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Article
Medico-Legal Study of Fatal Stab Wounds in Baghdad

Authors: Muataz A. Al- Qazzaz
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 1 Pages: 104-110
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT :BACKGROUND :Even with the advent of more modern injury types,sharp force injuries and fatalities have been reported to be the most common crimes of violence in several countries, predominantly in those where access to firearms is restricted.Death due to sharp force violence is the most common cause of homicidal deaths in Sweden and in many other countries in Europe, Africa and Asia.OBJECTIVE:1-To estimate the percentage of sharp wound fatalities from the total number of all injuries referred to the medico-legal institute and the percentage of fatal stab wounds type.2-To study the stab wounds according to age, sex, scene of injury, number, edge type, length and depth of each wound ,presence of other wound types, anatomical regions affected and organs injured METHOD :A medico-legal descriptive study conducted on 41 autopsies during 6 months period .Cases were studied according to their age, sex, scene of incident , number and type of stab wounds , presence of other types of wounds , suggestive manner of injury , anatomical regions affected and organs injured . Blood sample was taken for alcohol detection then complete classical autopsy was done .RESULTS:Sharp force injuries were occupying the 8th class of major injuries. Males were 3 times than females . The mean age was 33.4±13.8 years. Indoor and outdoor scenes of incident were almost equal in number with few unknown scenes. Most of victims were with stab wounds type only having single sharp edge wound. Homicidal manner of death was seen in all cases while defense stab wounds were seen in only 7 cases.The mean length of all stab wounds in all cases was 2.98 + 0.64 cm ranging from 0.5 cm to 8 cm and the mean depth of stab wounds was 9.75+ 4.07 cm. ranging from 1 to 20 cm. Chest was the commonest anatomical region affected and the heart was the commonest organ injured . Alcohol had no role in causation of stab wounds in this study.CONCLUSION :Stab wounds are uncommon in Baghdad. Adult males were usually the victims. Homicidal manner was the only manner of death . Knives were the usual weapon used.It was difficult to determine the exact dimensions of the weapons in most cases because of variability of wounds measurements. Anatomical regions and organs injured revealed their homicidal manner.


Article
Penetrating Injuries of the Neck

Authors: Musaed L. H. Albadri --- Uday A. Albeiruty --- Ahmed Abass Mossa
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 3 Pages: 196-203
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

BACKGROUND:Penetrating injuries of the neck are potentially dangerous, causing high rates of morbidity and mortality due to their association with sever bleeding and serious damage to the vital structures in the cervical region.OBJECTIVE:To know the incidence and distribution of these injuries on the anatomical zones of the neck and the damage of the vital structures in the cervical region and their early surgical management.METHODS:A prospective study on 52 patients of both civilian and military personnel with penetrating neck injuries attended the casualty department at Alyarmouk hospital over a period of 7 months from June-December 2006.RESULTS:Fifty patients (96.15%) were males. Twenty four patients (46.15%) were in their third decade. Twenty six patients (50%) were injured by shrapnel of explosives, 23 patients (44.21%) by bullets & 3 patients (5.77%) by unknown objects. Thirty six patients (69.23%) were injured at zone 2, 11 patients (21.15%) at zone 3 & 5 patients (9.62%) at zone 1. Twenty nine patients (55.77%) had laryngeal & tracheal injuries. Thirteen patients (25%) had pharyngeal & esophageal injuries. Four patients (7.7%) had recurrent laryngeal nerve injury. Nine patients (17.3%) had vascular injuries 6 arterial & 3 venous. One patient had vertebral & spinal cord injury. Forty one patients (78.86%) had tracheostomy operations, & 13, (25%) had neck exploration.Six patients (11.54%) treated conservatively. Nine patients (17.3%) have died.CONCLUSION:Male patients at their middle age were the predominant victims either by shrapnel or by bullets. Zone 2 was most commonly affected followed by zone 3 & zone 1. Laryngo – tracheal, pharyngo – esophageal & vascular structures were mostly involved. Tracheostomy & neck exploration were the main urgent operations performed for them. The high mortality reflected the serious nature of these injuries.


Article
EFFECT OF CHITOSAN SHEETS ON WOUND HEALING
تاثير رقائق الكايتوسان على شفاء الجروح

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Abstract

The study was aimed to evaluate the effect ofchitosan sheets on wound healing process andits activity as a wound dressing materials. Accordingly chitosan sheet was isolated and preparedfrom the exoskeleton of the native shrimps in Basrah Province. Twenty-four male rabbits wereused and two full-thickness circular cuts (2cm in diameter) were made on the dorsal aspect ofeach rabbit. The healing process was evaluated macroscopically by evaluation of the properties ofchitosan sheets on wound in terms of (adherence, absorption, and fluid accumulation) on differentintervals (i.e.lSt,3’d,7‘h,and 15"‘ post wounding day). On the other hand the contraction rate in testedliand control wounds were evaluated during different intervals (i.e. at lS‘,3' ,7‘ ,and I5“ post woundingday).The healing process was evaluated microscopically in terms of (infiltration of neutrophils andmacrophage infiltration, new blood vessels and fibroblast proliferation and Re—epithelialization).. The result of macroscopic evaluation showed that chitosan sheets were firmly adherent to' . the wound with underlying mild fluid accumulation during the first three post wounding day. At, the same time the sheets started to disappear and completely absorbed at 7' day after woundbreation. The result of the effect of the chitosan sheet on wound contraction demonstrated that thebontraction rate of tested wounds was significantly higher than in control wounds through thelperiod of experiment. In the treated group complete wound closure with contraction rate of 100%was reached at 103‘ post wounding day while the control wounds failed to close completely till the’ lend of experiment at 15‘ day. The results of microscopic evaluation of wound healing process weredemonstrated significant increase (p<0.05) infiltration of neutrophils in test wound at the first post‘wounding day then decrease and completely disappear while persist in control wound. Infiltrationof macrophages significantly increased (p<0.05) in tested wound during the period of experiment.§The fibrovascular granulation tissue and Re-epithelialization significantly more obvious in testediwound than in control wound through the period of experiment (p<0.050).

Keywords

Chitosan --- Epithelization --- wounds


Article
AUTO-SKIN TRANSPLANTATION IN DOGS
ألترقيع الذاتي للجلد في الكلاب

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Abstract

This study was conducted using auto-skin transplantation for repairing of large skin loss of one front limb in dogs. The study was carried out on 8 clinical cases of dogs that brought to the Veterinary Teaching Hospital, College of Veterinary Medicine, University of Mosul, Mosul, Iraq; from October 2006 to September 2010. These animals underwent severe lacerated necrotic wounds especially at one front limb more than others. A protocol of general anesthesia was conducted by premedication with atropine sulphate, followed by a mixture of xylazine hydrochloride and ketamine hydrochloride. The large skin defect treated by creating a subcutaneous tunnel extended from the thoracic to the abdominal area at the lateral side of the trunk; therefore the naked area of affected limb covered by a new skin successfully from the subcutaneous tunnel. The result revealed that the all flaps healed without partial or total loss. The appearance, texture, and color of the flaps were similar to those of the donor site. The auto-skin transplantation by subcutaneous tunnel considers an effective and alternative method for the treatment of large skin defect of one front limb in dogs.

Keywords

Wounds --- Skin flap --- Dogs


Article
TOPICAL ACTIVITY OF_ Aloe vera (/Lverla ) EXTRACT ON EXCISION WOUND—HEALlNG OF SKIN IN RABBITTS:CLINICAL ANDA HISTOLOGICAL STUDY
فعالية مستخلص نبات الصبار في علاج الجروح الجلدية القطعية في الارانب البرية: دراسة سريرية نسيجية

Author: A.A..Sawad علاء عبد الخالق سواد
Journal: Basrah Journal of Veterinary Research. مجلة البصرة للابحاث البيطرية ISSN: Print:18138497 E; 24108456 Year: 2006 Volume: 5 Issue: 2 Pages: 160-169
Publisher: Basrah University جامعة البصرة

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Abstract

plant /I/ac van: is a green succulent .cactus-like plant belonging to the lily family,The.plant has a history of use in folk medicine for skin and otherdisorders. The objective ofthe study presented in this report was to screen the extracts of this plant for its wound-- healing properties based on its traditional use for wound healing. ethanolic extracts wasprepared for topical applications. The dose used was 150 mg/kg daily for 10 days, using theexcision wound model in rabbits. Carboxymethyl cellulose (1%) was used as control in . ‘topical studies. Animals were randomized divided to treatment or control groups, . Woundareas were measured. At the day Il',skin .tissue was excised for histological studies" .Wound areas reduced significantly in all treatment groups compared to respective controls (P< .001). Histology outcomes were consistent with changes in the treatment groups. Nodifferences were detected within the treatment groups. The study permits the conclusion thatAloe Vera has wound—hea‘ling potential


Article
The Clinical Effect of Phenytoin on Oral Wound

Author: Fayhaa AM Al- Mashhadane
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 19 Pages: 165-170
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To study the effect of oral phenytoin on healing of oral wound in buccal mucosa of rab-bits.Materials and Methods: This study was carried out on twenty healthy male rabbits weighing be-tween 1.0 – 1.5 Kg, they were divided into 2 groups; first group consisted of 10 untreated rabbits (con-trol) and second group consisted of 10 rabbits treated by phenytoin at dose of 60 mg/Kg orally along with 3 ml/Kg of sterile water using cavage needle for 10 days. All animals were anesthetized with amixture of xylazine hydrochloride and ketamine hydrochloride at 0.5, 50 mg/Kg intramuscular respec-tively, then a standard wound was made on buccal mucosa of each rabbit, all animals were kept under observation, and their wounds was measured every day with respect to surface area (length x width) in cm2, type of wound tissue and duration of healing. Results: t – test analysis was performed to test the differences in wound characteristics of both groups, it was found that there was significant differences between control and treatment groups (p< 0.001). Conclusions: Systemic use of phenytoin can delay oral wound healing of buccal mucosa.


Article
Post-appendectomy Infected Wounds and Ideal Management A Retrospective Study

Author: Mahmoud M. Al-Mukhtar محمود محمد المختار
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2014 Volume: 10 Issue: 17 Pages: 118-124
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Background :Abdominal operations are traditionally classified into elective and emergency procedures both of which may be complicated by postoperative wound infections. Although postoperative wound infection is usually infrequent following elective procedures, it is an anticipated and acceptable complication of emergency surgeries as these operations are usually of a contaminated nature with no standard preoperative preparation associated with an urge to operate.Objectives :This study tries to compare the results of a two adopted regimes to manage post-appendectomy wound infections in regard to the significance of using parenteral antibiotics.Methods : This study had evaluated (108) patients with clinical postoperatively wound infections over a period of (3) years in Al-Hilla General Teaching Hospital. All cases with normal appendices and those on preoperative antibiotics therapy for any reason had been excluded from the study. Two treatment regimes had been evaluated : Regime (A) consisting of changing antiseptic wound dressings only while Regime (B) consisted of changing antiseptic wound dressings combined with parenteral administration of intravenous metronidazole (500) mg thrice daily with intravenous cefotaxime (1000) mg twice daily. The study group had been allocated to a randomized single-blind trial to assess the outcomes. Patients were followed–up to an average of (50) days.Results :There is a beneficial effects of adopting Regime (B) in the management of infected wounds following perforated appendectomies in terms of reducing the number of dressings change and the period of inpatients hospitalization . This was not the case with infected wounds following non-perforated appendectomies.Conclusion : According to the literature reviewed, in order to prevent or reduce the rate of post-appendectomy infected wounds it is recommended to use preoperative prophylactic antibiotics which is not a routine in our practice.Wound irrigation with antiseptics may be beneficial in prevention of wound infection following complicated appendectomy. Regime (B) of treatment should be reserved for infected wounds following complicated appendectomy.

خلفية البحث : تصنف العمليات الجراحية البطنية تقليديا الى عمليات أختيارية و أخرى طارئة و كلاهمها من الممكن أن يتبع بعدوى جروح العمليات . وفيما تعتبر عدوى الجروح في العمليات الأختيارية من غير الشائعة فأنها من المضاعفات المتوقعة و المقبولةفي جراحة الطواري كونها عادة ما تكون ملوثة و تجرى بدون تحضير قياسي لما قبل العملية مع وجود دافع للتداخل الجراحيالسريع .الأهداف : تهدف هذه الدراسة الى مقارنة نتائج أستخدام نظامين لعلاج عدوى جروح أستئصال الزائدة و تقييم الفائدة المرجوة من أستخدام المضادات الحياتية حقنا بالوريد .الطريقة : قيمت هذه الدراسة (108) مصابا بعدوى جروح أستئصال الزائدة على مدى ثلاث سنوات في مستشفى الحلة التعليمي العام . تم أستثناء كل الحالات التي كانت فيها الزائدة غير ملتهبة أو كان المريض يتعاطى المضادات الحياتية ما قبل العملية لأي سبب كان . كان النظام العلاجي ( أ ) مكونا من تبديل ضماد الجروح بضمادات مطهرة و حسب الحالة بينما كان النظام العلاجي ( ب )مكونا من تبديل ضماد الجروح بضمادات مطهرة و حسب الحالة مع أضافة المضاد الحياتي المترونيدازول (500 ) ملغم وريديا ثلاث مرات يوميا مع السيفوتاكسيم (1000) ملغم وريديا مرتين يوميا . تم توزيع المرضى بصورة عشوائية في تجربة مفردة التعمية على النظاميين العلاجيين ( أ ) و ( ب ) لغرض تقييم النتائج. تم متابعة المرضى لمدة معدلها (50) يوما .النتائج : كانت هناك نتائج مفيدة بأستخدام النظام العلاجي (ب) في علاج عدوى جروح عمليات أستئصال الزائدة المثقوبة و ذلك بدلالة تناقص في عدد الضمادات المستخدمة وفي فترة رقود أقل في المستشفى . لم تكن النتائج كذلك عند معالجة عدوى جروح عمليات أستئصال الزائدة غير المثقوبة .الأستناج :أستنادا الى مراجعة الدراسات و التقارير السابقة التي تناولت نفس الموضوع فأنه من المستحسن أستخدام علاج المضاد الحياتي الأحترازي قبل أجراء العملية و لكن هذا لا يتم العمل به في ممارستنا الجراحية . أن غسل الجروح بالمطهرات بعد أستئصال الزائدة المثقوبة مباشرة مفيد لمنع حدوث عدوى الجروح . يوصى بأن النظام العلاجي (ب ) يجب أن يستخدم لعلاج عدوى جروح أستئصال الزائدة المثقوبة تحديدا.


Article
Potential Healing Effect of Topical Stem Cell Transplantation and Methandrostenoloneon in Induced Cutaneous Wounds in Dogs

Author: Oday K. Luaibi 1 , Laith K.T.AL-Ani 2 , Zena, M. Fahmi 3
Journal: Iraqi Journal of Biotechnology المجلة العراقية للتقانات الحياتية ISSN: 18154794 Year: 2016 Volume: 15 Issue: 1 Pages: 12-21
Publisher: Baghdad University جامعة بغداد

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Abstract

This study was done to explore the influence of stem cells on cutaneous wounds in comparison with treatment with methandrostenoloneon drug. Cutaneous wound was induced on the back of each dog using disposable dermal biopsy punches . Twenty five dogs were divided into five groups: 1stgroup (T1) was control. 2nd group (T2) was induced without any treatment. 3rd group (T3) was induced wound and treated with phosphate buffer saline, 4rth group (T4) was induced and treated with 5mg/kg/B.W. of Methandrostenolone, 5th group (T5) was induced and treated with stem cells 1x106cell/250 µL of phosphate buffer saline. After 7 and 15 days post treatment level of Hb and RBCs count in T2 and T3 group were decline as compared with control group. The WBCs, Alkaline phosphatase , acid phosphataseas in T2 and T3 showed enhance as contrast with T1. After 7 days, Hb and RBCs in T4 and T5 showed important increase as compared with T2. Moreover the WBCs, alkaline phosphatase, acid phosphatase and total protein levels significantly elevated in the T4 and T5 as compared with T1. After 15 days of treatment the Hb, RBCs, levels of Alkaline phosphatase, acid phosphataseas and total protein levels in T4 showed significant increase as compared with T1, The Hb, RBCs, levels of Alkaline phosphatase, acid phosphataseas and total protein in T5 showed no significant changes as compared with control group (T1). The histopathological section in (T2) explained less collagen and more inflammatory cells, the section of wound tissue in (T4) appeared incomplete healing wound tissue and presence little inflammatory cells, the histopathological section of wound treated in (T5) showed return the wound to normal tissue. From this result it can be concluded that the MSCs have ability to access healing of the wound in comparison with methandrostenolone without any side effect.


Article
Role of Two Biocides in The Wounds Healing and side Effect in Rabbits

Author: Zainab B.Abdul-Kareem
Journal: Kufa Journal For Veterinary Medical Sciences مجلة الكوفة للعلوم الطبية البيطرية ISSN: 20779798 Year: 2015 Volume: 6 Issue: 1 Pages: 67-75
Publisher: University of Kufa جامعة الكوفة

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Abstract

This study was aimed to show the influence of two bioformulation on wounds healing ,side effect in liver and kidneys in rabbits . The results indicated that no effect on wound healing were observed in bioformulation treated group compared with the controls. There were toxic effects on the liver which was shown on histopathological examination as centrilobular vacuolation, necrosis of hepatocytes around congested central vein, pyogranulomatous lesion around dilated central vein with marked vacuolation of hepatocytes. On kidneys , histopathological results revealed severe hemorrhage in the cortical area between glomeruli and renal tubules, severe atrophy of glomeruli in the cortical area with some congested blood vessels in the renal parenchyma , severe atrophy of glomeruli in the cortical area with some congested blood vessels in the renal parenchyma and some degree of dilation of renal tubules.


Article
Prevalence of Pseudomonas aeruginosa producing Metallo-β- lactamases in wounds and burns infections

Authors: Sabah Hasan Rhadi --- Intidhaar N.Abid
Journal: JOURNAL OF THI-QAR SCIENCE مجلة علوم ذي قار ISSN: 19918690 Year: 2017 Volume: 6 Issue: 3 Pages: 58-67
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Metallo β -lactamases (MBLs) producing Pseudomonas aeruginosa have been detected from clinical isolates in worldwide with increase in emergence in the last years . The spread of MBLs positive isolates in a localized hospital environment causes not only a therapeutic problem but as well as a serious concern for infection control handling , hence , this study was aimed to determine the prevalence of P. aeruginosa producing MBLs isolated from some skin infections (wounds and burns). A total of 57 P. aeruginosa were isolated from wounds and burns infections (24 wound swabs and 33 burn swabs) in Al-Hussain Teaching Hospital .Primary screening of carbapenems resistant isolates appeared that 63% (36 isolates) were resistant to imipenem and meropenem .Among the 36 carbapenems resistant isolates that were tested for production MBLs by phenotypic test (CDT)with EDTA inhibitor (as chelating factor ), 34 (94%) were MBLs positive and 59.6% from 57 isolates were positive to MBLs production . MICs values of MBLs producers were higher in imipenem ((≥16-64) μg/ml)) than that in meropenem (( ≥16-32) μg/ml)) . Out of 34 MBLs producer , 24 (72.7%) isolates were founded in specimens of burn swabs , while the wound swabs specimens registered 41.6% . MBLs producing isolates were also tested for antibiotics susceptibility , all isolates (100%)were sensitive to aztreonam and 70.5% to ciprofloxacin . 100% of isolates were resistant to cefoxitin and amoxycillin – clavulanic acid.

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