, patients with corrosive strictures required more dilatation sessions and were discharged later than the other causes for esophageal stricture. Forty patients 85.1% were discharged; three were referred to surgery, while four are still undergoing the dilatation sessions. Esophageal perforation complicated the course in 2 cases (0.8% per procedure).Conclusion Endoscopic dilatation of esophageal strictures in children is a relatively safe procedure with good results and low rate of complications.

خلفية واهداف البحث: تأثيرات تضيق المرىء على صحة الطفل خطيرة، وفتحت التطورات الحديثة في تنظير الجهاز الهضمي الباب لعدة خيارات للمعالجة منها لاتوسيع التنظيري. الهدف من الدراسة هو دراسة أسباب تضيق المرىء لدى الأطفال و نتائج التوسيع التنظيري في مركز كردستان لأمراض الجهاز الهضمي.طرق البحث: دراسة ارتجاعية ل47 طفلا لديهم تضيق المرىء، اجري لهم توسيع المرىء التنظيري في مركز كردستان لأمراض الجهاز الهضمي .النتائج: كانت الحلات السائدة هي تضيقات عقابيل تناول المخرشات (الأحماض والقلويات) 48,6 %، يليها تضيقات عقابيل العمليات الجراحية 25,6 %, ثم تضيقات نتيجة ارجاع المعدي للمرىء 21,3%. أجرى 257 جلسة توسيع لكافة المرضى, احتاج مرضى تضيق الرىء جراء المخرشات الى جلسات توسيع أكثر من بقية المرضى كما تاخروا في اكتساب الشفاء. أربعون مريضا اكتسبوا الشفاء التام، ثلاث مرضى احياوا للجراحة فيما يستمر اربعة مرضى في جلسات التوسيع. انثقاب المرىء كان الاختلاط في حالتين من المرضى.الاستنتاج: التوسيع التنظيري لتضيق المرىء لدى الأطفال طريقة امينة نسبيا وذات نتائج ايجابية جيدة مع نسبة ضئيلة من الاختلاطات.

Keywords

Endoscopy --- esophagus --- Stricture --- Dilatation


Article
Overexpression of HER-2eu receptor protein in Urinary Bladder Carcinoma, An Immunohistochemical Study.

Authors: Rehab H. Saheb --- Hadeel A..Kerbel --- Rawaa G Al-Tereihi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2011 Volume: 53 Issue: 2 Pages: 175-179
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Bladder carcinoma is one of the most common cancer worldwide, it accounts for 6.5% of all cancers, with highest incidence in industrialized countries .It represents the fourth most common cancer in men and the eighth in women. Bladder carcinoma depends in its pathogenesis on a combination of genetic and environmental factors, these factors produce phenotypic changes that allow normal transitional cells to become cancerous and finally acquire the “malignant phenotype". Many attempts had been tried to explore the role of some genetic abnormalities encountered in bladder carcinoma. It has indicated that many genetic abnormalities may underline the pathogenesis of cancer evolution of urinary bladder like VEGF , P53, Bcl2 and RB, but nowadays a scientific efforts have raised the possible role of Her-2/neu in bladder carcinoma, and the rate of its overexpression in bladder carcinoma is ranging from 2% - 74%.
Objective: To estimate immunohistochemical expression of HER-2eu receptor protein in Urinary Bladder Carcinoma in relation to other parameters; sex grade, pattern of tumor and stage of tumor .
Methods: The present work is performed in the Department of Pathology and Forensic medicine, College of Medicine, Kufa University. Formalin fixed, Paraffin-embedded blocks from 60 (43 males and 17 females) patients with urinary bladder carcinoma were included in this study. A group of 12 patients with chronic cystitis were included as a control group. Avidin-Biotin Complex method was employed for immunohistochemical detection of HER-2eu.
Results: HER-2eu overexpression was positive in 41.6% of urinary bladder carcinoma, while there was no expression in benign bladder tissue (P<0.05). HER-2eu immunohistochemical staining was positively correlated with, grade and stage of urinary bladder carcinoma (P<0.05).
Conclusion: These findings support the role of HER-2eu in the carcinogenesis of urinary bladder carcinoma regarding behavior, and aggressiveness, and thus HER-2eu could be considered as a poor prognostic parameter in urinary bladder carcinoma.


Article
LECTIN HISTOCHEMISTRY OF TRACHEO-ESOPHAGEAL REGION IN CHICK EMBRYOS

Authors: Hayder J Mubarak حيدر جواد مبارك --- Amal A. Al-Taee امال علي الطائي --- Ali Sh. Al-Araji علي شعلان الراجي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 1 Pages: 4-11
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Glycosylation is an important modification involved during embryonic development. Lectins are specific carbohydrate-binding proteins; they can be employed as specific probes to localize defined monosaccharide and oligosaccharides on cell surface and on cytoplasmic structures, and in extracellular matrix.Objectives:The lectins (SBA, PNA, WGA, SWGA, UEA-I) binding were used as a sensitive, stable, and easy tool that can provide an extraordinarily sensitive detection for changes glycosylation and carbohydrate expression that may occur during embryogenesis and development of trachea-esophageal region.Methods:Fertilized chick eggs were incubated at 38 °C, embryos were fixed with Bouin’s solution. Sections were treated with fluoresce ineisothiocyanate (FITC) labeledlectins.Results:The histochemical study during the 2ndand 3rddays of development revealed variable tempo-spatial variability of lectin bindings to the mesenchymal tissues and other embryonic structures at the trachea-esophageal region.Conclusions:The lectin bindings could be an indicator for the glycoconjucate changes that play an essential role in developmental phenomenon of trachea-esophageal morphogenesis by marking cellular differentiation, cellular migration, and cellular interactions.Key words:Trachea, esophagus, chick, embryo, lectin, histochemistry.

Keywords

Trachea --- esophagus --- chick --- embryo --- lectin --- histochemistry


Article
Pathological study of some esophageal lesions of slaughtered sheep in Mosul abattoir
دراسة مرضية لبعض آفات المريء في الأغنام المجزورة في مجزرة الموصل

Author: E.K. Al-Hamdany انتصار خزعل الحمداني
Journal: Iraqi Journal of Veterinary Sciences المجلة العراقية للعلوم البيطرية ISSN: 16073894/20711255 Year: 2020 Volume: 34 Issue: 1 Pages: 145-151
Publisher: Mosul University جامعة الموصل

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Abstract

This study includes collection of 120 samples of sheep esophagus from slaughtered sheep in Mosul abattoir from December 2013 to March 2014 for detection of lesions and their incidence. Total 85 esophagus samples showed lesions from the total collected samples. The revealed lesions included disturbance of cell metabolism manifested by coagulative necrosis, sloughing of epithelial lining the esophagus and vacuolar degeneration at incidence rate 67.7, 23.5 and 17.6% respectively, circulatory disturbances like petechial, diffuse hemorrhage and edema were noticed at incidence rate 7.05, 4.7 and 3.5% respectively. Also results showed epithelial hyperplasia, fibroplasia and hyperkeratosis at 47, 24.7 and 31.7% of the total collected samples respectively, whereas eosinophilic inflammation of esophagus appeared at 3.5% of collected samples. Jaundice represent the disturbance in pigmentation reported at ratio of 16.4%, also additionally there was parasitic infestation represented by sarcocystosis and worm infestation which impeded in muscularis layer of esophagus at percentage ratio 50.5% and 3.5% respectively and a single case of esophageal diverticulosis was recorded at percentage ratio of 1.17%. Section that stained which Masson trichrome stain showed fibroplasia with proliferation of fibroblasts that take a bluish green color between muscle fibers.

تضمنت الدراسة الحالية جمع 120 عينة من مرئ الأغنام المجزورة في مجزرة الموصل للفترة من كانون الأول 2013 الى أذار 2014 للتحري عن وجود الآفات المرضية العيانية والنسجية ونسبة حدوث هذه الآفات في العدد الكلي للعينات المفحوصة، كان عدد العينات التي أظهرت آفات مرضية في 85 عينة. اظهر الفحص العياني والنسجي وجود آفات تمثلت باضطرابات الأيض الخلوي، النخر التجلطي، والتوسف الظهاري فضلا عن التنكس الفجوي وبنسب حدوث 64.7 و 32.5 و 17.6% على التوالي. فيما كانت الآفات المتمثلة بالنزف في أجزاء المريء المختلفة (نزيف حبري ومنتشر) فضلا عن الوذمة وبنسب حدوث 7.05 و 4.7 و 3.5% على التوالي، بينما أظهرت مقاطع نسجية أخرى وجود فرط تنسج النسيج الظهاري والضام وفرط التقرن وبنسب حدوث 7% و24.7 و 31.7% على التوالي، فيما كانت النسبة المئوية لظهور التهاب المريء الحمضي في 3.5% من العينات، في حين شكلت نسبة حدوث اليرقان 16.4%، فضلا عن الإصابات الطفيلية المتمثلة بداء المكيسات العضلية عيانيا تكون على شكل حبات الأرز المطبوخ على السطح المصلي للمرئ. أما نسجيا تتواجد بين حزم الألياف العضلية في الطبقة العضلية وتسبب ضمور في الألياف العضلية مع الوذمة كذلك الإصابة بالديدان الخيطية وبالنسب المئوية 50.5 و3.5% على التوالي فضلا عن تسجيل حالة إصابة برتج المريء وبنسبة 1.17%، كذلك تم استخدام صبغة الماسون ثلاثي الكروم وذلك للكشف عن وجود التليف حيث لوحظ زيادة في إنتاج الأرومة الليفية بين حزم الألياف العضلية. نستنتج من الدراسة الحالية أن المريء وباعتباره جزء مهم من الجهاز الهضمي يصاب بالعديد من الآفات العيانية والنسجية متمثلة بالنزف، الوذمة، انسلاخ للخلايا الظهارية المبطنة للمرئ، التليف، فرط التقرن، التهاب المريء الحمضي، اليرقان بالإضافة الى الرتج.


Article
Histological structure of the cervical segment oesophagus in goats and sheep (Comparison study)
التركيب النسجي للجزء العنقي للمرئ في كل من الماعز والاغنام (دراسة مقارنة)

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Abstract

Twelve adult animals of both goats and sheep were used in this study. The segments of oesophagus from the anterior 3rd (cervical part) were taken from six samples of goats and six samples of sheep. The segments of 0.5cm were processed by histological techniques which were stained by haematoxylin and eosin and examined under light microscope. The results of this examination revealed that, both species of animals had the for layers which were the tunica mucosa, submucosa, muscularis and adventitia, the mucosa had stratified squamous epithelium with variable amount of keratin on its surface, the lamina properia was formed by dense connective tissue with the presence of thin zone of muscularis mucosa, while in sheep the keratin on the surface of epithelium was more and the lamina properia was thinner than goat, but the muscularis mucosa was formed by masses of smooth muscle fibers more than goat. The sub mucosa was more condensed with connective tissue in goat than sheep with the presence of medium and small sized blood vessels. In this layer in both animals. The tunica muscularis of both were formed by skeletal muscle fibers, in goat were arranged into three directions which were inner circular, middle oblique and outer longitudinal, while in sheep was found as inner circular and outer longitudinal. finally, both animals were containing outer layer of loose connective tissue called tunica adventitia and in sheep had more fat cells invaded this layer with blood vessels, fat cells and nerves.

تم استخدام اثنى عشر حيوان من كل من الماعز والاغنام في هذه الدراسة. اخذت عينات من المرئ للجزء الامامي العنقي لستة عينات من الماعز ومثلها من الاغنام وبحجم نصف سم مكعب. جميع العينات اجريت عليها التقنية النسجية والصبغ بالهيماتوكسلين والايوسين, ثم الفحص تحت المجهر الضوئي. اظهرت النتائج من هذا الفحص بان كلا الجنسين لها تركيب متشابه في هذا الجزء من المرئ وهو مؤلف من غلالات هي, الغلالة المخاطية, الغلالة تحت المخاطية, الغلالة العضلية والغلالة البرانية. الغلالة المخاطية في الماعز تكونت من ظهارة مطبقه حرشفيه مع تباين في وجود مادة الكيراتين على سطحها, ووجود الصفحة الأساسية المكونة بواسطة نسيج رابط كثيف ووجود عضلة المخاطية كنطاق ضيق من الحزم العضلية الملساء, بينما في الاغنام طبقة الكيراتين على سطح الظهارة كانت اكثر والصفيحة الاساسية مؤلفة من طبقة رقيقه من النسيج الرابط مقارنة مع الماعز وعضلة المخاطية كانت اكثر كثافة مما في الماعز. الطبقة تحت المخاطية كانت اكثر كثافة كنسيج رابط في الماعز مما في الاغنام, مع وجود اوعية دموية متوسطة الحجم وصغيرة في كلا الجنسين. الغلالة العضلية في الماعز ترتبت بثلاث اتجاهات داخلي دائري, وسطي مائل وخارجي طولي وجميعها من النوع الهيكلي, بينما في الاغنام كانت مرتبة داخلي دائري وخارجي طولي ومن النوع الهيكلي ايضا. اخيرا فان الغلالة البرانية تألفت من نسيج رابط رخو في كلا الجنسين واحتوت على اوعية دموية واعصاب مع وجود خلايا دهنية في الاغنام اكثر مما في الماعز.


Article
The Esophageal Cancer

Author: SAMIR MUHIELDEEN
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2005 Volume: 47 Issue: 1 Pages: 12-16
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Squamous carcinoma accounts for majority of esophaged cancinoma Most patients with esophaged cancer are middle aged or elderly with make to female ratio 2.5:1.Aim of study : to present a fairly representative picture of the carcinoma of esophagus in' yemen.Patients& Methods: Seventy-six patients were treated for carcinoma of esophagus over a 5 - year period by cardiothoracic and vascular surgeon working in Sana a - Yemen. Amongst them there were thirty one men and forty-five women, with male/female ratio 1:1.45, age incidence (range 38 - 40year).Results:. Adenocarcinoma was 65% of cases and other 35% was squamous cel! carcinoma. The major risk factors were founded chewing quat, silicon particles, thermal injury, diet deficient in vitamin, tannic acid (strong tea and sorghum wheat).The mortality rate was more than 15%, 9% females and 6% mates.Conclution: this study showes that acceptable early results for the treatment of esophaged cancer, can be obtained by a surgeon working in hospital with relatively basic facility . the cancer services may well improve long - term outcomes by facilitating both the deliver of multimodality conbined treatment <& the performance of large scale clinical trials . Although it is hoped that this wilt be accompanied by continuing improvement in surgical results.


Article
Anatomical and histological study of esophagus in (Lorasmelonocephalus) at Basra city
دراسة تشريحية ونسيجية لمرئ النورس في مدينة البصرة

Author: M.A .Ali محمد عباس علي
Journal: Al-Qadisiyah Journal of Veterinary Medicine Sciences مجلة القادسية لعلوم الطب البيطري ISSN: 18185746 23134429 Year: 2014 Volume: 13 Issue: 1 Pages: 120-123
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

The study carried out on (10) esophagus specimens of healthy sea gull birds (Lorasmelonocaphalus). The length of the esophagus (both the cervical and the thoracic parts) was found 2.85±0.3 cm. The esophagus was situated between the oropharynx and glandular part of the stomach. It was a thin walled and elastic muscular tube. The histological examination showed that it was composed from four layers. The first layer lined by stratified squamous keratinized epithelium which based on lamina properia that contain mucous glands in the thoracic part of esophagus while the second layer the sub mucosal layer consist of mucous gland followed by muscularis layers which consist of two layers, circular inner layer and longitudinal external layer based on serosal layer.

اجريت الدراسة الحالية على (10) من النوارس وذلك للتعرف على التركيب التشريحي والنسيجي لمرئ النورس ان معدل طول المريء 2.85 سم ± 0.3(الانحراف المعياري) واظهرت الدراسة ان المريء يقع بين التجويف البلعومي والمعدة وهو انبوب عضلي مطاطي ذو جدار رقيق .عند الفحص النسيجي اظهر ان المريء يتركب من اربع طبقات الاولى منها تبطن بواسطة النسيج الطلائي الحرشفي المطبق المتقرن الذي يستند على الصفيحة اللبادية والطبقة تحت المخاطية والتي تحتوي على الغدد المخاطية في الجزء الصدري للمريء وبعدها الطبقة العضلية والتي تتكون من طبقة عضلية دائرية وطبقة عضلية طولية خارجية تستند على الطبقة المصلية.

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