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طيف وتردد طفرات الجين K - ras عند المرضى العراقيين المصابين بسرطان القولون والمستقيم المفرق == Spectrum and Frequency of K - ras Mutations among Iraqi Patients with Sporadic Colorectal Cancer

اسم المؤلف: شيماء خالد شاكر احمد
اسم المشرف: بسام موسى صادق الموسوي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الامراض - الوراثة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Colorectal cancer (CRC) is a serious health problem and is one of the most common cancers in the world. The majority of CRCs are sporadic; several genes have been implicated in colorectal carcinogenesis.Kirsten rat sarcoma viral oncogene homolog (K - ras) is a protooncogene and is one of the important genes responsible for sporadic colorectal carcinogenesis. It is involved in G protein - mediated signal transduction. It has a constitutive guanosine triphosphatase (GTPase) activity, which is lost when the gene is mutated. Analysis of K - ras mutation has important therapeutic impact being one of the most important predictors of resistance to targeted therapy using Epidermal Growth factor receptor (EGFR) tyrosine kinase inhibitors (cetuximab and panitumumab) in addition to its prognostic significance. Aim of study : To determine the frequency and spectrum of K - ras mutations among Iraqi patients with sporadic CRC. Patients, Materials and Methods : This is a retrospective study that included 35 surgically resected cases with sporadic CRC from the Gastroenterology and Hepatology Teaching Hospital / Medical City Complex - Baghdad during the period extending from January 1st, 2014 till December 31st, 2015. Patients’ demographic characteristics as well as tumor characteristics were studied. Samples of DNA were extracted from formalin - fixed paraffin embedded blocks (FFPE) using the QIAamp DNA FFPE Tissue Kit by QIAGEN / Germany. The specified DNA fragment was amplified by a conventional thermocycler (PCR) using specific biotinylated primers followed by hybridization of the amplification products to a test strip containing allele - specific oligonucleotide probes immobilized as an array of parallel lines. The bound biotinylated sequences are detected using streptavidin - alkaline phosphatase and color substrates according to the manufacturers’ instructions.Results : The age of the 35 enrolled cases ranged between (20 - 70) years with a mean (±SD) of 52.7±13.5 years and a median of 55 years; 27(77%) of them were ≥45 years of age and 8(23%) were <45 years of age. Out of the 35 enrolled patients 12 (34%) were males and 23(66%) were females; the male : female ratio was 1 : 2.The most common histological type was the non - mucinous adenocarcinoma constituting 30 (85.7%), with a moderately differentiated grade II histological pattern 29 (82.9%); stage III was the most common tumor stage 13 (37.1%) with predominance of left colonic tumors 20 (57%);15(42.9%) of CRC patients presented with positive regional lymph node involvement.K - ras mutations were detected in 13 (37%) patients; the remaining 22 (63%) show wild - type K - ras. Ten (71.4%) of these mutations were in codon 12 while 4(28.6%) were in codon 13. No mutation was detected in other codons (61,117,146).A total of 14 mutations were detected in the tumors of those 13 patients; 12/13 tumors had single mutations, and only 1/13 had double mutations (in codon 12 and codon 13 simultaneously).The most frequently encountered mutations were the G>T transversions 9 (64.4%). The most frequent mutation constituting 8 (57.2%) was GGT>TGT (GLY>CYS) at codon 12.There were no statistically significant associations of clinicopathological characteristics with K - ras mutation status.Conclusions :  K - ras mutations rate lies within worldwide reports, and lie in the middle between Asian and European figures. Most CRC tumors carry codon 12 K - ras mutations and thus they have a risk of poorer prognosis and response to therapy. Gly12Cys and Gly13Asp predominate over other types of amino acid substitutions, and carry a poorer prognosis. PCR detection of K - ras mutations is preferable to IHC techniques especially so when using anti - EGFR for CRC treatment.

دراسة الجوانب النفسية الاجتماعية لمرضى الصرع الذين يحضرون مركز الفرات الاوسط للعلوم العصبية في محافظة النجف الاشرف == A Study of Psychosocial Aspects of Epileptic Patients attending the Middle Euphrates Neurological Sciences Center in AL - Najaf AL - Ashraf Province

اسم المؤلف: علي فلاح حسن جاسم
اسم المشرف: سلمى كاظم جهاد
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: A descriptive study cross - sectional design was conducted throughout the period of June 16th 2016 to October 20th 2017 in order to study of Psychosocial Aspects of epileptic patient attending the Middle Euphrates Neurological Sciences Center in AL - Najaf AL - Ashraf Province. A Purposive sample of (100) subjects were selected throughout the use of non - probability sampling approach, that include patients who were diagnosed with epilepsy attending the Middle Euphrates Neurological Sciences Center in AL - Najaf AL - Ashraf Province.A questionnaire was constructed to achieve the objectives of the present study, comprised of five domains including (38) items. Data was collected from patients who attending for treatment at middle Euphrates Center in AL - Najaf AL - Ashraf Province. Through the use of interview technique, each patient individually interviewed, taking a corresponded period of between (15 - 20) minutes. The questionnaire was clear and adequate for the measurement of the phenomenon except some adjustment and change are made on few items according to the expert's suggestions.Reliability of the questionnaire was determined through pilot study and the validity was achieved through a panel of (17) experts. Data were analyzed through the use of the statistical package of social sciences (SPSS) version 22. Reliability was concerned with the consistency and dependability of the research instrument. Determination of internal consistency, reliability of the questionnaire is based on computation of Alpha Cronbachs Correlation coefficient.Abstract IIIThe findings of the present study indicated that the overall domains affected on patients with epilepsy in psychosocial domain were highly social isolation.The study concludes that sample mostly were males, young adults, married and illustrates type of epilepsy was an idiopathic, regarding to number of fits before treatment were more, Social isolation as one of the psychosocial aspects had severs effect on quality of life, also There was a significant relationship between the overall patient psychosocial aspects and occupation prior to disease. No significant relationship was found between the overall patient psychosocial aspects and the family and social support.The study recommends that recommends Patients with epilepsy need to be reassured about the attack, and the overall disease outcome. In regard to Ministry of health can help patients and families in providing medications and ensure its continuity. the family must be It's better to provide the patients with an identification card clarify some information about the particular patient.

دراسة جزيئيه وكيموحيوية لانزيم السلفوترانسفيريز 1A1 للتنبؤ بالاستجابة لعلاج المينوكسيديل لدى مرضى الصلع الوراثي == Molecular and Biochemical Study of Sulfotransferase 1A1 Enzyme Predicting the Response for Minoxidil in Patients with Androgenic Alopecia

اسم المؤلف: رغد نوري عبد
اسم المشرف: مؤيد عمران موسى الغزالي | وسام علي عوض
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: المقدمة : يعتبر مرض الصلع الوراثي من اكثر اسباب تساقط الشعر شيوعا لدى النساء والرجال, حيث ان نسبه المصابين بهذا المرض تصل الى حوالي 70% في بعض المجتمعات . قد يصنف المرض الى صنفين : 1 - تساقط الشعر ذو النمط الرجالي و2 - تساقط الشعر ذو النمط النسائي وذلك لان الصنفان يختلفان من ناحية الاسباب والفيزيولوجيا المرضية ونمط تساقط الشعر. يوجد سببان رئيسيان لمرض الصلع الوراثي وهما اسباب هرمونية واسباب وراثية, حيث ان الدراسات اثبتت ان الاشخاص المؤهلين وراثيا ممكن ان يظهروا حساسيه اكثر تجاه العوامل الخارجية مثل الهرمونات المؤثرة على بصيلات الشعر, مما يؤدي الى اضمحلالها وتساقطها مع الوقت. ان زيادة مستويات هرمونات الاندروجين في الدم تؤدي الى نقصان في طول فتره طور النمو في بصيلة الشعر وزيادة في طول فترة طور الاضمحلال في بصيلة الشعر. ان العلاجان الوحيدان المسموح باستعمالهما لعلاج الصلع الوراثي من قبل منظمة الغذاء والدواء الدولية هما المينوكسديل والفيناستيرايد . ان المينوكسديل يعمل على توسيع الاوعية الدموية المحيطة ببصيلة الشعر مما يزيد من تغذية ونمو الشعر. يبقى علاج المينوكسديل غير فعال لغاية اضافة مجموعة سلفونيت اليه في داخل بصيلة الشعر بواسطة انزيم السلفوترانسفيريز وقد تؤثر فعالية هذا الانزيم على فعالية العلاج, وقد وجد تغاير وراثي لنيوكليوتيده واحده (SNP) في جين انزيم السلفوترانسفيريز في الموقع 638 ذات الرقم rs9282861 , حيث تتحول فيه ال G الى A ويتغير الحامض الاميني من الارجنين الى الهستدين , ان هذا الاختلاف يؤدي الى انخفاض في مستوى فعالية الانزيم وبالتالي الى يؤدي الى انخفاض في فعالية علاج المينوكسديل. اما الفيناستيرايد فيعمل كمثبط لانزيم ال 5 - α ريديكتيز وبذلك يقلل من تحويل هرمون التستوستيرون الى هرمون الدايهايدرو تستوستيرون المسؤول عن تثبيط بصيلة الشعر.هدف الدراسه : الهدف من هذه الدراسة هو : 1 - ايجاد فحص مختبري يمكن ان يتنبا بفعالية دواء المينوكسديل قبل الشروع بالعلاج وذلك من خلال وجود تغاير وراثي في جين السلفوترانسفيريز 1A1 وهذا من شانه توفير الوقت وكلفة العلاج لمريض الصلع الوراثي.2 - ايجاد الاجابة عن سؤال فيما اذا كان الفيناستيرايد يدعم فعالية المينوكسديل من خلال تخفيض مستوى هرمون الدايهايدروتيستوستيرون مما يؤدي الى ارتفاع في مستوى انزيم السلفوترانسفيريز 1A1 في بصيلة الشعر. المرضى المشاركون وطرق العمل تم تشخيص 67 مريضا بالصلع الوراثي (30 رجل و37 امراه), تتراوح اعمارهم بين 18 سنه و49 سنة بمعدل اعمار يبلغ ..... وقد تم استبعاد اي مريض يتناول علاج من اي نوع والاشخاص المصابين باضطرابات الغدة الدرقية والمرضى المصابين بفقر الدم. من كل مريض تم الحصول على نوعين من العينات : 1 - تم نزع شعرتين كاملتين مع بصيلتهما وحفضها في انبوب ابندروف صغير وتجميدها في درجة حراره - 20م لحين اجراء فحص انزيم السلفوترانسفيريز 1A1 بواسطة تقنية ال ELISA.2 - سحب عينة دم وحفظ قسم منها في انبوب مختبري يحوي على مادة ال EDTA وهذه العينه استخدمت لاستخلاص ال DNA من خلايا الدم البيض لغرض اجراء الفحص الجيني. اما القسم الثاني من عينة الدم فقد تم استخلاص السيرم منها مباشرة بعد الجمع وحفظه في درجة حرارة - 20م لحين اجراء فحص هرمون الدايهايدروتستوستيرون بواسطة تقنية ال ELISA.النتائج لقد اوجدت هذه الدراسه وجود علاقه تناسب طردي ملحوظه بين مستوى تركيز انزيم السلفوترانسفيريز 1A1 في بصيلة شعر الراس وبين مستوى الاستجابة لدواء المينوكسديل, وبذلك يمكن الاستفاده من هذه العلاقه في التنبؤ فيما اذا كان مريض الصلع الوراثي سوف يستجيب لعلاج المينوكسديل او لا من خلال اجراء هذا الفحص قبل الشروع بالعلاج. وقد اوجدت هذه الدراسه ايضا وجود علاقه عكسيه بين تركيز انزيم السلفوترانسفيريز 1A1 في بصيلة شعر الراس وبين مستوى هرمون الدايهايدروتستوستيرون في بلازما الدم, حيث انه كلما ازداد مستوى الهرمون في الدم ادى ذلك الى انخفاض في مستوى تركيز الانزيم في بصيلة الشعر مما يؤدي الى عدم تفعيل علاج المينوكسديل وايضا الى انخفاض في مستوى الاستجابه لهذا العلاج. وبما ان هرمون الدايهايدرو تستوستيرون ممكن كبحه بواسطة علاج الفيناستيرايد مما قد يدل على ان علاج الفيناستيرايد قد يكون من المحفزات لعلاج المينوكسديل. تمت دراسة جين السلفوترانسفيريز 1A1 وذلك لاظهار مدى تاثير وجود التغاير الوراثي الذي يحمل الرقم rs9282861 على مدى الاستجابة لعلاج المينوكسديل, وقد اظهرت النتائج وجود علاقة عكسيه بينهما, حيث ان الدراسه اكدت ان الاليل من نوع G هو المسؤول عن الاستجابة للعلاج. فيما الاشخاص الذين يحملون النوع الوراثي GG هم اكثر الاشخاص استفادة من العلاج بنسبة 68.8% وقيمة P بمقدار 0.0011. وهذه النتيجه قد تكون دلاله على وجود علاقة حقيقيه يمكن الاستدلال والتنبؤ على الاشخاص المحتمل استفادتهم من علاج المينوكسديل قبل الشروع باستعماله. | Background : Androgenic Alopecia (AGA) ( also called androgenetic alopecia), is the most common type of hair loss in both sexes, affecting high percentage of population worldwide. It is also called male and female pattern hair loss as it differs in the pattern of hair loss, pathophysiology and etiology between the two sexes. There are two main reasons for AGA disposition : genetic factors and hormonal factors, as the hair follicle will respond differently to an external stimuli like hormones according to genetic variations leading to different hair characteristics. Increasing levels of androgen will affect the hair growth rate by decreasing the anagen phase length. Minoxidil and Finasteride are the only two medicines approved by the Food and Drug Adminstration to treat AA. Minoxidil is a prodrug that requires to be sulfonated by sulfotransferase 1A1 enzyme to be active, and that is why the activity of sulfotransferase1A1 enzyme is found to affect the activity of Minoxidil. One important SNP found in the sulfotransferase 1A1 gene, is located in the position 638 and numbered as rs9282861,where the G is changed to A resulting in changing the amino acid arginine to histidine and that SNP can affect the enzyme activity and then Minoxidil activity. Finasteride is a 5 - α reductase inhibitor and can reduce the transformation of testosterone to dihydrotestosterone which is responsible for the miniaturization of the hair follicle. Objective of the study : This study aims to find : 1 - A genetic test that can predict Minoxidil response before the start of the treatment and that will save time and coast for the androgenic alopecia patients.2 - If Finasteride potentiates the action of Minoxidil, through the effect of DHT on the SULT1A1 gene expression. Patients and Methods : Sixty seven subjects (30 males, 37 females) are diagnosed as androgenic alopecia patients. Subjects who suffered from any chronic diseases, subjects who were taking any medication were excluded from this study. Plucked hairs were collected from the area of the vertex where the hair is thinning, and concentration of SULT1A1 enzyme was detected inside the hair follicle using ELISA technique. Serum dihydrotestosterone hormone was also detected using ELISA technique. DNA was isolated frome white blood cells and the 638 G /A SNP in the SULT1A1 gene was detected by polymerase chain reaction restriction fragment length polymorphism technique.Results : present study finds a significant correlation between the level of SULT1A1 enzyme concentration and the response to Minoxidil, and that may help in predicting the response to Minoxidil. A significant correlation between the concentration of SULT1A1 enzyme in the scalp hair follicle and the serum dihydrotestosterone hormone level , also has been detected in the females group while no relation found in the males group and that may raise the question if Finasteride will potentiate the action of Minoxidil? Conclusions : Detection the GG genotype in 68.8% of the Minoxidil responders, comparing to only 31.2%of them are of GA genotype, is strongly suggests that the GG genotype is responsible for the response to Minoxidil.

ضمان جودة خدمات الرعاية الصحية الاولية الاساسية في مراكز الرعاية الصحية الاولية في محافظة النجف الاشرف == Quality Assurance of Essential Primary Health Care Services at Primary Health Care Centers in AL - Najaf AL - Ashraf Governorate

اسم المؤلف: حيدر كاظم ردام الجبوري
اسم المشرف: منى عبد الوهاب خليل | قحطان هادي حسين الجبوري
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: دراسة وصفية تم اجرائها للفترة من 1/9/2016 الى 3/9/2017 لتحديد ضمان جودة خدمات الرعاية الصحية الاولية الاساسية في محافظة النجف الاشرف والتعرف على العلاقة بين ضمان جودة خدمات الرعاية الصحية الاولية الاساسية وخصائص النظام والمستفيدين والخدمات المقدمة، عينة عشوائية بسيطة من (504) مبحوثا تم اختيارها من خلال استعمال طرق الاعتيان المحتمل، العينة قسمت الى ثلاث مجاميع التي تشمل (18) مدير مركز للرعاية الصحية الاولية, (18) من مقدمي خدمات الرعاية الصحية الاولية, و(468) مستفيدا.جمعت البيانات من خلال استعمال اداة ضمان الجودة المعتمدة في وزارة الصحة العراقية. هذه الدراسة تضمنت تقييم بنية النظام مثل؛ (المواد, التجهيزات, القوى الصحية العاملة) والخدمات الاساسية ورضا المستفيدين . البيانات تم جمعها من خلال استخدام تقنيات الاستبيان وتقنية المقابلة كادوات لجمع البيانات والسجلات المحفوظة في كل المراجع المتوفرة التي تيسر الوصول الى المعلومات المتعلقة بعينة الدراسة. المقابلات كل مقابلة استمرت من (5 - 10) دقائق. وتم تحديد مصداقية اداة القياس من خلال (15) خبيرا, وحدد ثبات اداة القياس من خلال الدراسة التجريبية.تم تحليل البيانات من خلال تطبيق اجراءات التحليل الاحصائي الوصفي، واجراءات التحليل الاحصائي الاستنتاجي.واستنتجت الدراسة الى ارتفاع معدل الافراد المشمولين بالخدمة لكل مركز رعاية صحية اولية, قلة الملاكات الطبية والمعاونون الطبيون والادارية بالاضافة الى سوء توزيع الملاكات التمريضية والمعاونون الطبيون والادارية, ووجود علاقة بين معدل الوقت المصروف في البحث عن الخدمة ومستوى الرضا عن الخدمات المقدمة.اوصت الدراسة الى زيادة عدد مراكز الرعاية الصحية الاولية وفقا لعدد المستفيدين في الرقعة الجغرافية, التعاون والتنسيق بين وزارة الصحة ووزارة التعليم العالي والمؤسسات التعليمية لوضع خطة منظمة لتزويد مراكز الرعاية الصحية الاولية باحتياجاتها من القوى العاملة. | A descriptive study is conducted throughout the period of September 1st 2016 to August 3rd 2017 in order to determine the quality assurance for essential primary health care services in AL - Najaf AL - Ashraf Governorate. A simple random sample of (504) subjects was selected through the use of probability sampling approach. Data is collected through the use of quality assurance tool of Iraqi ministry of health (MOH). It is comprised of four questionnaires. The study includes assessment of organizational structure and essential primary health care services and consumers satisfaction. Data is collected through the utilization of constricted questionnaires and the interview technique as means of data collection and keeping records of all available contacts that facilitate the access to the study sample. Each interview takes approximately (5 - 10) minutes. Content validity of the instrument is determined through a panel of (15) experts, and reliability through a pilot study. The data are analyzed through the application of descriptive and inferential statistical analysis procedures.The findings of the present study indicate that the mean catchments population for PHC centers is high; shortages of the medical, medical assistants, and administration workforce. The nursing, medical assistants, and administration staff are poorly distributed; and present relationship between of time spent in seeking services and low level of consumer's satisfaction regarding provided services.The study recommended that to increase the total number of PHC centers according to the numbers of consumers within area; collaboration and coordination should be initiated between Ministry of Health, Ministry of Higher Education and Educational agencies to establish planning system to provide PHC facilities with workforce needed.

تطبيق السجل الطبي الالكتروني في وحدة العناية المركزة في مستشفى بابل للنسائية والاطفال == Application of Electronic Medical Record at Intensive Care Unit in Babylon Maternity and Children Hospital

اسم المؤلف: مصطفى علي غازي
اسم المشرف: امين عجيل ياسر الياسري | نهاد محمد الــدوري
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: دراسة ضابطة قبلية وبعدية (تصميم شبه تجريبي) في مستشفى بابل للنسائية والاطفال على التدوين التمريضي والطبي. هذه الدراسة بدات من (29/9/2016) واستمرت الى (11/5/2017). وتهدف الى التعريف بخطوات تطبيق السجل الطبي الالكتروني في وحدة العناية المركزة للاطفال في المستشفى المبحوثة وحساب الوقت وتقيم اكتمال التسجيل قبل وبعد تطبيق السجل الالكتروني. وقياس تقبل العاملين في الوحدة للنظام حسب نموذج الدراسة المقترح باعتماد نموذجtechnology acceptance model 3 . وتم انتخاب عينة احتمالية ملاءمة من المستشفى المبحوثة، طبقت على (120) طفل راقد في الوحدة قبل تطبيق النظام (60) مريض وبعد التطبيق (60) مريض، حيث تمت مراجعة سجلاتهم. وعينة ثانية متعمدة (غير احتمالية) عددها (30) من الفريق الطبي والتمريضي في الوحدة بعد 3 اشهر من تطبيق النظام. اما ادوات الدراسة فكانت ساعة توقيت مع ورقة جداول بيانات اكسيل لجمع البيانات الخاصة بحساب الوقت وتقييم اكتمال التدوين، واستبانة الكترونية تم تصميمها من قبل الباحث بعد المراجعة المستفيضة للدراسات السابقة المعنية، وجمعت البيانات من خلال ارسال رابط الاستبيان الى المشاركين عبر (البريد الالكتروني او وسائل التواصل الاجتماعية).تم التاكد من مصداقية الاستبانة من خلال دراسة تجريبية. وتم استخدام الاحصاءات الوصفية والاحصاءات الاستدلالية لتحليل النتائج. اظهرت الدراسة ان وقت التوثيق اسرع باستخدام السجل الالكتروني (10.25 min 0.38 sc vs 23.9 min 0.43sc ; p<0.001). كما تحسن اكتمال تدوين السجلات الالكترونية بشكل ملحوظ بعد استخدام النظام(mean 226.65 14.815 vs. 218.13 10.835; p<0.001) ، كما وبينت نتائج تحليل الاستبانة يوجد لدى المستخدمين سلوكا ايجابيا اتجاه استخدام النظام. وبهذا يكون المشروع قد نجح تطبيقه. وتوصي الدراسة باعتماد الية لتحفيز الموظفين ماديا ومعنويا على استخدام السجلات الالكتروني، لزيادة الكفاءة في العمل | A controlled before - after study (Quasi - experimental design) has been conducted in Babylon Maternity and Children Hospital on nursing and medical documentation. This study started from 29th Sep 2016 to 11th May 2017. It aims to identify the implementation steps of the electronic record in the pediatric intensive care unit in researched hospital, the time calculating with completeness evaluating of documentation in the before - after period, and evaluate the unit workers' acceptance of the system according to the proposed model, which was based on the technology acceptance model3.A convenience (probability) sample selected from researched hospital conducted on (N=120) pediatric patients admitted to the unit before application (n=60) and after (n=60). And a purposive (non - probability) sample selected on (n=30) unit staff after 3 months of application. The tools were stopwatch with excel spreadsheets designed to gather data, and an electronic questionnaire which was designed by the researcher, the data were gathered through the questionnaire link sent via (E - mail, social media) to the participants.Reliability and validity of the electronic questionnaire were verified through a pilot study. The descriptive analysis and inferential analysis were used to analyze the results.The results were the documentation time was faster using electronic recording, (10.25min0.38sc vs 23.9min 0.43sc; p<0.001). And documentation completeness was enhanced significantly after application ( mean 226.65 14.815 vs. 218.13 10.835; p<0.001). Also, the users have a positive attitude toward the system use.This study recommends by adopting of monetary and ethical recompenses, like credentials, to encourage staff to use the system.

التوصيف الجزيئي لبعض محددات الضراوة لبكتريا Klebsiella pneumoniae المعزولة من عينات سريرية مختلفة في محافظة بابل == Molecular Characterization of Some Virulence Determinants of Klebsiella pneumoniae Isolated From Different Clinical Samples in Babylon

اسم المؤلف: مسار عامر مرزة العماري
اسم المشرف: جواد كاظم طراد الخفاجي | ايفاد كريم عبد الشبلي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الاحياء المجهرية
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: A total of 200 samples were collected from different sources of patients that including (sputum , tonsil, sinuses, vagina, urine) and from both sexes during a period from September 2016 to December 2016. Only twenty isolates (10%) were identified as Klebsiella pneumoniae positive according to the cultural characteristics and biochemical tests. Eight (40%) isolates from sputum, 5(25%) isolates from urine, 3(15%) isolates from tonsil, 2(10%) isolates from sinus, and also 2(10%) isolates from vagina. K. pneumoniae in males formed 12 isolates(60%) and 8 isolates(40%) in the females .The age - groups of patients who involved in the study was ranged from one year to thirty years old. The results showed that the mean age of patients was 14.9 years with standard deviation of 10.96. All isolates (100%) were able to produce capsule, siderophore, colonization factor antigen(CFA I/CFAIII) and urease, but none of these isolates were able to produce hemolysin. They have ability to form biofilm and have a strong role in stone formation. Regarding antibiotic susceptibility testing all Klebsiella pneumoniae isolates were resistant to Aztreonam, Ampicillin, Amoxicillin/ clavulanic acid) and penicillin G, whereas sensitive to Gentamycin, Ceftriaxone, and Amikacin. The molecular detection of some virulence genes ( magA gene, kfu gene, and uge gene) was done by PCR technique. And all isolates (100%)were negative mag A. Also, PCR technique displayed that 5 isolates 20(25%) were positive for Kfu gene, while only two isolates 20(10%) were positive for Uge gene. As well, the antibiotic resistance genes bla TEM and bla SHV markers were investigated, 18(90%) isolates positive to bla TEM from them(14) isolates carried on plasmid and (4) isolates carried on chromosomal DNA, while bla SHV gene was found in 17(85%) isolates positive from them (14) isolates carries on plasmid and (3) isolates carried onchromosomal DNA. Moreover, RFLP/PCR analysis explored bla TEM and bla SHV genotyping for Klebsiella pneumoniae isolates in the current study illustrating ESBL contribution in the increment of bacterial resistant to antibiotics.

انماط مقاومة المضادات الحياتية لمجموعة الممرضات ESKAPE من مرضى الاطفال في محافظة بابل == Antibiotic Resistances Patterns among ESKAPE group Pathogens Isolated from Pediatric Patients in Babylon Governorate

اسم المؤلف: امل محمد سعيد محمد جواد الموسوي
اسم المشرف: علاء هاني الجراخ | عدنان حنظل الجوذري
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الاحياء المجهرية
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: تهدف هذه الدراسة للتحري عن انتشار مجموعة الممرضات البكتيرية المقاومة للمضادات الحيويةESKAPE (الاسكيب) لدى مرضى الاطفال في محافظة بابل, العراق تم في بداية الدراسة جمع 191عينات سريرية مختلفة من مرضى الاطفال للفترة من تموز لغاية تشرين الثاني لسنة 2016. تم الحصول على النماذج من مرضى الاطفال بعمر من واحد يوم الى 14 سنة والوافدين لمستشفى التعليمي للولادة والاطفال (بصوره رئيسيه وحدة الخدج المنزلي, وحدة العناية المركزة, الردهات العامة) ومستشفى الحلة التعليمي (بصوره رئيسية وحدة الحروق). شملت النماذج المجموعة خلال الدراسة عينات الدم ,الادرار, سائل النخاع الشوكي, جروح الحروق، وغيرها تم اخذ المعلومات التالية من كل مريض تم ادراجه في الدراسة الحالية : الاسم, العمر, الجنس, العنوان , وزن الجسم, اخذ للقاح او لا, وجود او عدم وجود تشخيص سريري مؤكد, متعاطي للمضادات الحيوية او لا قبل اخذ النموذج من المرضى. بينت نتائج الدراسة انه من مجموع 191 عينة سريرية، ان 45 منها عينة بنسبة (23.5% ) اظهرت نمو بكتيري موجب على الاوساط الزرعية الاعتيادية وبالتالي الحصول على 45 عزله بكتيرية مشخصة بواسطة الاختبارات الكيميائية ,جهاز Vitek2ونظام .API تم الحصول على العزلات البكتيرية من عينات الادرار 16 (35.5%), الحروق15(33.3%), الدم13( (28.8% والسائل القصبي 1(2.2%)، فيما لم تظهر 146 عينه سريريه ( (76.4%نموا موجبا على الاوساط الزرعية وقد يعود السبب في ذلك لاحتمال وجود اصابه فطرية او فايروسية او لوجود بكتيريا شديدة التحسس fastidious bacteria والتي قد تكون فقدت اثناء نقل العينات الى المختبراو بسبب تعاطي المضادات الحيويه فبل اخذ النماذج. وجد انه من مجموع 191 عينة سريرية تم جمعها خلال الدراسة، فانه تم الحصول على 12 عزلة بكتيرية تابعة لمجموعة المرضات البكتيرية المقاومة للمضادات الحيوية (الاسكيب) وبنسبة6.3% ،بينما كانت نسبتها26.6% من النمو البكتيري الموجب, حيث تم عزلها من العينات وبواقع 6عزلات من جروح الحروق (50%) ,5 عزلات من الدم (41.6%) وعزلة واحدة من السائل القصبي (8.3%). اظهرت نتائج الدراسة الحالية انه من بين 12 عزلة بكتيرية (6.3%) تابعة لمجموعة الاسكيب فان اعلى نسبة عزل 33.4 %)) كانت لبكتريا S. aureus ، تلتها العزلات البكتيرية التابعة لانواع P. aeruginosa, K. pneumoniae وA. baumannii بينما لم يتم الحصول على عزلات تابعة للنوع البكتيري Enterococcus faeciumفي هذه الدراسة. اظهرت نتائج اختبار الحساسية الدوائية لمجموعة الاسكيب باستخدام نظام Vitek 2 - system للعزلات البكترية الموجبة والسالبة لصبغة كرام ان اعلى نسبة مقاومة للمضادات الحيوية كانت لبكتريا P. aeruginosa تليها العزلات التابعة لكل من K. pneumoniae,, S. aureus, E. cloacae وA. baumanniiعلى التوالي. وجد في هذه الدراسة ان 75 % من جميع العزلات السالبة لصبغة كرام ومن ضمنها العزلات التابعة لمجموعة الاسكيب P. aeruginosa, K. pneumoniae E. cloacae, A. baumannii كانت منتجة لانزيمات البيتالاكتاميز واسعة الطيف ، كما اظهرت النتائج ان جميع العزلات السالبة لصبغه كرام ضمن مجموعة الاسكيب كانت منتجة لانزيمات البيتالاكتاميز من نوع AmpC. كما بينت نتائج اختبار الحساسية الدوائية لمجموعة الاسكيب ان هنالك اختلافات في انماط المقاومة للمضادات الحياتية بين هذه العزلات، حيث وجد ان اعلى نسبة كانت لنمط متعدد المقاومة 10(%83.3) فيما احتل نمط واسع المقاومة نسبة 2 (16.6%), بينما لم يتم الحصول على عزلات ذات نمط كلي المقاومة في هذه الدراسة. وحسب ما تم الاطلاع من المصادر المعتمدة، فان هذه الدراسة تعد الدراسة الاولى في العراق والتي تتضمن التحري عن انماط مقاومة المضادات الحياتية لمجموعة الممرضات البكتيرية (الاسكيب) لمرضى الاطفال في العراق. | The present study aimed to investigate the prevalence of ESKAPE pathogens group : Enterococcus faecium, Staphylococcus aureus. Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp. among pediatric patients in Babylon province, Iraq. Out of 191 different clinical samples were collected from pediatric patients during the a period of July 2016 till November 2016. Samples were obtained from aged from 1day till the age of pediatric patients 14 years old who admitted to Babylon teaching hospital for maternity and children (mainly in nursery neonatal care unit, intensive care unit, general wards) and Hilla teaching hospital (mainly in burn unit). Samples obtained included; blood, urine, cerebrospinal fluid, burns wounds and others (bronchial fluid, abscess) data like name, age, sex, residence, body weight, attending for vaccination program before or after, any clinical documented infection or not, and whether received antibiotics before or after, were taken from patients before sampling.Among 191 clinical samples, 45 (23.5%) gave positive growth on ordinary culture media, yielding 45 bacterial isolates, identified using biochemical tests,Vitek2 - system ID cards, and API system. The bacterial isolates were recovered form urine 16 (35.5%), burn wounds 15 (33.3%), blood 13(28. 8%), and bronchial fluid 1 (2.2%). Among 191 clinical samples, 146 (76.4%) gave no growth. The reason of negative culture may be attributed to fungal infection, viral infection, fastidious bacteria that might be lost during transporting or antibiotics usage before taking samples. Out of the total samples collection 191, ESKAPE pathogens group corresponded 12 isolates (6.3%) were recovered. While (26.6) from positive growth cultures. They were isolated from samples of burn wounds 6 (50%), blood 5(41.6%), and bronchial fluid 1(8.3%). Among 12 isolates of (6.3%) ESKAPE pathogens group from 191 recovered from clinical samples, S. aureus was recovered in high rate (33.4%) followed by P. aeruginosa, K. pneumoniae, and A. baumannii However, no isolate belonged to E. faecium was recovered in this study. Results of antibiotic susceptibility testing of ESKAPE pathogens group using Vitek 2 - system found that P. aeruginosa isolates showed high rate of antibiotic resistance, followed by K. pneumoniae, S. aureus, E. cloacae, and A. baumannii isolates respectively. Different antibiotic susceptibility patterns were recorded among ESKAPE pathoges group isolates. Multi drug resistance (MDR) was found in high rate 10 (83.3%), and extensively drug resistant (XDR) 2(16.6%) , However, no isolates belonged to pan drug resistant (PDR) were recovered in this study. In the present study found that high rate 6/8 (75%) from the all isolates of G - ve bacteria within ESKAPE pathogens group (P. aeruginosa, K. pneumoniae E. cloacae, A.baumannii) were ESBL - producers and all isolates were AmpC producer.According to we knowledge, this study is a first record of investigation the prevalence of pattern resistant bacteria among ESKAPE pathogen group in pediatric patients in Iraq

تاثير البرنامج التثقيفي للممرضين في الكشف عن حالات السل في مستشفى الحلة التعليمي == Effectiveness of an Educational Outreach Program to Nurses in Tuberculosis Case Detection at Al - Hilla Teaching Hospital

اسم المؤلف: حيدر محمد عبيد الشمري
اسم المشرف: فخرية جبر محيبس الزبيدي | حسين جاسم محمد
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: يعتبر الكادر التمريضي ذات اهمية كبيرة في النظام الصحي لانهم على اتصال مباشر ومستمر بالمرضى، وكذلك فضلا عن خطورة مرض السل وتهديد للصحة العامة, وبالتالي فان زيادة وعي الممرضين ومعارفهم اتجاه هذا المرض مهم جدا لذلك اجرى الباحث هذا دراسة لتحديد فعالية البرنامج التثقيفي للممرضين في الكشف عن حالات السل في مستشفى الحلة التعليمي.اجريت دراسة كمية شبه تجريبية في مستشفى الحلة التعليمي وتم وجمع البيانات من عينة الدراسة من 12 فبراير الى 10 مايو 2017. وكانت عينة الدراسة تتكون من (80) ممرض وممرضة يعملون في اماكن مختلفة في مستشفى الحلة التعليمي العام وتم اختيارهم بصورة عشوائية بغض النظر عن عناوينهم الوظيفية وتم تقسيمهم الى مجموعتين, مجموعة الدراسة وكانت تتكون من (40) ممرض وممرضة حضروا لجلسات البرنامج التعليمي التي تتكون من جلستين, والمجموعة الاخرى هي المجموعة الضابطة والتي تتكون ايضا من (40) ممرض وممرضة حيث لم يحضروا الى اي جلسة من جلسات البرنامج التعليمي.صممت استمارة الاستبانة المستخدمة في هذه الدراسة لمعرفة تاثير البرنامج التثقيفي للممرضين في الكشف عن حالات السل حيث تتكون من ثلاثة اجزاء، الجزء الاول هو البيانات الديموغرافية ويحتوي على (6) فقرات، والجزء الثاني هو وعي الممرضين ومعارفهم اتجاه مرض السل ويحتوي على (13) سؤال اما الجزء الثالث فهو سلوك الممرضين وممارساتهم اتجاه مرض السل حيث يحتوي هذا الجزء على (11) سؤال.حددت ثباتية استمارة الاستبانة من خلال اجراء الدراسة الاستطلاعية, اما مصداقية الاستبانة فقد حددت بعد توزيعها على (14) خبيرا وتم التعامل مع جميع الاراء العلمية والمنطقية التي طرحها الخبراء والعمل بها.اظهرت نتائج الدراسة ان عدد الذكور كان اعلى من الاناث وعمر الممرضين الذين شاركوا في الدراسة يتراوح بين (21 - 53 سنة)، كما اظهرت النتائج ان هناك فرق بين الاختبار القبلي والاختبار البعدي لمجموعة الدراسة حيث الممرضين حضروا لجلسات البرنامج التثقيفي اما المجموعة الضابطة فلم يحدث تغير بين الاختبار القبلي والاختبار البعدي حيث الممرضين لم يتعرضوا لاي برنامج تعليمي في هذه المجموعة.استنتجت الدراسة الى ان هناك نقص واضح في وعي ومعارف ومواقف وممارسات الممرضين اتجاه مرض السل, وكذلك البرنامج التثقيفي الخاص في زيادة قدرات الممرضين في الكشف عن حالات السل كان فعالا، بالاضافة الى عدم وجود دليل وطني خاص بمرض السل في اماكن عمل الممرضين في المؤسسة الصحية التي تم اجراء الدراسة فيها.اوصت الدراسة بضرورة تحسين وعي ومعارف الممرضين اتجاه مرض السل من خلال تنظيم المحاضرات والندوات وورش العمل الخاصة بالسل وكذلك ضرورة توفير الدليل الوطني الخاص بمرض السل في كل جناح ووحدة وقسم من اقسام المؤسسات الصحية لتوجيه الممرضين وباقي مقدمي الرعاية الصحية على كيفية التعامل مع المريض الذي يعاني من هذا المرض او يشتبه اصابته بمرض السل | The nursing staff has been highly important in health system because they are in direct contact with the patients as well as the seriousness of tuberculosis disease and threaten of public health, therefore the developing awareness of nurses toward this disease is very important so the researcher were conducted this study to identify the effectiveness of an educational outreach program to nurses in Tuberculosis case detection at Al - Hilla Teaching hospital. Quantitative research quasi experimental design started from11 October 2016 to 10 September 2017 and carried out in Al - Hill teaching hospital as a setting for this study.Non probability purposive sample selection of (80) nurses work in different unites in Al - Hilla teaching hospital have been chosen regardless of their job title. They have been divided into two groups, study group which consist from (40) nurses who attended to sessions of educational program while another (40) nurses as control group who did not attend to sessions of educational program.Questionnaire form used in this study which consist from three parts, the first part is demographical data containing (6) items, second part is TB - Related knowledge and awareness contain (13) items and third part is Attitude and practice related TB contain (11) items.The validity of questionnaire has been determined after distributing it to (14) experts and all scientific and logical views that have been posed by the experts have been utilized and added, while the reliability of questionnaire was obtained through applying the pilot study by using correlation coefficient and it has been (0.80). The statistical analysis were used in this study, is the frequency (f), percentage (%) mean, standard deviation (SD), chi - square and t - test to find and determine the results.The results of this study revealed the number of male higher than the female and the age of nurses who have been participated in study between (21 - 53 years), inaddition the findings show the mean of total score of study group in post - test (59.58%) while in pre - test was (49.80%) and in control group the mean of total score in post - test was (54.30%) while in pre - test was (53.35%),this indicate the difference between pre - test and post - test in study group where the nurses attended to two sessions of educational program, moreover the assessment of response rate has changed dramatically from fail to pass in the majorities items when compared with the result in control group where it has remained with very little change in pre - test and post - test.The study concludes there is lack of awareness, knowledge, attitude and practice of nurses toward tuberculosis and the educational outreach program that constructed to increase the abilities of nurses in detect TB cases was effective, however there is no national guideline for TB in nurses workplace in setting of study.The researcher recommended that the awareness, knowledge, attitude and practice of nurses should be improved regarding tuberculosis by organizing lectures, seminars or workshop special for TB and providing TB national guideline in every ward, unit and department of health facilities to guide and help them how to deal with patient suffer from this disease or suspected with TB

دراسة التحديات التي تواجه برنامج التعليم التمريضي الجامعي في كليات التمريض - العراق == Study Challenges upon Bachelor Degree of Nursing Education program in Colleges of Nursing / Iraq

اسم المؤلف: احمد شاكر مهدي الزهيري
اسم المشرف: قحطان هادي حسين | حسين جاسم محمد
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: اجريت دراسة وصفية تحليلية خلال الفترة من 1 ايلول 2016 الى 20 اب 2017 من اجل دراسة التحديات التي تواجه برنامج التعليم التمريض في كليات التمريض / العراق. وشملت الدراسة (16) كلية من اصل (18) كلية تمريض في العراق حيث لم نتمكن من استقطابهما لصعوبة الوضع الامني في مناطقها وهما كليتي تمريض (نينوى وتلعفر). تم جمع البيانات باستخدام استمارة استبيانيه معدة ومعتمدة لضمان الجودة , من قبل اتحاد الجامعات العربية - الجمعية العلمية لكليات التمريض العربية . مع بعض التعديلات , لتصبح اكثر قبولا مع واقع الجامعات العراقية , وكان الاستبيان واضحا وكافيا لقياس الظاهرة ,ماعدا بعض التعديلات التي اجريت على بعض البنود وفقا لاقتراحات الخبراء . تم تحديد موثوقية الاستبيان من خلال دراسة تجريبية وتم التحقق من صحتها من خلال لجنة مكونة من (13) خبيرا. تم تحليل البيانات من خلال استخدام برنامج الحزم الاحصائية للعلوم الاجتماعية (SPSS) الاصدار (23) ومايكروسوفت اكسل (2010). وتعنى الموثوقية بالاتساق والاعتمادية باداة البحث. ويعتمد تحديد الاتساق الداخلي والمصداقية للاستبيان على حساب معامل الارتباط الفا كرو نباخ. بعد اجراء الدراسة المصغرة على كليتي تمريض (بابل والكوفة),وكانت درجة الموثوقية(0.84) وتعتبر مرضية, وكانت كلية التمريض - جامعة بابل قد وجدت في التحليل للبحث حول البنى التحتية من مختبرات افتراضية وقاعات ذكية ومقبولية اعداد الهيئة التدريسية فيها وعدد الخطة لقبول الطلبة في الدراسة الاولية والعليا فضلا عن استخدام الادارة الالكترونية وادارة الجودة ونحو التخطيط للاعتمادية الدولية . مما شجع الباحث على المضي بالدراسة في بقية الكليات. اظهرت نتائج الدراسة الى وجود نقص واضح في عدد اعضاء هيئة التدريس من جميع الرتب الاكاديمية، في نصف عدد الكليات حيث شكلت نسبة (56.3 %)، كما ان هذا النقص موجود في عدد اعضاء هيئة التدريس نسبة الى عدد الطلبة في معظم الكليات. فضلا عن ذلك، فان استنتاج معايير بناء الكلية التمريضية وفقا لبنود التقييم الدقيق وغير الدقيق، وفقا للتقييم المبين، هناك نقاط ضعف في جميع البنود عدا بعض الكليات التي يتوفر فيها البيئة التعليمية والمصادر والتعليم التكنولوجي الذكي والامتحانات الالكترونية. فيما يخص اعداد الطلبة الدراسين في كليات الخلاصة التمريض / العراق فان الدراسة بينت بان (37.5 %) من الكليات تتراوح اعداد طلبتها بين (100 - 200 طالب وطالبة) من ذلك نستنتج بان معدل استاذ الى طالب يكون بحدود (30 - 40 طالب لكل استاذ) وهو معدل غير جيد.اضافه الى عدم ملائمة البنية التحتية نسبة الى عدد الطلاب وتوفير القاعات والمختبرات الدراسية والمكتبة. اوصت الدراسة بضرورة وضع خطة استراتيجية طويلة وقصيرة الامد لزيادة عدد اعضاء هيئة التدريس التمريضي في العراق لتغطية جميع الكليات , ومفاتحة الجهات ذات العلاقة ومنها وزارات الصحة والمالية والتعليم العالي والبحث العلمي والتخطيط والدفاع , الى تطبيق توصيات هذه الدراسة باستحداث درجات وظيفية لزيادة قاعدة تدريسي كليات التمريض كونها من التخصصات النادرة. وبالاضافة الى ذلك، خفض عدد طلاب التمريض الجدد الى النصف من العدد الحالي. والاهتمام باحتياجات الكليات المتعلقة بالبيئة التعليمية والاحتياجات المادية. اهداف التعليم التمريضي تحتاج الى تحسين وفقا لمتطلبات المجتمع، وجهة نظر قطاع الصحة والذي تعتمد على نظام الرعاية الصحية والاحتياجات من الكوادر التمريضية. مناهج التعليم التمريضي في العراق بحاجة للتغيير كمسالة تخصصات في التمريض لان العدد الكبير من الممرضين الجدد دون تحديد دورهم في نظام الرعاية الصحية. استخدام تكنولوجيا المعلومات والتعليم الالكتروني الذكي في عملية التعليم وتوفير البنى التحتية , ويلزم على الجامعات او الكليات على التعاقد مع المستشفيات لغرض توفير البيئة التعليمية العملية وفق منهج متطور يلبي احتياجات التدريب السريري وعدد ساعات المنهج العلمي. واخيرا ضرورة اجراء مثل هكذا بحوث في المستقبل لما لها اهمية في تحسين التعليم التمريضي الجامعي في العراق | A descriptive analytic cross - sectional study design has conducted throughout the period from 1 September 2016 to 20th August 2017 in order to study the challenges upon Bachelor Degree of Nursing Education program in Colleges of Nursing / Iraq. A Comprehensive sample of (16) college out of (18) nursing colleges in Iraq, where we were unable to attract them to the difficulty of the security situation in their areas, namely nursing colleges (Nineveh and Tal Afar) Data was collected by using standardizing questionnaire, prepared and approved for quality assurance by the Union of Arab Universities - Scientific Association of Arab Nursing Colleges. With some modifications, to become more acceptable with the reality of Iraqi universities, and the questionnaire was clear and sufficient to measure the phenomenon, except some amendments made to some items in accordance with the suggestions of experts. Reliability of the questionnaire was determined through a pilot study is conducted up on of (2) college, have been selected from Babylon University - and Kufa University, College of Nursing, the degree of reliability is(0.84) is considered satisfactory , and the validity was achieved through a panel of (13) experts. Data were analyzed through the use of the Statistical Package of Social Sciences (SPSS, Version 23) and Microsoft excel (2010). Reliability was concerned with the consistency and dependability of the research instrument . Determination of internal consistency, reliability of the questionnaire is based on computation of Alpha Cronbach's Correlation Coefficient. The Faculty of Nursing - Babylon IIIUniversity was found in the analysis of the research on the infrastructure of virtual laboratories and smart classrooms and admissibility of the number of faculty and the number of the plan to accept students in the primary and higher studies as well as the use of electronic management and quality management and planning for international reliability. Which encouraged the researcher to continue studying in the rest of the colleges. The findings of the study indicate that there is a clear shortage inthe number of faculty members of all academic ranks in half the number of colleges, which accounted for 56.3%. This shortage is also found in the number of faculty members relative to the number of students in most colleges. In addition, the conclusion of the criteria for the construction of nursing college according to the items of accurate and inaccurate evaluation, according to the assessment shown, there are weaknesses in all items except for some colleges where the educational environment, resources, intelligent technological education and electronic examinations are available. With regard to the numbers of students studying in nursing colleges / Iraq, the study showed that (37.5%) of the colleges have a number of students (between 100 - 200 students). Therefore, we conclude that the average teacher to student is about 30 - 40 students per professor The rate is not good. In addition to the lack of suitable infrastructure in relation to the number of students and the provision of classrooms, study laboratories and library. The study recommended the need to develop a long - term and short - term strategic plan to increase the number of nursing faculty IVmembers in Iraq to cover all faculties, and overture the Ministries of Health, Finance, Higher Education, Scientific Research and Planning and defense to implement the recommendations of this study by introducing functional degrees to increase the teaching base of nursing colleges as a rare specialty. In addition, the number of new nursing students has been halved from the current number. And attention to the needs of the faculties related to the educational environment and material needs. The objectives of nursing education need to be improved according to the requirements of the community, the point of view of the health sector which depends on

اثر استخدام الانترنيت على السلوكيات الصحية للطلبة المراهقين للمدارس الاعدادية في مدينه الحلة == Impact of Internet used upon Health Behaviors among High Schools Adolescent's students in Hilla City

اسم المؤلف: هيام محمد عبد الحسين
اسم المشرف: امين عجيل ياسر الياسري
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: اجريت دراسة وصفية مستعرضة خلال الفترة من (11/10/ 2016 الى 11/6/2017) من اجل التعرف على اثر استخدام الانترنيت على السلوك الصحي للطلبة المراهقين للمدارس الاعدادية, وكذلك معرفة العلاقة ما بين تاثير استخدام الانترنت والخصائص الديموغرافية للطلبة كالعمر والجنس، والمستوى الدراسي للوالدين، ومهنة الوالدين، والحالة الاجتماعية والاقتصادية. بالاضافة الى ايجاد علاقة ما بين شبكات التواصل الاجتماعي ومستخدمي الانترنيت.اختيرت عينة عشوائية منظمة متكونة من (200) طالب من خلال استخدام طريقة اخذ العينات الاحتمالي. وهذه العينة موزعة على (5) مدارس اعدادية للذكور والاناث من اصل (22) مدرسة اعدادية. بنيت استمارة الاستبانة لغرض الدراسة وتحقق الاعتماد على موثوقية الاستبانة من خلال دراسة تجريبية ومن ثم عرضها على (12) خبراء لتثبت مصداقيتها. وتضمنت الاستبانة (43) فقرة. وتنقسم هذه الفقرات الى جزاين, تشمل التاثير الجسدي الذي يتكون من (26) فقرة والتاثير النفسي الذي يتكون من (17) فقرة.جمعت البيانات من خلال اسلوب المقابلات والتدوين الذاتي باستخدام اداة الاستبانة وحللت البيانات من خلال تطبيق التحليل الاحصائي الوصفي الذي يشمل التكرارات والنسب المئوية ومتوسط الدرجات للقيم والانحراف المعياري; والتحليل الاحصائي الاستنتاجي والذي شمل اختبار مربع كاي والتحليل الانحداري واختبار ANOVA.اشارت نتائج الدراسة الى ان طلاب المدارس الاعدادية تاثروا جزئيا بنسبة (66.5٪) من خلال استخدام الانترنت، واما من حيث التاثير البدني والنفسي فقد اشارت النتائج انهم تاثروا جزئيا. وكذلك اظهرت النتائج الى ان استخدام شبكة التواصل الاجتماعي قد اثرت على السلوك الصحي للمراهقين.واستنتجت الدراسة بان التاثير العام لاستخدام الانترنت بالنسبة للطلاب المراهقين في المدارس الاعدادية له تاثير متوسط، كما ان مهنة الامهات والمستوى الدراسي للاباء لها تاثير على ابنائهم من خلال استخدام الانترنيت.اوصت الدراسة بان يكون المراهقون هدفا لبرامج تطبيقي وتعزيز التثقيف الصحي حول استخدام الانترنت ويحتاج صانعي القرار كالاباء او المعلمين دعم لنقاط القوة في السلوكيات الصحية وابلاء المزيد من الاهتمام لابنائهم من الطلبة المراهقين. | A descriptive cross - sectional study is conducted throughout the period of (October 11th 2016 to June 11th 2017) in order to determine the impact of internet used up on health behaviour among high schools adolescents students, and to find out relationship between the impact of internet used and high schools adolescents demographic characteristics of age, gender, parents' level of education, parents' occupation, and their socio - economic status. As well as, to find out a relationship between social media network and adolescence's internet used. A systematic random sample of (200) students is selected through the use of probability sampling approach. These sample distributed on (5) high schools are for male and female of the (22) junior high school.The reliability of the questionnaire which is determined through a pilot study and the validity are achieved through a panel of (12) experts. The overall items, which are included in the questionnaire, are (43) items. These items are divided into (2) sections which include physical domains which is composed of (26) items; and psychological domains which is composed of (17) items.Data are collected through the use of a self - report and interview technique by the questionnaire as means for data collection. Data are analyzed through the application of descriptive and inferential statistical data analysis approach that includes, frequencies, percentages, mean of scores, standard deviation; Chi - squared test, Regression, and ANOVA test.The study results indicate that high school students are moderately impacted (66.5%) by their internet used, and it is also, in terms of internet used by physical and to psychological impact, results indicated that partially impact. As well as results indicate that there is a social media network have affected their adolescents health behaviour The study concludes that the overall impact of internet used by high school students are moderate impact, and mothers occupation and fathers level of education affected their impact by the internet used.The study recommends adolescent can be considered the target of programs of applying and reinforcing health education about utilization of internet and their used. Decision makers as parents or teachers needs to reinforcing and strong points in providing healthy behaviors and pay more attention to their adolescents

العلاقه بين الجهد التاكسدي والهرمونات الدهنيه للاطفال المصابين بالربو القصبي

اسم المؤلف: افراح نزار طالب
اسم المشرف: مفيد جليل عوض | سهير عيسى القيسي
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: الربو هو اكثر امراض الجهاز التنفسي السفلي المزمنة شيوعا في الطفولة في جميع انحاء العالم. الربو غالبا ما يبدا في وقت مبكر من الحياة ولها دورات متغيرة والنماذج الظاهرية غير المستقرة التي قد تقدم او تحويل مع مرور الوقت. قد ينجم عن الاطفال في سن ما قبل المدرسة عدد من الظروف المختلفة. حوالي نصف ازيز مرحلة ما قبل المدرسة تصبح غير متناظرة في سن المدرسة بغض النظر عن العلاج. ومع ذلك، قد تستمر اعراض الربو، في كثير من الاحيان للحياة، وخاصة في حالات التاتبي واكثر شدة. البدانة عامل خطر لتطور الربو. وقد ثبت جيدا ان السمنة تتميز ايضا بالتهابات نظامية منخفضة الدرجة تقلل من سلسلة من الوسطاء. اديبوكينس، التي تحفز على حالة تنشيط التهابات في اجهزة بعيدة الى الانسجة الدهنية. في لبتين السمنة واديبونيكتين، هما الهرمونات الرئيسية التي تشارك في التوازن الالتهابي والتي هي ذات الصلة المحتملة في الربو. هناك ادلة متزايدة على وجود علاقة ايجابية بين الربو والبدانة لدى الاطفال والبالغين. اديبوكينس تنظيم العديد من وظائف التمثيل الغذائي والالتهابات. وقد اظهرت العديد من الدراسات ان انواع الاكسجين التفاعلية(ROS) تلعب دوررائيسيا في بدء وكذلك تضخيم الالتهابات في الشعب الهوائية الربو. انتاج روس الزائد في الربو يؤدي الى تغيير في مضادات الاكسدة الانزيمية الغير انزيمية الرئيسية مثل الكاتالاز، الجلوتاثيون ومضادات الاكسدة الكلية. هذه الدراسة هي لتسليط الضوء على اختلال اكسدة ومضادات الاكسدة فيما يتعلق بمستوى اديبونيكتين في الاطفال المصابين بالربو. اديبونيكتين، اللبتين، الكاتالاز، الجلوتاثيون، ومضادات الاكسدة الكلية ومالونديالدهيد تم قياسها في 100 طفل. تم تسجيل 60 مريضا حديثا بالربو و40 طفلا غير مصابين بالربو مع العمر والجنس المقارنين في هذه الدراسة. الاطفال الربو تنقسم الى مجموعتين 30 مريضا في كل مجموعة (البدناء وغيرالبدناء ). تراوحت اعمار المرضى والسيطرة بين (2 سنة - 12 سنة). اديبونيكتين، اللبتين ومضادات الاكسدة الكلية التي تم تقديرها من قبل تقنية الانزيم المناعي اليزا ، الجلوتاثيون بواسطة هبلك، الكاتالاز ومالونديالدهيد بواسطة الطيف. اظهرت نتائج الدراسة الحالية زيادة في الليبتين وخفض مستويات الاديبونيكتين في المجموعة البدناء مما هو عليه في المجموعة التي لاتعاني السمنة لدى مرضى الربو والسيطرة بفارق معنوي (P <0.04) و(P <0.03) على التوالي. بالاضافة الى هذه الزيادة في مالونديالدهيد وانخفاض الكاتالاز، ومضادات الاكسدة الكلية ومستويات الجلوتاثيون، مع وجود فرق كبير 0.01)>p). لوحظ وجود ارتباط معنوي ايجابي بين اللبتين ومؤشر كتلة الجسم، ارتباط معنوي ايجابي بين الجلوتاثيون ومؤشر كتلة الجسم، ارتباط معنوي سلبي بين الاديبونيكتين مع الجلوتاثيون وارتباط معنوي ايجابي بين اجمالي مضادات الاكسدة والمالونديالدهيد. ونتائج الدراسة اعلاه كشفت عن وجود اختلال اكسدة ومضادات الاكسدة بين الاطفال المصابين بالربو يعانون من السمنة المفرطة، بالمقارنة مع التغيرات في مستوى اديبوكينس. بين الاطفال المصابين بالربو الذين يعانون من السمنة المفرطة وزيادة مستويات اللبتين والاديبونيكتين على التوالي حيث تشير الى ارتباط كبير بين اديبوكينس والسمنة في الاطفال الذين يعانون من الربو. زيادة القوى المؤكسدة وتقليل القدرة المضادة للاكسدة، معا نتائج تدعم بقوة ان الاكسدة هو زيادة في الاطفال الذين يعانون من الربو ويمكن ان تلعب دورا في التسبب في الربو. | Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Asthma most often starts early in life and has variable courses and unstable phenotypes which may progress or remit over time. Wheeze in preschool age children may result from a number of different these conditions; around half of preschool wheeze become asymptomatic by school age irrespective of treatment. However, asthma symptoms may persist, often for life, especially in atopic and more severe cases. Obesity is a risk factor for the development of asthma. It has been well established that obesity is also characterized by low - grade systemic inflammation that reduces a series of mediators. Adipokines, which induce an inflammatory activated state in organs distant to adipose tissue. In obesity leptin and adiponectin, are the two main hormones involved in inflammatory balance and which are potentially relevant in asthma. There is an increasing evidence of a positive correlation between asthma and obesity in children and adults. Adipokines regulate several metabolic and inflammatory functions. Several studies have shown that reactive oxygen species (ROS) play a key role in initiation as well as amplification of inflammation in asthmatic airways. Excessive ROS production in asthma leads to alteration in key enzymatic as well as nonenzymatic antioxidants such as catalase, glutathione and total antioxidant . The aim of this study to assess of the leptin and adiponectin in sera of control and asthma groups and to study the correlation between adipokines (leptin and adponectin) and oxidative stress in asthmatic children. Adiponectin , leptin, catalase, glutathione , total antioxidant and malondialdehyde were measured in 100 children; 60 newly diagnosed with asthma and 40 non asthmatic children with the comparable age and sex were enrolled in this study . Asthmatics children subdivided in two groups 30 patients in each group( obese and nonobese). Ages of patients and control ranged between (2years - 12 years). Adiponectin , leptin and total antioxidant were estimated by enzyme - linked immunoassay ELISA technique, glutathione by HPLC, catalase and malondialdeheyde (MDA) by spectrophotometer. Results in present study are shown an increase in leptin and decrease adiponectin levels in the obese group than in non - obese group in asthmatic patients and control with significant difference (P<0.04) and (P<0.03) respectively. In addition to that increase in malondialdehyde and decrease catalase, total antioxidant and glutathione levels in asthmatic children than control, with significant (p<0.01) difference. There were significant (P>0.004) positive correlation observed between leptin and BMI , significant (P>0.03) positive correlation between glutathione and BMI, while significant (p<0.032) negative correlation between adiponectin with glutathione and significant (p<0.04) positive correlation between total antioxidant and malondialdehyde. The Present study concludes that Among obese asthmatics children there is an increase and decrease levels of leptin and adiponectin respectively that indicate the significant association between adipokines and obesity in those asthmatic children. Increase of oxidant forces and decrease antioxidant capacity, together results strongly support that oxidative stress is increased in asthmatic children and may play a role in the pathogenesis of asthma. The existence of an oxidant - antioxidant imbalance among obese asthmatics children, in parallel to changes in adepokines level

تقييم دور بروتين عامل نمو بطانة الاوعية الدموية ونسبة الصوديوم, البوتاسيوم, والكالسيوم الى الكرياتينين في الادرار كفحص تشخيصي لمرضى ما قبل تسمم الحمل == The Role of Vascular Endothelial Growth Factor and Urinary Sodium, Potassium, and Calcium to Creatinine Ratio as Diagnostic Tests in Pre - eclampsia

اسم المؤلف: غيث كامل جواد
اسم المشرف: حيدر هاشم الشلاه | ملال محمد الجبوري
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: Preeclampsia is defined as hypertension associated with proteinuria arising de novo after the 20th week of gestation in a previously normotensive woman and resolving completely by the 6th postpartum week.It is a major cause of morbidity and mortality during pregnancy. There are many ways to diagnose the disease, based on clinical diagnosis and conduct some tests; screening tests measurement of the amount of protein found in the urine sample that had been collected for a period of twenty - four hours. In the present study, the ratio of (Na+, K+, and Ca++) to creatinine in the urine spot sample, in addition to the protein vascular endothelial growth factor in the serum were measured as an attempt to be used as screening or diagnostic tests for patients with pre - eclampsia. This study was carried out at Babylon Teaching Hospital for Gynecology and Pediatrics, in Babylon Province, Hilla City during the period between February 2016 till August 2016. This study included 88 women, 44 were patients diagnosed with preeclampsia in the second and third trimester and the other 44 were healthy pregnant women in the same period of pregnancy taken as a control. Cases with age over 135 year, BMI > 300, previous historyd of pre - eclampsia, family history of pre - eclampsia, multipled pregnancy and hydrops fetalis, pre - existing hypertension or renal disease, pre - existing vascular disease, and antiphospholipid syndrome were excluded. Serum levels of vascular endothelial growth factor were measured by using ELISA technique, while urine were collected to estimate calcium and creatinine by spectrophotometric method. Sodium and potassium by ion selective electrode technique. The ratio of sodium to creatinine, potassium to creatinine, and calcium to creatinine were calculated.Serum vascular endothelial growth factor level was significantly lower in patients with preeclampsia compared to control group (P value < 0.01).The sensitivity of VEGF to detect preeclampsia was (75%) while, it's specificity was (90.9%).Similarly, the urinary Na+/creatinine ratio and Ca++/ creatinine ratio was significantly lower in patients with pre - eclampsia compared to control groups (P value < 0.01). The sensitivity of urinary Na+/Creatinine ratio was (93%) and it's specificity was (70%). While the sensitivity of urinary Ca++/ creatinine ratio was (34%) and specificity was (97%).On the other hand, urinary K+/creatinine ratio was significantly higher in patients with pre - eclampsia compared to control groups (P value < 0.01).The sensitivity of urinary K+/creatinine ratio to detect pre - eclampsia was (77%) while, its specificity was (68%).This study concluded that urinary Na+/creatinine ratio can be used as a screening tests because of excellent sensitivity, however because of excellent specificity of vascular endothelial growth factor and urinary Ca++/creatinine ratio (90.9% and 97% respectively), they are convienent for diagnostic purpose.

التقييم السريري لمستوى تراكيز الهوموسيستين وحمض الفوليك وفيتامين ب - 12في امصال مرضى البهاق == Clinical Evaluation of Homocysteine, Folic acid & B12 Concentration Levels in Sera of Vitiligo Patients

اسم المؤلف: محمد نوري ابراهيم
اسم المشرف: حيدر هاشم الشلاه | محمد كاظم الحطاب
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: البهاق مرض مكتسب غير معد مجهول السبب وشائع في جميع انحاءالعالم ويحدث نتيجة الفقدان التدريجي لوظيفة الخلايا الصباغية التي تنتج الميلانين (الصبغة الجلدية) مما يؤدي الى فقدان الصبغة في الجسم او الشعر او الفم ولازالت مسببات هذا المرض غير مفهومة تماما فهناك العديد من النظريات التي تبين سبب ظهوره وواحدة من تلك النظريات تعزي سبب ظهورالبهاق الى الزيادة في (الهوموسيستين) والذي قد يشارك في تدمير الخلايا الصباغية ( الميلانوسايت) في الجلد عن طريق زيادة الجهد التاكسدي.ان هذه الدراسة تبحث دورالهوموسيستين وحمض الفوليك وفيتامين ب - ١٢ وتقييم هذه الادوار في التسبب او في انتشار هذا المرض ، وقد اجريت الدراسة في مدينة مرجان الطبية في العيادة الاستشارية الخارجية للامراض الجلدية في محافظة بابل /مدينة الحلة وقد تم جمع العينات في الفترة منذ نوفمبر 2015 حتى مارس 2016 وقد شملت ثمان وثمانون حالة : اربعة واربعون منهم مصابا بمرض البهاق واربع واربعون شخصا سليما وباعمار مختلفة. وقد تم استبعاد الاعمار فوق 40سنة ومن يزيد مؤشر كتلة الجسم لديهم عن 30 وكذلك المصابين بارتفاع ضغط الدم ومرضى السكري ومرضى فقر الدم الخبيث وداءالثعلبة والاشخاص الذين لديهم خللا في الغدة الدرقية والحوامل والمرضعات والمدخنين وشاربي القهوة. وقد تم قياس مستوى الهوموسيستين والفوليك وفيتامين ب - ١٢ في مصل الدم باستعمال الطريقة اللونية على جهازي ELISA و.TOSOH - 900تم التعبير عن النتائج من خلال استخدام المعدل والانحراف المعياري . وقد تم اجراء التحليلات الاحصائية باستخدام برنامج التحليل الاحصائي (SPSS 21) وتم اعتبار قيمة الاحتمالية0.05) ≤ p) لتكون ذات دلالة احصائية.كان مستوى الهوموسيستين في الدم اعلى لدى المرضى الذين يعانون من البهاق مقارنة بمجموعة الاشخاص الغير مصابين. وكان مستوى حمض الفوليك في مجموعة المرضى اقل بكثير مما كانت عليه مجموعة الاشخاص الغير مصابين على الرغم من ان مستوى حمض الفوليك كان طبيعيا. ولم يلاحظ اي اختلاف معتد به في مستوى فيتامين ب - ١٢ بين مرضى البهاق والاشخاص غير المصابين.اما فيما يتعلق بنشاط المرض فقد كان معدل الهوموسيستين في مجموعة المرضى الذين يعانون من مرض البهاق الفعال (النشط) اعلى مما كانت عليه في مجموعة الغير مصابين وكان متوسط مستوى الهوموسيستين في مصل الدم في مجموعة المرض النشط اعلى من تلك التي في مجموعة المرض المستقر. ان نتائج هذه الدراسة اظهرت ارتفاع مستوى الهوموسيستين قي المرضى الذين يعانون من مرض نشط ومستقر ولكن ليس في المرضى الذين تماثلوا للشفاء لافتا الى وجود علاقة وطيدة محتملة بين الهوموسيستين ونشاط المرض. وفي هذه الدراسة كانت هناك فروق ذات دلالة احصائية فيما يتعلق بمستوى حمض الفوليك في مصل الدم فكان في مجموعة المرضى الذين تماثلوا للشفاء اعلى بكثير مما كانت عليه مجموعة المرض المستقر واعلى من مجموعة المرض النشط بينما لم يكن هناك اختلاف يذكر في مستوي فيتامين ب - ١٢ فيما يتعلق بنشاط المرض. وفي الختام بينت هذه الدراسة الى ان من المحتمل ان تكون هناك صلة بين ارتفاع مستوى الهوموسيستين او قلة مستوى حمض الفوليك في مصل الدم وبين التسبب في مرض البهاق او نشاطه وقد تستخدم هذه العلامات البيولوجية لقياس نشاط المرض ومعرفة مراحله. | Vitiligo is a common, acquired, multifactorial and polygenic depigmenting disorder caused by the destruction of melanocytes. The exact etiopathogenesis is unknown. There has been conflicting reports on the association between the disease and the serum levels of homocysteine (Hcy) in vitiligo and its severity. Hcy may mediate melanocyte destruction via increased oxidative damage. In the present study homocysteine, folic acid and vitamin B12 were estimated to identify their role in the pathogenesis in vitiligo. This study was carried out in Marjan Medical City in the outpatient dermatology clinic in Babylon Province, Hilla City. All samples were collected from November 2015 till March 2016. This was a case control study which included 88 subjects, forty four were patients diagnosed with vitiligo and the other forty four were healthy subjects (controls). Cases over 40 years, BMI > 30, patients who clinically and laboratory diagnosed with hypertension, pernicious anemia, diabetes mellitus (D.M), alopecia areata, thyroid dysfunction, pregnancy and lactation, coffee drinkers and cigarettes smokers were excluded. Serum levels of folic acid, B12 and homocysteine were measured by using a colorimetric method technique. The results were expressed as mean ± standard error of mean. T - test, Annova test and the linear regression analysis Rho (ρ) were used for the determination of the level of significance. Statistical analysis was performed with Statistical Package for the Social Sciences (SPSS) version 21.0 software. A P value of ≤ 0.05 was considered to be statistically significant. The results of the present study demonstrate elevated serum homocysteine levels in extensive vitiligo. Elevation of homocysteine levels was observed in patients with active as well as stable disease, but not in patients with regressive disease, pointing to a possible relationship to vitiligo activity. Also in this study there was a statistically significant difference between active, stable and regressive activity regarding folic acid, on the contrary there was no significant difference regarding vitamin B12 in the activity of the disease. In conclusion, elevation of serum homcysteine level could be related to the pathogenesis and the activity of vitiligo and it could be used as a biomarker for the measurement of disease activity and in the prognosis of vitiligo

تقييم مستوى الفتوين ا لمرضى احتشاء العضله القلبيه الحاد في محافظة بابل == Evaluation of Fetuin A level in patieints with Myocardial Infarction in Babylon Province

اسم المؤلف: دينا عائد محمد الخفاجي
اسم المشرف: حيدر هاشم الشلاه | عدي جاسم الصالحي
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: احتشاء العضله القلبيه الحاد سبب المضعفات المرضيه والموت بشكل واسع في العالم. احتشاء العضله القلبيه موت الخلايا القلبيه التي تحدث بعد انعزالها عن الاوكسجين لفتره طويله. تم تقييم الخطورة لهذا المرض يتم عن طريق عوامل الخطورة والواسمات الحيويه للخطورة. وتمت دراسة عدد من عوامل الخطوره والواسمات الحيويه للخطوره لتقييم زيادتها او نقصانها المعنوي, قابليتها التنبؤيه للمرض, ومدى انتشارها في مجموعة الدراسه.تضمنت الدراسة 44 مريض تتراح اعمارهم من (45 - 80) سنة وتم تشخيصهم سريريا على انهم مصابين باحتشاء العضلة القلبية الحاد , تم الحصول عليهم من خلال رقودهم في وحدة العناية التاجية المركزة لمستشفى مدينة مرجان الطبية ومستشفى الحله لتعليمي بعد ان تم ادخالهم من قبل اطباء مختصين كونهم مصابين بمتلازمة الشرايين التاجية الحادة للفتره من 1/12/ 2015 لغاية 31/4/2016. بالاضافة الى هؤلاء تضمنت الدراسة 44 شخصا سليما ظاهريا وهم مجموعة السيطرة وقد روعي في الاختيار التطابق الديموغرافي بين المجموعتين كون الدراسه ذات بروتوكول يعنى بدراسة الحالات الافرادية ومقارنتها بحالات السيطرة. تم اجراء الفحوص المختبرية في مختبرات فرع الكيمياء السريرية في كلية طب/جامعة بابل.وبمقارنة مجموعة السيطرة مع مجموعة المرضى المصابين لوحظ قلة في مستوى الفتوين للمرضى مقازنه بمجموعة السيطرة( 0.05> p )،وزياده في مستوى T.Ch,LDLوHbA1c للمرضى مقارنة بمجموعة السيطرة(p>0.05). اما فيما يتعلق بالتنبؤبحدوث احتشاء العضله القلبيه الحاد وجد ان الاشخاص الذين لديهم مستوى HbA1c وT.Cholesterol عالي في مصل الدم يكونون عرضه للاصابه بالمرض لثلاث مرات.وقد تبين ان مستوى الFA في مصل الدم للمرضىيرتبط بشكل كبير مع نوع الاحتشاءالعضلي (STEMIوNSTEMI)وهذا يؤدي الى الايحاء بانه بامكانية دراستها كواسم حيوي تشخيصي لنوع الاحتشاء العضلي في الدراسات المستقبليه. | Acute myocardial infarction causes morbidity and mortality in wide areas of the world. It is the death of cardiac cells that occurs following prolonged cutoff of oxygen. The evaluation risk of this disease by the risk factor ,the study was aimed to evaluate the role of Fetuin A level in Acute myocardial infarction and to assess Fetuin A with some of risk markers .Risk assessment is done by using risk factors and risk markers. A number of risk factors and risk markers are evaluated in the present study to determine their significance, predictive ability in the studied population. A case control study was conducted between 1st December 2015and 31st April 2016, on 44 consecutive patients aged (45 - 80) years old, diagnosed by expert physicians to have Acute myocardial infarction admitted to the coronary care units of Merjan Medical City and Al - Hilla Teaching Hospital, in addition to other (44) subjects demographicaly matched without history of any coronary disease with similar risk factors considered as a control group.The sera obtained from the blood of patients and control group subjects were used to meacure the circulating level of Fetuin A, total cholesterol, LDL, albumin, urea, creatinine ,while the whole blood was used for HbA1c measurement, as they represent a group of risk markers of AMI. In comparison with the control group, the patients with acute myocardial infarction showed a significant decrease in fetuin A (P<0.05), and significant increase in total cholesterol ,LDL, and HbA1c(p< 0.05) .Regarding prediction of acute myocardial infarction , the study revealed that patients with myocardial infarction were three times more likely to have high HbA1c and total cholesterol. It was demonstrated that high serum fetuin - A level was not significantly correlated with HbAlc ,LDL, total cholesterol in acute myocardial infarction patients . However fetuin A serum level wuas significantly correlated with type of myocardial infarction (STEM and Non - STEMI).In conclusion the evidence of decreace level of Fetuin A in acute myocardial infarction could play arole in the development of pathogenesis acute myocardial infarction.

فاعلية البرنامج الارشادي على معارف الممرضة - القابلة المتعلق بالثاليل التناسلية في مستشفى الكرخ للولادة في مدينة بغداد == Effectiveness of Instructional Program on Nurse / Midwife Knowledge Concerning Genital Warts in Al - Karkh Maternity Hospital at Baghdad City

اسم المؤلف: حذام اسماعيل حمود
اسم المشرف: سهاد حكمت خيري
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: النسائية والتوليد
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Genital warts is one of the most common sexual transmitted infection. Education for nurses and midwives can play an important role in controlling and preventing this disease.Objectives : To assess the nurse/ midwife's knowledge concern genital warts, to determine the effectiveness of the outcomes of Instructional program, and to find out the relationship between the nurse/midwife knowledge and educational level and experience years Methodology : A quasi experimental study was conducted on a random sample of (100) nurses and midwives who is working at Al - Karkh Maternity Hospital , data was collected from 2ed February to 10th April 2017. Determined validity through a panel of experts of questionnaire and reliability through the pilot study of (10) of nurses and midwives descriptive and inferential statistic were used to analyze the data. Results : The finding of the study shows the highest percentage of study sample (19%)within age group (20 - 24) years , (47%) were married, half of them are graduated from midwifery secondary school, (42%) have less than one years' experience and work in maternity word, (81%)was heard about genital warts before and one third of them heard from another nurse, most of sample dose not participate in any educational course about genital warts, and half of them are treated with genital warts patients. The result of the study through pretest showed that the knowledge of nurse/ midwife is very weak information about genital warts. After the instructional program and through the posttest found a good progress of information which showed that there is a significant statistical relationship between instructional program knowledge and (educational level , years of experience ).

دراسة فعالية نبات عين البزون كعلاج طبيعي لمرض سرطان الدم المستحث في ذكور الفئران == Study the Activity of Catharanthus Roseus as Natural Treatment for Induced Leukemia in Male Mice

اسم المؤلف: محمد عبود عياش
اسم المشرف: مفيد جليل عوض | نسرين جلال محمد
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: Leukemia is cancer of blood - forming tissues, begin in the bone marrow characterized by highly elevated of abnormal proliferation and circulation of immature clonal hematopoietic cells. It can affect all ages around the world which in turn considered as one of public health problem.Plants considered as an important source for medical drugs manufacturing due to the presence of certain compounds with medicinal biological activity, therefore adopted in the preparation of a lot of medicines and medical drugs because of its' speed therapeutic influence and low of negative side effects which caused by chemically manufactured medications.The present study aimed to evaluate the activity and efficiency of vincristine and other important constituent in Catharanthus Roseus plant in treatment of leukemia through enhance and direct impact on some of the body's vital biological activities by using fresh crude plant as herbal medicine. This study is Cohort study design. It is monitoring, detection, and investigation study that included some of groups that completely under control; this study used in medicine, nursing, psychology and social sciences in addition to the Ecology. This study included (60) Albino male mice divided into four groups (15) mice for each. Group (A) was the control group, group (B) was mice feed orally with of C. Roseus plant, group (C) was leukemia induced mice by subcutaneous injection of (300mg/kg B.W benzene), and group (D) was Induced leukemia mice treated by oral feeding with C. Roseus plant. The experimental work was carried out in Clinical Biochemistry Department / College of Medicine / University of Babylon during the period from (October 2015 to August 2016).High - Performance Liquid Chromatography (HPLC) technique was used for measurement of Vincristine drug (VCR) in plant and vitamin D levels in mices' serum, Enzyme Linked Immunosorbent Assay (ELISA) had was used for the measurement of serum ferritin, UV - Vis Spectrophotometer was used for determination of GSH - Px and GST concentrations, while Graphite Furnace Atomic Absorption Spectrophotometer technique (GFAAS) was used for measurement of trace elements concentration of (Fe, Cu, Zn, Se). There were hematological and histopathology studies carried out by using special required equipment to make sure that leukemia disease was indeed occur.Hematological study included measurement of Hb levels and WBC count, while histopathology study included bone marrow, liver, kidney, spleen smear. Microscopic investigation for Chromosomal Aberration and Micronuclei were also had been done.Results showed that C. Roseus plant contain the concentration of vincristine drug up to 148μg/gm. There was highly significant increase of serum ferritin levels, GST activity, Iron and Copper concentration, and WBCs in leukemic group (C) (P<0.001) when compared with control group (A), while there were highly significant decrease of these parameters in group (B) as compared with the control (A) and (C) groups.Results also showed a highly significant decrease of GSH - Px activity, Vit.D levels, Zinc and Selenium concentration, and Hemoglobin levels in group (C) (P<0.001) when compared with the control group, while there were highly significant increase of these parameters in group (B) as compared with control and (C) groups. The present study found a positive correlation between Vit.D and GSH - Px activity, Ferritin and GST activity, while this study found a negative correlation between Ferritin and GSH - Px activity, serum Iron and Selenium concentration.The present study found positive effect of C.Roseus on abnormal parameters and support the biological system which was clear in group (D) which demonstrated that there were significant inhibitions to decrease or increase of these parameters than those in healthy control.

استجابة نمو وحاصل هجينين هي الذرة الصفراء Zea mays L لمنظم النمو Atonik == RESPONSE GROWTH AND YIELD TWO HYBRIDS OF MAIZE (ZEA MAIZE L.) TO GROWTH REGULATOR ATONIK

اسم المؤلف: علاء قاسم مزبان
اسم المشرف: هيثم عبد السلام علي | كاظن حسن هذيلي
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: النبات - المحاصيل الحقلية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: Field experiment was conducted during the autumn season of 2015 in Silty clay lome soil, in a field in al - Mijar al - kabeer (40 km south of the Amarah city) to study the effect of the concentration and application methods of growth regulator Atonik on growth and yield of two hybrids of maize (Zea mays L.). A split - split plots design was used in randomized completely block design with three replications.Study involved three concentration of Atonik 0 , 2.5 ml and 5 ml which were given the following symbols (A0, A1 and A2) and three application methods (soaking seeds before planting for five hours, spray once a month after planting and spray two times after one and two months after sowing), Which were given the symbols M1, M2 and M3 and two hybrids of maize (Vito Spanish and French Abacaro), which were given symbol V1 and V2 .The results showed that the concentration A1 differed significantly and gave thehighest charcters for Plant height, number of grain in ear, 300 grain weight, grain yield, biological yield, harvest index, total chlorophyll content, percentage of protein, and protein yield, which amounted 184.06 cm, 469.68 grain, 61.34 gm , 6.49 tons h - 1, 17.79 tons h - 1, 36.59 %, 40.26 SPAD, 12.34 % , 0.81 tons h - 1 respectively. With an increase of 11.88 % , 14.48 %, 17.13 %, 31.11 %, 24.84 %, 5.14 %, 34.20 %, 9.98 %, 44.64 % respectively compared with control (A0). The A2 treatment gave the highest field emergence % anddays from planting to 50 % anthesis and silking, stalk diameter and leaf area, which were (88.38 % ,56.17 days, 61.67 days, 2.51 cm and 5027 cm2), respectively.Resulted also showed that the application method (M3) lead to increase both the number of grain in ear (464.53 grain), 300 grain weight (61.60 gm), grain yield (6.44 ton h - 1), biological yield (17.83 ton h - 1), total chlorophyll content (38.38 SPAD), percentage of protein (12.30 %) and protein yield (0.80 ton h - 1).While overtook application method M2 in leaf area 5023 cm days from planting to 50 % anthesis and silking 57.06 and 62.28 days respectively. Whereas M1 method gave the highest stalk diameter of 2.32cm. Also the results showed that the hybrid V2 differed significantly compared with V1 and gave the highest grain yield (6.17 ton h - 1), and the highest percentage of protein (12.22 %). While hybrid V1 was overcome in field emergence % , days from planting to 50 % anthesis and silking and stalk diameter. The results obtained showed that there was significant interaction between A and M for some growth traits and grain yield in which ( A1 x M3) gave highest Plant height (191.63 cm), number of grain in ear (497.82 grain), 300 grain weight (67.56 gm), grain yield (7.31 ton h - 1), percentage of protein 13.22%, and protein yield (0.97 ton h - 1). Also (A2 x M2) interaction treatment gave the highest values in days from planting to 50 % anthesis and silking (55.00 days, 60.50 days respectively) and leaf area (5585 cm - 2). Whilst (A2 xM1) interaction treatment gave the highest stalk diameter (2.78 cm). The interaction between the A and V treatment recorded a (A1 x V2) more number grain in ear (497.97 grain), protein yield (0.91 ton h - 1).While (A2 x V1) treatment was confined on some growth traits only. Also was the interaction between V and M recorded a significant effect in plant height, stalk diameter, number of grains in ear. The (A2 × M2 × V2) interaction treatment gave the highest leaf area of 5878 cm2. While (A1 × M3 × V2) interaction treatmentgave the highest biological yield of 21.36 ton h - 1, and total chlorophyll content of 49.90 SPAD. recorded a the treatment (A2 × M3 × V2) harvest index (39.97 %) .

د راسة بيئية مقارنة لنوعين من اللافقريات البرنقيل Amphibalanus amphitrite (Darwin, 1854) والدودة الحلقية Namalycastis indica (Southern, 1921) في محطتين في شط العرب == Comparative ecological study of two species of invertebrates Amphibalanus amphitrite (Darwin, 1854)and Namalycastis indica (Southern, 1921) in two stations of Shatt Al - Arab River

اسم المؤلف: نور سعد احمد الحمادي
اسم المشرف: انتصار نعيم سلطان | جاسم محسن عبد
الموضوع العام: علوم الزراعة
السنة: 2017
الدرجة: ماجستير
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: The present research aimed to study two invertebrate speciesAmphibalanus amphitrite (Darwin, 1854) and Namalycastis indica(Southern, 1921) in two stations along Shatt Al - Arab River in Basrahprovince, southern Iraq. Two stations were selected for this purpose,these two stations were affected by the tidal phenomenon, namely Abu - Alkhaseeb and Karmat Ali.The samples were collected monthly for the period from October 2015 - September 2016. Environmental factors represented by the temperature(air and water), salinity, pH and dissolved oxygen and biological oxygendemand, calcium and nitrates as well as knowledge of soil tissues weremeasured. Samples of the animals were collected by five replicates inAbu - Alkhaseeb station and four replicates in the Karmat Ali station, thenisolated and washed with running water and preserved in numbered plastic bags and were classified based on the taxonomic keys. The total densities of the two animals were detected in addition to the density in the vertical distribution. The statistical evidence was used to find out the differences in the density. Population sizes of the two animals were study and divided into volumetric categories, the process of separating generations was conducted by using probability graph paper to get the true age of the animal as well as study for each class to learn biomass and secondary production.The results of the environmental factors showed that the ranges of parameters as following : air temperature 13.5 - 41.4 °C and water temperature 11.8 - 34.9° at Abu Al - Khaseeb station; air temperature 11.3 - 45 °C, water temperature 10 - 37 °C at Karma Station, pH 6.9 - 8.8 at Abu Al - Khaseeb station and 7.14 - 8.5 at Karma station, salinity 4.22 - 6.6 ppt at Abu Al - Khaseeb station and in Karma station 5 - 7.1 ppt. For dissolved oxygen 6.2 - 11.1 mg/L at Abu Al - Khaseeb station and at Karma station 6 - 12.4 mg/L, biological oxygen demand 1.58 - 4.02 mg/L at Abu Al - Khaseeb station and 2.04 - 5.88 mg/L at Karma station, calcium concentration at Abu Al - Khaseeb station was 160 - 175 mg/L and Karma station 160 - 190 mg/L, nitrate concentration 13.9 - 15.6 mg/L, 14.2 - 17 mg/L at Abu Al - Khaseeb and Karma stations respectively. And tissues of soil were silty clay Abu Al - Khaseeb station and loamy clay in Karma Ali station.The monthly density of each animal was calculated at each station. For barnacle the highest percentage was 2740 individuals/m2 recorded in April 2016 at Abu Al - Khaseeb, the highest percentage in the Karma station was 890 individuals/m2 recorded in October 2015, and for worms was an average of 70 individuals/m2 and 184 individuals/m2 recorded in October and November at Abu Al - Khaseeb and Karma stations respectively. The structure of population sizes was also studied to determine the changes in the population. To illustrate this, it was divided into six categories of barnacle and seven categories of worms.The study examined the of length - weight relationships (dry, ash and organic matter) and to study the total biomass content and the volume groups of each generation of the two populations by multiplying the density of individual/m2 for each generation by dry weight, ash and organic matter. Abu Al - Khaseeb had H generation 7.27 g/m2 dry weight, 5.30 g/m2 for ash weight and 1.63 g/m2 for organic matter, H generation in Karma was the highest mass of 2.338 g/m2 for dry weight and 1.694 g/m2 for ash weight and 0.527 g/m2 for organic matter.The monthly biomass B g/m2 was calculated from adding of the biomasses for each generation and the average (B) of the biomass was derived from divided the sum of the biomass for the months of the year on total sampling month. Total annual secondary production was calculated for each generation of population groups in terms of dry weight, ash and organic matter using the method which summarized in the calculation of density average multiplied by the difference in weight.The highest value of barnacle at Abu Al - Khaseeb was 14.5367 g/m2 for ash weight and 4.536 g/m2 for organic matter, for worms were 2.228 g/m2 for ash and 2.8397 g/m2. In the Karmat Ali, the barnacle had 5.800 g/m2 of ash and 1.0794 g/m2 of organic matter, the worms had 7.583 g/m2 for ash and 9.2845 g/m2 for organic matter.The rate of growth of the two animals was detected by finding the average length of each generation of the population groups per month for each animal. In order to achieve a curate result on the age of the animal in the field and the calculation of its productivity it was necessary to conduct the process of separation of the generations of the population group and therefore used the Probability graph paper method, thepopulation of both studied animals is polymodel.

الدورة التكاثرية للروبيان النهري الشرقي Macrobrachium nipponenseو (De Haan, 1849 [In De Haan, 1833 - 1850]) ارتباطها ببعض العوامل البيئية في نهر المسحب جنوب شرق هور الحمار، البصرة، العراق == Reproductive cycle of Oriental River Prawn Macrobrachium nipponense (De Haan, 1849 [ In De Haan, 1833 - 1850]) and its correlation with environmental factors in Al - Masshab River, Southern East of Al - Hammar Marsh, Basrah, Iraq

اسم المؤلف: اشواق طالب عباس
اسم المشرف: عبد الحسین حاتم غازي | عبد الحسین حاتم غازي
الموضوع العام: علوم الزراعة
السنة: 2017
الدرجة: ماجستير
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: The present study, investigated the reproductive cycle of freshwater prawn, Macrobrachium nipponense during period from December 2015 to November 2016 at Al - Masshab River, Southern of East Al - Hammar Marsh/ Basrah. The water temperature, salinity, pH, dissolve oxygen and turbidity were recorded, the maximum average for water temperature was 28 ºC recorded in July, while the minimum was 12 ºC in January. Water salinity was fluctuation between 0.8 - 2 ppt. in April and November respectively. pH values ware recorded between 7 - 7.6 during all study months. The minimum of oxygen concentration was 5.5 mg/ L in July and the maximum 8.29 mg/ L in the December. Also there are some changes in turbidity of water, the lower was 15.3 NTU in February and the highest was 40.1 NTU in the April. The results of length groups showed, occurrence of group between 44 - 35 mm for females and between 54 - 36 mm for males. The minimum length for females was 48.3 mm in November, and for males was 52.1 mm in November. While themaximum length for females and males were 69.1 mm and 74.7 mm in September and August respectively. The minimum average of weight was recorded in the November for females and males ( 1.6 and 2.0 ) gm respectively, while the maximum average was 4.3 gm for females in September and 4.5 gm for males in August. The total carapace length for females between ( 19.3 - 32.5 ) mm in November and September respectively , and for males was between 21.0 - 31.6 mm for the same period. Length - weight parameters (a and b) of the equation : W = aLb were estimated for M. nipponense , positive correlation ( r= 0.67) for females and ( r= 0.90 ) for males, while the relationship between carapace length and total length were (r = 74) for females and (r = 0.85) for males. Additional to relationship between carapace length and body weight were (r= 62) for females and (r = 0.75) for males. The highest Gonadosomatic Index (GSI) was 10.6 recorded in September, and the lower was 2.7 recorded in July. In this study we observed two peaks for reproductive, the first in Jun. and second in the August. The best percentage for ovigorous was recorded in August 98.7 % whereas, percentage of the non ovigorous in this month was 1.3 % .The condition factor for females was changed between 1.1 during November and 2.10 during September. While for males was between 1.3 to 2.9 during November and August respectively. The seasonal variations in the sex ratio of prawn was different according reproductive cycle, and there was more females than males during reproductive period. The minimum was 1 : 0.17 ( male / female) in February and the maximum percentage was 1 : 9.00 ( male / female) in the Jun. The overall fecundity of 307 ovigorous female of M. nipponense was calculated, the Absolute fecundity ranged from (799 - 2047) egg/ individual, while the relative fecundity between (208 - 578) egg/ gm. The correlations of fecundity with total length and fecundity with body weight were positive for both, it were r= 94 and r= 0.90 respectively. Additional, the eggs had been classified into four stages, based on the external morphological characters such as colour ,size and histological. Egg dimensions varied between 675 + 28 to 763 + 31 μm.

دراسة بيئية لحشرة البعوض Culex quinquefasciatusفي محافظة البصرة وامكانية مكافحتها احيائيا وكيميائيا == Study of Environmental of Culex quinquefasciuts and the possibility of biologically and chemically controlled

اسم المؤلف: وئام صباح تركي
اسم المشرف: اياد عبد الوهاب عبد القادر | ليلى عبد الرحمن بيان
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: النبات - الوقاية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: This study aimed to a field survey of the insect mosquito Culex quinquefasciatus and study environmentally and control by isolating and diagnosing fungi associated with mosquitoes and The effect of sporoes suspense for isolated fungi on the larvae, and the use of bacteria B. thuringiensis in larval control in addition to the diagnosis of some predators with the larvae of the C. quinquefasciatus and calculate density and evaluate their efficiency against predatory larval phases of mosquitoes. As it has been the use of two types of pesticides that goes back to a group of Neonicotinoids Actara and Quickbayt . The results of the study of the field survey the spread of the insect in most of the province of Basra areas as record city center the highest density of mosquito larvae during the months of April and October amounting to 96.00 and 87.66 larvae / half liter of water, respectively, followed by the Shatt al - Arab area which recorded 89.00 and 88.00 larvae / pint water during the months of April and October, while Zubair recorded the lowest ratio of the density of larvae were 4.66 and 8.33 larva / half liter of water for two months. Where the insect has been present in different aquatic sites (water, sewer, water darker pools, Water drainage, wasted tap water) and record heavy sewage highest density in the presence of mosquito larvae. The results of the study showed that the insect C. quinquefasciatus present in most months of the year except August and January, and recorded her two climaxes peak spring (April and May) and autumn peak (October and November. The results also showed that the increase in killing thelarvae grow directly proportional to the increase commentator bacteria B. thuringiensis concentration as the ratio was at 85.00 and 48.33 for the two phases the second and fourth, respectively, when using focus commentator 910 × 3 spore / ml The lowest ratio was killed was at the focus 710 × 3 amounting to 58.34 and 33.34% for the two phases the second and fourth, respectively. The results also showed a non effect of pesticide Quick on the growth of bacteria while he found little effect of the Actara on the growth of bacteria. There are some predators also recorded along the months the year, such as predator Dineutes aereus and Cybister tripuncututus while the presence of the animal crustal Mycrocylops albidus record seasonally in spring and autumn and the results showed efficiency experience predatory predators mentioned above eccentric different larval insect mosquitoes increase in the rate of depreciation against instar first The second fell rate of depreciation against the larval delayed reconstruction (third and fourth). The results showed superiority of the pesticide Quickbayt for pesticide Actara in the proportion of killing the larvae of the second stage and fourth Mosquito as commensurate proportion of directly proportional murder with the increase of the pesticide and type of focus, as the percentage of murders in the pesticide Quickbayt focus 1 g / l to 100% of the two phases the second and fourth, respectively, and decreased the proportion of murders to reach the emphasis 0.25 g / liter 88.34 and 73.34% on the second and fourth phases respectively. while pesticide record Actara highest killed in a concentration 1 g / liter, amounting to 100 and 81.67% on the phases second and fourth in a row and scored concentration of 0.25 g / liter less proportion73.34 and 51.66% for the first larval phases was the second in a row. The integrated control results also showed that the treatment of the pesticide Quickbayt with bacteria Bti gave the highest percentage of killing larvae second phase and the fourth, reaching 93.89 and 77.22%, respectively, while came after the treatment of the pesticide Actara with bacteria Bti where the percentage of murders 77.78 and 60.00% on the second and fourth phases Respectively .

تاثير حامض الاسكوربيك وانزيم الكلوكوز اوكسيديز في الصفات النوعية والريولوجية لدقيق الحنطة المحلية ضعيفة الكلوتين == Effect of ascorbic acid and glucose oxidase enzyme on the rheological properties and quality of the local wheat flour of weak gluten

اسم المؤلف: وسام كريم عبيد الربيعي
اسم المشرف: علي احمد الساهي
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: الاغذية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: This study was carried out as an attempt to improve rheological and chemical properties of local wheat flour of weak gluten, by the addition of ascorbic acid and glucose oxidase enzyme as individuals and in synergy, to the flour.The chemical composition of local wheat flour and imported wheat was studied (Eba’e 99 , Rasheed , Bihooth , Australian) . Reduction of protein percentage was noticed of local wheat's varieties compared with protein percentage of imported wheat . The highest protien percentage was in imported wheat 13.55% and the lowest was in Eba’e 99 wheat 12.1% , at the same time ,the highest ash percentage was in Eba’e 99 wheat flour, 1.06%, whereas the highest percentage of fat was in Rasheed variety 1.8% . It was noticed the raise of dry and wet gluten in imported variety flour ,it reached 32.5 , 10.8% frequently. Whereas the results related to the tests of flour strength showed the surpass of imported class that the value of Pelshenke test 250 minutes, Zeleny test was 41 cm3, compared with local variety, Whereas Eba’e 99 variety showed the lowest values compared with studied classes, it reached the value of Pelshenke test 92 minutes, sedimentation test was 20 cm3.The flour used in the study was evaluated of rheological properties for Eba’e 99 wheat flour using farinograph and extensograph tests, to be not useful for bread making, It has Developing and stability times were low. It has a high degree of softening, farinograph quality number were low . Its extension resistance, extensibility and extensograph area were low as compared to those of normal bread flour.The flour (80% extraction) was treated by the addition of ascorbic acid and glucose oxidase as individuals and in synergy, in order to study their effects as improvers in the rheological properties of wheat flour dough. The results were as follows : 1. Ascorbic acid and glucose oxidase possessed a positive effect on the rheological properties when it were added them as improvers to the wheat flour as individuals with Different concentrations. The concentration of 50 ppm and 20 ppm respectively, were the best among different concentrations according to farinograph and extensograph tests.2. Synergetic effect of Ascorbic acid and glucose oxidase was observed highest readings of farinograph test, it reached the value of developing and stability times 5.0 , 4.3 minutes, respectively. It has low in degree of softening 63 FU, Whereas the farinograph quality number was raising to 59. Its extensograph readings were high, the recorded elastic recovery was 4.6, 4.0 and 4.2 at interval times (45, 90, 135) min, respectively.The results treatment of the flour with Ascorbic acid and glucose oxidase as individuals and in synergy showed significant and another non - significant increase in wet and dry gluten content and a significant increase in gluten index. The best results were obtained in the flour which had treated with Ascorbic acid and glucose oxidase as in synergy with concentrations of 40 ppm and 0.001%, respectively in which the gluten index reached 87.09%.A significant increase of disulfide concentration accompanied by a significant decrease in free sulfhydryl concentration were obtained by treating the flour with Ascorbic acid and glucose oxidase, especially with in synergy treatment by which disulfide concentration was significantly raised to 3.421× 10 - 4 mole/gm gluten as compared to control sample (3.101 mole/gm gluten). This effect caused improvement of dough properties especially in retaining of carbon dioxide gas in the gluten network. A significant decrease in loaf weight accompanied by a significant increase in both the volume and specific volume were obtained upon all treatments.The best result was obtained by treating the flour with Ascorbic acid and glucose oxidase, as in synergy with concentrations of 40 ppm and 0.001% .Sensory evaluation of the produced loaf, which was conducted by proficient in cereal chemistry and technology, showed a significant improvement in all of its quality parameters in the treated flour. The effect of Ascorbic acid and glucose oxidase, as in synergy was very clear in improving all of sensory parameters as compared to the untreated flour sample.

انتاج نشا مقاوم واستخدامه في التغليف الدقيق للبكتريا العلاجية == production of resistant starch used in Microencapsulation of probiotic bacteria

اسم المؤلف: هديل ناظم مراد
اسم المشرف: نوفل عبد الامير حسين الحلفي | الاء غازي الهاشمي
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: الاغذية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: The chemical composition was estimated for potatoes, sorghum and rice, and was noticed the difference in the chemical composition significantly for this sources. Increasing of moisture as compared with potatoes and rice which reached 76.3% , and sorghum significantly with high proportion of protein, fat and ash (13.80, 2.5 and 1.70)% respectively. The highest proportion of carbohydrate was found in rice as it reached 80.43% .Starch was extracted by the moist method and the chemical composition of starch was studied. The plant sources differed in chemical content, and was observed increasing in moisture significantly for potato starch (12.2%) as compared with sorghum and rice starch, while the superior content of the rice starch was in protein, fat and carbohydrates (1.45 and 0.33 and 90.87)% respectively, and the highest of ash was found in sorghum starch 0.52%.Then the extracted starch was modified from its primary sources physically by the moist thermal treatment and chemically by cross linkages. The physical characteristics of modified starch were studied, and the results were as the following : ● Each of the natural and modified starch from various sources in the physical properties, it was observed increasing in the solubility of the natural starch granules of potatoes, sorghum and rice from the modified starch granules. The solubility was increased gradually by increasing of the temperature, the highest solubility was found in the natural starch granules (6.2, 7.4 and 6.35) % respectively at temperature of 90 ̊C , and (6.14,6.87 and 6.13)% respectively in the modified starch granules by moist thermal method, and (5.4, 5.28 and 5.99)% respectively in the modified starch granules by cross linkages, while inceasing in the swelling of the natural starch granules to each of potatoes, sorghum and rice starch as compared with the modified starch granules and inceasing the swelling gradually by increasing the temperature. The highest swelling was found in the natural starch granules (10.35, 10.18 and 10.17) gram/gram respectively at temperature of 90 ̊C , while for modified starch samples by moist thermal method which reached (9.25, 9.22 and 9) gram/gram respectively and samples of the starch modified by cross linkages reached (8.97, 8.98 and 8.55) gram/gram respectively.●The percentage the percentage of phosphorus in the natural starch extracted from its primary sources was significantly at (P≤ 0.05) with the modified starch varied chemically by cross linkages as the superiority of the modified potato starch with highest which reached 0.39% .Active groups of chemically modified starch molecules have been identified diagnosed by FT - IR apparatus, as the presence of a band at wave length (998.411 ,99864 and 1020.64) cm - 1 respectively, which belongs to the elasticity vibrating for the bound C - O - P .The procedure of the Microencapsulation packaging for L.plantarum, L.caise and L.acidophilus was done by three different mixtures with concentrations ranged between (1 - 3)% each of sodium alginate, natural and resistant starch both individually, and found that the best mixture was when used a combination of sodium alginate and resistant starch at concentration 2% for each (mixture A), and used the starters Streptococcus thermophilus and Lactobacillus delbrueckii subsp bulgaricus in the manufacture of the yoghurt and mixed with the starter of yoghurt, examined the change in the pH and titrating acidity for yoghurt product during different periods of storage at temperature of 4 ̊C and study the change in the logarithm of the live numbers during the storage period extended for 28 days.The effect of the packaging process on the survival, Bacteria was studied and the results were as showed the following : ●It was found that the resistance of coated bacteria using a combination of sodium alginate and starch resistant with concentration of 2% for each of them was the best of free bacteria resistance when exposed to low acidic conditions which reached 2.5, 2 and 1.5 , and particularly at the third hour of incubation as a percentage decline in live numbers logarithm / ml 34.76, 39.61 and 44.83% respectively, to L.plantarum bacteria and 36.25, 41.89 and 46.86% respectively, to L.caise bacteria and 35.35 , 41.84 and 45.78%, respectively, to L.acidophilus bacteria. As well as observed that the resistance of bacteria coated to different concentration of the yellow salts reached 0.1 , 0.2 and 0.3% was higher than the resistance of free bacteria after three hours of incubation as a percentage decline in live numbers logarithm / ml 2.54, 3.34 and 4.19% respectively to L.plantarum bacteria , and 2.87 ,3.78 and 4.60% respectively to L.caise bacteria , and 2.93,3.97 and 4.77% respectively to L.acidophilus bacteria .● coated bacteria showed better resistance during the process of freezdrying compared with free bacteria as a percentage decline in live numbers logarithm / ml 2.24, 3.01 and 4.16% respectively to L.plantarum bacteria , and 2.09, 3.34 and 4.47% respectively to L.caise bacteria , and 2.19,3.29 and 4.58% respectively to L.acidophilus bacteria .

دراسة التغيرات الكيميائية والميكروبية لجبن المونتيري المضاف اليه المعزز الحيوي == Study of chemical and microbial changes of Probiotic monterey cheese

اسم المؤلف: هدى محمد عبد محمد السراي
اسم المشرف: سرمد غازي محمد | حيدر ابراهيم علي
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: الاغذية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: Probiotics bacteria[[ which[ including Lactobacillus acidophilus ,Bifidobacterium longum were added (1011 cfu/ml) during Monterey cheese manufacturing after the reactivation and the results obtained were : 1 - Decreasing of moisture content for Monterey cheese manufactured by adding the mixed starter Probiotic after 42 days of ripening, reaching )38.96(% comparing with the other samples. 2 - Increasing of protein ratio while using the mixed starter in manufacturing of Monterey cheese comparing with control Monterey cheese and Monterey cheese manufactured by adding the single starter, reaching after 42 days of ripening to (23.41, 23.78 and 23.6 ( 4 % respectively, as well as increasing of soluble nitrogen ratio in Monterey cheese manufactured by adding the mixed starter comparing with the other cheeses during the progress of ripening period to reach )0.875( after 42 days. 3 - Fat ratio increased in cheese samples, the higher increase was at the end of ripening period after 42 days in Monterey cheeses manufactured by adding mixed starter reaching )30.45(% after comparing with )31.20 and 31.03(% for control and single starter manufactured cheeses respectively. 4 - Salt ratio of Monterey cheese manufactured by adding mixed starter was )1.55( after 42 days of ripening comparing with control cheese and Monterey cheeses manufactured by adding the single starter which were )1.45 and 1.53( respectively.5 - Increasing of ash ratio for Monterey cheese manufactured by adding mixed starter reaching after 42 days of ripening (4.27)% comparing with control cheese and Monterey cheese manufactured by adding the single starter which were (4.16 and 4.20) % respectively. 6 - Decreasing of the pH for the three Monterey cheese samples, the maximum decrease after 42 days of ripening was (5.20) when adding mixed starter, while for the control and single starter Monterey chesses the pH was (5.62 and 5.42) respectively. We notice increasing the titratable acidity of Monterey cheese manufactured by adding mixed starter reaching (0.92) comparing with control and single starter Monterey cheeses which reached (0.54 and 0.72) respectively after 42 days of ripening. 7 - Increasing the numbers of proteolytic and lipolytic bacteria in the progress of ripening period until 28 days then started to reduce for all cheese samples. 8 - Increasing the numbers of total bacteria for cheese samples during ripening period until 28 days then started to reduce tow logarithmic cycle during manufacturing period. 9 - The result of electrophoresis showed that the average of not proteolyses for cheese manufacture using mixed starter was higher compared to others. 10 - Monterey cheeses manufactured by adding mixed starter was best than control and single starter Monterey cheeses when conducting the organoleptic evaluation, especially for flavor

عزل وتشخيص البكتريا المرافقة لبعض الاصابات المرضية في بعض الاسماك في محافظة البصرة، العراق == Isolation and diagnosis of bacteria associated with some disease infections in some fishes in Basrah Governorate, Iraq

اسم المؤلف: نادية علي حسين الشمري
اسم المشرف: نجم رجب خمیس | اسعد محمد رضا الطائي
الموضوع العام: علوم الزراعة
السنة: 2017
الدرجة: ماجستير
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: The aim of this study was to isolate and identifying the pathogenic and nonpathogenic bacteria from infected fish, healthy fish and water. One hundred andfifty three healthy and infected fish were collected during the period from October2015 till April 2016, which included seven species viz. : (6) Acanthopogrusarabicus Iwatsuki, 2013; (65) Cyprinus carpio L., 1758; (14) Coptodon zillii(Gervais, 1848); (15) Hypophthalmichys molitrix (Val., 1844); (23) Planilizasubviridis (Val., 1836); (15) Oreochromis niloticus (L., 1758) and (15) Poecilialatipinna (Lesueur, 1821).The samples of water and fishes were collected from seven different stations inBasrah governorate as, Hartha station (Floating cages), Al - Mashab river station,Basrah University station (Terrestrial ponds), Al - Seeba station (Terrestrial ponds),Al - Marbad station (Concrete ponds), Mehaijran station (Terrestrial ponds) andShatt Al - Basrah canal.The environmental properties of water have studied such as pH, the lower valuewas 6.9 in Al - Mashab river station, while the maximum was 8.4 in Al - Seebastation, meanwhile the maximum average was 7.8 in the Shatt Al - Basrah canal. For salinity the range was recorded from 1.5 ppt at Al - Mashab river station and 45.6 ppt at Shatt Al - Basrah canal. Otherwise the maximum value was 35.2 ppt in the same station.The values of temperature were fluctuated from 12 ᵒC in Al - Marbad station to 31.2 ᵒC in the Shatt Al - Basrah canal.The results of the present study appeared that, the fish was infected with different diseases, including : Spring Viraemia of Carp Virus, Viral Hemorrhagic Septicemia, Bacterial Gill disease, Fin rot, Vibriosis, Dropsy, red mouth and Pox disease.The bacteria were identified in the present study using Vitek II system, API kits and biochemical tests. The accurate identification of Vitek II was between 85 - 99% for most bacterial genera, while failing to identify the species of Vibrio.Many bacterial species were identified from infected fish, from Spring Viraemia of Carp Virus disease, five species were identified as Staphylococcus lentus, Aeromonas hydrophila, Vibrio cholerae, Klebsiella pneumoniae pneumoniae and Burkholderia pseudomallei. From Vibrosis disease, seven species were identified as Staphylococcus haemolyticus, V. cholerae, V. alginolyticus, V. costicola, Escherichia coli, Proteus vulgaris and Pseudomonas aeruginosa. From Dropsy disease only one species was identified as Raoultella ornithinolytica. From red mouth disease, three species were identified as Enterobacter cloacae complex, Shigella group and V. cholerae. From Fin rot disease, two species were identified as Aeromonas hydrophila and Aer. sobria. From Diplostomatosis, also two species were identified as V. diazotrophicus and Aer. hydrophila, while from Pox disease, only two species were identified as V. furnissii and Globicatella sanguinis. Finally from Ascocotyle only E. coli was identified.On the other hand, the bacteria were isolated from the water of studying stations and identified as : Staph. lentus, Aer. hydrophila, R. ornithinolytica, V. Alginolyticus, V. furnissii, E.coli, V. costicola , V. gazogenes , B. pseudomallei, V. cholerae , Ent. cloacae¤Aer.sobria, K. pneumniae pneumniae, G. sanguins, E. areogenes, P. aeruginosa.Meanwhile, the bacteria also isolated from healthy fishes and identified as : Aer.hydrophila, E. coli, V. alginolylius, B. pseudomallei, V. gazogenes, P. aeruginosa,Ent. cloacae, K. pneumniae pneumniae and Proteus vulgaris.

عزل وتشخيص بكتريا التسمم البرفرنجي من الاغذية في مدينة Clostridium perfringens البصرة ودراسة خواصها وتحديد الجين المسؤول عن تسمم الغذاء == Isolation and identification of Clostridium perfringens from food in Basrah city and study it's characterization and detection of responsible gene of food poisoning

اسم المؤلف: مصطفى عدنان عیدان
اسم المشرف: قيثار رشيد مجيد | صباح مالك حبيب الشطي
الموضوع العام: علوم الزراعة
السنة: 2017
الموضوع الدقيق: الاغذية
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: العربية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: It was obtained 55 local isolates of Clostridium perfringens out of153 samples taken from different food sources included (meat , chicken ,fish and shrimp and miscellaneous foods).All of the samples were taken from six locally markets in Basrahcity included (Old Basrah , Al - Ashaar market , Al - Assmai market ,Fivemiles market ,Karmat Ali market and Al - Hartha market). Isolation , identification and the studying characteristics tested were carried out after on growing on TSC Agar . All isolates were selected and subjected for studying cultural and morphological in addition to biochemical test were done . All isolates were gave black colonies on the TSC Agar , from all these tests , its indicate that the isolate were belong to Clostridium perfringens. Microscopic examination showed that bacteria were bacilli shape , Gram positive , obligately anaerobic , capsule forming , spores forming , moreover the shapes of spores was oval (subterminal ) internal spores and non - motile .Bacteria were grown on Blood agar medium (5% Sheep blood) , Egg yolk medium , Crossley milk medium , and Reinforced clostridial broth , the results appeared double zone of haemolysis , produced Lecithinase enzyme with clear zone hydrolysis , Clear stormyfermentation , produce hydrogen sulphite (H2S) with black colour for Blood agar , Egg yolk agar , Crossley milk medium and Reinforced clostridial broth , respectively . The isolates bacteria had the ability to reduce nitrate to nitrite , in addition to gelatin liquefaction (liquefaction gelatin after 48 hours) . The isolates bacteria were negative for catalase , oxidase , starch hydrolysis , lipolytic , negative for indole , positive for methyl red , ferment glucose , sucrose , lactose , maltose , galactose and trehalose , however it was non ferment xylose , melibiose , arabinose , salicin, mannitol, and raffinose . Tolerance tests were applied to study the some environmental conditions such as pH (3 - 10) , temperature (8 - 55) C° and NaCl % (0 - 10). Results showed that optimum conditions were (6 - 7) , (37 - 40)C° and (0 - 1) for pH , temperature and NaCl , respectively . The frequently prevalence of these were 48 , 46 , 24 , 23 and 10% for chicken meat , red meat , fish and shrimp , dairy products and miscellaneous foods , respectively . While to the local markets the frequently prevalence were 46 , 44 , 37 , 30 , 32 , 24 % for Karmat Ali , Old Basrah , Hartha , , Five miles ,AL - Ashaar and Al - Assmai , respectively .On the other hand , in this study and the first time new selective medium prepared instead of TSC Agar which used Neomycin antibiotic instead of Cycloserine . The new medium showed good results compared with TSC Agar because it was cheap , efficient , precise in isolation and identification tests and shortly of the isolation time .Susceptibility antibiotics tests toward 30 antibiotics was assayed.The isolates of Closridium perfringens were resistance (100%) for 3 antibiotics Neomycin , Gentamycin , Streptomycin and susceptibility (100%) for 7 antibiotics Cloxacillin , Chloramphenicol , Amoxicillin , Nitrofurontion , Nalidxic acid , Cefotaxime and Vancomycin .The PCR Technique was used to detect the toxins genes that are responsible for food poisoning . The DNA was isolated and identified by using 16S rDNA and cpα toxins .The results showed that the selected isolated contained α toxin thus confirmed this bacteria Clostridium perfringens certainly . The PCR results showed that there were three types in tested isolates . Type A (71.43%) which contain α toxin ,this was responsible of food poisoning . Type B (7.14%) which contain α , β and ε toxins . Type C (21.43%) which contain α and β toxins , however the results of PCR did not show any type for both D (which contain α , ε toxins ) and E (which contain α , i toxins) .
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