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التزام مرضى احتشاء العضلة القلبية باتجاه العناية الذاتية في مستشفيات الحلة التعليمية Adherence Of Patients With Myocardial Infarction Toward Self - Care Management In Hillah Teaching Hospitals

اسم المؤلف: هادي جواد كاظم
اسم المشرف: سحر ادهم علي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: يمكن وصف العناية الذاتية كبرنامج متعدد الابعاد للمرضى الذين يعانون من احتشاء عضلة القلب والتي تشمل الامور المتعلقة بحالتهم وتعزيز استراتيجيات الرعاية الذاتية مثل المراقبة الذاتية والتصرفات الذاتية تحسين معرقة المريض الايجابية واستهلاك نظام غذائي صحي، الاد | Self - management can be described as multidimensional program for patients with myocardial infarctions which include improvement of the patient s knowledge related to their condition and enhance self - care management strategies such as self - monitoring, positive self - behaviors, and consumption of healthy diet, medication and following the health team advices. This strategies decrease hospital readmissions and improve quality of life. The aim of the study is assessing the adherence of self - care management among patients with myocardial infarction. To identify the demographical characteristics of the study sample such as (age, gender, marital status, educational status, and addressing, economic status). To find out the relationship between patient adherence of self - management and demographic data (age, gender, marital status, educational status, addressing, economic status) and clinical characteristics.Across - sectional descriptive design is used to carry out the study of assessing the adherence of the self - care management for patients with myocardial infarction in Hillah teaching hospitals from 27 - 10 - 2015 to 20 - 8 - 2016.Coronary care units and medical wards in two teaching hospitals in Hillah city were selected to conduct the study. A Non - Probability (purposive sample) of (100) patients, (64) male, (36) female have been selected after obtaining their agreements to participate in this study, these patients have been admitted to the medical wards or coronary care units. Data were collected by using structured questionnaire which prepared to assess the adherence of self - care management for patients with myocardial infarctions after a comprehensive review of related literatures. The questionnaire contains three parts, the first part consist data related to the socio - demographical characteristics of the sample, the second part includes clinical information such as (duration of disease, health history, body mass index...etc.), while the third part extends to collect the data related to the patients adherence toward self - care management which distributed up on (4) domains consisting nutritional domain (27) items, healthy behaviors (7) items, medications (8) items, medical follow up which has been extended to (9) items. Data have been collected by using face to face interview.To test the content validity the questionnaire distributed among (25) experts who have not less than 10 years of experience , the reliability was calculated through applying coefficient of correlation and inter rater reliability, descriptive and inferential statistics methods used to determine the results of the current study.The majority of the study sample have been (64%) male between (60 years and more) age group, (64) married, (22%) have been illiterate, (66%)of the sample urban area residency. housewives Most of them (25%) suffer from hypertension as a chronic disease. Overall adherences of the self - care management of the participant poor related to diet, healthy behaviors, follow up while they recorded moderate adherence related to consumption of medication.The majority of the patients who participate in the study were with moderate adherence relation to self - care management.Establishment of well - equipped rehabilitation center specialized to improve patient's knowledge and practices related to their conditions, and help them to live with their condition, the services of this center may be extended to serve patient's family.

اعباء رعاية الابوين للاطفال المصابين بالتخلف العقلي في محافظات الفرات الاوسط Parents Burden Of Care For Children With Mental Retardation In The Middle Euphrates Governorates

اسم المؤلف: علوان حسن رزن الجبوري
اسم المشرف: سجاء هاشم محمد الربيعي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: يمكن ان تسهم مسؤولية رعاية الاطفال المتخلفين عقليا في عبا على الوالدين, الدراسة تشير الى ان اباء الاطفال الذين يعانون من التخلف العقلي لديهم مستوى عال من العبء.دراسة تحليلية وصفيه لتقييم عبء رعاية الاباء للاطفال ذوي التخلف العقلي في محافظات الفرات الاوسط | The responsibility of caring for mentally retarded child can contribute to parents burden. The study shows that parents of children with mental retardation experience high level of burden.The present study aims to assess the level of burden of care among parents who have children with mental retardation.and to identify the relationship between parents burden of care for children with mental retardation and their sociodemographic data such as age, gender etc. A descriptive - analytical study design is conducted to assess the Parents Burden of Care For Children With Mental Retardation in The Middle Euphrates Governorates and its relation to children and parent's sociodemographic characteristics and clinical characteristic of mental retardation child.1st October 2015 to 1st October 2016. A purposive (non - probability) sample of (90) parents (mother or father) of child with mental retardation are selected attending mental disability care institute. Data was collected through the use of The questionnaire which are constructed by the researcher for the purpose of present study. In order to test the validity of the questionnaires, the instrument is presented to panel of experts in different fields to make it more valid. A preliminary copy of the questionnaire is displayed to (15) experts. Data have been analyzed by using descriptive and inferential statistics.The results of the study indicated that parents exhibit high level of burden due to the handicap caring among their children. There is a significant relationship between the levels of parents' burdens and their child handicap degree and the monthly income. As for the psychological status there are significant differences between the psychological burden and the parents level of education and residency. But there is non - significant statistical points between the parents burden and other parents demographical data.The study concludes that there is a high level of parents burden due to the presence of mental retardation child in the family and that effect on the family. The degree of mental retardation is very important indication about the level of the burden.It is recommended that future study researches should be directed towards exploring psychological intervention factors which help to minimize the burden of care on parents of children with mental retardation.

المشكلات النفسية الاجتماعية لدى كبار السن في دور رعاية المسنين في محافظات الفرات الاوسط Psychosocial Problems Among Elderly People At Geriatric Homes In The Middle Euphrates Governorates

اسم المؤلف: وسيم عبد الامير شاكر البصام
اسم المشرف: سجاء هاشم محمد الربيعي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: اجريت دراسة وصفية تحليلية خلال المدة من الاول من تشرين الاول من عام 2015 الى تشرين الاول 2016 من اجل تقييم المشكلات النفسية الاجتماعية لدى كبار السن في دور رعاية المسنين في محافظات الفرات الاوسط.عينة غرضية (غير احتمالية) تتالف من (82) شخص مسن قد تم اختيا | Analytical descriptive study was conducted during the period of 1 October 2015 to October 2016 in order to assess the psychosocial problems among elderly people at geriatric homes in the Middle Euphrates Governorates. A purposive sample (non - probability) for (82) elderly people was selected from geriatric homes in the Middle Euphrates Governorates, information was gathered through the use of a questionnaire for assessing psychosocial problems, study tool consist of three parts which contain (53) items. Part one : The first part consists personal information and include age (year) , age at admission, residence years in geriatric homes, gender, previous professions, educational level, social status, economic status, financial support by family, the financial resources.Part two : The second part consists psychological problems (anxiety, depression and suicide ideation) which contains (35) item. Part three : The third part consists social problems (social isolation) which contains (12) item. Reliability is determined by using alpha correlation (Cronbach's Alpha) and the validity is achieved through a panel of (21) expert. Data analyzed through using the Statistical Package of Social Sciences SPSS (Version 20) performed through the use of descriptive statistical data analysis approach, of frequencies, percentages and inferential statistical approach which is presented as an analysis of variable chi - square.The findings of the study indicated that most of elderly people were suffering from psychosocial problems in moderate levels. The majority of the sample of elderly were in the age group (75 - 84) years and most of the elderly who spent in geriatric homes (1 - 4) years, males, divorced and uneducated. Results of the study showed the existence of a high significant relationship among the elderly who were uneducated and divorced which suffered from psychosocial problems.The study concluded that the psychosocial problems for elderly were in the age group (75 - 84) years and in moderate levels.The study recommended to improve care for elderly people and provide psycho educational programs for them to increase their knowledge toward the psychological problems and provide psychological support to improve their psychological status

الاهمية الكيميائية الحياتية لنبتة العليق الاحمر كماسك طبيعي في حالة زيادة الحديد Biochemical Importance Of Rubus Idaeus As A Natural Chelator In Iron Overload Status

اسم المؤلف: حازم علي حسين
اسم المشرف: مفيد جليل عوض مؤيد عمران الغزالي
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: لمنع تراكم الحديد في الجسم، وخاصة لمرضى داء ترسب الاصبغة الدموية،او الذين يحتاجون الى نقل دم بصورة مستمرة، لابد من عمل مركب معه يعمل على استخراجه.نبتة العليق الاحمر تحتوي على كمية عالية من حامض التانيك وهو مركب متعدد الفينولات للنبات يعمل على مسك او حجز | To prevent iron overload, especially for those patient with hemochromatosis or those having chronic blood transfusion, iron must be chelated and excreted, Rubus Idaeus containing high quantity of tannic acid which is a plant polyphenol, chelate iron and excreted from the body. The present study aimed to evaluate the activity and efficiency of tannic acid in Rubus Idaeus fruit to reduce or eliminate iron overload through enhance direct impact on some of the body,s vital biological activities by using fresh crude plant as herbal medicine. This study is Cohort study designed. It is monitoring, detection, and investigation study that included some of groups that completely under control(control), and other group which induced iron overload , the iron overload group is subdivided to 5 groups, one of this sub gorups is treated with desferal(Deferroxamine),and the rest 3groups giving 3 different doses of pure fruit of Rubus Idaeus, while the least group is not treated with fruit or with desferalThe study included (60) Albino male mice divided into six groups with count (10) mice for each. First group was labeled as control (A). The other five groups received intra peritoneal injections of iron - dextran at a dose of 100 mg/kg/day B.w. (one dose every two days for 3 weeks) are the iron overload groups ,which are classified as a following : B1 group ,in which the iron overload induced mice treated with 100 mg/kg/day of Rubus Idaeus fruit, B2 group, in which the iron overload induced mice treated with 200 mg/kg/day of Rubus Idaeus fruit,B3 group ,in which the iron overload induced mice treated with 300 mg/kg/day of Rubus Idaeus fruit, group(C),in which the iron overload induced mice received 493mg/kg/day desferal by subcutaneous injection for 21 days beginning on the day following the first iron dextran injection, group (D) ,in which the iron overload induced mice neither received desferal nor Rubus Idaeus fruit. The experimental work was carried out in the animal house and in the Clinical Biochemistry Department / College of Medicine / Babylon University during the period from (October 2015 to August 2016). High - Performance Liquid Chromatography (HPLC) technique has been used for measurement of tannic acid in fruit in mice's serum. Enzyme Linked Immunosorbent Assay (ELISA) has been used for the measurement of serum ferritin, UV - Vis Spectrophotometer has been used for determination of GSH - Px and GST concentrations, while Graphite Furnace Atomic Absorption Spectrophotometer technique (GFAAS) has been used for concentration measurement of trace elements. There were hematological study have been carried out using special required equipment, protein analysis by electrophoresis has been used for mice's serum to detect protein changes for all groups. Results showed that Rubus Idaeus fruit contain good acceptable concentration of tannic acid up to (853 µg/gm),amount of trace element in the fruit plant was 14.12 ppm for Zinc,33.62 ppm for Iron,3.5ppm for copper(Cu),311.06 ppb for selenium(Se),40.13 ppb for chromium(Cr). Results also showed highly significant increase of Serum ferritin, hemoglobin levels, GST activity, Iron and Copper concentration, and decreased in chromium in iron overload group (D) (P<0.001) when compared with control group (A), while there were highly significant decrease of these parameters and increased chromium in group (B2) and group (C) as compared with control groups. Results also showed highly significant decrease of GSH - Px activity, Zinc and Selenium concentration, and increased in hemoglobin levels in group (D) (P<0.001) when compared with the control group, while there were highly significant increase of these parameters and decreased in hemoglobin level in group (B2) and (C)as compared with control and (A) groups. The study have been found positive effect of Rubus Idaeus on abnormal parameters and support the biological system which was clear in group (B2) and (C) which demonstrated that there were significant inhibitions to decrease or increase of these parameters than those in normal. The present study found that fruit of Rubus Idaeus in dose(200 mg/kg/day)in mouse(16.2mg/kg/day in human) gives more reasonable results than other 2 doses (100mg/kg,300mg/kg) in treatment of iron overload ,100mg/kg had no effect in reducing iron overload,300mg/kg chelate iron so more that causing anemia, while this study found a negative correlation between Ferritin and GSH - Px activity, serum chromium and Selenium concentration. Results also showed that there is a changes in protein bands in samples, new bands occurs in samples of induced iron overload group (D) due to increased production of iron regulating proteins. While these bands are absent in groups (A),(B2)

تقييم مضاعفات ما بعد العملية للمرضى الخاضعين لجراحة العظام في مستشفى الحلة التعليمي Assessment Of Postoperative Complications For Patients Undergoing Orthopedics Surgery At Al - Hilla Teaching Hospital

اسم المؤلف: احمد رامز هلال
اسم المشرف: فخرية جبر محيبس الزبيدي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: الخلفية : مضاعفات ما بعد العملية تتعلق بنقص في العناية ما بعد العملية تقود الى عدة مضاعفات ربما تتطور في عدة مرضى نتيجة تاثير التخدير العام ومخاطر اخرى مثل طول فترة الرقود في المستشفى، عدم الحركة بعد العملية، التدخين, 000 الخ. كل عوامل الخطورة ربما تؤدي ال | Background : Postoperative complication is a source of concern as insufficient postoperative care leads to many complications which may develop in many patients due to the effect of general anesthesia and other risk factors such as prolonged hospitalization, immobilization after surgery, smoking, …etc. All risk factors may lead to postoperative complications, thus they impose additional economic burdens on the society and the patient.Objectives : The purpose of this study was to assess the postoperative complications in patients undergoing orthopedic surgery and to find out relationship between socio - demographic characteristics, medical information and postoperative complications such as (age, gender, smoking, medication, …etc.). Methodology : The study was carried out from 25 January 2016 to the 30 November 2016, the sample was Non probability sample which consists of (100) adults patients (male and female) who were undergoing orthopedic surgery with lower and upper extremities' under general anesthesia, without chronic disease and age of patients 18 years older at Al - Hilla Teaching Hospital.To achieve the objectives of the study, the researcher established the questionnaire format which was composed of three - part, part one : socio - demographic characteristic (5) items, while part two : consisted of medical information of patients which comprised of (7) items and part three : consisted of (34) items of postoperative complications may happen postoperatively.Results : The results of this study indicated that a high percent of postoperative complications occurred in ages between (18 - 27)years. The study also revealed the highest percentage (38%) of patients were smokers who had high complications. In addition the current study founded that smoking appears to decrease postoperative vomiting rate in smoker (16.2 %) less than non - smoker (36.7 %). The rate of vomiting in female (60%) is more than male (22.3 %). in addition the rate of infection in Smoker (11.6 %) more than non - smoker (1.7%). Total score of complications indicated the significant relationship between socio - demographic characteristics, medical information and postoperative complications like (age, smoking, occupation, education level, and medications used) as it is proved by chi - square tests. Recommendations : According to the current study, the researcher recommends to Increase knowledge of nursing staff regarding postoperative complications by continuing education , so the nurses can identify and prevent postoperative complication.Increase knowledge of patients regarding postoperative complications through provide them by advices or list in which is containing information or pictures that occur in patients with orthopedics surgery such as deep vein thrombosis, wound infection, and how to prevent them.

تقييم الحالة التغذوية للاطفال دون سن الخامسة من العمر في مدينة الحلة Assessment Of Nutritional Status Among Children Less Than 5 Years Old In Al - Hilla City

اسم المؤلف: اسماعيل حسن جواد الموسوي
اسم المشرف: قحطان هادي حسين الجبوري حسن علوان بيعي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: التمريض
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: اجريت دراسة مقطعية وصفية خلال الفترة من 1 تشرين الاول 2015 الى 27 اب 2016 لاجل تقييم الحالة التغذوية للاطفال دون الخامسة من العمر في مدينة الحله من خلال قياس (الوزن للطول والعمر) من خلال المقاييس الجسمانية, وكذلك لايجاد العلاقة ما بين الخصائص الديموغرافية

دراسة انزيم التيلومريز وجين الكلوتاثيون بيروكسيديز الاول في مرضى السكري النوع الاول Telomerase Enzyme And Glutathione Peroxidase1 Gene In Type 1 Diabetes Mellitus Patients

اسم المؤلف: دعاء مهدي هادي الحكاك
اسم المشرف: مها فاضل سميسم علي حسين البياتي
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: Type 1 diabetes is characterized by an immune - mediated depletion of ? - cells that results in lifelong dependence on exogenous insulin. Accumulating evidence suggests that oxidative cell injury caused by free radicals contributes to the development of type 1 diabetes mellitus (T1DM) complications and decreased efficiency of antioxidant defenses (both enzymatic and nonenzymatic) seems to correlate with the severity of pathological tissue changes in T1DM, So many studies have tended to analyze the genetic material that can be related to the occurrence of the disease. Different combinations of genetic defects of antioxidant enzyme are expected. This could readily provide an explanation of the heterogeneity of T1DM.The aim of this study is to assess the differences of GPX1 genotype in T1DM as compare with controls. And the effect of C/T at nucleotide 1050450codon 198 of GPX1 gene polymorphisms on serum glutathione peroxidase (GPX) and telomerase enzyme (TE) concentration in T1DM patients and controls. This study included (108) persons, their ages between (28 - 42 years) and body mass index in normal and overweight (68) of them were uncontrolled diabetes type 1 (HbA1c ? 6.5 %), (34) of them were male patients (M group), the other (34) were female patients (F group), and the other (40) apparently healthy as control group (20) male (MC group) with (20) female (FC group). The sera sample of all groups were used to measure the concentration of fasting blood glucose by using colorimetric methods and ELISA method for determination (TE), total antioxidant capacity (TAO - C), glutathione (GSH), and glutathione peroxidase1 enzyme, while whole blood samples from study subjects were used to measure HbA1c and extract DNA for the study of polymorphisms in GPx1 gene.The results of the present study showed1 - A significant increase in glucose, HbA1c in both male and female patients compared with controls group. (P < 0.0001) and (p< 0.05) respectively.2 - The study showed significant decrease (p? 0.001) in telomerase enzyme in both M and F as compare with MC and FC groups,3 - There was no significant association between M and F (P=0.106) and between MC and FC (P=0.327) regarding to gender.4 - The result showed that telomerase concentration significantly decrease with age (p - value<0.001) which indicated by negative correlation between telomerase concentration and age.5 - The result showed significant negative correlation between telomerase enzyme concentration and BMI in patients and controls.6 - The result showed significant decrease in TAO - C in patient as compared with control groups (P=<0.001)7 - GPX1 concentration significantly decreased in patient as compared with control groups (p - value <0.001 )8 - Significant increase in Glutathione concentration in patients as compared with controls (p - value <0.05)9 - Data on the genetic patterns were analyzed using polymerase chain reaction technique - RFLP revealed, were defined as : the codon 198 of Gpx1 genotyping have the homozygous wild - type (CC) Pro/Pro, the homozygous mutant (TT) Leu/Leu, and heterozygous (CT) Pro/Leu allele. There was significant difference between genotype distribution and frequency of alleles between the two groups of patients (M and F) versus (MC and FC) (odds ratio = 33, into confidence level of 95% : 1.65 to 656.26) and P value ( 0.0219) for M vs. MC, and (OR = 12.60, into the proportion of 95% confidence level : 1.93 to 82.08) and P value (0.0081) for F vs. FC. Also, the frequency of TT genotypes in GPX1gene in male and female were47% and 61.7% compare to control male(0%) and female(10%).10 - The allele frequency showed significant differences in all sample (p=0.0013), in male (0.14) and in female (0.0020).11 - There was significant difference in telomerase concentration (p= 0.001) and in glutathione peroxidase concentration (p< 0.0005) in patients group depending on different of the GPX1 genotyping.12 - Depending on GPX1 genotype there were significant differences in BMI in normal weight and in overweight between patient and control (p=0.0375) and (p<0.0018), respectively.In Conclusion, the TT genotype of The GPX1gene variants Pro 198 Leu may be risk factor to T1DM patients. TIDM significantly associated with glutathione peroxidase and telomerase level in patients with TT genotypes of GPX1 gene compared to those with CT and CC genotypes, and this may be considered as a risk factor for senescence and mortality in T1DM. patients, also there is significant negative correlation between telomerase enzyme and BMI in patients and controls.

التغيرات الحاصلة في نسب الانسولين والاحماض الصفراء والكوليسترول 7 الفا هيدروكسليز وفوق الاكسيد الفائق في مصل مرضى حصى المراره Serum Insulin, Bile Acid, Cholesterol 7 - Alpha Hydroxylase And Superoxide Dismutase Changes In Patients With Gallstone

اسم المؤلف: سماح سجاد كاظم الشمري
اسم المشرف: محمد عبيد المحمدي علي خير الله الشاعلي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: يعتبر مرض حصى المرارةمن اكثر امراض الجهاز الهضمي شيوعا، ووتشكل عبئا كبيرا على انظمة الرعاية الصحية. معظم الناس (حوالي 80 ?) مع حصى المرارة ليس لديهم اعراض. وتشمل مضاعفات حصى المرارة التهاب المرارة والبنكرياس.الهدف من الدراسة : 1 - للتحقيق في العلاقة بين | A gallstone is a stone formed within the gallbladder out of bile components. Cholelithiasis or Gallstone disease (GD) is one of the most prevalent gastrointestinal diseases, with a substantial burden to health care systems. Most people (about 80%) with gallstones are asymptomatic. Complications of gallstones include inflammation of the gallbladder, pancreas. Objective 1. To investigate the association between serum level bile acid and cholesterol 7 - alpha hydroxylase and the development of gallstone disease. 2. To Evaluate the change serum level insulin changes and its effect on gallstone formation. 3. The determination of serum superoxide dismutase changes in patients with gallstone. Material and Methods In this study, one hundred sixty (160) patients with gallstone aged (20 - 70) years and one hundred sixty (160) age and sex match subject (control group) had involved in this study. The patients were intended to undergo surgical removal of gallbladder in Al - Hilla general teaching hospital during the period from November (2015) to May (2016). Blood samples were obtained from all patients prior to surgical treatment. Serum was obtained by usual methods and analyzed for insulin, insulin resistance Cholesterol 7 - alpha hydroxylase, Superoxide Dismutase, Bile acid (Deoxycholic acid and Chenodeoxycholic acid) and lipid profile {total cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol}. And qualitative analysis of gallstone (Cholesterol stone, mixed stone, pigment stone), then these parameters compared with those of control groups. In addition, a demographic comparison regarding to the age, sex and body mass index between the patients and control groups was carried. Results The results of this study show higher significant percentage of gall stone in female (81%) than male (19%) in the patient group. There was an insignificant difference between male and female patients, according to age group (P<0.05). There is a higher significant (p>0.05) family history in the patients with gallstone compared with control subjects. Additionally, There is highly significant percent of female using oral contraception in pateints than control group (p > 0.01). Similarly, smoking, parity,Type 2 diabetes mellitus and Body Mass Index are found to be significantly higher inpatient group (p>0.01). This study demonstrate that insulin and insulin resistance are significant higher in sera of patients with gallstone as compared with the control group. (p>0.01) Regarding the cholesterol 7 - alpha hydroxylase, superoxide dismutase and Bile acids are found to be significantlylower in sera of patients with gallstone as compared with the control group, p< 0.01). It has also found that there are a higher significant difference in gallstone patients than control regarding total cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol levels were significantly higher than that of control group (p>0.01). Meanwhile, all these parameters in the study are variated according to gender. However The qualitative analysis of stone that show cholesterol stone is more common than other types.Conclusions In this study the most studied parameters including of Insulin and insulin resistance, cholesterol 7 - alpha hydroxylase, superoxide dismutase and Bile acids, cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol are significantly different in gallstone patients compared to control subjects and such differences are demographically affected depending on the age, sex, BMI, parity, contraceptive and smoking.

دور البروتينات المولدة للاوعية الدموية (Soluble fms - like tyrosine kinase - 1 & placental Growth Factor) ومستوى مؤشر الاجهاد التاكسدي (Glutathione peroxidase) في حالات الاجهاض المهدد The Role Of (Soluble Fms - Like Tyrosine Kinase - 1 & Placental Growth Factor) And Oxidative Stress Marker (Glutathione Peroxidase) In Threatened Miscarriage

اسم المؤلف: سرى عبد الكريم عصمت
اسم المشرف: ثابت نعمان وحيد العزاوي هند عبد الخالق ناصر
الموضوع العام: الطب
السنة: 2017
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: المقدمة : يعرف الاسقاط المهدد بانه حالة يمكن ان تصيب معظم النساء الحوامل في بداية الاشهر الثلاث الاولى من الحمل ,يتميز بحدوث نزيف مهبلي مصاحب بالام في البطن والظهر ويمكن ان ينتهي اما بحدوث اجهاض فعلي وموت الجنين او اكمال اشهر الحمل والانتهاء بالولادة.الهدف | Threatened abortion can defined as failure of pregnancy and vaginal bleeding and this occur before twentieth weeks of pregnancy. Aim of study : To evaluate association between maternal serum levels of angiogenic growth factors (sFlt - 1 & PlGF) with threatened abortion by compare it with control healthy level, to evaluate association between maternal serum level of oxidative stress marker (Glutathione peroxidase) with threatened abortion by compare it with control healthy level. To investigate if maternal serum levels of these parameters can be used as predictive markers for outcome of threatened abortion. Subjects & Method : Eighty six women were included in this study with age range from (20 - 35) years, all women attended to Obstetrics and Gynecology department / Alyarmook hospital during period from December 2015 to March 2016.Subjects were divided into three groups(1)Non pregnant women (in luteal phase) : 16 women serve as control group ( 2) Normal pregnant women with gestational age between (6 - 12) weeks : 20 women serve as patient study group(3) Threatened abortion women with gestational age between (6 - 12) weeks with vaginal bleeding : 50 women serve as patient study group. All threatened abortion women had been followed up for 6 months to determine whether they complete their pregnancies with live birth or subsequent miscarriage. Women with or without history of previous abortion, cigarette smoking were included and excluded women with age below 20 years and above 35 years or with diseases like (Hypertension, Diabetes mellitus, Hyperthyroidism) and women in follicle phase. All serum samples were analyzed for soluble fms - like tyrosine kinase - 1 (sFlt - 1), placental growth factor (PlGF) and Glutathione peroxidase by using (ELISA) technique.Results : There was significant lowering in mean value level of sFlt - 1 in threatened abortion women (8.5 ± 4.4 ng/ml) than normal pregnant women (13.8 ± 3.2 ng/ml)and non - pregnant women (15.3 ± 3.2 ng/ml), P value

نمط اصابات الاعصاب المحيطية بين الجنود العراقيين في الحرب باستعمال فحص تخطيط الاعصاب والعضلات The Pattern Of Peripheral Nerve Injuries In The War Among Iraqi Soldiers By Using Electromyography

اسم المؤلف: قيصر عبد الرزاق عطيه
اسم المشرف: صفاء حسين علي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

دور بعض المؤشرات الالتهابية المختارة في البول وبروتينات خلية البودوسايت عند مرضى اعتلال الكلية السكري The Role Of Selected Urinary Inflammatory Markers On Podocyte In Type 2 Diabetic Nephropathy

اسم المؤلف: داليا محمود خلف
اسم المشرف: رفيف صبيح الشوك عصام نوري الكروي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الاحياء المجهرية
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: اعتلال الكلية السكري هو السبب الرئيسي للمرض الكلوي المزمن وويرتبط ذلك مع زيادة وفيات مرضى القلب والاوعية الدموية. التعريف الكلاسيكي لاعتلال الكلية السكري هو زيادة افراز البروتين في البول. وتتميز المرحلة المبكرة للمرض عن طريق زيادة صغيرة في افراز الزلا | Diabetic nephropathy (DN) is the leading cause of chronic renal disease. It is associated with increased cardiovascular mortality. The DN has been classically defined as increased protein excretion in urine. Early stage is characterized by a small increase in urinary albumin excretion (UAE), also called microalbuminuria or incipient DN. More advanced disease is defined by the presence of macroalbuminuria or proteinuria. The latter is classically named overt DN.This study was planned with the aim of evaluate the levels of urinary Monocyte Chemoattractant Protein - 1(MCP - 1), interleukin (IL - 18), Osteopontin and Nephrin at diabetic nephropathy and its correlation with the parameters in Iraqi type 2 diabetic subjects and to explore the impact of albuminuria and duration of the diabetes on fine glomerular architecture using podocyte injury related marker (Nephrin) in urine. This may explore the more specific, and sensitive early biomarkers for nephropathy in diabetic patients and could help the physicians in controlling the occurrence of renal failure.Sixty Iraqi type 2 diabetes mellitus patients attending the National Diabetes Center for Treatment and Research at Al - Mustansiriyah University during the period October 2014 - June 2017 were recruited for this study. For the purpose of comparison, 20 control subjects matched for age, gender and ethnic background were also included. The patients and controls were characterized in family history of diabetes, diabetic nephropathy groups divide by used Albumin to creatinine ratio. The patients were also assessed for duration of disease, fasting serum glucose, and serum creatinine and blood urea.The mean urinary level of MCP - 1 (15.38±15.50 vs. 6.10±7.23pg/ml) and IL - 18 (35.90±16.67 vs. 23.55±12.67pg/ml) and osteopontin (337.15±257.06 vs. 174.11±183.65ng/ml) and nephrin (100.01±88.66 vs. 52.23±19.61ng/ml) were significantly higher in T2DM patients as compared to controls.The mean levels of urinary MCP - 1, uIL - 18 and osteopontin in macroalbuminurea group of patients were significantly higher than those in normoalbumine ( p < 0.008, p< 0.0001 and p< 0.03 respectively), and only of the Nephrin in the normoalbuminurea group of patients showed significant increased level as compared to the controls (52.23±19.61 vs.75.05±37.8 ng/ml) (p<0.022).The duration of disease showed an increase in mean of urinary level for all the markers MCP - 1, IL - 18, osteopontin and nephrin (17.01±18.09 vs. 19.76±21.30 pg/ml, 29.24±15.98 vs. 42.98±17.25pg/ml, 321.1±291.05 vs. 409.05±210.0ng/ml, 99.40±48.40 vs. 79.21±44.23 ng/ml) respectively, in late duration of disease as compared with early duration of disease except in Nephrin showed the early duration of disease higher than the late duration of disease (99.40±48.40 vs. 79.21±44.23), although the differences were not significant.The Receiver operating characteristic (ROC) curve analysis for all markers MCP - 1, IL - 18, Osteopontin and Nephrin levels (MCP - 1 = 0.72, IL - 18 = 0.71, Osteopontin =0.70 and Nephrin =0.72) for early diagnosis and detection of DN revealed that the cut - off value of uMCP - 1 was 6.23 pg/mg with 70% sensitivity and 75% specificity; whereas, the cut - off value of u IL - 18 pg/ml was 23.69 ng/mg with 80% sensitivity and 59% specificity and Nephrin was 49.5 ng/ml with 78% sensitivity and 55% specificity. uOsteopontin was 182 ng /ml with 68% sensitivity and 69% specificity.The linear correlation revealed a significant positive linear correlation between urinary MCP - 1, IL - 18, Nephrin and A : C ratio, also showed a significant negative linear correlation between urinary MCP - 1, IL - 18, osteopontin and GFR.In conclusion the Nephrin may be considered as potential diagnostic and prognostic biomarker a for the early detection and progression of diabetic nephropathy while the uMCP - 1, uIL - 18 and uOsteopontine may be considered as potential prognostic biomarkers for the diabetic nephropathy. The duration of disease also affect investigated biomarkers suggesting the long term effect of hyperglycemia
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