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Article
Operative dilemmas in pancreaticoduodenal injuries

Author: Haithem Abd Al.Khazrajee
Journal: Misan Journal of Acodemic Studies مجلة ميسان للدراسات الاكاديمية ISSN: 1994697X Year: 2017 Volume: 16 Issue: 31 Pages: 44-56
Publisher: Misan University جامعة ميسان

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Abstract

Abstract:A prospective study of 20 patients with pancreaticoduodenal injury over a period of more than 10 years, in this study we try to assess the best operative intervention for management of these injuries, minimal surgical intervention with simple gastroduodenal diversion like gastrojejunostomy was easy, simple and rapid method for management of these injuries with postoperative complications and mortality rate comparable to other studies worldwide and in nearby countries


Article
Management of fingertip injury in Erbil, an evaluation study
معالجة إصابة الإصبع في أربيل ، دراسة تقييمية

Authors: Rasul Hamed Awla --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 3 Pages: 518-525
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Fingertip injuries are common. Out of the various available reconstructive options, one needs to select an option which achieves a painless fingertip with durable and sensate skin cover. The objective of this study was to find out the characteristics of patients, and to describe the methods of management and the proportions of complications.Methods: A prospective study of 130 cases of fingertip injuries of patients managed from March 2009 to March 2011. The data were collected through using a questionnaire. Standardized photographs and radiographs were taken. Various reconstructive options were considered for the fingertip injuries .Statistical package for social sciences (SPSS version 17) was used for data entry and analysis.Results: Crush injury (76 cases) was found to be the commonest mechanism of fingertip injury. Various reconstructive options were considered based on the preoperative evaluation. Ninety percent of reconstructions healed uneventfully. Few minor complications occurred which responded to conservative management.Conclusion: A proper evaluation of fingertip defects is necessary to choose the best possible reconstructive option to achieve best result.


Article
Risk Factors for Mortality in Patients with Renal Injury

Author: Emad Hassan AL-Jaff
Journal: journal of kerbala university مجلة جامعة كربلاء ISSN: 18130410 Year: 2006 Volume: 4 Issue: 4 Pages: 23-28
Publisher: Kerbala University جامعة كربلاء

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Abstract

Introduction: renal trauma is the most common urologic trauma and occurs in 3% of all admissions and as many as 10% of patients who sustained abdominal trauma.Patients and methods: 36 patients had renal injury, 28 patients injured during explosion due terrorist's attacks. 30 males and 6 females, age 11-50 years.All underwent emergency resuscitation then the patients either admitted to the ward for further evaluation or underwent emergency exploration if indicated.Results: The mechanism of injury was blunt trauma in 18 patients 50%, penetrating trauma in 14 patients 38.9% and combined in 6 patients 11.1%.The grades of injury were grades I & II in 16 patients 44.4%, grade III in 8 patients 22.1%, grade IV in 9 patients 25% and grade V in 3 patients 8.3%. Other organs involvement was found in 20 patients 55.5%, 4 patients 20% had blunt trauma, 15 patients 75% had penetrating trauma and one patient 5% had combined trauma.Death occurred in 9 patients 25%, 8 (44.4%) had penetrating trauma and one patient 5.5% had blunt trauma .The commonest causes of death were septicemia and renal failure.Conclusions: Type and severity of injury and other organs involvement are important factors in mortality of patients with renal injury

تمت دراسة أصابات الكليه في مستشفى الحله التعليمي وكان عدد المصابين( 36) مصابـــا" (28)مصاب كانت أصابتهم بسبب العمليات الارهابيه والباقي كانت أصابتهم نتيجة حوادث مدنيه أخرى تمت دراسة العوامل المؤثره على الوفاة حيث ان نوع الاصابه ودرجة الاصابه مع وجود أعضــاء أخرى مصابه في البطن من العوامل الاساسيه في تحديد الوفاة وكان من اهم أسباب الوفاة هو تسمم الدم الجرثومي وعجز الكليتين .

Keywords

renal --- injury --- complication --- mortality


Article
Effect of exposure time of laser He-Ne 632.8 nm,1 m/watt on wound healing process in rabbits
أهمية وقت تعرض الجروح لآشعة ليزر هليوم-نيوم 632.8 انفراد لأشعة 0.14 جول/سم2 في تحفيز عملية الالتئام في الأرانب

Journal: Journal of Basrah Researches (Sciences) مجلة ابحاث البصرة ( العلميات) ISSN: 18172695 Year: 2010 Volume: 36 Issue: 4A Pages: 48-54
Publisher: Basrah University جامعة البصرة

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Abstract

The objective of this work was to assess a compare grossly and microscopically, the effect of exposure time of He-Ne 632.8 nm. 1 m/watt in wound healing in rabbits. For this purpose 15 adult male rabbits were used, divided into 3 groups, 5rabbits in each group. Xylazine 20 mg/kg and ketamine 10mg/kg used I/m to induce general anesthesia. Surgical open wound was made and immediately. The 1st,2nd and 3rd groups were exposure to 632.8 nm. 1 m/watts low level laser during 3,5 and 7minte. All the groups exposure was done on 1st, 3rd , 5th and 7th day. The spacement for histological studies taken on 3rd, 5th and 7th days and immediately kept in 10% buffer formaline for 24 hours. The result revealed that among three groups were the wound closed by fifth day under microscopic examination the slide show complete remodeling and natural skin layers of dermis, epidermis in comparison with groups first and 3rd. The 1st group shows fibroblast and collagen fibers fill the gap, while the third group shows mature normal structure at same stage.

ان الهدف من هذه الدراسة هو مقارنة تأثير وقت التعرض لأشعة الهليوم –نيوم 632.8 انفراد 1 m/watt عيانياً ومجهريا"اً للجروح المستحدثة في الارانب. في هذه الدراسة استخدمت خمسة عشر ارنباً (ذكر) قسمت الى ثلاث مجاميع، كل مجموعة تحتوي على خمسة ارانب. استخدم االزايلازين 20ملغم/ كغم والكيتامين 10ملغم/كغم كمخدر عام وتم التخدير بعد ان نظفت المنطقة وعقمت بمحلول صبغة الايودين ومن ثم عمل جرح بطول 5سم ومباشرةً عرضت الى الاشعة الليزرية كل حسب الوقت المحدد ففي المجموعة الاولى كان التعريض لمدة ثلاثة دقائق والمجموعة الثانية لمدة خمسة دقائق والثالثة لمدة 7دقائق. كان التعريض مباشرة في اليوم الاول واليوم الثالث والخامس والسابع وكان اخذ العينات في اليوم الثالث والخامس والسابع بعد اخذ العينات قمنا بوضعها في محلول 10% فورمالين لمدة 24 ساعة ثم مررت في محلول الايثانول وبعدها بالبرافين لتحضير القوالب المعدة للتقطيع النسيجي وصبغها بصبغة هيماتوكسلين- ايوسين. وقد لوحظ ان طول الجرح المعمول قل بعد التعريض في جميع المجاميع من 5 الى 4 سم اما المجموعة الثالثة لوحظ اضافة الى ذلك حرق في الجرح وحوافه. اما في المجموعة الاولى لوحظ رطوبة الجرح وطراوة الحواف .وان جميع المجاميع كانت خالية من الالتهابات والتقرحات كما اثبت ذلك من الفحص المجهري للشرائح المحضرة واستنتج من البحث ان المجموعة الثانية كانت المثالية بسبب الالتئام السريع واستكمال النمو النسيجي واغلاق الجرح بصورة طبيعية وكاملة حيث ظهرت طبقات الجلد متميزة الى طبقة الأدمة وتحت الأدمة. مقارنة مع ماوجد في المجموعة الاولى اذ كانت لفايبروبلاست والكولاجين يملأن جوف الجرح بينما في الثالثة هنالك اعادة للتنظيم والتميز الا انه لازال غير ناضج بصورة غير متكاملة.

Keywords

Laser --- injury --- wound healing .


Article
HISTOPATHOLOGICAL CHANGES IN ADULT MALE RAT’S LIVER INDUCED BY CONTINUOUS DARKNESS

Authors: Samia A Eleiwe سامية عباس عليوي --- Basim Sh Ahmed باسم شهاب احمد --- Salman S Salman سلمان شفبق سلمان
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 3 Pages: 249-254
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:It is well known that liver is an endocrine as well as exocrine gland; it also synthesizes, accumulates, detoxifies and transports certain substances. Melatonin is the principle hormone of the pineal gland, which is mainly secreted at night and it is definitely documented to regulate the physiology of all tissues and cells keeping their normality.Objective:This work is designed to study the effect of continuous darkness on hepatic tissues.Methods:Adult Wister albino rats were kept in complete 24 hours darkness for successive 4 periods. Rats were divided into 16 groups. Group II, III, IV and V were left in continuous darkness for 2, 4, 6 and 8 weeks, respectively. Group I†, Group I††, Group I†††, and Group I†††† were the control groups for group II, III, IV and V correspondingly. After the last day of the dark period for each group, the animals were dissected under effect of anesthesia. The liver was weighed and right lobe of liver was processed for study its histopathology.Results:The results showed no important histopathological effect on short and medium periods, while on long periods; there was histopathological changes represented by clear lobulation and inflammatory cell infiltrations.Conclusion:Continuous darkness affects the hepatic tissues of rats depending on the length of exposure.Key words:Melatonin, Darkness, Liver injury.

Keywords

Melatonin --- Darkness --- Liver injury.


Article
Ocular trauma in Mosul. Descriptive study
الإصابات العينية في الموصل. دراسة توضيحية

Author: Amer Y. Rajab عامر يحيى رجب
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2013 Volume: 39 Issue: 2 Pages: 128-131
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACTObjective: To determine the incidence of ocular trauma (OT) in Mosul.Methods: Retrospective case series study of (156) patients of OT admitted to Al-Jamhori Teaching Hospital, who were referred from emergency department to ophthalmic unit during one year from 1st Jan. till 31st Dec. 2010. Data regarding age and sex of patients, and types, causes and season of injuries were noted.Results: About 4.4% (156 out of 3307) of patients admitted to ophthalmic unit as (OT) in one year period and 4.3% of operations (101 out of 2335) done for OT in operative theater, 85.2% were males, and 89.1% were 30 years and younger. Mean age was 15.8 years ± 13.2 SD, 60.3% (94/156) were open-globe injuries and there were seasonal differences.Conclusion: Young age males were mostly affected and open-globe injuries were the commonest types. Also there were seasonal differences.

الخلاصةالهدف: لتحديد الوضع الوبائي لصدمة العين في الموصل.التصميم: دراسة تراجعية.المكان: شعبة العيون في المستشفى الجمهوري بالموصل.النتائج: 156 مريضا 85,2% من الذكور. 89,1% أقل من ثلاثين سنة. 60,3% من الإصابات من إصابة كرة العين المفتوحة معدل الذكور/الاناث 5,8 :1, 4,4% أدخلوا الى ردهة العيون و 4,3% من عمليات العيون هي للإصابات العينية وأكثر الإصابات بالربيع والخريف. أسباب الإصابة من ألعاب الأطفال النارية وإصابات القنابل والسيارات المفخخة والأدوات المنزلية.الاستنتاج: حملة توعية الى الآباء والأمهات للإهتمام بالأطفال وطرق لعبهم. لأن أكثر الإصابات تحدث عند الأطفال الذكور وفي فصلي الربيع والخريف.

Keywords

Ocular --- trauma --- OG injury


Article
Evaluation of Cutaneous Approaches to The Orbital Skeleton Inmanagement of Facial Injuries

Author: Majeed Abd Al-Razzaq Baheer
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 3 Pages: 836-848
Publisher: Babylon University جامعة بابل

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Abstract

The aim of the study was to evaluate the cutaneous approaches to the orbital skeleton & making a comparison among various types of these approaches into each aspects of the orbit with consideration of intraoperative visibility, functional & esthetic results. 24 patients requiring 47 incisions for repairing their orbital fractures, had been reviewed,and distributed as following; 10 eyebrow incisions (21.2%),7 temporal incisions (14.9%), 7subciliary incisions (14.9%),6 inferior rim incisions (12.7%), 5 subtarsal incisions (10.6%),4 lacerated wounds or previous scars (8.5%),2 crow's foot incisions (4.2%), 3superolateral incisions (6.4%), 2 lynchincisions (4.2%) and 1 bicoronal incision (2.1 %). These approaches were evaluated according to their visual field, functional, cosmetic&post-operative complications depending on type and position of the incision, intraoperative time consuming and period of tissue manipulation. Scar appearance for each incision was graded as invisible,barely visible & visible.¬ The study recorded two cases of transient scleral show (16.6%) and one case of transient moderate ectropion (8.3%).The surgical access to various parts of the orbit, operating time, potential damage to adjacent anatomical structures, and acceptability of the scar and the development of postoperative complications are important factors which have to be considered when choosing the approach to the orbit.

Keywords

orbital --- Facial --- Injury --- Cutaneous


Article
Incidence of facial soft tissue injuries among patients attending surgical casualty reception in Rojh-halat emergency hospital
حدوث إصابات في الأنسجة الرخوة في الوجه بين المرضى الذين يراجعون استقبال الحالات الجراحية في مستشفى الطوارئ روزهلات

Authors: Omed I. Shihab --- jalal Hamasalih Fattah --- Rasool Hamed Awlla
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 300-304
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Facial soft-tissue injuries are the most common injuries presenting to surgical causality reception. The present study aimed to provide a preliminary data base about the distribution, type, pattern and etiology of facial soft tissue injuries. Methods: In a prospective clinical study all patients with facial injury were enrolled in this study, over a ten months period (from 1st October 2010- 1st July 2011), who attended Surgical Casualty Reception in Rojh-halat Emergency Hospital. A questionnaire was used to collect patients’ database and relevant information. The wound configuration was divided as laceration, abrasion and contusion as well as the site of facial soft tissue injuries were recorded using the modified MCFONTZL system. Results: A total of 168 patients with facial soft tissue injuries were received and managed at Surgical Casualty Reception in Rojh-halat Emergency Hospital. The age of the patients were ranged from 1-80 years old. Most of the patients were within the age range of 1-10. Male patients constitute 62.5% of the cases. The most common etiology of facial soft tissue injury was falls. Regarding type of the injury, laceration was the most common type. The lips and chin region were mostly involved. Conclusion: Fall is the most common cause of facial injury. Lower third of the face is mostly involved. road traffic legislations have a role in decreasing road traffic accidents.

Keywords

face --- soft tissue --- injury


Article
MRI finding versus arthroscopic finding regarding ACL injury

Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 1 Pages: 10-14
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Abstract 25 patients, 20 male patients and 5 female patients with knee joint injury, all of them with single knee joint injury. 25 knee joints are examined during this study, all patients are perform MRI in different centers send with report of the MRI from expert radiologist. They perform arthroscopy in Al Sadder medical city from January 2013 – October 2014. The aim of this study is to confirmed or unconfirmed ACL injury after clinical examination and MRI which they perform to them either in our center or other centers. The majority of ACL injuries 70% occur while playing agility sports, and the most often reported sports are football. About 70% of ACL injuries are sustained through noncontact mechanisms, while the remaining 30% result from direct contact. The aim of this study is to assess the diagnostic value and compare the accuracy (sensitivity and specificity) of MRI to arthroscopic finding regarding the ACL injury.

Keywords

MRI --- ACL injury --- Radiologist


Article
Management of Liver Injury; An Experience from Baghdad Teaching Hospital

Author: Tariq Al-aubaidi*, Mohannad kamel Al Bermani**, Ahmed Mohammed***
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 3 Pages: 290-297
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: The liver is the second most commonly injured organ in abdominal trauma, liver injury could be caused by trauma to abdomen, lower chest and back (blunt or penetrating injury) and may be associated with high mortality and morbidity depending on the mechanism of injury and associated injuries. OBJECTIVE: Discuss the types and grades of liver injury, assess treatment modalities and identify morbidity and mortality caused by liver injury. PATIENTS AND METHODS: This is a prospective study; included 60 patients admitted with liver injury within period of 13 months from (1st.January 2015- 31 st. January 2016) in Baghdad Teaching Hospital, Only patients who underwent operative management were included in this study. They were analyzed according to their age, gender, and mechanism of injury, site of trauma, physical examination, investigations, and details of management which include operative management.RESULTS: In this study, most injured patients were male 54 (90%) patients and 6 (10%) patients were female. The peak incidence of age was in those between 20-29 years, 28 (46.67%) patients while the lowest incidence was in those between 50-60 years, 2 (3.33%) patients. 52 (86.67%) patients had penetrating liver injury making it the most common type of injury and 8(13.33%) patients had blunt liver injury. The patients in this study were diagnosed by clinical examination, imaging study and exploratory laparotomy. 23 (38.33%) patients had grade II liver injury making it the most commonly encountered grade of injury while 19 (31.67%) patients had grade III as second most common grade of injury. Diaphragmatic injury was the most common associated organ injury with liver injury 30 (50%) patients. Surgical options for treatment of liver injury depend on general condition of the patients and grade of liver injury; simple suturing (hepatorrhaphy) with gelfoam was the most commonly used modality of treatment. Regarding postoperative complications, wound infection was the most common postoperative complication 8 (13.33%) patients followed by respiratory complications in 6 (10%) patients, jaundice in 5 (8.33%) patients, bile leak in 3 (5%) patients ,subphrenic collection in 3 (5%) patients ,disseminated intravascular coagulopathy (DIC) had occurred in 3 (5%) patients, bleeding occurred in 2 (3.33%) patients, hemobilia occurred in 1 (1.67%) patient and liver abscess and necrosis occurred in 1 (1.67%) patient .CONCLUSION: The most common grades of liver injury were grade II and grade III. The mortality rate increases with increasing the evidence of vascular injury.

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