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Article
Fine Needle Aspiration Cytology In Bone Lesions

Authors: Wahda M. AI- Neaimy --- Kassim S.Ibrahim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 1 Pages: 74-76
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

OBJECTIVE: To assess the efficiency of fine needle aspiration cytology (FNAC) in the diagnosis of bone/esions PATIENT AND METHODS This Prospective study was conducted in the orthopedic surgical wards at Al- Zahrawi teaching hospital of the Mosul city over one year period from 2003-2004.Thirty seven patients presented with bone lesions were included in this study. The lesions were provisionaly diagnosed by clinical and radiological methods. RESULTS: The results of the aspirated lesions include 20 malignant lesions, 8 tumour like lesions, 5 benign and potentially malignant lesions and 3 inflammatory lesions . In one aspirate the materials was inadequate The results were compared with the histopathological diagnosis. CONCLUSION: FNAC of bone lesion is safe, quick, easy, economical and helpful in planning the correct therapy

Keywords

Bone --- FNAC --- Lesion.


Article
The Pattern of Skin Lesion in a Sample of Iraqi Diabetic Patients
نمط إصابات الجلد في عينة من مرضى داء السكري العراقيين

Authors: Khalil l. Hamdi د. خليل إسماعيل الحمدي --- Sarkis K. Strak د. سركس
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 1 Pages: 78-80
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract: Five hundred thirty two diabetic patients were studied during a period of 3 years their ages ranged between 11-74 years with a mean age of 37.8 years. The male: female ratio was 1.5:1.The diabetes in 186 patients (34.9%) was of insulin dependant type while in the remaining 346 patients (65.1%) the disease was of non-insulin dependant variety. The duration of the disease among our patients varied from six month to 19 years. The skin lesions were detected in 294 (55.3%) of the patients. The dry scaly skin with exaggeration of normal markings and varia1ble degree of hair loss particularly affecting the skin of the lower Limbs, in addition to shin spots and increased susceptibility to various infections were the commonest skin lesions reported in the patients.The occurrence of skin lesions in diabetic patients was found to be proportional to the duration, type and the state of the control of the disease. In conclusion, skin should not be forgotten as a common site for long term diabetic complication.Key Words: skin lesion, diabetes mellitus

الملخص: تمت دراسة 532 مريضا مصاب بداء السكري خلال ثلاث سنوات وكانت أعمارهم تتراوح بين 11-74 عاما وبمتوسط عمر يساوي 37.8 سنة كما كانت نسبة الذكور الى الاناث 1:1.5 ان داء السكري في 186 مريضا (34.9%) كان معتمدا على الأنسولين في علاجه بينما كان الباقون (346 مريضا) لا يتعاطون الأنسولين وكانت مدة المرض في المرضى المشمولين في الدراسة تتراوح بين 6 شهور-19 عاما0 لقد عثر على الطفح الجلدي في 55.3% من المرضى المصابين بداء السكري وكان جفاف البشرة وتقشعرها مع زيادة وضوح خطوط الجلد وفقدان الشعر بدرجات متفاوته وخصوصا في الأطراف السفلى بالإضافة الى بقعة الساق وازدياد الإصابة بالتهابات الجلد الخمجية اكثر الإعراض الجلدية انتشارا بين مرضانا0أثبتت الدارسات كذلك آن مدة الإصابة بداء السكري ونوع العلاج ودرجة السيطرة على مرض السكري هي اكثر العوامل تاثيرا في نسبة الإصابة بالطفح الجلدي ذي العلاقة بهذا المرض0 ويمكننا الاستنتاج بأننا يجب آن لا ننسى الجلد كموقع محتمل لمضاعفات السكري على المدى البعيد وقد تهدد إصابات الجلد هذه حياة المريض


Article
Assessment of Cysts and Cystic-Like Lesions of the Jaws and Their Effect on Adjacent Structures by Using Cone Beam Computed Tomography (CBCT)

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Abstract

Background: Preoperative radiographical assessment of the maxillofacial lesions is of a great importance in guiding the surgeon during surgical procedure in reducing post-operative complications. This study highlighted the application of CBCT scan in the assessment of maxillofacial cystic and cystic like lesions as a part of advanced radiology Materials and methods: A total of 20 patients (15 males and 5 females) participated in this prospective study. CBCT scan (Kodak 9500 CBCT) with (DICOM) software utilized to perform scanning to all patients in order to assess lesion extension, morphological features and it’s relation to the adjacent vital structures.Results: In this study, the total cystic and cystic like lesions involving the maxilla and mandible were (20) lesions. Statistical analysis of the collected data showed no significant differences between the radiographical records and surgical findings regarding diagnostic accuracy of the lesions.Conclusion: The validity of the CBCT in the assessment of maxillofacial cystic and cystic like lesions was similar to the surgical findings regarding lesion extension, expansion, perforation of buccal/or lingual plates, and relation to the adjacent vital structures.

Keywords

CBCT --- Jaw --- cystic lesion


Article
Poststroke Depression In Relation To Different Brain Lesions
اكتئاب ما بعد السكته ( الصدمة الدماغية ) وعلاقتها بأضرار الدماغ المختلفة

Authors: Dr.Hayder . M.Ali, د. حيدر مخلف علي --- Dr.Hussein Hlail Wda"a AL-Sayyad د. حسين هليل وداعة
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2010 Volume: 4 Issue: 2 Pages: 59-73
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

ABSTRACTObjectives: This study is aimed at the pathoanatomic correlates of depression in the postacute stage of patients with stroke. Methods: Of a consecutive series of 47 stroke patients, with single demarcated unilateral lesions was selected. Clinical examination, neuroradiological, CT scan examination, and psychiatric assessment were performed within a 2-month period after the acute stroke. Depression was assessed with the Beck Inventory Scale ( BIS ) and DSM-IV-R criteria. The neuroradiological examination of all patients was performed on the same scanner, lesion location, lesion volume, and ventricle-to-brain ratio were analyzed. Results : We found no significant differences in depression scores between patients with left and right hemisphere lesions and no correlation between the severity of depression and the anteriority and or the volume of lesion or brain atrophy. Major depressive disorders were only found in nine patients with left hemisphere lesions, all involving the basal ganglia, whereas none of the patients with right hemisphere stroke exhibited major depression. Conclusions: Lesions in the vicinity of the left hemisphere basal ganglia tend to play a crucial role in the development of major depression after the acute stage of stroke. The pathophysiological implications of this finding are discussed.

الملخص : الأهداف: تهدف الدراسة الى تحديد العلاقة بين الاضرار التشريحية المرضية والاكتئاب لمرضى السكتة ( الصدمة ) الدماغية الطرق: تم أنتخاب (47) مريض بصورة متوالية مصابين بضرر محدد أحادي الجانب . وأجري لهم الفحص السريري , الفحص الشعاعي بمفراس الدماغ , والتقويم النفسي ,خلال شهرين مابعد السكتة الدماغية . تم تقويم الاكتئاب بمقياس بيك , ومعايير الاكتئاب للمصنف الامريكي الرابع. علما أن الفحص الشعاعي العصبي ( مفراس الدماغ ) لجميع المرضى تم بنفس التقنية موقع الضرر , حجم الضرر ونسبة البطين – الى – الدماغ تم تحليلها جميعاًالنتائج: لم يتم أستخراج أختلاف واضح في معدل درجات الاكتئاب بين المرضى المصابين في الفص الايسر والمرضى المصابين في الفص الايمن , ولاتوجد علاقة بين شدة الاكتئاب وامامية (الفص الامامي ) او حجم الضرر او ضمور الدماغ .اضطرابات الاكتئاب العظمى موجودة لدى تسعة مرضى فقط كان لديهم ضرر الفص الايسر للدماغ . معظم المرضى كان لديهم ضرر في العقدة القاعدية , بينما لا يوجد أي مريض مصاب بضرر الفص الايمن للدماغ يعاني من نوبة اكتئاب عظمى . الأستنتاج: الاضرار المجاورة الى العقدة القاعدية للفص الايسر للدماغ تلعب دورا حاسما في نشوء نوبات الاكتئاب العظمى بعد السكتة (الصدمة ) الدماغية .


Article
ETIOLOGICAL STUDY OF SOME PULMONARY LESIONS IN BUFFALOES IN SOUTHERN OF IRAQ
دراسة وبائية لبعض المسببات الجرثومية والطفيلية للافات الرئوية في الجاموس

Author: Mahdi Murshed Thweni مهدي مرشد ثويني
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2006 Volume: 5 Issue: 1 Pages: 127-133
Publisher: Basrah University جامعة البصرة

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Abstract

The present study is an attempt to determine the Etiology (Bacterial & Parasitic) ofBuffaloes Pulmonary Lesions. For this purpose samples of(105) affected lungs were collected’ "from abattoirs. of the cities in southern part of Iraq named (Basra, Amara, Nassirya and theQurna). * 1Samples of the investigation were obtained through the examination of a total of (917) lungapparently healthy buffaloes examined in six months period from 1st of October 1980 to endofMarch 1990.Among the encountered Pulmonary Lesions, (68) = eases ((>4.7(>%) were associated withbacterial isolation and from (6) cases (5.71%) no etiology identified.The various bacterial isolates associate with different pulmonary lesions are mentioned and it'ssignificance is discussed. Pulmonary parasitic infection were encountered in (31) cases« (29.5%) of all types of lung affection observed among which one case (3.2%) was caused byV Dict. viviparous and one case of migration of liver flakes (Fasciola gigantic) twenty nine(93.2%) due to larval ofthe tape worm (echinococcus granulose ).


Article
Pattern of Breast Lesions in A Breast Clinic in Kirkuk, Iraq
نمط أمراض الثدي في عيادة الثدي في كركوك، العراق

Author: Nahrain John Aziz د0 نهرين جون عزيز
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 3 Pages: 212-215
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The pathology profile of breast lesions is still not well defined in Kirkuk province and the rest of IRAQ. Breast diseases constitute a heterogeneous group, in which benign neoplasm is the leading lesion. Knowledge of the pattern of such lesions can provide better understanding of its causes natural history and preventive strategies. Objective: The aim of this study is to evaluate the pattern of breast lesions in patients who consulted the breast clinic in Kirkuk, during a nine years period (Jan 1994 – Jan 2003) in order to assist initiation of further studies to highlight the natural history of breast diseases mainly breast cancer.Methods & patients: The study consists of (2000) patients, with breast problems who consulted the breast clinic in Kirkuk. The outline of the breast lesions are tabulated and classified as inflammatory, benign and malignant, in addition to other lesions like congenital, functional, and developmental ones. Results: Inflammatory lesions are the commonest in this study (30.7%) followed by benign neoplasm (22.25%), malignant (6.9%) and other benign conditions (40.15%). Conclusion: The rate for breast lesions varied in different studies where benign neoplasm constituted the most common one followed by malignant lesions, inflammatory and other lesions. In this study inflammatory disease is the commonest breast lesion followed by benign and then by malignant neoplasm. Key words: Breast lesion, breast clinic, Kirkuk

الخلفية: ان اللمحة الباثولوجية لأمراض الثدي ما زالَتْ غير مححدة في محافظةِ كركوك وبقيّة انحاء العراق. ان أمراض الثدي تُشكّلُ مجموعة متباينة، تقودها في الصدارة الاورام الحميدة. ان معرفة نمطِ هذه الأمراض يُمْكِنُ أَنْ يُزيّد منَ معرفة أفضلَ لأسبابِها وطبيعتهاِ وإستراتيجياتِها الوقائيةِ.الهدف: إنّ هدفَ هذه الدراسةِ هو تقييمَ نمطَ أمراض الثدي في المرضى الذين إستشاروا عيادةَ الثدي في كركوك، أثناء فترةِ تسعة سَنَواتِ (كانون الثّاني 1994 - كانون الثّاني 2003) وهذا يُساعدَ في انجاز دراساتِ أخرى لإبْراز التأريخِ الطبيعيِ لأمراضِ الثدي وبشكل رئيسي سرطان الثدي.طرق العمل والمرضى: إنّ الدراسة َشملت 2000 مريضة إستشارتْ عيادةَ الثدي في كركوك تشكو من مرض في ثديها. إنّ خلاصةَ أمراض الثدي اوجزت بجدول وصنّفُت كالتهابية او حميدة او خبيثة بالاضافة الى آامراض الثدي الاخرى الولادية والوظيفية والتطويرية. النتائج: شكلت أمراض الثدي الالتهابية في هذه الدراسةِ (30.7 %) وتلت من بعدها الاورام الحميدة (22.25 %)، ثم الاورام الخبيثة (6.9 %) وتليها الحالات الحميدة الآخرى (40.15 %).الخاتمة: ان نسبة أمراض الثدي تَفاوتتْ في الدِراساتِ المختلفةِ حيث شكّلَت الاورام الحميدة أكثر شيوعاً تلتها الاورام الخبيثة ِ، ثم الامراض الالتهابية والحالات الاخرى. اما في هذه الدراسة فقد شكلت أمراض الثدي الالتهابية الاكثرية تلتها الاورام الحميدة ومن ثم الاورام الخبيثة.


Article
Orbital Hydatid Disease: A case study of young patients with primary orbital lesion.

Author: Hayder A. Alhemiarya
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2014 Volume: 10 Issue: 1 Pages: 52-55
Publisher: Baghdad University جامعة بغداد

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Abstract

Background:This is a prospective study of three children presented to us in the Orbital clinic in AL ShahidGazi Al Hariri Hospital with painless proptosiswith suspension of Hydatid disease.Objectives: : Orbital hydatid disease is a rare lesion accounting for less than 1% of the total lesions of the body (1, 2). Orbital cysts presented as a primary lesion in our study which is rare to have such lesion without involvement of other organs (3). Humans represent the intermediate host where the commonly affected organ are liver and the lung (10-15%) (4). Methods:This is a prospective study of three Children presented to us in the Orbital clinic in Al Shahid Ghazi Alhariri Hospital with painless proptosis with suspension of Hydatid disease, depending on the cultural background and baseline investigation done elsewhere, during the period from Jan. 2012 to Jan. 2013.Results:Three children presented to us with painless proptosis one of them involving the right eyewhile the other two involve the left eye. One of patients male aged only three years while the other two were females aged nine and thirteen years of age. After radiological investigations two of the Children found to have a cystic extraconal lesion in superolateral angle of the orbit while the other one his lesions found in the superomedial angle of the orbit. The first two surgically approached by lateral orbitotomy while the other one by medial orbitotomy trying to avoid rupture of the cysts. After histopathological investigation of the lesions the diagnosis was confirmedasHydatidcyst.conclusions:Hydatid cyst of the Orbit is uncommon disease account for less than 1% of the total orbital lesions of the body.Haydatid disease of the orbit more common on the left side.The most common sites involved in the Orbit are the superolateral and superomedialangle.Haydatid disease of the orbit can present as a primary lesion without evidence of involvement of other part of the body.Haydatid disease of the orbit can present below 7 years of age.Haydatid cyst of the orbit can be removed intact with meticulous dissection


Article
EXPRESSION OF P53 PROTEIN IN NEOPLASTIC AND NON NEOPLASTIC OVARIAN LESIONS

Authors: Fahem M. Mahmood فاهم محسن محمود --- Haider S. Kadhim حيدر صباح كاظم --- Liqaa R. Al Khuzaee لقاء رياض موسى الخزاعي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 3 Pages: 280-284
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Ovarian cancer is one of the most common causes of gynecologic neoplasm all over the world.Objective:The objective is to shed light on the role of p53 protein and patient`s age in the pathogenesis of ovarian lesions.Methods:Paraffin embedded blocks of 62 patients with ovarian lesions were studied. Thirty-five cases of surface epithelial ovarian tumors, (31 cases of invasive surface epithelial ovarian tumors, and 4 cases of borderline intermediate malignancy cases of neoplastic ovarian cystic lesions). In addition, eighteen cases of benign neoplastic ovarian cystic lesions and 9 cases of non- neoplastic functional one were enrolled in this study. All of cases included, were stained with p53 by immunohistochemistry.Results:Immunohistochemistry for p53 showed that malignant cases were positive for p53 while all benign cases were negative for p53 and the borderline cases were also negative for p53. The non-neoplastic cases were negative for p53. There is a significant statistical difference in P53 expression in malignant cases compared to other groups (P < 0.001). A significant difference in mean age of malignant and border line cases in comparison with benign and non-neoplastic cases; (P < 0.001).Conclusion:Protein p53 may play a role in the pathogenesis of malignant ovarian cancer but not in benign lesions. The age of the patient has a role as a risk factor in ovarian lesions.Keywords:Ovarian lesion, ovarian cancer, p53, immunohistochemistry.


Article
Prospective Clinical Study Evaluating The V Flap for Surgical Endodontic Treatment of Periapical Lesions

Authors: Yahya A.Ali يحيى علي --- Riad G.altaee رعد الطائي --- Haitham.Y.Mohammad هيثم ياسين محمد
Journal: Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان ISSN: 20731213 Year: 2015 Volume: 3 Issue: 1 Pages: 83-88
Publisher: Tikrit University جامعة تكريت

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Abstract

The aim of this study was to evaluate the V shaped flap for surgical endodontic treatment of periapical lesions. The study included 62 patients in good general health, referred to the Department of oral surgery in the specialized center of Dentistry in Basra between March 2009 and June 2010, for surgical endodontic treatment. V shaped flap was used in all cases. Our intraoperative and postoperative clinical findings regarding the implentation of the vestibular V flap in surgical treatment of periapical diseases, have confirmed its individualy. It was perform the procedure which enabled a traumatic retraction with abundant blood supply and repositioning with a few stitches. the following day 62.9% of the patients experienced no pain, and mild swelling of the surgical site was evident in 79 % of the cases. The healing was complete, without any signs of tissue retraction and dehiscence.


Article
DIAMETER, THICKNESS AND DISCORDANCE DEGREE OF SOLITARY PULMONARY CAVITARY LESION TO DIFFERENTIATE BENIGN FROM MALIGNANT LESIONS, A MUTLISLICE CT STUDY.

Authors: Ammar Mosa Jawad --- Mohammed Abd kadhim --- Husham Jubran Mousa
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 1 Pages: 9-14
Publisher: Basrah University جامعة البصرة

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Abstract

DIAMETER, THICKNESS AND DISCORDANCE DEGREE OF SOLITARY PULMONARY CAVITARY LESION TO DIFFERENTIATE BENIGN FROM MALIGNANT LESIONS, A MUTLISLICE CT STUDY. Ammar Mosa Jawad *, Mohammed Abd kadhim# & Husham Jubran Mousa@ *MB,ChB, Radiologist in The Medical Collage, Al-Nahrain University. #MB,ChB, FIBMS, Radiologist, Professor in The Medical Collage, Al-Nahrain University, Consultant Radiologist in Al-Imamain AlKadhimain Medical City, Baghdad Iraq. @MB,ChB, FIBMS, Specialist Radiologist in Al-Sader Teaching hospital, Basrah, IRAQ. Absctract Cavities are frequent image findings in a variety of pulmonary diseases including both lung cancer and pulmonary tuberculosis, Computed Tomography (CT) is accepted as the modality of choice for detection of possible cavitating pulmonary nodules. The aim of this study is to assess the role of diameter, thickness and discordance degree of solitary pulmonary cavitary lesion to differentiate benign from malignant lesions in multislice CT. This cross sectional study was done in the Computed Tomography Unit of Al-Imamain Al Kadhimain Medical City, Baghdad, Iraq and Al-Sader Teaching Hospital, Basrah, Iraq between October 2016 and June 2017. All patients are with solitary pulmonary cavitary lesions detected by chest x-ray referred for different reasons. Exclusion criteria included: multiple cavitary lung lesions, patients with known lung carcinoma or pulmonary tuberculosis on treatment, and patients receiving chest radiotherapy for different reasons. CT examination of the chest was performed by multi-detector CT (Somatom definition edge, SIEMENS (256 slices)) with 2 sets of CT examination one before and another after giving IV nonionic iodinated contrast medium (Ultravist 370 mg /ml), 1.5 ml/kg Body weight. The final diagnosis was obtained depending on the sputum culture for AFB, bronchoscopy and biopsy, bronchoscopy and brush cytology and true cut biopsy. Eighty percent of the patients were diagnosed as having benign lesions and 20% were diagnosed as having malignant lesions, the most frequent diagnosis was TB (60%), followed by squamous cell carcinoma (14%), lung abscess (10%), hydatid cyst (10%), adenocarcinoma (4%), and metastasis (2%). The discordance of CT scan (FDCW3) show highly significant association with malignant solitary cavitary lesions, while CT concordance (FCCW1 and FCCW2) were significantly associated with benign solitary cavitary lesions (p<0.001). A highly significant association was observed between increased mean thickness and increased mean diameter of lesion and malignant solitary cavitary lesion (p<0.001). In conclusion, multi-slice computerized tomography is an appropriate diagnostic modality for differentiation between benign and malignant solitary pulmonary cavitary lesions. Increased diameter and thickness of pulmonary cavities and increased discordance degree are more likely to predict malignancy.

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