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Article
Clinical Profile and OutComeOf Respiratory Failure In Iraqi Children

Author: Muhi Al-Janabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 132-137
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The frequency of acute respiratory failure is higher in infants and young children than in adults.Acuterespiratory failure remains a significant cause of morbidity and mortality for children .PATIENTS AND METHODS:One hundred and twenty children under the age of 15 years presented with respiratory failure andadmitted to RICU in Children Welfare Teaching Hospital and Surgical Specialty Hospital in MedicalCity - Baghdad in the period from the 1st of May -2003 to the 30th of June 2005 were enrolled in adescriptive study.RESULTS:Seventy nine (65.83%) cases were males and 41 (34.17%) were females. Male / female ratio was1.93:1.The mean age was 30.21 months, 35 (29.16%) cases were neonates. Sixty eight (56.7%) caseswere from urban areas and 52 (43.3%) were from rural areas. Seventy eight (65%) children wereadmitted for medical diseases and 42 (35%) were admitted for surgical problems. The most commonmedical causes were respiratory (50%) followed by neurological (37. 17%).The most commonrespiratory cases were bronchiolitis (28.2%) and most common neurological cases were Guillain- BarreSyndrome (58.6%).The majority (90.47%) of surgical cases were admitted post-operatively. Theaverage duration of stay in RICU was 9.71 days. Fifty three patients (44.17%) survived and 67(55.83%) died.CONCLUSIONS:The most common age group admitted to RICU is infancy, medical cases are more commonly admittedthan surgical cases, the most common medical causes of admission are respiratory followed byneurological causes, the most common respiratory cause of admission is acute bronchiolitis.


Article
Rate of Condition Causes Respiratory Failure

Author: Huda Jumaa Ali
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2005 Volume: 18 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract :Objectives: The aims of the study are to identify the condition causes respiratory failure in both sex and to find out the relationship between prognosis and mortality rate with condition causes respiratory failure. Methodology : Descriptive study was carried out in Al- Yarmook Hospital in Respiratory care Unit in Baghdad from the 1st of August 2003 to 1st of August 2004, the sample consist of 300 patients (150) males and (150) females, descriptive and inferential statistics procedures were applied to the data analysis Results : The results shows that 24.4% of patients effect by post-operative complications and trauma as a results of respiratory failure , 11.3% from effected patients at age group (70-79)years and there are no significant relationship between prognosis and mortality rate with type of condition causes respiratory failure . Recommendation : The study recommends to preparing and training of recovery unit staff for respiratory resuscitation and patient care. Keyward : Respiratory Failure, Causes, Nursing.

الخلاصة:الهدف : هدف الدراسة هو التعرف على الحالات المسببة لعجز التنفس لكلا الجنسين وايجاد العلاقة بين حالة الشفاء والوفيات مع الحالات المسببة لعجز التنفس . المنهجية : دراسة وصفية أجريت في مستشفى اليرموك في وحدة انعاش التنفس للفترة من الاول من آب 2003 ولغاية الاول من آب 2004 وشملت عينة البحث 300 مريض (150) ذكور و(150) اناث وتم استخدام الاحصاء الوصفي والتحليلي لغرض تحليل المعلومات .النتائج : أظهرت النتائج بأن 4, 24 % من المرضى قد اصيبوا بمضاعفات بعد العملية والحوادث والذي سببت عجز التنفس ، وأن نسبة( 3, 11 % ) من المرضى المصابين هم ضمن الفئة العمرية من (70-79) سنة واظهرت الدراسة لاوجود لعلاقة ذات دلالة احصائية بين حالة الشفاء ونسبة الوفيات مع نوع الحالة المسببة لعجز التنفس .التوصيات : اوصت الدراسة بتهيئة وتدريب الملاكات العاملة بوحدة الافاقة حول انعاش التنفس والعناية بالمريض


Article
Comparison of the Hemodynamic & Respiratory Parameters between Smokers & Non Smokers in Lower Abdominal Surgery Under General Anesthesia

Authors: Iyad Abbas Salman --- Musrey Younis Jahn
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 202-207
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND:Smoking is a very widespread habit , it had been proved to affect adversely on many systems of the body especially the cardiovascular (CVS) & the respiratory system, and such effects wouldbe exaggerated perioperatively because of the effect of general anesthesia (GA) especially whenthere is no any period of abstinence from smoking (as when occurred during emergencyprocedures).OBJECTIVE: To assess the hemodynamic & respiratory effects of smoking perioperatively in patientsundergoing emergency lower abdominal operations. PATIENT AND METHODS: A prospective case control study carried on 80 patients in Baghdad teaching hospital/Medicalcity / Baghdad / Iraq, from September 2011 to March 2012, the 80 patients have been allocatedinto 2 groups, (each of 40 patients): group 1 who were non smoker patients, & group 2 thesmoker patients. The 2 groups were undergone emergency lower abdominal surgery under GA, all the patientsreceived similar pre. & intraoperative managements. Pulse rate (PR), systolic blood pressure(BPsys), diastolic blood pressure (BPdias),oxygene saturation (SPO2), and airway pressure(Paw) were monitored with the standard non invasive technique, at the baseline period(preoperative); immediate postintubation; 10, 20, 30, & 40 minutes intraoperatively; immediatepostextubation; & 10 minutes in the recovery period.RESULTS: Regarding the pulse rate, there were no statistically significant variations between the 2 groupsapart from the immediate postextubation period (105 ± 6.95 in smokers vs 100.3 ± 8.3 in nonsmokersRegarding the systolic blood pressure, there was statistically significant increase in the systolicBP especially at the immediate postintubation period in smoker patientsRegarding the diastolic BP, apart from the immediate postextubation period ,there wassignificant increase in the diastolic BP between the 2 groups especially at the immediatepostintubation Regarding the SPO2%, there were no statistically significant reduction in the SPO2 readingsbetween the 2 groups apart from the intraoperative period Regarding the P airway , there were no significant increase in the P airway perioperativelybetween the 2 groups CONCLUSION: There were statistically significant CVS derangements in the smoker group versus the nonsmokers especially around intubation period.

Keywords

smoking --- hemodynamic --- respiratory


Article
ANTI-INFLAMMATORY ACTIVITY OF LOSARTAN IN EXPERIMENTALLY-INDUCED RESPIRATORY DISEASE IN RAT MODEL
التأثير المضاد للالتهاب لعقار اللوزارتان في الجرذان المصابة تجريبيا بالتهاب الجهاز التنفسي

Author: Wamedh Hashim Abbas , Manal A. Algaem
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2016 Volume: 15 Issue: 2 Pages: 39-48
Publisher: Basrah University جامعة البصرة

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Abstract

This study was carried out to evaluate the anti-inflammatory effect of losartan in 18 female rats which were divided into 3 groups. Respiratory disease were experimentally induced by the intraperitoneal injection and spray inhalation of ovalbumin (OVA) in first and second group while third group left as negative control group. First group were treated with losartan orally at dose rate of 5 mg/kg body weight, on the other hand second group considered as positive control group. ELISA test were used to estimate the concentration of TNF-α, IL-4 in BALF and total IgE in serum samples. Total WBC, neutrophil, eosinophil and lymphocyte were counted in bronchoaleveolar lavage (BAL). First and second rat groups show signs of pulmonary disease. Losartan treated group showed significant (p<0.05) decrease in concentration of TNF-α (152.483 pg/ml), IL-4 (39.733 pg/ml) in BALF and total serum IgE (56.006 pg/ml) in comparison with positive control group. A significant decrease (p<0.05) were also detected for total WBC (101.33 x103), neutrophil (8.83 x103), eosinophil (15.50 x103 ) and lymphocytes (15 x103 ) in BALF of losartan treated rat group in compare to positive control group.


Article
Retrospective study of causes of respiratory infections in broiler chickens which presented to Babylon veterinary hospital during 2012
دراسة لتحري الاصابات التنفسيية في دجاج اللحم الواردة الى المستشفى البيطري في محافظة بابل خلال عام 2012

Author: Hayder Abd AL-Emier Almremdhy حيدر عبد الامير المرمضي
Journal: Kufa Journal For Veterinary Medical Sciences مجلة الكوفة للعلوم الطبية البيطرية ISSN: 20779798 Year: 2014 Volume: 5 Issue: 1 Pages: 41-49
Publisher: University of Kufa جامعة الكوفة

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Abstract

The object of this study to diagnosis the causes of respiratory infection in broiler chickens which prevalence in Babylon province during 2012, the diagnosis is depending on case history, clinical signs, postmortem lesion and confirmed by rapid diagnostic kit and enzyme linked immunosorbant assay (ELISA), the results show the causes of respiratory infection are (infectious bronchitis (IB), Newcastle disease(ND), avian influenza(AI) and chronic respiratory disease(CRD) in percentage (29.7, 27.9, 25.2 and 17) respectively . In conclusion of this study that respiratory infections are the major threaten for poultry industry in Babylon and poor biosecurity are major predisposing factors for this diseases.

ان الهدف من اجراء هذه الدراسة هو لتشخيص مسبات الاصابات التنفسية المنتشرة في محافظة بابل خلال عام 2012 حيث تم التشخيص عن طريق معرفة تاريخ الحالة المرضية و العلامات السريرية والصفة المرضية وتم تاكيد التشخيص عن طريق العدة التشخيصية السريعة وفحص الاستشراب المناعي الممتص، اظهرت النتائج ان مسببات الاصابات التنفسية هي التهاب الشعب الهوائية المعدي ، مرض نيوكاسل ، انفلونزا الطيور و المرض التنفسي المزمن وان النسبة المئوية لها 29,9 و 27,9 و25,2 و17 على التوالي واستنتجت الدراسة ان الاصابات التنفسية تعتبر المهدد الرئسي لصناعة الدواجن في محافظة بابل وكذلك ان ضعف اجراءات الامن الحيوي تعتبر من اهم المهيئااة لحدوث هذه الامراض .


Article
Real-Time PCR For Direct Detection of Streptococcus Pneumoniae In Patients Suffering From Upper Respiratory Tract Infection in Babylon Province

Author: Abdul-kareem Salman Al-Yassari
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 3 Pages: 712-718
Publisher: Babylon University جامعة بابل

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Abstract

Streptococcus pneumoniae is one of the main humans pathogens, it is important cause of community-acquired pneumoniae. It causes clinical respiratory signs in lower and upper respiratory tract. S. pneumoniae may also occur in the upper respiratory tract, and can be detected from nasopharyngeal secretions. In this study, we developed a Real-Time PCR specific for direct detection of Streptococcus pneumoniae to be applied from nasopharyngeal secretions in adult patients with respiratory tract infections. The Real-Time PCR Primers were designed from the highly conserved of 16S ribosomal RNA gene of S. pneumoniae. Study results, were show that Real-Time PCR was highly sensitive and specific of up to 98% in detection of S. pneumoniae from nasopharyngeal secretions. Where, the bacteria recorded 34 positive out of 46 specimens (73.9%). The study concluded that the used Real-Time PCR assay was provide a sensitive and reliable means for rapid detection of S. pneumoniae in upper respiratory tract infection and this assay may serve a suitable molecular diagnostic tool for detection of S. pneumoniae from nasopharyngeal secretions.

تعتبر بكتيريا Streptococcus pneumonia واحدة من أهم العوامل المرضية للإصابة بالالتهابات الرئوية المكتسبة والتي تظهر اعراضها السريرية من خلال التهابات وإصابة الجهاز التنفسي العلوية والسفلية والتي تم عزلها من الإفرازات التنفسية من الانف والحنجرة ، في هذه الدراسة تم استخدام تقنية RT-PCR في التشخيص المباشر للإصابات التنفسية للمرضى من عينات الافرازات التنفسية وقد تم تصميم البرايمرات الخاصة بهذه الدراسة وفق البرنامج المتبع في تصميم البرايمرات على اساس جين 16S ribosomal RNA. أثبتت الدراسة أن تقنية PCR أكثر حساسية وخصوصية في التشخيص المباشر للعينات ووصلت النسبة في هذه الدراسة إلى 73,9%من العينات 34 من العدد الكلي البالغ 46 عينة إفراز تنفسي من المجرى الأنفي والحنجرة للمرضى المصابين بالتهابات الجهاز التنفسي العلوية والسفلية .


Article
Respiratory Dysfunction in Textile Factory Workers

Author: Amjed H. Abbas
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 2 Pages: 378-384
Publisher: Babylon University جامعة بابل

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Abstract

Dust generated during the handling and processing of cotton causes ill health of workers. Over 60 million people worldwide work in the textile or clothing industry. Recent studies have recognized the contribution of workplace exposures to chronic lung diseases, in particular chronic obstructive pulmonary disease [COPD].The study aimed to assess the effect of exposure to cotton dust in textile industry on the respiratory system. A cross-sectional study was conducted among 75 randomly women selected textile factory workers in Al-Madhatiya Textile Factory in Babylon Province. Information was collected through interview, in addition to physical examination and some needed investigations were performed including: white blood cell count [WBC], erythrocyte sedimentation rate [ESR], random blood sugar [RBS], blood urea, serum creatinine, electrocardiography [ECG], chest x-ray [CXR] and general urine examination [GUE], in addition to pulmonary function tests using portable medical spirometer, the results were compared to 50 control healthy subjects. The study showed no significant difference in ages between active and control group, the mean age was 39.6±6.15 years while in control group it was 47.14±11.82 years, all subjects in both groups were females, mean duration of exposure of workers to cotton dust was 15.67±4.86 years, the highest percentage of them complain from shortness of breath [45.3%], some of them had no symptoms [17.3%], respiratory symptoms occured occasionally [52%], severity of symptoms was moderate restriction in most workers [24%], the study also showed negative non-significant relation between duration of exposure and severity of respiratory impairment. This study provides evidence of a strong relationship between exposure to cotton dust and respiratory impairments. Preventive measures are warranted in order to reduce the high prevalence of respiratory dysfunction and other respiratory disorders in textile manufacturing.


Article
Adverse Health Outcomes of Neonates Born to Adolescent Mothers in Hilla City Babylon Province, Iraq.

Authors: Sijal Fadhil Farhood Makki Al Joborae --- Fakat Alola Ghanim Jawad
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 4 Pages: 714 -723
Publisher: Babylon University جامعة بابل

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Abstract

Babylon Governorate is the fifth most densely populated governorate in Iraq and has undergone significant demographic changes over the proceeding decades viz. the regression of the age of females who marry very early in adolescence. This trend has impacted the neonatal health of their offspring in the region. There is mounting evidence that this is linked to adverse neonatal outcomes including intrauterine retardation of fetal growth, premature birth, weight which is inappropriate for gestational age, and neonatal morbidity manifested by such illnesses as respiratory distress syndrome (RDS), hemolysis, neonatal jaundice and sepsis. This descriptive cross sectional study, therefore was done aiming to observe the adverse outcomes of neonates born to adolescent mothers (10-19) years in Al-Hilla city, Babylon Province and to elucidate whether under- age child birth impacts neonatal outcome. The study found that pregnancy in adolescence is associated with high rates of dangerous and adverse neonatal outcomes. The mean and standard deviation of current maternal age and maternal age at marriage (year) were (17.54±1.96), (15.46±2.11) respectively, the mean birth weight of neonates born to adolescent mothers was 2659.75±630.1 and the mean gestational age of neonates at birth was 37.22±2.18.There was a significantly increased risk of LBW (33%), preterm birth (28.5%), neonatal jaundice (31.5%), admission to NICU/SCBU was (54.0%), RCU (3.0%) and general hospital wards (13.0%).


Article
A sample of patients affected with chronic respiratory tract infection
عينة من المرضى المصابين بعدوى الجهاز التنفسي المزمنة

Authors: Abdulaziz Y. Mansoor --- Rassool A. Dabbagh --- Khonaw kader salih
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2012 Volume: 16 Issue: 2 Pages: 125-128
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objectives: Cryptococcosis is subacute or chronic respiratory disease caused by yeast like fungus called Cryptococcus neoformans. The disease may metastasize to CNS and other parts of the body. The objective of the study is to find the prevalence of this disease in a sample of patients in Erbil.Method: One hundred and twenty eight patients with chronic respiratory tract infection were included in this study. Early morning sputum sample was collected from each patient and subjected to both direct examination and cultureResults: The study showed 24 positive cases of Cryptococcosis, from the total 128 patients examined; 16 of them (66.6%) gave positive culture for Cryptococcus neoformans while 8 (33.3%) gave positive culture for opportunistic species of Cryptococcus. The latter were immunocompromised individuals.Conclusion: It is concluded that looking for Cryptococcus, is quite significant in patients with chronic respiratory diseases.


Article
Risk Factors For Respiratory Syncytial Virus (RSV) Bronchiolitis in Children. A hospital Based Study

Author: Muneera Fadhil Rida
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 3 Pages: 305-310
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT :BACKGROUND:Respiratory syncytial virus (RSV), historically being the major causative agent. RSV causes respiratory disease in young children worldwide and by the age of two years most children have been infected.OBJECTIVE:The aim of this study was to investigate the effect of passive smoking alone and in conjunction with breastfeeding and Crowding index and Family history of atopy in determining the risk of bronchitis in Children under of 5 years of age .METHODS:We studied 100 consecutive Children aged from (1)day to (60)months (56boys and 44 girls),median age 30 months, who required hospital admission for acute bronchiolitis at the Pediatric Department ,Children Welfare teaching hospital ,medical city complex - Baghdad.The cases were compared with 100 patients at the same age groups with no history of Bronchilolitis .The following parameters was studied in both groups: Exposure to passive smoking, type of feeding (Breast, Bottle, and Mixed), Family history of atopy, and crowding index.RESULTS:High level of exposure to passive smoking on the other hand significantly increase the risk of having bronchiolitis by (2.3) times compared to those with negative exposure. Breast feeding significantly decrease the risk of having bronchiolitis by 5 times compared to those on mixed and bottle feeding.A positive family history of atopy significantly increase the risk of bronchiolitis by (9.5 )times . Subjects with moderately high crowding index (interquartile range )has 6.3 times of having increase the risk of bronchiolitis compared to those of living in uncroweded residence (first quartile crowding index).Highly crowding index (forth quartile)significantly increase the risk by 101 times compared to the those in un crowded (first quartile )residence.CONCLUSION:Although Smoking , Lack of Breast feeding and family history of atopy are important risk factors for RSV bronchiolitis But Crowding seems to be the most important risks factors for RSV bronchiolitis in this study.

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