البحث — المستودع الرقمي العراقي

نتائج البحث: 9 من أصل 9

تقييم مرضى توسع القصبات من الناحية السريرية والاشعاعية == Bronchiectasis Clinical and Radiological Assessment

اسم المؤلف: لمى جواد كاظم

اسم المشرف: مصطفى نعمة عبد علي

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: BACKGROUND : Bronchiectasis is relatively common disease in developing countries, HRCT is the method of choice for the morphologic evaluation of patients with bronchiectasis.OBJECTIVE : To assess the clinical profile of patients with bronchiectasis and evaluate the clinical relevance of high - resolution CT findings in patients with bronchiectasis by using a quantitative high - resolution CT to assess extent of bronchiectasis, severity of disease, bronchial wall thickening, and presence of smallairway abnormalities and mosaic pattern. METHODS : A cross sectional study of 50 consecutive patients with bronchiectasis in respiratory department of Baghdad teaching hospital between 1st of September 2015 and end of April 2016, clinical features of bronchiectasis and results of HRCT were assessed and correlated. RESULTS : Mean age of participants (70% males, 30% females) was 53.44 ± 9.6 years and 52% of them were lifetime non - smokers. Most common identified causes of bronchiectasis were tuberculosis (48%), pneumonia (18.4%) and cystic fibrosis (4%).The predominant symptoms were productive cough (82%), dyspnea (94%), fever (74%) and chest pain (72%). The most common findings on chest examination were crackles (86%) and wheeze (74%). Types of bronchiectasis in HRCT were cystic in 62%, varicose in 32%, tubular 6%, Involvement was multilober in 46%, diffuse in 18%and right upper lobe in 18%. Of 50 patients, 92% have bronchial wall thickening, whereas 62% show small air way abnormalities, 56%have mosaic pattern. Patients with cystic disease have significant association with productive cough with large amount of sputum, hemoptysis, Crackle and Clubbing (p < 0.05), patients with small air way abnormalities in HRCT have significant correlation with chest pain, dyspnea and amount of sputum (p < 0.05). Patient with diffuse lobe distribution on HRCT have daily significant quantities of sputum production (P < 0.05), while multilober distribution have a significant association with dyspnea and wheeze (P < 0.05).CONCLUSION : Clinical finding in patients with bronchiectasis have significant correlation with HRCT chest finding which be used for monitoring activity of disease.Key words : bronchiectasis, HRCT, amount of sputum , bronchial wall thickening, mosaic pattern. Lobes distribution

دراسة الحصيلة التشخيصية لخزعة الرئة المفتوحة في المرضى المشتبه باصابتهم بمرض الرئة الخلالي == The Diagnostic Yield of Open Lung Biopsy in Patients with Suspected Interstitial Lung Disease

اسم المؤلف: سجى علي حسين

اسم المشرف: قاسم محمد سلطان

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: Background : The diagnosis of interstitial lung disease (ILD) is frequently delayed, because clinical clues are neglected and respiratory symptoms are ascribed to more common pulmonary diagnosis such as chronic obstructive pulmonary disease in the primary care setting. Objective : The present study was aimed to evaluate the yield of open lung biopsy in patients with suspected ILD. Subjects and methods : Thirty five patients were admitted with suspected interstitial lung disease (ILD), and scheduled for open lung biopsy (OLB) in Ghazi AL - Hariri hospital for surgical specialty, were the cohort of this study. Data collected from the patients files (who subjected to open lung biopsies which had been histopathologically studied) in the period from 1st of January 2013 through 31st of May 2015 and were studied retrospectively.Results : There were 11 (31.4%) males and 24( 68.6%) females, the mean age was 46±14 years , dyspnea was the common presenting symptoms in patients 24(68.6%) , dry cough was the presenting symptoms in10 (28.6%)patients , bilateral diffuse crepetations were heard in 20 (57.2%) patients, bilateral fine basal crepitation were heard in 11 (31.4%) , clubbing with bilateral fine basal crepitations heard in 4 (11.4%) ,chestx - rays findings were : lower zone infiltration in 11 (31.4%),reticulonodular infiltration in 10 (28.6), nodular infiltration in8 (22.9%) and opacities in6 (17.1%). CT findings were : basal infiltration in11 (31.4%), reticulonodular infiltration in 10 (28.6%), nodular infiltration in 8 (22.9%) and ground glass appearance s in 6 (17.1%). Histopathological examination (obtained from Open lung biopsy) results were : had usual interstitial pneumonia (idiopathic pulmonary fibrosis) 21(60%) ,7 (20%) metastasis, 5 (14.3%) pulmonary TB and 2( 5.7%) broncho - alveolar cell carcinoma.Conclusion : Open lung biopsy can safely be performed in patients with suspected interstitial lung disease. It gave a high diagnostic yield and alters the diagnosis and management in a significant number of patients

حدوث الاصابة بهشاشة العظام في مرضى الانسداد الرئوي المزمن في مستشفى بغداد وعلاقته بمختلف العوامل الخطره == Occurance of Osteoporosis in COPD Patients in Baghdad Teaching Hospital and Its Relation to Varios Risk Factors

اسم المؤلف: عباس مصطفى حسن

اسم المشرف: عدنان محمد الجبوري

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: Background : Chronic obstructive pulmonary disease (COPD) is a syndrome of progressive airflow limitation caused by the abnormal inflammatory reaction of the airway and lung parenchyma. Osteoporosis is one of the major extrapulmonary manifestations of COPD. The, prevalence of osteoporosis in COPD patients in Iraqi population is unknown.Objectives : To study the incidence of osteoporosis among COPD patients and its relations to various risk factors.Materials and Methods : The study was done in Baghdad Teaching hospital.All the diagnosed cases of 70 COPD patients according to the GOLD guidelines were included in this study. The present study was a cross sectional study during a period of August 2014 - Octoper 2015 . A brief history of the patients was taken, especially regarding duration of illness, number of exacerbations in the past 3 years, smoking in pack years, and history of steroid use (both systemic and inhaled steroids) after which cumulative dose of steroids was calculated. Spirometry was done in all these patients to stage the severity of COPD according to GOLD criteria. DEXA scan of the lumbar spine was done using bone densitometer to determine osteoporosis. (WHO) criterion for definition of osteoporosis was applied and patients with T - score of below −2.5 standarddeviation (SD) were diagnosed to have osteoporosis, −1 SD to −2.5 SD were diagnosed to have osteopenia and more than −1 SD as normal.Results : A total of 70 COPD patients were included in this study, Among these, 36 patients (51.4%) had osteoporosis and 23 patients (32.8%) had osteopenia.Majority (94.4%) of the patients who had osteoporosis had stage III and stage IV COPD disease. It was observed that as the severity grade of COPD increased , the risk of osteoporosis also increased. The bone mineral density (BMD) showed a significant difference among different stages of COPD. It was also observed that patients with lower body mass index (BMI) had higher prevalence of osteoporosis (91.7%) as compared to overweight patients. On univariate analysis, it was observed that risk factors for osteoporosis were female sex, higher number of exacerbations, BMI, and severity of COPD. After using multivariate analysis, stage IV COPD , number of acute exacerbations >3 in the previous 3 years , and steroid cumulative dose >1000 mg were observed to be significant risk factors for osteoporosis in COPD patients.

دراسة الكشف المبكر لمرض الانسداد الرئوي المزمن في الذكور الخالين من الاعراض المدخنين والمدخنين السابقين == Early Detection of Chronic Obstructive Pulmonary Disease in Asymptomatic Male Current Smokers and Ex - smokers By Spirometry

اسم المؤلف: حسام محمد علي صالح

اسم المشرف: عبد الله جنجر الفرطوسي

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

تاثير تدخين الشيشة الاركيله مقارنة بتدخين السكائر على اختبار وظائف الرئة بين الذكور في مدينة الناصرية == The Effect of Water Pipe (Negril) Smoking on Pulmonary Function Test in compare to cigarate smoking among Males in Al Nasiriya City

اسم المؤلف: مهند عادل جايان

اسم المشرف: قاسم محمد سلطان

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: Background : Shisha (wp) smoking is becoming a more prevalent form of tobacc consumption, and is growing worldwide, particularly among the young generation in the Middle East especially among urban youth, college students, and young professionals. However there is limited data about the effects of water - pipe smoking. Publicly considered as aharmless entertainment. Many studies have shown that water pipe smoking associated with development of varying degrees of reduction in the lung function.Objectives : The aim of this study is to assess the effect of water pipe smoking on pulmonary functions with regard to the duration and amount of smoking among different groups of male smokers : water pipe smokers, cigarette smokers, and compare it with a control (nonsmokers) group. Methods : This is a comparative crosssectional study which conducted on 300 male subjects, subdivided into two groups of smokers : 100 water pipe smokers, 100 cigarette smokers and 100 nonsmokers as a control group, all participants were apparently healthy and matched for gender, they were selected from random cafes in al nassirryha city. Data were collected through structured questionnaire and pulmonary function test was performed by portable Spiro lab III spirometer after gaining the participant consent. Results : There was significant differences between the mean ages of the study groups (p value<0.05).water pipe smokers (35.44±10.79) cigarette smokers (46.09±10.54), and nonsmokers (35.55±11.07). The present study revealed that there was a significant reduction in the parameters of the pulmonary function test ( FEV1 ), (FVC )(FEV1/FVC),(PEF),(FEF25 - 75%)and(MVV)for the two groups of smokers as compared to the control group ( P < 0.01 ) .Lung function impairments were very severe in water pipe smokers as compare with cigarette smokers( P < 0.05 ). There were significant inverse correlations between all PFT values and duration and total amount of WP smoking and number of WP smoked per week(P < 0.01) .Conclusion : The results from this study showed that there was a profound effect of WP smoking on PFT values, which were more severe to the effects of cigarette smoking.Keyword : water pipe smoker ,pulmonary function test, nassiryha - Iraq.

نتائج تخطيط صدى القلب عند المرضى المصابين بمرض الانسداد الرئوي المزمن ومدى ارتباطها بشدة المرض == Echocardiographic Findings in Patients with Chronic Obstructive Pulmonary Disease and Their Correlation with Disease Severity

اسم المؤلف: شذى سلمان كاظم

اسم المشرف: عدنان محمد الجبوري

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: Background : Chronic obstructive pulmonary disease (COPD) is a common disease and a leading cause of morbidity and mortality worldwide and result in an economic and social burden that is substantial and increasing.COPD has considerable effects on cardiac functions, including those of the right ventricle, left ventricle, and pulmonary blood vessels. Most of the increased mortality associated with COPD is due to cardiac involvement. Echocardiography(Echo) provides a rapid, noninvasive, portable, and accurate method to evaluate the cardiac changes.Aim of study : To assess cardiac changes secondary to COPD by echocardiography and to find if there is a correlation between echocardiographic findings and severity of COPD.Materials and Methods : A total 50 of patients with COPD were diagnosed and staged by pulmonary function test (PFT) according to GOLD criteria into 4 stages . For all patients,detailed history, carful clinical examination, electrocardiography(ECG), chest x ray(CXR), and routine blood tests were done. All patients evaluated by echocardiography.Results : On echocardiographic evaluation of COPD,40% of cases had normal echocardiographic parameters. Measurable tricuspid regurgitation (TR) was observed in 25/50 (50.0%) of cases . Pulmonary hypertension (PHT), which is defined as systolic pulmonary arterial pressure (sPAP)> 30 mmHg was observed in 14/25 (56.0%) of patients with TR (28.0% of total patients) , in which prevalence of mild, moderate, and severe PHT were 7/14 (50.0%), 4/14 (28.6%), and 3/14 (21.4%), respectively. The frequencies of PHT in mild, moderate, severe, and very severe COPD were 7.1%, 14.3 %, 35.7%, and 42.9%, respectively. Cor pulmonale was observed in 6/14 (42.9%) of cases (12.0% of total patients) ; The frequencies of cor pulmonale in patients with mild, moderate, and sever PHT were 0 , 75.0% ,100.0 % ,respectively ; 2.0% cases had left ventricle systolic dysfunction(LVSD) and 10.0% cases had evidence of left ventricle diastolic dysfunction(LVDD). Left ventricle hypertrophy (LVH) was found in 4.0% of cases. There was a significant decrease in forced expiratory volume in one second(FEV1) means associated with Echo findings especially with PHT and cor pulmonale.Conclusion : Prevalence of cardiovascular complications (especially PHT and cor pulmonale) is high among COPD patients and has a linear relationship with increasing severity of COPD. Echocardiography helps in early detection of cardiac complications in COPD cases giving time for early interventions.

تقييم السيطرة على الربو في مستشفى بغداد التعليمي == Assessment of Asthma Control in Baghdad Teaching Hospital

اسم المؤلف: يعرب مظلوم عباس

اسم المشرف: عدنان الجبوري

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: الخلفية : الربو هو مشكلة صحية عالمية تصيب 300 مليون من الافراد من جميع الاعمار حول العالم. على الرغم من المبادئ التوجيهية الدولية،مزاالت السيطرة على الربو بعيدة عن الاهداف في مختلف انحاء العالم.اهداف الدراسة : لتحديد ما اذا كان اختبار السيطرة على الربو (ACT) يمكن ان تكون مفيدة مثل معايير المبادرة الدولية للربو (GINA)في تقييم السيطرة على الربو. طرائق البحث : دراسة مستعرضة تضمنت 64 مريضا اعمارهم> 18 سنة يعانون من الربو في عيادة الامراض الصدرية في مستشفى بغداد التعليمي بين شباط 2015 وايار 2015. وجرى تقييم السيطرة على الربو باستخدام المبادرة الدولية للربو ( (GINAواختبار السيطرة على الربو ACT)).النتائج : كان هناك 64 من المرضى المسجلين في هذه الدراسة، كان 44 مريضا(68.8٪) من الاناث وكان 20 مريضا (31.2٪) من الذكور. وفقا لاختبار السيطرة على الربو (ACT) 43 مريض (67.2٪) حصلوا على درجة (<15) و21 مريضا (32.8٪) حصلوا على درجة (15 - 19) . وفقا لتصنيف (GINA) 49 مريض (76.56٪) صنفوا كمرضى غير مسيطرين على الربو 15 مريض (23.44) صنفوا على انهم مسيطرين جزئيا على الربو . الاستنتاج : في دراستنا وجدنا اتفاق كبير بين اختبار السيطرة على الربو (ACT) وتصنيف (GINA) وبذلك ACT يمكن ان تكون بديلا لتصنيف (GINA)في تقييم السيطرة على الربو. | Background : Asthma is a global health problem that affects 300 million individuals of all ages around a world. Despite international guidelines, asthma control is short of the goal in different parts of the world. Aims of study : To determine if the ACT can be as useful as the GINA - guidelines criteria in assessing asthma control . Methods : A cross - sectional study recruiting 64 patients aged >18 years with asthma were seen at chest clinic of Baghdad Teaching Hospital between February 2015 and May 2015. Asthma control was assessed using the GINA algorithm and the ACT score . Results : There were 64 patients enrolled in this study, 44 patients (68.8%) were female and 20 patients (31.2%) were male . According to ACT score 43 patient (67.2%) had an ACT score of (<15) and 21 patients (32.8%) had an ACT score of (15 - 19) and none patients had ACT (20 - 25) . According to GINA classification , 49 patient (76.56%) classified as uncontrolled and 15 patients (23.44) classified as partly controlled and none patients classified as controlled .Conclusion : In our study we found high agreement between ACT score and GINA classification thus ACT score can substitute GINA in assessment of asthma control . Asthma control was also dependently associated with the individual patient's age group.

تقنية غير لائقة في استخدام جهاز الانشاق ذات الجرعة المعايرة في عينة من المرضى العراقيين المصابون بالربو == The effect of improper technique in using meter dose inhaler in a sample of Iraqi asthmatic patients

اسم المؤلف: زياد طارق ملغوث

اسم المشرف: قاسم محمد سلطان

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

السرطان الرئوي : دراسة سريرية في مجمع مدينة الطب (2010 - 2014) == Lung Cancer : A Hospital Based Study

اسم المؤلف: مهند عبد اللطيف

اسم المشرف: محمد وهيب سلمان العبيدي

الموضوع العام: الطب

السنة: 2015

الموضوع الدقيق: الامراض - الصدرية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى:

المستخلص: خلفية الموضوع : سرطان الرئة هو السبب الاكثر شيوعا لحالات الوفاة.اذ تسبب بوفاة 1.4مليون سنويا. اذ يعتبر التدخين المسبب الرئيسي له. وكلمزاادت نسبة المدخنين ازدادت نسبة الحالات السرطانات الرئوية. وهناك خطر اخر ينحصر في التعرض الى استنشاق دخان المعادن الثقيلة والزرنيخ والاسبستوس. الهدف من الدراسة : الهدف من دراستنا هو دراسة سلوك السرطان الخلوي لحالات السرطان الرئوي في العراق. ودراسة العلاقة بين التدخين (نسبته وشدته) وانتشار حالات السرطان الرئوي.طرق الدراسة : تم احصاء 675 حالة تتعلق بالسرطان كان قد ادخلت المجمع خلال فترة خمسة سنوات من (2010 - 2014). وكانت فقط 500 حالة سرطانية رئوية مشخصة عن طريق الفحص الشعاعي للصدر والفحص المختبري الخلوي لكل من العينات كان قد اخذت من انسجة عن طريق الناظور القصبي او خزعة الغشاء الرئوي اوخزعة عملية الصدر المفتوح.النتائج : معظم المصابين من المرضى كانوا هم مدخنين وبنسبة (90%) وكان معظم هؤلاء المصابين من الرجال المدخنين. ومزاالت نسبة السرطان الحرشفي هي السائدة ونسبة (42%) يتبعه سرطان الغدي وبنسبة (26%) وسرطان الخلايا الصغيرة وبنسبة (17%) وسرطان الخلايا الكبيرة وبنسبة (10%).الاستنتاج : يعتبر مرض السرطان الرئوي من الامراض التي تحتاج الى وقفة جدية للنظر فيه وخصوصا وهو زيادة في نسبة الاصابات السنوية. شعاعيا كانت اصابات الجهى اليمنى في الرئة اكثر شيوعا. نحتاج الى الاعتماد على فحص الناظور القصبي وفحص خزعة الرئة عن طريق عملية الصدر المفتوح كونهما اكثر دقة وتفصيلا. | Background : Lung cancer is one of the most common causes of death in the world. It's causing 1.4 million deaths per year. Tobacco is the major preventable cause. However the risk of lung cancer increased by asbestos, arsenic and heavy metal exposure.Aim of study : In our study we are looking of prevalence, incidence rates of lung cancer. Patients and Methods : A retrospective study, are deal with 675 case of Lung cancer were admitted to medical city complex hospitals over period of five years (2010 - 2014). Only 500 cases have been established to have lung cancer by one or more of investigation as : sputum cytology, bronchoscope, pleural study, and open lung biopsy.Results : The commonest lung cancer is Squamous cell cancer (40%) is still commonest type, followed by adenocarcinoma (26%), small cell lung cancer (17%) and the large cell Cancer (10%), carcinoid (5%), and anaplastic (2%). The great majority of the patients (90%) of 500 patients were smoker. The average annual incidence is about 100 patient/year. Conclusion : The lung cancer is serious medical problem with increasing incidence annually. The most important risk factor for all cell types carcinoma is smoking (90%).