عرض: 25 50 75 100 النتائج

نتائج البحث: 12 من أصل 12

البلازما الغنية بالصفائح الدموية دورها في علاج بعض الحالات المؤلمة في تطبيقات جراحة العظام والكسور == Platelet Rich Plasma: Rule in Treatment of Some Painful Orthopedics Conditions

اسم المؤلف: عامر صالح سلطان
اسم المشرف: مدحت محمد مهدي | زهير عبد علي البرزنجي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: البصرة
الكلمات الدلالية:
  • البلازما الغنية بالصفائح الدموية افضل واكثرامانا من الستيرويد لعلاج الحالات المرضية
الصفحات الاولى:

دراسة معالجة المرضى المصابين بالقدم السكري بالماء المشبع بثاني اوكسيد الكاربون باستعمال جهاز مصنع من قبل شركة ميسيوبوبيشي رايون المحدودة

اسم المؤلف: همام علي حسون
اسم المشرف: علي حافظ خضير
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:

A Comparative Study Of Laparoscopic Partial Splenectomy In Iraqi Goats With Two Techniques

اسم المؤلف: Zainab Jawad Malik
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
الجامعة: جامعة بغداد
مكان الجامعة: بغداد
الكلمات الدلالية:
  • Veterinary surgery

تقييم حالة الالم بعد عملية رتق الفتق الاربي غير المباشر عند الذكور اكبر من عمر 12سنة == evaluation of post - herniorrhaphy groin pain in males over twelve years

اسم المؤلف: حازم عبد الرحمن جمعه ذياب الهيتي
اسم المشرف: هشام احمد الاطرقجي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الجراحة
اللغة: الانكليزية
الكلمات الدلالية:
  • postoperative pain
  • inguinal hernia
  • postoperative pain
الصفحات الاولى:
المستخلص: Background Indirect inguinal hernia is a common problem in people of any age & any social level. Inguinal hernia repair is a common procedure in general surgery. Increased awareness of pain after hernia repair motivated an evaluation of this pain.
Objectives To evaluate pain after indirect inguinal hernia repair by modified Bassini procedure, regarding type of pain, severity, and to identify risk factors associated with its occurrence.
Patients and methods: A prospective , clinical case series, descriptive, non-consecutive study, that included (230 ) indirect inguinal hernia repairs in males over 12 years ; at Al jumhoory Teaching Hospital in Mosul city, from the 1 st November 2011 to 31 st December 2013. All patients involved in this study, were prepared & informed with comprehensive written consent. The assessment of pain depends on verbal rating scale (simple descriptive pain intensity scale) & a special forma were applied .The surgeons who operated the patients' hernia are consultants surgeons (or residents under supervision of professionals) working at Al jumhoory Teaching Hospital, had taken their permission to follow their patients by telephone questionnaire for pain after inguinal hernia repair. The patients were followed in a regular follow up schedule in the (first week) for immediate early pain, six weeks for assessment of types of pain, twelve months for assessment of pain severity & its relation to usual work. .The data were collected, arranged in tables & analyzed. Exclusion criteria : Female patients, Males under 12 years, Direct inguinal hernias, Repair by mesh, Repair by hernhiotomy alone, Emergency procedure, Infections, Forty patients (15 %) who were lost to follow up, all patients without pain (free of pain), laparascopic repair and recurrent hernias.
Results The study included (230) males over the age of 12 years, have indirect inguinal hernia, 154 of cases (67 %) were right, 76 of cases (33 %) were left. There were 219 patients (95.3 %) who reported early transient mild groin pain in the first week after surgery, they responded well to NSAID, while 11 (4.7 %) cases reported severe postoperative pain in the first week. Then after 6 weeks, there were 184 cases (80 %) free of pain, 46 cases (20 %) had pain, from those who had pain 16 cases (7 %) developed somatic pain, 17 cases (7.3%) developed neuropathic pain, 13 patients (5.6 %) had testicular pain . After 12 months ,there were 170 cases (74 %) free of pain , 60 cases (26 %) had pain, of those who had pain 30 patients (13 %) had mild pain ,who could tolerate it, without NSAID, while 9 cases (4 %) had moderate pain occurs after heavy work & they used NSAID on need. There were 21 cases (9 %) developed chronic pain, that affects some of the patient usual activities .There were 230 patients (85 %) of patients responded to follow up (response rate).
Conclusion The presence of early transient pain after inguinal hernia repair is common in the first week then it decreases gradually after that. Early severe postoperative pain is an indication for chronic pain, which is a significant problem that affects the patient's usual activities. Three types of pain are present (Somatic, neuropathic, & testicular) .Predictive risk factors are: severe pain in the first week postoperative & early return to his usual work.
الملخص:
المصادر:

تقييم خليط الكيتامين والترامادول والباراسيتامول والزايلازين كبرامج للتخدير العام بالحقن في الاغنام == Evaluating of Ketamine, Tramadol, Paracetamol And Xylazine Combination As An Injectable General Anesthetic Protocols In Sheep

اسم المؤلف: علي اسماعيل جاسم
اسم المشرف: ثاير علوان عبد
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: القادسية
الصفحات الاولى:
المستخلص: هدفت الدراسة الى تقييم استخدام الكيتامين (K)، والترامادول (T)، والباراسيتامول (P) والزيلازين (X) كبرامج تخدير للاغنام باستخدام جرعات مختلفة وطرق اعطاء مختلفة. استخدم في التجربة ثلاثون من الاغنام الكبار البالغة من السلالة المحلية (تراوحت معدل اوزانها 27.4 | The study aim to evaluate the use of ketamine (K), tramadol (T), paracetamol (P) and xylazine (X) as an anesthetic protocol for anesthesia in sheep by using different doses and different routes of administration. Thirty animals of adult local breed sheep weighing (27.4±2.46) kg were used in 6 different anesthetic protocols. The animals were divided into six groups (5 animals of each). The first three groups (without using of xylazine) were giving the drugs by IV injection in the jugular vein : G1 giving K4 and P10 mg/kg IV, G2 giving K4T2 mg/kg IV, and G3 giving K4 T2 P10 IV. In the other groups (G4, G5, and G6) xylazine were adding to the anesthetic protocol. G4 giving K4 T2 P10 X0.05 by IV route. G5 was giving K10 T2 P10 X1 mg/kg by IM route and G6 giving K20 T4 P10 X2.5 mg/kg by IM route. The HR, RR, RT, muscle relaxation, limb, and flank analgesia, and rumen movement were taken before administration of anesthesia (time 0) and consider as the control reading. Then taken at 5, 10, 15, 20, 30, 45 and 60 minutes or till the end of anesthesia. In the IV groups (without using of xylazine), (G1, G2, and G3). The induction time was 53.2, 60, and 68 seconds, the surgical anesthesia was 2.8, 5, and 5 minutes, and the total recovery time was 4.8, 5.4, and 3 minutes in G1, G2 and G3 respectivily. The RR, and HR were increased, and the RT was decreased. The muscle relaxation was mild, and the analgesia was moderate. In G4 after adding of xylazine and giving the anesthetic protocol by IV route, the induction time, the surgical anesthesia, and the total recovery time were become 50.6 seconds, 23 minutes, and 9.4 minutes respectively. The HR, RR, and RT were increased, the muscle relaxation, and analgesia were moderate. In G5 after increased the dose of ketamine and xylazine and giving the anesthetic protocol by IM route, the induction time, the surgical anesthesia, and the total recovery time were 5, 36, and 5.6 minutes respectively. The HR and RR were decreased, and the RT was increased. The muscle relaxation was deep for 10 minutes, and the analgesia was moderate for 10 minutes also. In G6 after doubling the ketamine, tramadol, and xylazine doses, and giving the anesthetic protocol by IM route. The induction time, the surgical anesthesia, and the total recovery time were 3.6, 73.4, and 7 minutes respectively. The HR started stable, then after 15 minutes decreased sharply, The RR was irregular, with apnea, the RT was increased, the muscle relaxation was deep for 35 minutes, and the analgesia was deep for 45 minutes. In conclusion the addition of tramadol and paracetamol to the ketamine anesthesia of sheep in low doses, improve the induction and recovery time of anesthesia, without increase the duration and depth of anesthesia. Adding of xylazine to the anesthetic protocols increase the duration and depth of anesthesia. The protocol of K10 T2 P10 X1 by the IM route is the best protocol dose among the six protocols used in this study.

The Role of Cyclosporine In Intra Bone - Bone Marrow Transplantation In Male Rabbits

اسم المؤلف: عادل جاسب عويد
اسم المشرف: Abdulbari A. Alfaris | Alaa A. AL Sawad
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: استخدم فيها 30 ارنبا ذكرا حيث قسمت الى ثلاثة مجاميع متساوية بالعدد كل مجوعه تحوي على عشرة ارانب اثنان منها تم اختيارها كواهب لنخاع العظم والثمانيه الاخرى كانت مستلمه, وكانت المجموعه الاولى هي مجموعه سيطرة وقد اعطيت المحلول الملحي الطبيعي ,والمجموعه الث | Thirty male rabbits were randomly divided into three groups as following : Group one (sham group) consists of ten male rabbits, two of them were used as donors and other eight were administered 12.5ml/kg/BW normal saline (N.S) orally for ten days. At Zero time of the experimental the collection of blood samples (10ml) was carried out on each animal from the heart (cardiac puncture) and by a sterile syringe 22 Gage needle. The (10ml) amount of blood was divided into two parts. (5ml) was deposited into tubes without anticoagulant and then refrigerated for a maximum of 12h and centrifuged at (5000 rpm) for 15 minutes these serum samples were stored in polyethylene eppendorff tubes at - 20?C Estimation of Total interleukin 2 in serum by using an Enzyme - Linked Immunosorbent Assay (ELISA). The 2nd sample was also (5ml) taken for performing hematological test to measure the WBCs account and their differential, RBCs account, Hb & P.C.V. At Day10 of experimental was collecting the blood as similar procedure at zero time and did a similar examination before operation. At Day11 of the experimental an allogeneic Intra - bone - marrow injection of bone marrow transplantation aspiration method (IBM - BMT) AM was carried out and rabbits were re administered with normal saline after surgical operation until Day21 of experimental. Following that rabbits were anesthetized with Ketamine (20 mg/Kg/BW) and xylzine (9 mg/Kg/BW) intra muscular. Before bone aspiration for bone marrow histological test the smears were stained with Giemsa stain. At the end of this experimental study of there was collection of blood as a same procedure at zero time and DAY10 then made the same test to estimate of blood values and interleukin 2. Then all recipients’ rabbits were sacrificed and bled to death to obtain the Kidney and liver, which were dissected out, trimmed and processed for the histological study with used Heamatoxyline and Eosin Stain. Group two (treated with 12.5ml/kg/BW cyclosporine orally administrated) and same protocol of the sham group was applied except when using (treatment with 12.5ml/kg/bw cyclosporine orally administrated) replacing the normal saline. Group three (treatment with 25ml/kg/BW cyclosporine orally administrated) and same protocol of sham group was applied except when using (treated with 25ml/kg/BW cyclosporine orally administrated) replacing the normal saline. The results of the present study Conclusions cyclosporine effects on the bone marrow, immune system because of decrease of WBCs, lymphocytes, neutrophils and interleukin 2.The study Conclusions cyclosporine caused many adverse effects, where by it caused severe liver and kidney; therefore it was considered predisposing factor to infection with several diseases as well as it is considered the main cause of disorders in renal function renal dysfunction. The results of the present study Conclusion the surgical operation of intra - bone - bone marrow transplantation more safe than other ways of intra vinous bone marrow transplantation also the study the operation increase the hematopoietic cells

تاثير نخاع العظم وحامض الهيالورونيك في اصلاح وتر القابضة الاصبعية السطحية المرفو في الحمير == Effect of Bone Marrow And Hyaluronic Acid Bioscaffold of Repair of SDFT Tenorrhaphy In Donkeys

اسم المؤلف: حميد عبد غاطي
اسم المشرف: عبد الباري عباس ساهي الفارس
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: The study was designed to assign the effectiveness of bone marrow and hyaluronic acid to repair of experimentally induced transected of the SDFT in donkeys by macroscopical, ultrasonical and histopathological evaluation.A total of 18 clinical healthy donkeys of both sexes with the age of 2 - 3 years weighting of 70 - 130 kg (mean ±SE, weight 97.77 ± 8.11 kg), were used for this study. The animals divided randomly into three equal groups (six animals/groups), the (group A) was used as a control group. The treatment groups were classified into and the bone marrow group (group B) and the hyaluronic acid group (group C) and the animals were generally anesthetized.In all animals of this study a mid - metacarpal linear skin incision was made in the palmer aspect of the left forelimb, the SDFT then was transected transversely and then the cut ends of the tendon were approximated by (0.2) Nylon suture and skin closure by using (0.2) silk suture. In group (B), two ml of bone marrow was applied to the sites of anastomoses tendon. In group (C), use a two ml of sodium hyaluronate on the sites of anastomoses tendon.Macroscopical examination showed adhesions between the tendon and surrounding tissues which were severe in the group (A) than in group (B) and lesser than that in group (C).Histopathological findings with the group (A) showed edematous fluid and collagen fiber in 30 days postoperatively and the presence of the edema and irregular collagen fiber were observed at day 60th. In group (B) showed a marked increase in neo blood vessels (angiogenesis) and collagen fiber in 30 days postoperatively and observed a moderate number of new blood vessels and collagen fibers at 60 days postoperatively.In group (C) demonstrated a numerate new blood vessels ,the collagen fiber and edema at 30 days postoperative and the prominent fibroblast at 60 days postoperative.Ultrasonographic examination for the tendons of the group (A), 30 days postoperatively showed the presence of marked fluid in SDFT with anechoic over the site of operation (dark area) while, 60 days postoperatively there is moderate fluid the SDFT appear as area of anechoic to hypo echoic.In tendons of group (B) in 30 days postoperatively notice the presence of lesion in a tendon, which appear as hypo echoic area with slower to demonstrate evidence of healing on ultrasound. In 60 days post operatively there is corresponding longitudinal fiber, alignment grade with hyper echoic appearance of operation area. In tendons of group (C) in 30 days postoperatively ultrasonography shows the presence of moderate fluid and the hypo echoic area within the SDFT. In 60 days postoperatively notice the presence of mild fluid in the site of operation that reflected as hypo echoic to hyper echoic area.The results of this study demonstrated the effectiveness of (Bone marrow) in acceleration the process of tendon healing and reducing fibrous adhesions that occur after the exposure of the tendon to injury compared to the (Hyaluronic acid), which has the same effect but to a lesser extent

افرازات حلمة الثدي كعلامة دالة حول امراض الثدي في مستشفى بعقوبة التعليمي == Nippel Discharge As Presentation of Underlingbreast Diseases At Baqubah Teaching Hospital

اسم المؤلف: فراس منذر متعب
اسم المشرف: مصطفى خليل حميد
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: ديالى
الصفحات الاولى:
المستخلص: افرازات حلمة الثدي مشكلة عرضية شائعة تسبب الكثير من المضايقة والقلق للنساء, وقد تكون اول ما يشتكي منها المريضة، افرازات حلمة الثدي يمكن ان يكون علامة التقديم الاسبق لامراض الثدي الخبيثة.الغرض من الدراسةهذه الدراسة بنيت على ت

دراسة مقارنة لثلاثة انظمه للتخدير العام في الماعز == Comparative Study Of Three Protocols Of General Anesthesia In Goats

اسم المؤلف: عمر خالد عزيز
اسم المشرف: رفل عبد الدائم
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الجراحة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى: