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التقييم السريري ورصد قياس التاكسج خلال الليل للمرضى المعرضين لخطر توقف التنفس الانسدادي اثناء النوم == Clinical Evaluation and Overnight Oximetry Monitoring of High Risk Patients for Obstructive Sleep Apnea

اسم المؤلف: محمد شاكر حسن
اسم المشرف: قاسم محمد سلطان
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الامراض - الصدرية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Obstructive sleep apnea OSA is a condition of sleep related pharyngeal collapse, in which recurrent episodes of upper airway occlusion occur during sleep causing diminution (hypopnea) or cessation of airflow (apnea) in the pharynx provoking arousals and sleep fragmentation , resulting in daytime sleepiness. Aim of study : To evaluate patients at high risk of OSA, by clinical parameters and overnight oximetry monitoring.Patients and Method : Cross sectional study of 20 patients, 12 male and 8 female with high probability of OSA, attended to respiratory clinic in Baghdad teaching hospital suffering from excessive daytime sleepiness, they were clinically evaluated plus using overnight oximetry as an objective testing method.Results : 20 patients only complete the study, 12 male (60%), 8 female (40%), 4 patients >60 years old (20%), 9 patients 40 - 59 (45%), and 7 patients 20 - 40 (35%), smokers were 11 (55%), patients with hypertension were 8 (40%) all of them with regular anti - hypertensive drugs , 2 (10%) patients were hypothyroidism according to thyroid function test .DI show significant correlation with AHI, BMI, Baseline SPO2 and gender, while no significant correlation with age.AHI show significant correlation with baseline SPO 2 and gender, and no correlation with BMI and age.Conclusion : Desaturation index assessed by nocturnal pulse oximetry maintain its utility as a screening method in the recognition of obstructive sleep apnea in morbidly obese patients with high clinical pretest suspicion, DI > 4% when combined with appropriate clinical evaluation, could be used as an initial diagnostic test for OSA.Obesity is a major risk factor and almost all suspected patients with OSA are obese.

طراز الامراض التنفسية في مستشفى الحسين التعليمي في مدينة السماوة == The Pattern of Respiratory Diseases in Al - Hussain Teaching Hospital in Samawa City

اسم المؤلف: مثنى فيصل الظالمي
اسم المشرف: عدنان الجبوري
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الامراض - الصدرية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Respiratory diseases are responsible for a major burden of morbidity and untimely death, with conditions such as asthma, pneumonia, tuberculosis, and chronic obstructive pulmonary disease the most important in world health terms..Objective : to estimate the pattern and to determine the incidence of respiratory diseases among patients admitted to medical wards.Patients and Methods : A retrospective study carried out at AL Hussain Teaching hospital in Samawa city )ALMuthana governoret) during a period from October 2013 to July 2014. 951 patient of both genders were enrolled in this study.Results : The mean age of the studied patients was 49.4 ± 18.1 (range : 15 - 99) years; the higher proportion of patients 244/951 (25.7%) aged > 60 years and the least proportion of patients 75/951 (7.9%) aged < 20 year females were the dominant gender among the studied group; 510/951 (53.6%) and the remaining 441/951 patients (46.4%) were males, with a female to male ratio of 1.16 : 1, Smoker patients were 263/951 represented 27.7% of the studied group, Asthma was the more frequent respiratory disease among the studied group (33.3%) followed by Pneumonia in (22.4%),andChronic obstructive pulmonary disease in (22.1%) . The higher mortality rate was reported among the patients with lung cancer (33.3%), followed by ILD (12.5%) .Conclusion : female was the dominant gender among studied group. Asthma was the more prevalent respiratory disease followed by Pneumonia, .the longer duration of admission was reported in patients with lung abscess.The higher mortality rate was reported in patient with Lung cancer followed by Interstitial Lung Disease and Chronic Obstructive Pulmonary Disease.

المعلمات اللتي تزيد من خطر الاصابه بامراض الرئه الخلاليه في مريض التهاب المفاصل الرثياني == Parameters that Increase Risk of Interstitial Lung Disease in Rheumatoid Arthritis Patient

اسم المؤلف: زينب عزيز
اسم المشرف: عدنان الجبوري
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الامراض - الصدرية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Several studies have been focused on interstitial lung disease among patients with established rheumatoid arthritis, with fluctuating incidence and prevalence depending on the methods used.Objective : This study has been carried out to determine the risk of developing of interstitial lung disease according patients’ socio - demographic characteristics and other study variables.Patients and Methods : A case - control study design was used in this study performed on 100 cases with RA (50 cases with ILD). Data were analyzed by using Statistical Package of Social Sciences (SPSS) version18. Categorical variables were presented as frequencies and percentages. Continuous variables were presented as means with their 95% confidence interval (CI) and standard deviation. The Pearson's chi - square test (x2) was used to determine the associations between categorical variables. A p - value of < 0.05 was considered as statistically significant.Results : The overall mean age patients with rheumatoid arthritis were (49.65±11.94) years old and majority (54.0%) and (58.0%) of rheumatoid arthritis patients with and without interstitial lung disease were between 41 - 60 years, respectively. Female gender with rheumatoid arthritis patients about (66%) without interstitial lung disease & only (50.0%) of rheumatoid arthritis patients with interstitial lung disease are female. There was significant association between rheumatoid arthritis patients with and without interstitial lung disease with residence, rheumatoid arthritis patients who lived away from generators and factories areas were 15 times more likely to be without interstitial lung disease.Conclusion : The present study finding was reported significant higher rate 15 times of interstitial lung disease in rheumatoid arthritis patients who live near area of generators and or factories, as well as, current smokers in present study were two times higher in presenting interstitial lung disease among rheumatoid arthritis patients as well as non - smokers were three times higher to be without interstitial lung disease.

دراسة معدل انتشار التدرن الكامن في سجن اصلاح الكبار في محافظة بابل == Prevalence of Latent Tuberculosis in Hilla Male Prison

اسم المؤلف: مرتضى نجاح جواد
اسم المشرف: قاسم محمد سلطان
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الامراض - الصدرية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Tuberculosis (TB) is one of the oldest diseases known toaffect humans, it caused by infection with Mycobacterium Tuberculosis(M.TB). M.TB is most commonly transmitted from a patient withinfectious pulmonary TB to other person by droplet nuclei .prisoners areexposed to a variety of infections, including TB. the standard test fordetecting Latent TB infection (LTBI) is tuberculin skin test (TST).Objectives : determination the prevalence of latent tuberculosis amongAL - Hilla male prisoners .and Assessing its correlations with various riskfactors.Methods : A stratified random sampling technique was used to select asample of 120 male prisoners aged >20years old from the AL - Hillaprison. The selected inmates were interviewed using a structured pretestedquestionnaire,5 units of PPD(0.1mL) had been injectedintradermally to the volar surface of forearm to be seen within 48 - 72hours. The test was considered positive if ( >=10mm induration)developed.Results : The study shows the rate of tuberculin reactivity amongprisoners is 23.3% (28/120). A significant relationship between age ofprisoner, mean area of accommodation per prisoner in the prison and TSTpositivity. The overall mean age of prisoners was (34.43± 12.70) yearsold and (47.5%) of the prisoners was aged between 20 - 30 years. Majority(77.5%) of the prisoners were living in urban area. (57.5%) of theprisoners were married. The alliterated prisoners were(53.3%). selfemployedprisoners were(61.7%). (53.3%) of prisoners had monthlyincome between 500 000 - 1 Million IQD. (39.2%) of prisoners spent oneyear of their prison period .The prevalence of smokers were(76.7%) andVIIonly (14.2%) of prisoners had contact with TB patients, meanwhile,(6.7%) of prisoners had contact with TB patients in prisons. Theprisoners had BCG vaccine signs were (74.2%).the prisoners who did notshare their house holding were (57.5%). The overall mean prisoners BMIwas (22.21± 3.19) kg/m2. The mean space of each cell in prison was(120.67± 85.38) m2, meanwhile the mean prisoners per each cell was(43.07± 17.72).So space of each prisoner approximately is : 2.8 m2 .Conclusion : significant relationship between age, area of accommodationfor each prisoner inside cell and positivity of TST.