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Article
The Prevalence of psychiatric morbidity among patients attending a dermatological clinic in Nineveh province in 2012
وانتشار الأمراض النفسية بين المرضى الذين يراجعون عيادة الأمراض الجلدية في محافظة نينوى في عام 2012

Author: Radhwan Abdul Majeed Al- Tuhafy *, Dhilal Ahmad Deab Al – Jumaily **, Mazen Hashim Flieh
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2013 Volume: 19 Issue: 1 Pages: 149-158
Publisher: Tikrit University جامعة تكريت

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Abstract

Back ground: This study was done to provide the prevalence and pattern of psychiatric morbidity in dermatological outpatient attendees. Three hundred dermatological patients attending the dermatology outpatient clinic in Ibn-Sena teaching hospital in Mosul. The Arabic version of general health questionnaire version-28 (GHQ-28), was applied as a screening tool in this study. Those scoring 6 and above were considered possible cases on the GHQ-28, were interviewed using the ICD-10 checklist. Conclusion:- One hundred twenty three of them (41%) were confirmed as actual psychiatric cases. Younger age group, females, economically poor, those with long duration of illness, those with lesions in exposed parts of the body had higher prevalence rates.

الى الوراء في الميدان: تم إجراء هذه الدراسة لتقديم انتشار ونمط المرض النفسي في العيادات الخارجية الحضور الجلدية. ثلاثمائة مرضى الأمراض الجلدية يترددن على العيادة الخارجية للأمراض الجلدية في مستشفى ابن سينا التدريس في الموصل. النسخة العربية من استبيان الصحة العامة الإصدار 28 (القيادة العامة-28)، وقد طبقت كأداة فحص في هذه الدراسة. واعتبرت تلك بتسجيله 6 أو أعلى حالات محتملة على القيادة العامة ل-28، وأجريت مقابلات مع استخدام المرجعية ICD-10. وتأكدت مائة ثلاثة وعشرين منهم (41٪)، والحالات النفسية الفعلية -: الاستنتاج. وكان الأصغر سنا الفئة العمرية، الإناث، فقيرة اقتصاديا، وتلك مدة طويلة مع المرض، مع تلك الآفات في الأجزاء المكشوفة من الجسم أعلى معدلات انتشار.


Article
The outcome of newborn admitted in neonatal care unit, center teaching hospital of pediatric , Baghdad Al-krakh, 2015

Authors: Dr. Riyadh Mraweh Ibrahim . --- **Dr.Bushra Jabbar Hashem
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 1 Pages: 43-51
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Neonatal period is a very vulnerable period of life due to many problems, In spite of advances in perinatal and neonatal care still, the mortality rate of neonate high especially in developing country The World Health Organization estimates that globally four million neonatal deaths per year, Developing countries account for around 99% of the neonatal mortality in the world, In Iraq. Neonatal mortality rate about 19 per 1000 live births which represent 56% of child death below 5 years age in 2012. The hospital in the study represents the larger pediatric hospital in Iraq. It contains 400 children's beds and 24 neonatal incubators.Aims of the study: are to determine the institutional new-born case fatality rate and the cause of death in the neonatal care unit.Method; The study is cross-section study of the population sample of neonatal care unit of central teaching hospital of pediatric in Baghdad Al-krakh health directorateResult: Study appear total neonate admission during 2015 was 1977 neonates mortality rate 9% Four main causes of death were Respiratory related condition, Bacterial sepsis, Disorder related to short gestational and low birth weight not relayed to elsewhere classification and congenital malformation 37.5%, 33.3%, 7.1% and 7.1% respectively while the main primary cause of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis and 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of morbidity and mortality can prevent by appropriate intervention

Keywords

Mortality --- Morbidity --- Neonate


Article
Factors Affecting Morbidity and Mortality Rates in the Management of Perforated Duodenal Ulcer
العوامل المؤثرة على معدل الاصابات والوفيات في علاج قرحة الاثنى عشري المنفجرة

Authors: Ahmed Abd Al-Raheem AL-Zubaydi احمد عبد الرحيم الزبيدي --- Nada M. Jawad ندى محمد جواد كاظم
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 1 Pages: 69-74
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract: Objectives: To assess the surgical management of perforated duodenal ulcer with regards to certain factors and determined the association of these factors with morbidity, mortality& complication. Patients & Methods: A total number of 60 patients with duodenal perforations were included in this cross-sectional study. They were treated in Baghdad and Tikrit Teaching Hospitals during the period from July 2001 to Dec. 2002. Results: The patients with perforated DU were 55 males 91.7% & five females 8.3% with age ranging from 18-65 years and the mean age was 35 years. Only three died so the case fatality rate was 5%, complications developed in 14(23.3%) patients. Some factors play a role such as age, duration between perforation and treatment, Extent of peritonitis, shock, type of surgery, concurrent medical diseases and, history of DU.Conclusion: We can conclude that elderly shocked patients who presented late and gave at least one concomitant medical disease have significantly higher morbidity, mortality. Key words: Morbidity, Mortality, Perforated Duodenal Ulcer.

الملخص:التعرف على نوعية العملية الجرحية لمعالجة قرحة الاثنى عشري المنفجرة ومعرفة العوامل المؤثرةالتصميم: دراسة مقطعيةالمكان: مستشفى بغداد ومستشفى الكندي التعليمي الطريقة: جمعت المعلومات للمرضى المراجعين(60 مريض) وتم استجواب المرضى عن بعض العوامل المؤثرة ( العمر,تاريخ الاصابة بالقرحة, الصدمة, مدة انفجار القرحة,شدة ومدى التهاب غشاء البريتون, وجود الامراض الباطنية المرافقة ونوع العملية الجراحية التي اجريت)الدراسة بدات من تموز 1998 الى كانون الاول1999 جمعت المعلومات وتم تحليلها باستخدام التكرارات والنسبة المئوية ومربع كاي. النتائج:- كان عدد المرضى60(55 ذكور, 5 اناث) والاعمار بين(18-65 سنة) وعدد الوفيات ثلاثة(5%) والمضاعفات التي ظهرت لدى 14 مريض (23.3%) ودرست كافة العوامل المؤثرة وكان عامل العمر لا توجد علاقة احصائية معنوية بينما في حالة الفترة بين المعالجة وفترة حدوث انفجار القرحة ومدى انتشار التهاب البريتون ومرافقة امراض باطنية اخرى كانت هناك علاقة احصائية معنوية بينما لا توجد هذه العلاقة في حالة الصدمة وتاريخ سابق للقرحة ونوعية العملية الجراحية الاستنتاج:- ان المتقدمين بالعمر ولديهم صدمة قبل مراجعة المستشفى وتاخر حضورهم ولديهم احد الامراض الباطنية المرافقة للمريض كانت هناك علاقة كبيرة في حالة الاصابة والوفيات والمضاعفات.


Article
THE EFFECT OF PERITONSILLAR INFILTRATION WITH MEPECAINE-L ON TONSILLECTOMY MORBIDITY IN ADULTS

Authors: Ali J Auda --- Ahmed A Alansary --- Abdulwahab B Abdulwahab
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2017 Volume: 23 Issue: 1 Pages: 8-13
Publisher: Basrah University جامعة البصرة

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Abstract

THE EFFECT OF PERITONSILLAR INFILTRATION WITH MEPECAINE-L ON TONSILLECTOMY MORBIDITY IN ADULTSAli J Auda*, Ahmed A Alansary#& Abdulwahab B Abdulwahab@*MB,ChB, CABS, ENT Dept, Basrah General Hospital. #MB,ChB, FICMS, Consultant Otolaryngologist, Head-ENT Dept, Basrah General Hospital. @MB,ChB, FICMS, ENT Specialist, ENT Dept, Basrah General Hospital.Abstract Tonsillectomy is one of the most common performed procedures in ENT practice, it may be associated with bleeding and postoperative throat pain which are significant morbidities. The aim of this study is to evaluate the effects of peritonsillar infiltration with (Mepecaine-Levonottrdefrin) on tonsillectomy duration, intraoperative blood loss and early post-operative pain in adults. In this case-control study; fifty adults aged between 18-32 year were included, they were 34 females and 16 males who underwent tonsillectomy in the period between November 2011 and April 2012 at Basrah General Hospital, Iraq. Unilateral peritonsillar injection with Mepecaine-L (Mepecaine 2% - Levonorderfrin 1:20000) were infiltrated to one side and compared with the other side for the following parameters: operation duration, intraoperative blood loss and early post-operative pain score. There was no statically significant difference in the duration of operation between the test and control side (P>0.05); There was significant reduction in the blood loss in the tested side (P< 0.001); and also significant reduction of the early postoperative pain (P<0.001). No significant intraoperative or postoperative complications were noticed. In conclusion, the use of peritonsillar infiltration with Mepecaine-L before tonsillectomy is a safe and effective method that significantly reduces the blood loss and relieves the pain in adults after tonsillectomy.


Article
DIARRHEAL DISEASES AMONG HOSPITALIZED CHILDREN OF LESS THAN TWO YEARS OF AGE
أمراض الإسهال لدى الأطفال اقل من سنتين الذين تم إدخالهم إلى المستشفى

Authors: Saleem M.B. د.حقي طاهر مشهد, م.د. معد بكر سليم* --- Al-Mayahi H.T
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2005 Volume: 23 Issue: 1 Pages: 1-7
Publisher: Basrah University جامعة البصرة

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Abstract

ABSTRACT This study was done in Basrah Maternity and Child hospital from January 2002 till the end of December 2002 to determine the proportion of children less than two years of age with diarrheal diseases among hospitalized children and to study the morbidity and mortality of these patients. A child less than two years of age with diarrhea represents the leading cause of hospitalization and constituted (35%) of the total admission during the study period. Infants less than one year of age represent (64.9%) of all cases of diarrhea and the remaining were above one year of age. About (74.9%) of these cases were acute diarrhea and (25.1%) were chronic cases. Age of less than one year and associated malnutrition were the two most important predictors of development of chronic diarrhea. Sex of patients did not influence the occurrence of acute and chronic diarrhea. The duration of diarrhea and the age of patient determined the outcome of cases. Acute cases among infants less than one year of age have higher mortality than those children above one year of age. No death reported for acute cases above one year. The case fatality for chronic diarrhea was (49 % for under I year and 7.15 % for those above 1 year) and it is about 8 times more than that of acute cases. This mortality rate is more than the reported rate in the literatures by about two times, reflecting the need for improving the management of these of children.

أجريت هذه الدراسة في مستشفى البصرة للولادة والطفل من شهر كانون الثاني 2002 لغاية نهاية شهر كانون الأول 2002 لتحديد نسبة الأطفال من فئة عمر اقل سنتين والمصابين بأمراض الإسهال ضمن الأطفال الذين تم إدخالهم إلى المستشفى خلال هذه الفترة، وكذلك لدراسة مراضية ووفيات أمراض الإسهال لدى هذه الفئة من المرضى. تبين أن أمراض الإسهال لدى المرضى من الفئة العمرية اقل من 2 سنة يمثلون السبب الرئيسي للدخول إلى المستشفى خلال الفترة التي أجريت فيها الدراسة, وكان (35%) من الدخول الكلي للمستشفى بسبب أمراض الإسهال . كما تبين أن (64,9%) من هؤلاء الأطفال من الفئة العمرية اقل من 1 سنة. حالات الإسهال المزمن كانت تمثل (25,1 %) من جميع الحالات للعمر اقل من 2 سنة والباقي (74,9 %) كان يعاني من إسهال حاد. كانت سوء الحالة التغذوية للمريض وكون عمره اقل من 1 سنة العاملين الرئيسين في إصابة المرضى بالإسهال المزمن. لم يتبين في هذه الدراسة وجود تأثير لجنس المريض على إصابة المرضى بالإسهال الحاد أو المزمن. عمر المريض وفترة إصابة المريض بالإسهال كانا العاملين المؤثرين في تحديد وفيات المرضى. لدى المرضى المصابين بالإسهال الحاد كانت الوفيات حصرا ضمن الفئة العمرية اقل من 1 سنة ولم تسجل وفاة في الأطفال أكثر من عمر 1 سنة، على الجانب الآخر كانت نسبة الوفيات لدى الأطفال المصابين بالإسهال المزمن (9,4% للأطفال اقل من سنة واحدة و 7,15 % للأطفال أكثر من سنة واحدة), وان هذه النسبة تعادل تقريبا 8 أضعاف معدل الوفيات لدى الأطفال المصابين بالإسهال الحاد, كما إن هذه النسبة أعلى من المعدلات الواردة في المصادر التي تمت مراجعتها مما يحتم وجوب تحسين طريقة معالجة مثل هذه المجموعة من المرضى.


Article
Role of Early Surgical Repair of Penile Fractures

Author: Malath Anwer Hussein
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 3 Pages: 330-335
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Fracture of the penis is a relatively rare condition that is defined as a rupture of the tumescent corpora cavernosa as a result of blunt trauma, most commonly during sexual intercourse or masturbation, which needs urgent surgical intervention to achieve good postoperative outcome.OBJECTIVE:To study the etiology and outcome of early surgical repair in patients presenting with fracture of penis.MATERIAL AND METHODS:This study carried out in the surgical departments of Al-Kindy teaching Hospital from June 2005 to March 2011. Patients with the clinical diagnosis of fracture penis were admitted and operated. All patients were admitted to the hospital 2 to 10 hours after injury. No invasive investigation was used for diagnosis. The treatment was surgical in all cases with subcoronal circumferential degloving incision, evacuation of hematoma and primary suturing of the tunica tear with absorbable suture. No drain was used and a light compression dressing was done in all patients. Catheter was removed on the second postoperative day. All patients had were followed up for 3-12 months postoperatively.RESULT:During the study period 30 patients aged 19 to 42 years, presented with a penile fracture were operated for fracture penis. Mean age at presentation was 31 years. The commonest cause of fracture penis was due to sexual intercourse. The commonest mode of presentation was with a cracking sound, local pain and immediate detumescence (90%, 96% & 100% respectively). All patients showed penile haematoma. None of the patients had urethral bleeding. All patients were surgically treated; at the time of surgery unilateral albugineal rupture was found in all cases. With follow up all cases were able to achieve an adequate erection. No complications such as deformations, penile plaque or erectile dysfunction were reported. Average hospital stay was 3.4 days.CONCLUSION:The commonest cause of fracture penis is due to sexual intercourse. The best treatment option is immediate surgical repair to obtain better functional outcome and to avoid potential complications


Article
Epistaxis :Retrospective study of hospitalized patients
نزيف الانف: دراسة استرجاعية للمرضى الراقدين في المستشفى

Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2013 Volume: 16 Issue: 2 Pages: 1-6
Publisher: University of Kufa جامعة الكوفة

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Abstract

Epistaxis is a common otolaryngological emergency and is often due to lesions within or around the nose or due systemic conditionsAim of the study: To describe the cases of epistaxis that are admitted at our hospital Study design: Retrospective ,descriptive study Place and time: This is a retrospective study described the cases of epistaxis that are admitted to Al Sader Teaching Hospital ,Najaf-Iraq from January 2009 to December 2011.Patients and method: The study evaluated 20 cases of epistaxis that were admitted in Al-Sader Teaching Medical City in Najaf –Iraq from the period of January 2009 to December 2012 . The hospital records of the patients were reviewed and data collected regarding .age ,gender, type of epistaxis , methods of treatments, any associated systemic disease(s) and the time of hospital stay . These variables were collected , tabulated , analyzed and compared with other similar studies,The results: Twenty cases of epistaxis that required admission to Al-Sader Medical city were enrolled in our study. We found that epistaxis has bimodal age of presentation with 8 (40%) patients at age 20-29 year and 8(40%) patients at age of 60- 69year. Male to female ratio was (2.3:1). Anterior epistaxis was more common than posterior epistaxis.15 patients (75 %) had some sort of systemic diseases; the most common was hypertension in 8 (40%) patients. Non surgical method of treatment in the form of nasal packing was performed in all patients. The mean hospital stay was (3.85) days. NO mortality detected in our study.

يعتبر نزيف الانف من اكثر حالات الطوارىء شيوعا في اختصاص امراض الانف والاذن والحنجرة الهدف من هذه الدراسة هو لدراسة حالات النزف الحادة التي تم ادخالها الى المستشفى للتعرف على الطرق المتبعة في علاجها وهي دراسة استرجاعية وصفية واجريت في قسم الانف والاذ ن والحنجرة في مدينة الصدر الطبية /النجف /العراق .اخذت المعلومات من سجلات المرضى الراقدين بسبب النزيف من الانف من الفترة ما بين كانون الثاني 2009 الى كانون الاول 2012، وتضمنت هده المعلومات العمر والجنس ونوع النزيف كونه امامي ام خلفي والطرق التي اتبعت في علاج المرضى وفترة الرقود وكذلك تمت دراسة الامراض العامة لدى المرضى والتي قد تكون مسببة للنزف اوساعدت في زيادة شدته


Article
Ischemic Heart Disease Mortality, Morbidity and Risk Factors of Coronary Care Unit Patients

Author: Ali Hussein Salih
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2014 Volume: 7 Issue: 1 Pages: 35-40
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Ischemic heart disease (IHD) is the commonest type of heart disease .It causes more deaths and disability and incurs greater economic costs than any other illness. Gender, age, hypertension, diabetes mellitus, smoking, hyperlipidemia and family history are obvious risk factors. In acute state it may be complicated by life threatening arrhythmia, heart failure, circulatory failure and cerebrovascular accidents.Aims of study: To evaluate the patients with ischemic heart disease admitted to the coronary care unit of Baquba teaching hospitalPatients and Methods: A total of 160 cases of patients with various symptoms of ischemic heart disease including chest pain, dyspnea, and palpitation are evaluated in the coronary care unit of Baquba teaching hospital by history taking, physical examination, and Electrocardiogram, echocardiogram, and lab tests with continuous follow up until discharge from the coronary care unit.Results: From total number 97(60.62%) patients were males,58 have myocardial infarction and 39 have angina .The rest of the patients were females 63 (39.38%),41 of them have angina and 22 have myocardial infarction. Male was the highest risk factor followed by hypertension, diabetes mellitus, smoking family history and hyperlipidemia .Arrhythmia is the commonest complication while heart failure, cerebrovascular accident and circulatory failure of lesser frequency .


Article
The Impact Of Maternal Diabetes On Newborns Admitted To Neonatal Care Unit Of Maternity And Children Teaching Hospital in Al-Diwaniya city .
أثر مرض السكري على الأمهات حديثي الولادة المقبولين في وحدة رعاية الأطفال حديثي الولادة بمستشفى الأمومة والطفولة التعليمي في مدينة الديوانية.

Authors: Salam Jasim Al-Fatlawi --- Muaid Hameed --- Hulal Saleh Saheb
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2016 Volume: 12 Issue: 22 Pages: 90-97
Publisher: Al-Qadisiyah University جامعة القادسية

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Diabetes has long been associated with increased perinatal morbidity and mortality It's one of the commonest and important metabolic disorder that affect the health of both mother and infant . Patient and methodsTotal number of patient involved were one hundred eighty four , Ninety-nine of them were infants of diabetic mother , they were admitted to the NCU of AL-Diwaniya teaching hospital from the 1st of October 2013 to the end of march 2014. Eight-five neonates were also enrolled in this study as control (infants of non-diabetic mothers)Objective To determine the morbidities and mortality among infants of diabetic mother and to compare it to that of control.ResultThere is higher morbidity and mortality amongst IDM . Hypoglycemia was the commonest morbidity recorded (31.3%) followed by hyper bilirubinemia (13.3%) and respiratory distress (12.1%). More prolonged hospitalization had been seen amongst IDM.Conclusion There is higher frequency of morbidity and mortality amongst IDM , hence ascertain a good glycemic control to diabetic mother and providing optimal neonatal care is valuable to decrease these complications.

تم قبولها في وحدة التنسيق الوطنية في مستشفى الديوانية التعليمي في الفترة من 1 أكتوبر 2013 وحتى نهاية مارس 2014. كما تم تسجيل ثمانية حديثي الولادة في هذه الدراسة كعنصر تحكم (الرضع من الأمهات غير المصابات بمرض السكري)هدف لتحديد المراضة والوفيات بين الرضع من الأم المصابة بمرض السكري ومقارنتها مع تلك السيطرة.نتيجةهناك ارتفاع معدل المراضة والوفيات بين IDM. كان نقص السكر في الدم أكثر الأمراض شيوعا التي سجلت (31.3 ٪) تليها فرط بيليروبين الدم (13.3 ٪) وضيق التنفس (12.1 ٪). مزيد من العلاج لفترات طويلة قد شوهد بين IDM.خاتمةهناك تواتر أعلى من معدلات المراضة والوفيات بين IDM ، وبالتالي التأكد من وجود سيطرة جيدة على نسبة السكر في الدم للأم المصابة بمرض السكري وتوفير الرعاية المثلى لحديثي الولادة أمر مهم لتقليل هذه المضاعفات.


Article
Vaginal birth after caesarean section with less than two years delivery interval
الولادة المهبلية بعد الولادة القيصرية مع فترة الولادة أقل من عامين

Authors: Raida Mala Fatah --- Ghada Alsakkal
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 3 Pages: 1063-1068
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: A dramatic rise in caesarean deliveries has been occurring over the past three decades. The old myth of “once a caesarean always a caesarean” is no longer acceptable as this increases maternal morbidity. The aim of this study was to evaluate the safety and success of vaginal birth after caesarean section performed before less than two years. Methods: A cross-sectional study was conducted in the Maternity Teaching Hospital in Erbil, Iraq from May to October 2012. Ninety two patients meeting the inclusion criteria were included in this study and followed up during their labour. Patients monitored for vaginal bleeding, scar tenderness and tachycardia. Results: Of 92 patients with single lower segment caesarean section that underwent trial of labour; 52 (56.5%) patients had successful trial of labour and 40 (43.5%) had a repeated caesarean section. Factors found to be significantly affecting trial of labour were parity (P = 0.01), inter-delivery interval (P <0.001) and cervical dilatation (P = 0.015). Conclusion: Vaginal birth after caesarean section is a reasonable choice for women with single lower segment caesarean section with good monitoring of mother and baby during labour. Short inter-delivery period does not preclude vaginal delivery in a woman with single lower segment caesarean section providing that there is no contraindication for vaginal delivery.

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