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شكل موجة الدوبلر النبضي لمخرج البطين الايمن وعلاقتها بشدة ارتفاع ضغط الدم الرئوي == Shape of the right ventricular outflow Doppler envelope and severity of pulmonary hypertension

Author name: محمد خالد عبد الكريم
Supervisor name: باسل نجيب سعيد الدليمي
General topic: Medicine
Specific topic: Echocardiography
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Design : cross sectional descriptive study .Setting : Baghdad teaching hospital and Iraqi center of heart diseases.Duration : Beginning of September 2014 to end of August 2015 .Background : Pulmonary arterial hypertension is defined as a group of diseases characterized by a progressive increase in pulmonary vascular load, leading to marked increase in pulmonary artery pressure(PAP) . Although direct pressure measurement with right heart catheterization is the reference method and “gold standard” for quantification of pulmonary artery pressure, The invasive nature of catheterization makes it unsuitable for frequent and repeated use. Alternatively, echocardiography offers the advantages of noninvasiveness and versatility and is commonly used to estimate systolic pulmonary artery pressure . Unfortunately, not all of these echocardiographic variables are always present and at times an adequate jet of tricuspid regurgitation (TR) is not available to provide a very satisfactory estimate of the magnitude of pulmonary hypertension (PH) . The pulsed - wave Doppler of Right ventricular outflow tract (RVOT) velocity curve provides a wealth of physiologic information about RV and pulmonary vascular function. Doppler recordings from the RVOT are available in virtually all patients . Moreover, the shape of the Doppler profile in the Right ventricular outflow contains other physiological insights and it is simple to use in clinical practice .Aim : We devised a study to determine whether visual assessment of the right ventricular outflow Doppler signals can be useful identifying the severity of pulmonary hypertension .Patients and methods : We used a pulsed Doppler technique to examine the flow velocity pattern in the RVOT in 127 patients. Inclusion criteria all patients had a complete echocardiogram including pulsed Doppler spectral signals across the RVOT, discernible tricuspid regurgitation signal, good endocardial border resolution of both right and left ventricular chambers for tracing of the end - systole and end - diastole , as well as M - mode of the lateral tricuspid annulus .In addition, all these patients included for the analysis were in normal sinus rhythm . Exclusion criteria : no atrial or ventricular ectopy or other cardiac arrhythmia was present at the time of the study, none of the patients had a pacer or defibrillator wire in the right ventricle (RV). No previous cardiac surgery .Result : Visual inspection of RVOT spectral Doppler signals from the 127 showed four dynamic patterns , pulmonary artery systolic pressure (PASP)was significantly correlated with these different types of RVOT spectral Doppler signals . Both TR pressure gradient (PG) and PASP increased significantly from groups I to IV with p value ˂ 0.05, mean pulmonary PASP was 32.92 in pattern I, 56.07 in pattern II , 73.65 in pattern III and 113.45 in pattern IV and mean TR PG was 27.57 in pattern I , 47.28 in pattern II, 64.32 in patternIII and 102.27 in pattern IV. Furthermore, Right ventricular outflow velocity time integral (VTI) , acceleration time (ACT) , pulmonary vascular resistance (PVR) showed significant correlation with the four right ventricular outflow Doppler patterns with p value ˂ 0.05.Conclusion : In this study, we show that easily appreciated differences in the shape or morphology of the right ventricular outflow tract Doppler signal provide rapid, powerful hemodynamic insight into the presence and severity of pulmonary hypertension . Keywords Echocardiography , Pulsed wave Doppler , Right ventricular outflow tract , Pulmonary hypertension

تقييم التغيرات الفزيولوجيه الحاصله في المسالك التنفسيه الصغيره : دراسه مستنده الى المستشفى == EVALUATION OF THE SMALL AIRWAYS CHANGES IN PREGNANCY (HOSPITAL BASED STUDY) AT BAGHDAD TEACHING HOSPITAL

Author name: سيف عبد الحسين حسن
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: يرتبط الحمل بتغيرات فزيولوجيه في السيطره على عملية التفس,حجم الرئه ,ميكانيكية التنفس وعلى التوازن الموجود بين الحوامض والقواعد داخل الجسمالهدف من الدراسه : 1 - مقارنة فحوصات وظائف الرئه للمسالك التنفسيه الصغيره 25% - 75% بين الحامل خلال فترات الحمل المختلفه وغير الحامل.2 - لتحديد التغيرات الحاصله في فحوصات الرئه بالنسبه للمسالك التنفسيه الصغيره قبل الولاده.3 - لتحديد اذا ما كان هنالك اي تاثير لفترة الحمل على فحوصات الرئه الخاصه بالمسالك التنفسيه الصغيره.طريقة العمل : دراسه مقطعيه مستنده الى المستشفى.اجري هذا البحث في مستشفى بغداد التعليمي بالتنسيق بين استشارية الجهاز التنفسي واستشارية النسائيه وشعبة فحص وظائف الرئه.تم اختيار 120 امراه حامل في مختلف فترات الحمل وباوزان واطوال مختلفه ومقارنتها بنساء غير حوامل(40 امراه).جميع المتطوعين للدراسه لم يعانو من امراض مزمنه ولم يكونو مدخنين. تم اخذ موافقة الجميع قبل الفحص بواسطة جهاز فحص وظائف الرئه الالكتروني.تم ادخال البيانات بواسطة SSPS22.النتائج : لوحظ وجود تغيرات في فحوصات المسالك التنفسيه الصغيره 25%بين الحوامل وغير الحوامل حيث كانت القيمه اقل من 0.05كما لوحظ وجود تغيرات بالنسبه لذروة معدل تدفق الزفيرPEFRكانت القيمه اقل من 0.05 الاستنتاج : ان للحمل تاثير على المسالك التنفسيه الصغيره.التوصيات : استخدام فحص وظائف الرئه وخاصه المسالك التنفسيه الصغيره لغرض متابعة كفاءةالجهاز التنفسي للمراه الحامل | BACKGROUND : Pregnancy is associated with physiological changes in the control of breathing, in lung volumes, in the mechanics of respiration and in acid base balance.OBJECTIVE : to assess the effect of single normal pregnancy on small airways.STUDY SETTING : Baghdad teaching hospital.PATIENTS AND METHODS : This study : cross sectional descriptive analytical study. carried out at Baghdad teaching hospital .Started from JUNE 2016 to JUNE 2017 .140 ladies aged 16 - 44 yrs of different height, weight and different conception from 1 st , 2nd and 3 rd trimesters were included also there was a control group which contains 40 ladies.All of them did spirometry .I focused mainly on the small airways parameters(Forced expiratory flow 25% - 50% - 75%) and peak expiratory flow rate for the study(pregnant) and the control(non - pregnant) groupsRESULTS : FEF25% was the only small airway parameter that is affected between the pregnant and the non - pregnant (P value was less than 0.05) BUT not in different trimesters of same pregnancy. Also there was change in the PEFR between the pregnant and the non - pregnant (P value was less than 0.05), But no change between the different trimesters

تقييم وظيفة البطين الايسر لمرضى سرطانات الدم خلال العلاج الكيميائي بواسطة جهاز صدى القلب الايكو == Echocardiographic Assessment Of Left Ventricular Function For Hematological Cancer Patients On Chemotherapy

Author name: ظافر معيوف ضاحي النصر الله
Supervisor name: هلال بهجت شوقي الفصار
General topic: Medicine
Specific topic: Echocardiography
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

تاثير التداخل التعليمي لممارسات التحصين والسلامة في دائرة صحة واسط 2014 == Impact Of Educational Intervention On Immunization Practices, Knowledge And Safety In Wasit Directorate Of Health, 2014

Author name: ایمان ازهر جواد
Supervisor name: صالح جاسم علوان
General topic: Medicine
Specific topic: Applied Epidemiology
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

دراسة العلاقة بين معامل تصلب عضلة القلب مع وجود وانتشار مرض الشرايين التاجية == Correlation Of Myocardial Stiffness Index With The Presence And Extent Of Coronary Artery Disease A Single Center Experience

Author name: احمد قاسم جعفر الحیدري
Supervisor name: معتز فوزي حسین | حسن علي الفرحان
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

العنف الزوجي (الجسدي) ضد المراة في بغداد / الكرخ 2014 == Physical Intimate Partner Violence Among Woman In Baghdad / Al Karkh 2014

Author name: رنا عادل هاشم
Supervisor name: جواد كاظم الديوان
General topic: Medicine
Specific topic: Applied Epidemiology
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

التناقض في وحدة الكثافة المعدنية للعظام بين عظام الحوض والفقرات القطنية باستخدام جهاز قياس الكثافة المعدنية للعظم عند مرضى الفقار المقسط في العراق == Discordance Between Hip And Spine Bone Mineral Density Using DXA In A Sample Of Iraqi Ankylosing Spondylitis People

Author name: اياد صالح مهدي الزبيدي
Supervisor name: سامي سلمان شهاب
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

علاقة العلاج البايولوجي وغير البايولوجي على كثافة العظم في عينة من مرضى التهاب المفاصل الروماتويدي == Association Of Biological (Infliximab) And Conventional Non Biological Agent (Methotrexate) With Bone Mineral Density In A Sample Of Rheumatoid Arthritis Patients

Author name: اسراء محمد رضا
Supervisor name: محمد هادي العصامي
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

اسباب وفيات حديثي الولادة في وحدات العناية المركزة بحديثي الولادة محافظة الديوانية / العراق 2013 == Causes Of Neonatal Mortality In Neonatal Care Units Al - Diwaniya Province - Iraq 2013

Author name: نزهت جساب حمزة
Supervisor name: بتول علي غالب ياسين
General topic: Medicine
Specific topic: Applied Epidemiology
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

تاثير عقار الانفلكسماب على نوبة الكابة الرئيسية لدى عينة من المرضى العراقيون المصابون بالتهاب الفقار المقسط في مستشفى بغداد التعليمي == Effect Of Infliximab On Major Depressive Episode In A Sample Of Iraqi Patients With Ankylosing Spondylitis At Baghdad Teaching Hospital

Author name: عدنان سدخان جبر
Supervisor name: مشتاق طالب حسين الخفاجي
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

دراسة فاعلية وسلامة ومعلمات التنبؤ للاستجابة لعقار الاتانرسبت في علاج المرضى العراقيين المصابين بالتهاب المفاصل الروماتويدي النشط == Efficacy, Safety And Predictors Of Response To Etanercept In Treatment Of Iraqi Patients With Active Rheumatoid Arthritis

Author name: داليا حسن ابراهيم
Supervisor name: نزار عبد اللطيف جاسم
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

الخلع الجزئي الحاملي - المحوري عند عينة من المرضى العراقيين المصابين بالتهاب المفاصل الروماتويدي == Atlanto - Axial Subluxation In A Sample Of Iraqi Patients With Rheumatoid Arthritis

Author name: اوس خلف جلوب
Supervisor name: ميس رياض البير
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

وبائية مرضى الشرايين التاجية للقلب == Epidemidogy Of Coronary Heard Diseare

Author name: احمد زكي عبد الله
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of Pathology And Forensic Medicine
University location: Baghdad

علامات اصابة العين في داء المفاصل الريثاني

Author name: عدنان عباس الهاشمي
General topic: Medicine
Specific topic: Eye Diseases
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of Pathology And Forensic Medicine
University location: Baghdad

التغيرات في النمط الوبائي لمرض التراخوما في العراق خلال عشرة سنوات == Variations in The Epidemiological patern of Trachoma in Iraq Within Ten ears

Author name: شمران حمود هاشم
Supervisor name: Mohammed J. Al-Khashali
General topic: Medicine
Specific topic: Community Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad

التغيرات البايوكيمياوية المصاحبة لمرض السل

Author name: خالد خلف احمد
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of Pathology And Forensic Medicine
University location: Baghdad

التهاب السحايا الدماغية في العراق 1982

Author name: سعد الديلمي
General topic: Medicine
Specific topic: Nervous System Diseases
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of Pathology And Forensic Medicine
University location: Baghdad

Relation Frequency And The Pattern Of Most Common Malignant Tumours In Iraq

Author name: سعد علي
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

Epidemiology Of Bilharugiasis With Emphasio In Iraq

Author name: هادي جاسم
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

دراسة عن مرض السحايا في محافظة بابل لعام 1989

Author name: صالح مهدي حسن
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

دراسة حالات العوق من جراء العمل في العراق

Author name: حكمت انطوان اواكين
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

خصائص المصابات بسرطان الثدي اللواتي يراجعن مستشفى صدام التعليمي في الكاظمية ومعهد ومستشفى الطب النووي في العلوية

Author name: ايمان سليمان فرهاد
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

انماط العقم في مركز العلوية لعلاج العقم بغداد لعام 1985 - 1995

Author name: وسيم خالد محمد
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

الطول والوزن لطلاب الصف الاول في المدرسة الابتدائية في بغداد (بعد الحصار الاقتصادي لعام 1990)

Author name: شذى احمد نعوش
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad

خلل الوظائف التنفسية عند المصابين باذى الحبل الشوكي

Author name: صباح غني الربيعي
General topic: Medicine
Specific topic: Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
University location: Baghdad
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