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دراسة سريرية وبائية حول حدة البصر بين طلاب ثلاث كليات في الجامعة المستنصرية == Clinico - Epidemiological Study Of Visual Acuity Among Students Of Three Colleges In Al - Mustansiriyah University

Author name: محمد جبر حويل الطائي

Supervisor name: محمد كاظم

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

نسبة زيادة امتصاص الرصاص بين العاملين المعرضين له == Prevalence Of Increased Lead Absorption Among Lead Exposed Workers

Author name: سعد ابراهيم الغبان

Supervisor name: حكمت جميل | جاسم العجزان

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

قيم شحوم الدم لدى المصابين بالسمنة في عينة من بغداد == Values Of Serum Lipids In Obese Individuals In Sample From Baghdad

Author name: منال عبد الخالق جعفر القيم

Supervisor name: رياض لفتة

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

دراسة وبائية لمرض السكري غير المعتمد على الانسولين في قضاء بعقوبة == An Epidemiological Profile Of Niddm In Baquba District

Author name: ناظم غزال نعمان العمار

Supervisor name: نجاة البياتي | مجيد سعيد

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

الكشف عن عوامل الخطورة الرئيسية لامراض القلب والشرايين العصيدية بين العاملين في الرعاية الصحية الاولية في مدينة الموصل == Screening for Major Risk Factors for Atherosclerotic Cardiovascular Diseases Among Primary Health Care Workers in Mosul City

Author name: نهى حاجم محمد

Supervisor name: اسماء احمد الجوادي | اكرم جرجيس احمد

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Al Mosul - Faculty Of Medicine

Language: English

University location: Mosul

First pages:

دور بيئة المدارس الابتدائية في مستوى الاداء الاكاديمي للطلبة في مدينة الموصل == Role of Primary Schools Environment in Students' Academic Performance in Mosul City

Author name: رضاء عبد الحميد عبد المجيد التحافي

Supervisor name: وليد غانم الطائي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Al Mosul - Faculty Of Medicine

Language: English

University location: Mosul

First pages:

تاثير مرض داء السكري نوع 1 على النمو لدى الاطفال والمراهقين المصابين بداء السكري المراجعين الى مستشفى حماية الاطفال التعليمي : مدينه الطب بغداد / العراق 2013 == IMPACT OF TYPE 1 DIABETES MELLITUS ON THE GROWTH OF DIABETIC CHILDREN AND ADOLESCENTS ATTENDING DIABETIC CLINIC AT CHILDREN WELFARE TEACHING HOSPITAL : MEDICAL CITY BAGHDAD - IRAQ, 2013

Author name: انس مالك عبد الرزاق

Supervisor name: بتول علي غالب ياسين

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

التاخير الثالث لوفيات الامهات في مستشفيات الولادة في بغداد == third delay of maternal deaths in maternity hospitals in baghdad

Author name: سارة ضياء سلمان

Supervisor name: لمياء ضياء الدين بهاء الدين

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

سرطان القولون في العراق : دراسة وبائية == Carcinoma of The Colon in Iraq : Epidemiological Study

Author name: علي موسى مهدي

Supervisor name: E. N. Kassira

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

The Evaluation And Application Of Alacally Prepared Divect Agglutination Test For The Diagnosis And Ser

Author name: قحطان طه خلف

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

Pattern Of Mother Motbidity In The Postpartum Puerperium Period

Author name: بشرى زيدان الجميلي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

Clinicoepidemiological And Socil Profile Of Patients With Cerbro Vascular Accidents In Baghdad

Author name: بان عبد الستار خضير

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

دراية واتجاهات وممارسات الامهات تجاه خدمات رعاية الامومة والطفولة في مدينة تكريت == Mothers Knowledge, Attitude and Practice Toward Maternal and Childhood Health Services in Tikrit City

Author name: عذراء عيسى احمد الجبوري

Supervisor name: Thamir Kadim

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Tikrit University - Faculty Of Medicine

Language: English

University location: Salahaddin

First pages:

تاثير اعتمادية مراكز الرعاية الصحية الاولية على جودة الرعاية الصحية من منظور مقدمي الخدمات الصحية ومدراء المراكز الصحية في بغداد - الكرخ == THE IMPACT OF ACCREDITATION OF PRIMARY HEALTHCARE CENTERS ON QUALITY OF CARE AS PERCEIVED BY HEALTHCARE PROVIDERS AND DIRECTORS IN BAGHDAD

Author name: هبة جواد كاظم

Supervisor name: مازن غازي الربيعي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

تقييم الحالة التغذوية عند الاطفال بعمر 12–59 شهرا في العوائل النازحة في بغداد == NUTRITIONAL ASSESSMENT OF CHILDREN (12-59) MONTHS IN DISPLACED FAMILIES IN BAGHDAD

Author name: سامر جاسم محمد

Supervisor name: جمال رشيد الراوي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

عبء الامراض في مرحلة الانتقال الوبائي في العراق == BURDEN OF DISEASES IN THE STAGE OF EPIDEMIOLOGICAL TRANSITION IN IRAQ

Author name: اشرف محمد علي حسين

Supervisor name: رياض خضير لفتة

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

Language: English

University location: Baghdad

First pages:

تاثير الخدمات الصحية على وفيات الولدان في بغداد 2012 - 2016 == The Impact of Health Services on Neonatal Deaths in Baghdad, 2012 - 2016

Author name: سالي سعد محمد علي باش

Supervisor name: جواد كاظم الديوان

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: الخلفية : وفيات الاطفال حديثي الولادة مؤشر لجودة الخدمات الصحية للام والطفل في المجتمع والوضع الاقتصادي. العراق لازال يعاني من حروب ووضع اقتصادي مزري نتيجة حصار سابق وانخفاض اسعار النفط وسيطرة الارهاب على اراضيه، وتزايد عدد النازحين داخل البلد. وظهرت تلك الاشكالات الاجتماعية على شكل صراعات.الاهداف : اجريت هذه الدراسة لمراجعة نسبة وفيات الاطفال حديثي الولادة في المستشفى حماية الاطفال التعليمي ومستشفى الاطفال الكاظمية من 2012 الى 2016..الطرق : جريت دراسة مستعرضة باثر رجعي. مستشفيات عشوائية مختارة من كل جانب من بغداد ، المستشفى حماية الاطفال التعليمي فيجانب الرصافة من مدينة بغداد ومستشفى الاطفال الكاظمية في جانب الكرخ من مدينة بغداد. تم جمع جميع سجلات حالات حديثي الولادة في وحدات الرعاية المركزة للولدان من عام 2012 الى عام 2016 في المستشفيات المذكورة. تحتوي السجلات على بيانات حول حديثي الولادة . ومن سجلات الادارة تم الحصول على اعداد الاطباء والكادر التمريضي ومن سجلات القسم الفني على اعداد الاجهزة الطبية.ظهرت الخدمات الصحية في عدد من اطباء اختصاص اطفال واطباء الدراسات العليا والكادر التمريضي الجامعي.النتائج : زيادة في دخولات حديثي الولادة في نهاية السنوات المدروسة بنسبة 25.9 ٪. كانت هناك زيادة في نسبة اطباء الاطفال ونسبة اطباء الدراسات العليا ونسبة الممرضين المتخرجين بمقدار 0.004 و0.2 و0.02 على التوالي. لم تتاثر نسبة وفيات المواليد الجدد بعدد اطباء الاطفال (P = 0.3) ، وطبيب الدراسات العليا (P = 0.2) ، وممرضة الدراسات العليا (P = 0.02). الاستنتاج : لوحظ ارتفاع معدل وفيات الولدان. الصراعات اثرت سلبا على الخدمات الصحية، واظهرت اسباب غير واضحة لذلك. | Background : Neonatal mortality is an indicator to evaluate and assess the maternal and neonatal health services system in the community. Neonatal mortality reflects the quality of socioeconomic status and health services of each country.Iraq has been suffering from wars, economic sanction, and internal displacement population.Conflicts lead to deterioration in health system which is in turn affect health status.Objectives : This study was carried out to review the neonatal mortality proportion in Children's Welfare Teaching hospital and Al - Kadhimiya children hospital from 2012 to 2016.Methodology : A retrospective cross - sectional study was conducted. A random chosen hospitals from each site of Baghdad, Children's Welfare Teaching hospital in Al - Rusafa side of Baghdad city and Al - Kadhimiya children hospital in Al - karkh side of Baghdad city. All cases records of newborns in neonatal intensive care units from 2012 to 2016 in the mentioned hospitals were collected. Records contain data about newborn, the health worker, and medical instrument.Health services were manifested in number of specialist pediatrician, postgraduate physicians and graduate nurse. Results : The admissions increased in the ending years of studied period by 25.9%. There was an increase in pediatrician proportion, postgraduate physician proportion and graduated nurse proportion by 0.004, 0.2, and 0.02 respectively. Neonatal mortality proportion wasn’t affected by number of pediatrician (P = 0.3), postgraduate physician (P = 0.2), and graduate nurse (P = 0.02).Conclusions : High neonatal mortality was observed. Conflicts mask the impact of the health services.Keyword : Neonatal mortality, Proportion, conflict, Iraq, neonatal intensive care unit.

متلازمة القولون المتهيج بين طلاب المدارس الثانوية : نسبة الانتشار والاسباب 2017 - 2018 == Irritable Bowel Syndrome Among High School Students : Prevalence and Determinants 2017 - 2018

Author name: هناء فريق هزاع

Supervisor name: فارس حسن اللامي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: الخلفية : ان متلازمة القولون المتهيج هي خلل وظيفي يصيب الامعاء الغليظة ويؤدي الى اعراض مزمنة في الجهاز الهضمي. وهو مرض واسع الانتشار يصيب كل الفئات العمرية لكنه اوسع انتشارا" بين فئة المراهقين والشباب.الهدف من الدراسة : هو معرفة نسبة انتشار المرض بين طلاب المدارس الثانوية وتحديد العوامل المؤثرة في زيادة نسبة انتشاره في محافظة بغداد 2017 - 2018 الاشخاص وطريقة العمل : هذه دراسة مقطعية اجريت على 12 مدرسة من المدارس الثانوية التابعة لمديريات تربية بغداد \ الكرخ. حيث تمت الدراسة عن طريق الاستبيان المباشرلاعراض المرض لجميع طلاب المرحلة السادسة في تلك المدارس , ذكورا"واناثا". وقد تم استبعاد الطلبة الذين يعانون من الاعراض التي تشير الى امراض اخرى قد تتداخل مع تشخيص المرض., وكذلك استبعاد الطلبة الذين سبق وان اجروا عملية سابقة او شخصوا باصابتهم بامراض اخرى في الجهاز الهضمي وقد تمت الدراسة بتطبيق نوعين مختلفين من الاستبيان, الاول لجمع المعلومات الاجتماعية والديموغرافية والعادات اليومية للطلبة, والاستبيان الثاني (Rome Criteria III) لتشخيص المرض ,ثم تصنيفه الى ثلاثة انواع (رابط الاسهال, رابط الامساك ,النوع المختلط) النتائج : شملت الدراسة 592 طالب وطالبة, وقد اظهرت الدراسة ان النسبة العامة لانتشارالمرض كانت 29,7% (فاصل الثقة 95% 29.4 - 30.1%) مع نسبة اعلى للانتشار بين الاناث عن الذكور بنسبة1 : 1.5 كما اظهرت الدراسة ان النوع المختلط من المرض هو النوع الاكثر شيوعا"(42.6%) يليه رابط الاسهال(33.5%), ثمرابط الامساك(23.9%). وكشف معامل الانحدار اللوجستي عوامل الخطورة التالية : الضغوط الحياتية) 3.93% (OR= والحساسية للاطعمة (2.89% OR=) والامراض المزمنة (2.22% (OR= والعامل الوراثي (2.04% OR=) والجنس (1.84% OR=) هي من اهم العوامل المؤثرة في زيادة نسبة انتشار المرض | Background : Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder. It's worldwide prevalent and causes a great challenge on the health system and patients' daily life activity. It affect all age groups but more common among adolescents and young age groups.Objectives : To estimate the prevalence and identify potential determinants of IBS among high school students in Baghdad, Iraq.Methods : This cross - sectional study was conducted on a cluster sample of 12 high schools in Baghdad. All students in the sixth grade were considered eligible. Students with "red flag" symptoms were excluded. Rome III criteria questionnaire was considered to define Irritable Bowel Syndrome. A self - administered questionnaire used to compile socio - demographics, personal habits and certain potential determinants.Statistical Analysis : Statistical Package for Social Sciences (SPSS) program, version 23 was used for data entry and analysis. The prevalence (and its 95% confidence interval) of Irritable Bowel Syndrome among high school students was calculated. Chi square and fisher's exact probability test were applied to test association of qualitative and categorical variables with IBS. Logistic regression analysis was used to identify the significant, independent and un - confounded risk factors.Result. Among 657 eligible high school students, 592 (90.1%) were enrolled. The prevalence of Irritable Bowel Syndrome was 29.7% (95% C.I. 29.4 - 30.1%). The most common type was mixed type (42.6%) followed by diarrhea - predominant (33.5%), then constipation - predominant (23.86%). Binary and logistic regression analyses revealed the following significant factors. Exposure to stressful life event (OR. 3.93; 95% CI. 2.64 - 4.85), food hypersensitivity (OR. 2.89; 95% CI. 1.59 - 3.27), chronic diseases (OR. 2.22; 95% CI. 1.24 - 3.95), family history of IBS (OR. 2.04;95% CI. 1.30 - 3.01) and female sex (OR. 1.84; 95% CI. 1.25 - 2.73). C - IBS was significantly more common among females (P=0.02) Conclusion : Irritable Bowel Syndrome is prevalent among high school students in Iraq, affected about one third of them. Stressful life events were the most important modified risk factor and it was the strongest factor affecting the prevalence of Irritable bowel syndrome. Food hypersensitivity, family history, chronic health problems and gender were the most important non - modified risk factors and Migraine was the most common comorbid chronic disease among students with Irritable Bowel Syndrome.

مستوى فيتامين د والكالسيوم في مصل الدم لدى النساء الحوامل اللواتي يعانين من القئ المفرط الحملي في مستشفى بغداد التعليمي == Serum Vitamin D and Calcium levels in Pregnant Women with Hyperemesis Gravidarum at Baghdad Teaching Hospital

Author name: نور جليل جبار الصائغ

Supervisor name: علياء مكي حسن الصافي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: الخلفية : نقص فيتامين (د) ومستوى الكالسيوم في الدم له علاقة مع القيء المفرط الحملي. كان هدف الدراسة الحالي هو فحص مستويات فيتامين د والكالسيوم في مصل الدم لدى النساء الحوامل المصابات بالقيء المفرط الحملي وتاثيراته على صحة الانجاب لدى النساء الحوامل.طريقة البحث : هذه دراسة مقطعيه تشمل 97 مشاركة تشمل النساء الحوامل المصابات بالقيء المفرط الحملي تمت في مدينة الطب / بغداد / العراق. تم جمع البيانات من قبل الباحث بعد اعداد استبيان منظم لهذا الغرض بعد الحصول على الموافقة اللفظية من قبل المشمولين بالدراسة (عمر الامهات، الاقامة، الحالات الزوجية، الاقتصادية والاجتماعية، والتعليمية والمهنية، التاريخ الحملي السابق والحالي ومؤشر كتلة الجسم). اجريت التحاليل المختبرية بحساب نسبة فيتامين د والكالسيوم في مصل الدم.النتائج : ان اعمار النساء المشاركات بهذه الدراسة كان يتراوح بين 16 الى 41 عام، حيث ان 70% من المشاركات في هذه الدراسة كان متوسط اعمارهم يتراوح بين 25 الى 35 عام. ان اغلب المشاركات كانوا من متوسطي الدخل المعاشي (40%)، مستوى تعليم متوسط (54%)، ربات البيوت (77%) ونساء متعددات الولادات (1 الى 3 ولادات) (47%). حسب منظمة الصحة العالمية ان معدل الاسقاطات بين النساء للحوامل يمثل نسبة عالية تصل الى (25%) والنساء اللاتي يلدن ولادات ميتة ايضا يشكل نسبة مرتفعة (12%). كان مؤشر كتلة الجسم 56 ٪ من عينة الدراسة. فيما يتعلق بفقر الدم، كان معظم عينات الدراسة يعانين من فقر الدم (70 ٪) مع التاريخ الغذائي السيئ اثناء الحمل (61 ٪) وانخفاض التعرض للشمس (84 ٪). وجود فقر الدم (فيتامين د : ص = 1.0؛ الكالسيوم : ر = 1.0) والتاريخ الغذائي (فيتامين د : ص = 0.07، ع = 0.82؛ كالسيوم : ر = 1.0) اثناء الحمل، كان له ارتباط عالي غير مهم للانقسام من النساء مع نقص فيتامين (د) وانخفاض الكالسيوم في الدم.الاستنتاج : توصلت الدراسة الى ان نسبة عالية من النساء الحوامل اللواتي يعانين من القيء المفرط الحملي تعاني من نقص في فيتامين د ومستوى الكالسيوم في مصل الدم، وكشفت ايضا ان الامهات التي يعنين من نقص فيتامين د ومستوى الكالسيوم في مصل الدم اثناء الحمل واللواتي يعانين من القيء المفرط الحملي يرتبطان ارتباطا بشكل كبير مع ارتفاع خطر الاصابة بفقر الدم. ان خطر نقص في فيتامين د ومستوى الكالسيوم في مصل الدم النساء الحوامل اللواتي يعانين من القيء المفرط الحملي ارتفاع في النساء الحوامل اللواتي كن ربات البيوت وذوي الحالة الاجتماعية والاقتصادية المنخفضة وكذلك الاقل تعرض لاشعة الشمس، ومعدومة النشاط البدني، وكمية اقل من تناول المكملات التي تحتوي على فيتامين د ومكملات الكالسيوم | Background : Vitamin’D’deficiency has a close relation with hyperemesis’gravidarum and serum’calcium level.The current study objective was’to investigate the levels of vitamin D’and serum calcium in pregnant women’with hyperemesis gravedarum and their’effects on their obstetric health. Methodology : This is a’cross - sectional study including 97’pregnant woman with hyperemesis’gravedarum’conducted in’Baghdad Teaching Hospital from the period of seven month starting from November 2017 to May 2018. Data collection from direct interview for the pregnant women.The sociodemographic’data was collected by researcher following a’structured questionnaire about (maternal age, residency, marital, economic and social states, educational and occupation states, previous and current obstetrical history and body mass index were collected). Laboratory Investigations were’done to’estimation of vitamin D and serum calcium level. Results : The age of women included in the study ranged from 16 to 41 years and 70% of them were between 25 and 35 years. Most of the participants were medium socioeconomic state (40%), secondary educational level (54%), homemakers (77%), and multipara (1 - 3 para) (47%). History of miscarriage among pregnant females (23%) and history of fetal death was (12%). Body Mass Index was 56% of study sampl, which are obese women. Regarding the anemia, most of study sampl was anemic (70%) with bad dietary history during pregnancy (61%) and low sun exposure (84%). The presence of anemia (vitamin D : r=1.0; calcium : r=1.0) and dietary history (vitamin D : r=0.07, p= 0.82; calcium : r=1.0) during pregnancy, had non - significant high correlation to division of women with deficient Vitamin D and low serum calcium. Conclusion : The study findings that high percentage in pregnant women with Hyperemesis Gravidarum has deficiency in serum vitamin D and calcium level also revealed that’maternal vitamin D deficiency’and low serum calcium in pregnant women with Hyperemesis Gravedarum are’significantly associated with elevated’risk for anemia. The risk of’vitamin D deficiency and low’serum calcium was higher Hyperemesis Gravedarum pregnant women which were’housewives, and those with low’socioeconomic state and less exposure to’sunlight, no physical activity, and less’vitamin D and calcium supplement intake.

فعاليه جهاز مفراس القلب الملون في تشخيص امراض الشرايين التاجيه في بغداد / العراق 2013 == ACCURACY OF CORONARYCOMPUTED TOMOGRAPHY ANGIOGRAPHY IN THE DIAGNOSIS OF CORONARY ARTERY DISEASE, BAGHDAD - IRAQ, 2013

Author name: ميثاق حسن العكيلي

Supervisor name: ايمان القصير | هلال الصفار

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Background : Various diagnostic tests, invasive and noninvasive, are used in the diagnosis of coronary artery disease (CAD). Recently, coronary computed tomography angiography (CCTA), being noninvasive and due to its high spatial and temporal resolution, are widely used particularly in patients with low to intermediate probability. Studies on accuracy of CCTA in Iraq are scarce; therefore this study was carried out. Methods : A total of 260 patients were included in this study, they were recruited from the Iraqi Centre for cardiac disease (medical city complex) and Ibn Al - Bitar Cardiac Surgery Center for the period from December 2012 to August 2013. Direct interview for those who referred for CCTA was done and case records of those who did invasive coronary angiography (ICA) were reviewed. Requested information regarding demographic data (age,gender, residence, etc.), history of smoking, alcohol consumption, hypertension, diabetes and present complaints, review of prior tests (electrocardiography (ECG), chest x ray (CXR), echocardiography, treadmill test “TMT”, etc.), referral indication as stated by the physician and outcome data, were filled in questionnaire for each patient.Results : The mean age of patients was 56.7 ± 10.2 with males were predominant (62.3%). There was significant difference between CCTA results with age (p=0.003), left ventricle ejection fraction (LVEF %) (p=0.01), sex (p=0.04) and hypertension (p=0.03). No significant association between CCTA results with diabetes and cholesterol level (P= 0.7, and 0.6 respectively). No significant association was found between TMT findings with CCTA results (p=0.6) or ICA results (p=0.2). Also there was no significant association between ICA findings according to CCTA results (p=0.3). The calculated sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) values for CCTA was (80.7%, 0.0%, 70% and 0.0, respectively). There was significant association between CCTA results with the pretest probability of CAD (p=0.01).Conclusions : Low accuracy figures for CCTA were reported. Guidelines according to Iraqi situation may enhance accuracy

العوامل المرتبطة مع سرطان الثدي وتاثيراتها في عينة من المرضى لمستشفى الامل الوطني لعلاج السرطان في بغداد == Factors associated with Breast Cancer Impact in a sample of Al - Amal National hospital for Cancer management in Baghdad

Author name: اسامة مدحت لفتة

Supervisor name: احمد سمير النعيمي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Breast cancer (BC) known to be the most common cause of cancer - related death among females with excess of more than a million inflicted with this disease every year. In Iraq, breast cancer is the most common type of malignancy among the Iraqi population in general. The disease affects physical and mental health among breast cancer survivors. The true impact of a successful medical intervention could be understood by the degree to which the treatment has a positive influence on patient’s immediate and /or future well - being. Assessment of quality of life among breast cancer is vital to identify area of concerns to the patient and health professional, and to suggest means to improve disease outcome and reduce patient’s suffering. The current study aimed at measuring the impact of Breast Cancer on different aspects of health related quality of life. In addition, to studying the association between the impact of breast Cancer and sociodemographic characteristics or treatment modalities.A cross - sectional study was conducted on a total of 250 randomly selected females with an established diagnosis of breast cancer attending Al - Amal National hospital for Cancer management in Baghdad. Data collection took place during the period from January to April, 2016, each participant was asked to fill The questionnaire composed of three parts : The first one covered sociodemographic characteristics including : age, gender, educational attainment, marital status, living arrangement, finical status, BMI and blood pressure. The second part contained the ABCIS (Arabic Breast Cancer Impact Scale) with 14 questionnaire items. The third part of the questionnaire gathered data about disease associated factors like duration, treatment modalities. The answers that reflect the impact of the disease on specific life domains were anchored to a 5 points Likert - scale type rating scale. It ranges from large extent to no impact. Higher rating reflects higher negative impact. In addition, the importance of each domain rated on 4 points likert - scale ranges from very important to not important. Higher rating reflects greater importance.Breast cancer had negative impact on patients quality of life. The psychological domain was the most affected among the three domains of quality of life, while theviisocial domain was the least affected. The retest part of the study supported a high reliability for the tested instrument among Iraqi Breast Cancer patients. A quarter of study subjects described the quality of their life as poor. This group of females is at risk for bad prognosis and deterioration of their conditions later on.The study failed to detect an association between type of treatment (whether radio or chemo - therapy) and negative impact of breast cancer on quality of life. Most cancer patients in Iraq fail to cope with the new events and changes in their body image and daily activities that resulted from their disease, neither in their social or occupational life. This might be related to the lack of the psychological therapy and rehabilitation program, which should be provided in all stages of management.

الخصائص الوبائية لفتحات جدار القلب الخلقية للاطفال دون الخامسة الوافدين الى مستشفى ابن النفيس التعليمي، بغداد 2015 == Epidemiological characteristics of Under Five Children with Ventricular Septal Defects Attending Ibn - Nafees Teaching Hospital, Baghdad 2015

Author name: عمار حسن عبد القهار

Supervisor name: بتول علي غالب ياسين | علاء عبد الحسين الانباري

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Globally at least eight of every 1,000 infants born each year have a heart defect, and as Ventricular Septal Defect (VSD) is the commonest among Congenital Heart Defect (CHD), this study aimed to assess the impact of VSD among CHD and its association with certain factors, and to assess the anthropometrical measures among children with CHD as well as assess nutritional state of their mothers. A hospital based cross sectional study on 349 under five children with CHD attending Ibn Al - Nafees Teaching Hospital were subjected to questionnaires prepared by the researcher. The nutritional status of under five children was assessed through an anthropometric measures (height and weight) and compared with z - score of CDC 2000, meanwhile 296 Mother’s Body Mass Index (BMI) was assessed to point out an association with CHD and VSD.It was found that 54.7% of CHD were VSD, 29.2% were ASD and the combination of VSD and ASD was on the top of congenital heart malformation 61.4%.CHD had increase relation with Father’s and Mother’s education and indirect relation with Mother’s age, also was higher (84.2%) among 20 - 39 years Mother and appear more often in children under one year 64.2%. The studied factors had no obvious influence on VSD rather than other CHD.Nutritional status of the study sample showed that wasted children was almost three times over normal distribution which exhibit acuteness with no evidence on disease chronicity, as shown the study sample showed close frequency distribution regarding stunting and underweight. Mother’s BMI exhibit a problem as 37.2% were overweight and 26.4% were obese.Interfamily marriage express 58.5% positivity and only 8.3% report positive family history. Anemia reported in 33% of Mothers and 30.4% address febrile illness during first trimester.This study observed no significant associations between VSD and other congenital heart defects in term of socio - demographic characteristic; residency, mother’s age, child’s age, Father’s and Mother’s education and consanguinity. Also no associations were found regarding family history, febrile illness, passive smoking, certain medication received, anemia and DM.

المسح عن مسببات وطرق الوقاية من الجلطات الدموية الوريدية في مرضى مستشفى بغداد التعليمي == Screening of Venous thromboembolism risk factors and prophylaxis in Baghdad teaching hospital patients

Author name: صباح الشاوي

Supervisor name: ايمان عدنان القصير

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Deep vein thrombosis is the silent killer, which complicate many of the hospital admission and the cause for many re - admission. In Iraq, deep vein thrombosis is the iceberg where little is known about the risk with the availability of many risk factors in the Iraqi population. The right selection for the patients who need the prophylaxis decrease the rate of the Deep Venous Thrombosis and the complication, which happen through the first three months of the admission history. Assessment of deep venous thrombosis risk in the admitted patients reduce the risk of the disease and the complications. This study aimed to explore the risk of the Deep Venous Thrombosis and the selection of the right prophylaxis regimen to decrease the Deep Venous Thrombosis and complication outcome. A cross - sectional study conducted on 404 randomly selected admitted patients with various admission causes attending Baghdad teaching hospital in Baghdad. Data collection done through 1st of April to 1st of July 2017 , five to six patients were screened for the risk factors available which were divided in five groups of risk factors according to Capirini risk assessment form which used internationally for this reason .The total score then calculated and divided into three categories (mild, moderate and high). The score of 1 to 2 considered as mild with no need for prophylaxis, the score of 3 to 5 considered as moderate, the score of more than five considered as high - risk patients. Moderate and high - risk patients should have prophylaxis administered to them according to the international guidelines of Deep Venous Thrombosis prophylaxis. Statistical test is applied to find the percentage of the patients at risk of VTE in total and subgroup analysis to see the risk factors in the Medical, surgical & gynecological patients separately. Another statistical test done to compare the patients receiving the VTE prophylaxis versus the international guidelines recommendation. Deep Venous Thrombosis risk found to be high in the study population 65% and 35% were free from deep venous thrombosis risk , the survey include the medical, surgical and gynecological wards. The risk found to be highest in the gynecological patients with 77% at risk of Deep venous thrombosis followed by the surgical patients with 59% and then by the medical patients by 8%.The prophylaxis administration to the eligible patients found to be very low where the patients who received the prophylaxis was 27% from the medical patients and 41% from the surgical patients and 28% from the Obstetric and gynecological patients.

العوامل المصاحبة للرضاعة من الثدي الغير حصرية : دراسة مقطعية (ممارسات ومعارف واتجاهات) == Factors Associated with Non - Exclusive Breast Feeding a Cross Sectional KAP Study

Author name: الهام رشيد حميد

Supervisor name: احمد سمير النعيمي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: ان لموضوع الرضاعه الحصرية من الثدي صلة بمجموعة من الابعاد المختلفة في حياة الام وهي من المواضيع ذات الاولوية بالنسبة لمنظمة الصحة العالمية في مسعاها لتقليل الامراض والوفيات بين الاطفال في شتى انحاء العالم . صممت هذه الدراسة المقطعية العرضية لتقييم انتشار الرضاعة من الثدي الغير حصرية بين 317 من الامهات العراقيات من اللواتي يمتلكن طفلا واحدا على الاقل يبلغ عمره (6 - 24) شهرا والذي كانت رضاعته من الثدي على الدوام. علاقة مواقف ومعرفة الام بممارسة الرضاعة الحصرية من الثدي . جمعت البيانات من خلال المقابلة المباشرة مع كل ام على حدة . اجريت الدراسة للفترة من الخامس عشر من شباط الى الخامس عشر من نيسان لسنة 2014 في مدينة بغداد / العراق في مركز السلام للرعاية الصحية الا ولية .البيانات تتعلق بالعوامل الاجتماعيه والديموغرافيه للام ومواقف الام ومعرفتها بالرضاعة من الثدي مثل العمر والمهنه, وقت البدء بالرضاعه من الثدي, الفتره المثلى للرضاعه الحصرية من الثدي, تكرار الرضاعه من الثدي, والرضاعه من الثدي بالعلن وبيانات اخرى. كشفت الدراسة بان النسبة المئوية للرضاعة الحصرية من الثدي كانت 14.5% وشكلت نسبة الرضاعه من الثدي غير الحصرية 85.5% من عينة الدراسة (مع وجود فترة ثقة تبلغ 95% من نسبة 81.6% - 89.4 % من السكان المرجعية) . كان التردد النسبي بين الامهات ممن قمن بالرضاعة من الثدي غير الحصرية اعلى على نحو واضح داخل المجتمعات ذات المستوى الاقتصادي والاجتماعي العالي حيث بلغ (89.3%) واقل بين الامهات داخل المجتمعات ذات المستوى الاقتصادي والاجتماعي المنخفض حيث بلغ (78.8%) . توضح الدراسة بان متوسط درجة الموقف للامهات اللواتي قمن بالرضاعة الحصرية من الثدي كان (76.2) اعلى بكثير منه بالنسبة للامهات اللواتي قمن بالرضاعة من الثدي الغير الحصرية (67.1 ). وكان متوسط درجة المعرفة بين الامهات اللواتي قمن بالرضاعة الحصرية من الثدي (32.1) اعلى بوضوح منه بالنسبة للامهات اللواتي قمن بالرضاعة الغير الحصرية من الثدي (28.8) غير ان الفروقات في المتوسط فشلت قليلا بالنسبة للدلالة الاحصائية .كان التردد النسبي للامهات اللواتي قمن بالرضاعة غير الحصرية من الثدي اقل بين الامهات الاكبر سنا (35 - 44) سنه. لم نكن هناك اية علاقة بين توفر المساعدة ( الدعم) من الاسرة والاقارب او الجيران في العناية بالطفل مع الرضاعة الحصرية من الثدي . كان التردد النسبي بين الامهات اللواتي يتلقين النصائح من الكوادر الطبية ضد اعطاء السوائل للطفل المولود حديثا اعلى بصورة ملحوضة داخل مجموعة الامهات اللواتي قمن بالرضاعـــة الحصرية من الثدي حيث بلغ (19.6%) من الامهات اللواتي قمن بالرضاعة غير الحصرية من الثدي والذي بلغ (7.7%). هنالك علاقة كبيرة بين الرضاعة من الثدي العلنية مع الاختطار الاقل للرضاعة غير الحصرية من الثدي. | The topic of exclusive breast feeding is related to a combination of different dimensions of mother's life. It's one of the priority topics for World Health Organization in its quest to reduce childhood morbidity and mortality worldwide.This cross sectional study was designed to assess the prevalence of non exclusive breast feeding among 317 Iraqi mothers with at least one baby aged (6 - 24) months who were ever breastfeed, the association of mother's attitude and knowledge on the practice of exclusive breast feeding.Data was collected through a direct interview with each mother. Those data include sociodemographic factors and concepts related to breastfeeding knowledge and attitude like age, occupation, time of initiation of breastfeeding, optimum duration of exclusive breastfeeding, breastfeeding frequency, breastfeeding in public and others. The study was conducted from the 15th of February to the 15th of April 2014, in Baghdad/ Iraq in Al - Salam primary health care center.The study revealed that the rate of exclusive breastfeeding was 14.5%. Non - exclusive breastfeeding constituted 85.5% of study sample (with a 95% confidence interval of 81.6% - 89.4 in the reference population). The relative frequency of non exclusive breastfeeding mothers was obviously higher among mothers in high SES (89.3%) and lowest for mothers with low socioeconomic status (78.8%). The study illustrates that the mean attitude score for mothers with exclusive breast feeding (76.2) was significantly higher than that for non exclusive breastfeeding mothers (67.1). Mean knowledge score for mothers with exclusive breastfeeding (32.4) was obviously higher than that for non exclusive breastfeeding mothers (28.8), but the differences in mean failed short of statistical significance. The relative frequency of non exclusive breastfeeding mothers was lowest among older age mothers (35 - 44 ) years. The availability of assistance (support) from family, relatives or neighbors in caring for the baby had no association with exclusive breastfeeding. The relative frequency of mothers having advice from medical staff against administration of fluids to the newborn was noticeably higher among exclusive breastfeeding group (19.6%) than those with non exclusive breast feeding (7.7%). Breastfeeding in public is significantly associated with a lower risk of non exclusive breastfeeding.

انتشار الاضطراب الكربي التالي للرضح بين الافراد العسكريين في القوات المسلحة العراقية == Prevalence of posttraumatic stress disorder among military personnel in Iraqi military force

Author name: عبد الصاحب هادي عبد الكريم

Supervisor name: جواد كاظم الديوان

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages: