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نظام التكاليف الفعلية المقترح في شركة الهلال الصناعية - معمل المبردات

Author name: حاجم عبد محمود
Supervisor name: هشام سالم الاغا
Specific topic: Accounting - Costs
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

نظام الاندثار لاغراض ضريبة الدخل : دراسة مقارنة لدول مجلس التعاون العربي

Author name: رافع عبد المنعم راضي
Supervisor name: اسماعيل خليل اسماعيل
Specific topic: Tax Accounting
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

دراسة تطبيقية للضرائب الكمركية وحالات الادخال الكمركي المؤقت في القطر

Author name: رجاء رشيد عبد الستار
Supervisor name: احسان كريم غانم
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

اجراءات التحاسب الضريبي للهيئة العامة للضرائب مع القطاع المصرفي الاهلي : دراسة في الهيئة العامة للضرائب / قسم الشركات

Author name: رنا فائق البيضاني
Supervisor name: نصيف جاسم الجبوري
Specific topic: Tax Accounting
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

تقييم كفاءة الاداء في مجال الصحة العامة "المستشفيات" : دراسة نظرية وتطبيقية في دائرة مدينة الطب

Author name: سعد هادي فرح
Supervisor name: رعد جاسم محمد الغرابي
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

قياس كفاءة الاداء في المنشاة العامة للخطوط الجوية العراقية

Author name: سالم هرمز اسطيفان
Supervisor name: حمودي محمد حسن الشماع
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

النظام المحاسبي الموحد للمؤسسة العامة للعمل والتدريب المهني

Author name: سعد ناجي حمودي
Supervisor name: صالح راشد الحدبائي
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

نظام الاندثار في ظل النظام المحاسبي الموحد

Author name: زهير ابراهيم يوسف
Supervisor name: ربيع عبد الحميد الهاشمي
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

التقييم المالي لاستثمارات شركة التامين الوطنية : دراسة تطبيقية في شركة التامين الوطنية للفترة من 1976 الى 1980

Author name: امانج محمد فرج محمد علي
Supervisor name: كاظم العلوان
Specific topic: General Administration
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

المحفزات في القطاع الصناعي نظم المحفزات في المنشاة العامة للنسيج الناعم في الحلة

Author name: خالد عباس الياسين
Supervisor name: مهنا جاسم الخلف
Specific topic: Account Monitoring
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

تحضير وتقييم خارج الجسم للاسايكلوفير كمستحلب هلامي موضعي == PREPARATION AND IN - VITRO EVALUATION OF ACYCLOVIR AS A TOPICAL EMULGEL

Author name: عبير عمر جليل
Supervisor name: انتظار جاسم محمد
General topic: Pharmacy
Specific topic: Pharmacies
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دراسة المخطط والمنفذ للتصميم الاساسي لمدينة الهندية == Study Planned And Implemented For The Master Plan For The Hindiya city

Author name: سامر نوري ناصر
Supervisor name: مصطفى عبد الجليل ابراهيم
General topic: Urban Planning
Specific topic: City Master Plans
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

النمو الذكي و شبكة النقل الحضري منطقة الدراسة الكرخ القديمة == Smart Growth and Urban Transport Network Study Area (Old Karkh

Author name: عبد الكريم عادل عبد الكريم
Supervisor name: عبد الوهاب احمد عبد الوهاب
General topic: Urban Planning
Specific topic: Urban and Regional Planning
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
First pages:

المدينة الخضراء كاسلوب للمحافظة على الموارد وحماية البيئة من التلوث منطقة الدراسة الكرادة الشرقية - محلة 911 - 913 - 915 == Green city as approach to Conservatism the Resources and Protection the Environment from the Pollution Locality [911 - 913 - 915] Study - the Study Area Al - karrada alsharqiya

Author name: نجوى صادق عبدعون الجنابي
Supervisor name: ندى خليفة الركابي
General topic: Urban Planning
Specific topic: Environmental Planning
Degree: Higher Diploma
Language: Arabic
University location: Baghdad
Key words:
  • المدينة الخضراء,
  • الموارد المتجددة
  • اساليب حماية البيئة الخضراء
  • الكرادة الشرقية
First pages:

قيمة التتبع النقطي المقطع بالموجات فوق الصوتية لعضلة القلب للكشف عن مرض الشرايين التاجية مقابل تصوير الاوعية التاجية == Detection Of Coronary Artery Disease Using 2D - Regional (Segmental) Longitudinal strain (RLS) Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome

Author name: عماد محمود حسين
Supervisor name: نزار ناصر عباس العتابي
General topic: Medicine
Specific topic: Echocardiography
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Speckle - tracking echocardiography is a new noninvasive ultrasound imaging technique that allows for evaluation of global and regional myocardial function.Aim of the Study : to evaluate the accuracy of regional(segmental) longitudinal strain by 2D - STE for pick up culprit vessels in ACS by detecting ischemic segments of the corresponding territories and its severity compared with coronary angiography as a gold standard, in patients with acute coronary syndrome .Patients and Methods : A cross sectional study was held in Baghdad teaching hospital from March 2017 to March 2018, consisted of patients with acute coronary syndrome(ACS) underwent 2D - STE for left ventricular regional longitudinal strain(RLS) immediately before invasive coronary angiography .Results : Fifty patients who fulfilled the inclusive criteria were enrolled in this study. The mean age 57.2 (± 7.9) years; and male : female ratio 1.9 : 1. Regional Longitudinal strain - speckle tracking showed 38 patients had CAD and 12 patients had no CAD, Versus coronary angiography which showed 29 patients had CAD while 21 patient had no CAD or non significant lesions.The validity of RLS according to coronary angiography showed sensitivity 100%, specificity 57.1% ,PPV 76.3%,NPV 100%, and accuracy 82%.Conclusion : The current study revealed that (RLS) Speckletracking echocardiography technique has high sensitivity but with relatively low specificity in diagnosis of coronary artery disease in patient with acute coronary syndrome.

تاثير التدخين المزمن على وظائف البطين الايمن للقلب لدئ فئة الذكور الشباب : دراسه صدئ القلب بطريق تعقب الوصلة النقطية للاجهاد == The Effects of Chronic Cigarette Smoking on the Right Ventricular Functions in Young Male Subjects : A Speckle Tracking Echocardiographic Study

Author name: شهيد حميد عيدان
Supervisor name: معتز فوزي حسين
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : يعتبر التدخين المزمن واحدا من اهم عوامل الخطورة للاصابة بامراض الشرايين التاجية ومع ذالك فان له تاثيرات جانبية اخرى على القلب غير معتمدة على تصلب الشرايين.الهدف من هذه الدراسة : لتقييم الاعراض الجانبية المحتملة من التدخين المزمن على وظاىف البطين الايمن للقلب الانقباضية والانبساطية بتعقب الوصلة النقطية للاجهاد بواسطة جهاز صدى القلب ثنائي الابعاد.طرائق البحث : تم اجراء هذه الدراسة في مستشفى بغداد التعليمي شعبة القسطرة \وحدة الايكو للفترة من حزيران 2017 الى ايار 2018 .حيث تم تقسيم المشاركين الى مجموعتين ,مجموعة المدخنين ومجموعة غير المدخنين وتم اجراء فحص صدى القلب للماشركين حسب البروتوكول القياسي ومن ثم تعقب الوصلة النقطية للاجهاد بواسطة صدى القلب ثنائي الابعاد لتقييم الاجهاد الطولي العام للبطين الايمن من القلب . النتائج : اربعين حالة من الذكور الشباب مع اربعين حالة مراقبة مطابقة في العمر تم تسجيلهم في هذه الدراسة حيث كانت الخصائص الاساسية لكلا المجموعتين متشابهة.وكان هنالك اختلاف بشكل ملحوظ للانحراف الانقباضي للحلقة الطائرة لثلاثي الحراشف (قيمه 0.04 > P) حيث انه كان منخفض بشكل ملحوظ لدى مجموعة المدخنين. قمة السرعة الانبساطية المتاخرة( موجه A )كانت مرتفعة بشكل ملحوظ لدى مجموعة المدخنين (قيمه 0.016 > P) وبالتالي فان نسبة قمة السرعة الانبساطية المتقدمة الى قمة السرعة الانبساطية المتاخرة كانت منخفظة بشكل ملحوظ لدى هذه المجموعة(قيمه 0.017 > P). ان تصوير الدوبلر للانسجة لجدار البطين الايمن الحر اظهر ان قمة السرعة الانقباضية لجدار البطين الايمن الحر وقمة السرعة الانبساطية كانتا منخفظتان بشكل ملحوظ لدى مجموعة المدخنين مقارنة بمجموعة المراقبة(قيمه 0.02 > P للحالتين ). وان الاجهاد الطولي العام كما تم تقييمه بتعقب الوصلة النقطية للاجهاد بواسطة جهاز صدى القلب ثنائي الابعاد كان منخفظا بشكل ملحوظ لدى مجموعة المدخنين (قيمه 0.04 > P). كانت هنالك علاقة مترابطة بشكل ملحوظ بين كمية التدخين والاجهاد العام للبطين الايمن بتعقب الوصلة النقطية للاجهاد بواسطة جهاز صدى القلب ثنائي الابعاد.الاستنتاج : اظهرت هذه الدراسة ان التدخين المزمن يسبب تغييرات في الوظائف الانقباضية الطولية والوظائف الانبساطية لبطين القلب الايمن لدى فئة الذكور الشباب وان هذه التغييرات يمكن اكتشافها بصورة مبكرة بتعقب الوصلة النقطية للاجهاد بواسطة صدى القلب ثنائي الابعاد. | Background : Chronic Cigarette smoking is one of the major risk factors for coronary artery disease. However, it has additional cardiac adverse effects independent of coronary atherosclerosis.Objectives of study : To assess the effects of chronic smoking on right ventricular systolic and diastolic functions using Two - Dimensional Speckle Tracking.Patient and methods : This study was carried out in Baghdad Teaching Hospital\ Echo unit from June 2017 to May 2018.The participants whom divided into two groups smoker vs nonsmoker were examined by standard echocardiography protocol which was followed by Two - Dimensional Speckle Tracking to assess the functions of the right ventricle.Results : Forty young smokers’ men and 40 age - matched nonsmoking controls enrolled in this study, the baseline characteristics of two groups were similar. There were significant differences regarding the Tricuspid Annular Plane Systolic Excursion ,P (<0.04) which were significantly reduced in smokers group. The peak late diastolic velocity (A wave) were significantly higher in smoker group P (0.016) and hence the E/A ratio were significantly lower P (0.017). The Tissue Doppler Imaging examination of right ventricular free wall reveal that the Peak systolic velocity of RV free wall (S’), and the peak early diastolic velocity of RV free wall (E’) were found significantly lower in smokers group when compared to control group (P <0.02 for both ). The Global Longitudinal Strain as assessed by 2D - Speckle Tracking Echocardiography were also significantly reduced in smoker group P (0.04). There were significant correlations between the amount of smoking and right ventricular global strain by 2 - D Speckle Tracking Echo study.Conclusion : This study demonstrated that chronic cigarette smoking causes alterations in long - axis systolic and diastolic functions of right ventricle in healthy young subjects. These changes can be early detected with 2 - D Speckle Tracking Echocardiography

دراسة تنشيط النطف البشرية باستخدام الوسط الزرعيHam's F - 12 ومادة البومين المصل البشري لمرضى العقم == An in vitro human sperm activation study Using Ham’s F - 12 medium and human serum albumin for infertile patients

Author name: محمد حسن شعبان
Supervisor name: محمد باقر محمد رشاد فخر الدين
General topic: Medicine
Specific topic: Obstetrics and Gynecology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: تهدف هذه الدراسة الى التحقق من كفاءة الوسط الزرعي (Ham's F - 12) كوسط لتحضير النطف, كذلك فعالية مادة البومين مصل الدم البشري ( (Human serum albumin; HSA كمادة منشطة للنطف لاستخدامها في عمليات التنشيط لمرضى العقم. شملت هذه الدراسة مائة واربعون مريضا من المصابين بالعقم بسبب وهن النطف(Asthenozoospermia) او قله عدد النطف) (Oligozoospermiaاو كلاهما) (Oligoasthenozoospermia. كان معدل اعمارهم هو) 4.32±35.62 (عاماومعدل فترة العقم هو (6.06±0.22) سنة. تمت الدراسة في مستشفى الحسين العام وعيادة المصطفى الطبية الشعبية في كربلاء واستغرقت للفترة من شهر تموز 2006 الى شهر تشرين الثاني 2006 .تم تنشيط النطف خارج الجسم ( (in vitro sperm activation حيث استخدم الوسط الزرعي ( (Ham's F - 12 كمجموعة سيطرة(ضابطة) واستخدمت ثلاث تراكيز من مادة ( (HSA 5% و7.5% و10% وبفترتي حضن 15 و30 دقيقة. قسمت نماذج المني الى قسمين حيث حضرت المجموعة الاولى( 70 نموذج ) بتقنية النبذ والسباحة Centrifugation swim - up technique)) والسبعون الاخرى بتقنية السباحة المباشرة (Direct swim - up technique).تم فحص السائل المنوي لجميع المرضى قبل عملية التنشيط ثم قورنت النتائج مع نتائج بعد التنشيط ولجميع المرض وقورنت كذلك بعد استخدام التراكيز الثلاث المضافة من مادة ( (HSA . اظهرت النتائج ايجابية الوسط الزرعي Ham's F - 12) )لاستخدامه كوسط لتحضير النطف حيث لوحظ زيادة في حركة النطف , وكذلك زيادة في نسبة فعالية النطف A,B وكذلك زيادة في نسبة النطف السوية . كذلك لوحظ زيادة في حركة ونسبة فعالية النطف A, B وزيادة في نسبة النطف السوية ايضا بعد اضافة مادة ( (HSA وكان التركيز الافضل هو 5% وبفترة حضن 30دقيقة . وان افضل النتائج كانت للمرضى المصابين بوهن النطف مقارنة مع نتائج المرضى المصابين بقلة النطف او بقلة ووهن النطف. نستنتج من هذه الدراسة ان الوسط الزرعي Ham's F - 12) ) ذو فعالية جيدة كوسط لتنشيط النطف كما ان مادة الالبومين( (HSA يمكن استخدامها كمادة منشطة للنطف للمرض المصابين وهن النطف. | medium as sperm preparation medium and the effectiveness of human serum albumin HSA as sperm stimulator in in vitro human sperm activation for infertile patients. One hundred forty (140) infertile males were shared in present study. The mean ages of infertile males were 35.62± 4.32 years. The mean duration of infertility of them was 6.06 ±0.22 years with range of 1 - 11 year.Ham’s F - 12 medium was used as control group and three different concentrations of HSA were used (5%, 7.5% and 10%), with two incubation periods (15 and 30 minuets). Seventy semen samples were prepared using centrifugation swim - up technique, and the other seventy semen samples prepared using direct swim - up technique. The comparison was done between parameters of semen of all treated groups post - activation with pre - activation parameters and control group (Ham’s F - 12 medium).The results of the present study showed that a significant improvement in seminal fluid analysis parameters especially sperm concentration, percentage of sperm agglutination and round cells concentration were reduced significantly (P<0.01) in both technique. In contrast, percentages of sperm motility, progressive sperm activity (grades A and B) and normal sperm morphology were increased significantly (P<0.05) using both techniques.With the usage of Ham’s F - 12 medium also significant enhancement were reported in compared to pre - activation Sperm concentration, sperm agglutination percentage and round cells concentration were reduced significantly(P<0.01) in both techniques. On the other hand, percentage of sperm motility, percentage of progressive sperm activity (grades A+B) and normal sperm morphology (%) were increased significantly (P<0.05) using both techniques.The results showed that the addition of HSA to the culture medium enhances sperm motility (%), percentage of progressive sperm activity (grades A and B) and normal sperm morphology (%) using both techniques. Moreover, the best results were reported with 5% HSA and 7.5% HSA after 30 minutes of incubation. In addition to that, the results of sperm activation were better with asthenozoospermic patients than oligozoospermic and oligoasthenozoospermic patients

تقييم كثافة المعادن العظمية وكتلة العجاف والكتلة الدهنية في المراة قبل وبعد انقطاع الطمث : دراسة مقارنة == Evaluation of Bone Mineral Density, Lean Mass and Fatty Mass in Pre and Postmenopausal Women A Comparative Study

Author name: علي حسين فالح
Supervisor name: غسان ثابت سعيد | فائق ايشو كوريال
General topic: Medicine
Specific topic: Physiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: The body composition (BC) describes the different components that makeup the human being and refers to the proportion of fat and fat - free mass inthe body. Aging processes are natural complex physiological alteration in thebody associated by weakness of the structure and functions in the organs.The alterations in body composition that occur with the aging process nothappen homogeneously. Although there are various techniques forassessment of body composition in research and clinical settings, DualX - ray absorptiometry (DXA) is the most commonly used methods forexamination and also preferred choice and golden clinical tool for thediagnosis of osteoporosis and assessment of its severity. This equipment isnoninvasive, widely available and currently the scanning of hip and spineused as the gold standard by a major number of clinicians. In recent years,there has been an increasing interest in BC measurement to assess the health.This is the first study in Iraq to assess healthy subjects.Objectives : to evaluate the changes of bone mineral density and fatty massand lean mass in postmenopausal period and to correlate them withanthropometric measurements. Also to correlate between BMD with serumcalcium, phosphate and alkaline phosphatase.Subjects and methods : This cross - sectional study was conducted at DXAUnit in Baghdad Teaching Hospital from November 2016 to December2017. Data were collected from (120) postmenopausal female subjects and(120) premenopausal female subjects with total of 240 females from age of40 - 69 years were randomly selected from the patients attending DXA unit inBaghdad Teaching Hospital. The postmenopausal female subjects weredefined as individuals with menopause at least one year since the last naturalmenstruation. Osteoporosis was diagnosed according to WHO criteriaIIT - score was used for postmenopausal subjects and Z - scores forpremenopausal subjects. Women were excluded from the study if they anycondition may affect the BMD or other constituents of BC.Results : a highly significant lower BMD of lumbar spine and both femurswere found in postmenopausal group. Although the mean of areas of ribs, lumbar spine, pelvis, legs and total body fat mass were higher in postmenopausal subjects but no significantly differences of body fat mass g̸cm² measured by DXA between the postmenopausal and premenopausal subjects. A highly significant difference of LM g ̸cm² measured by DXA between the postmenopausal and premenopausal subjects (p - value0.0004 - 0.001) in measurements of total LM and anatomical areas. Significant effects were found of total FM and total LM on BMD of lumbar spine and neck of both femurs in postmenopausal subjects but LM had more effect than FM.Conclusion : A highly significant lower BMD and LM were found with increased adiposity among postmenopausal women. Both FM and LM affect BMD of lumbar spine and both femurs but LM had more effect

مرض التدرن في مركز الامراض الصدرية والتنفسية في مدينة بلد صفات المرضى والنتائج منذ 2016 بعد البدء باستعمال الفحص الجيني للتشخيص ومعرفة المقاومة لعقار الريفامبسين == Tuberculosis in Pulmonary Diseases Center in Balad City, Patient characteristic and Outcome Since 2016 after Start Using MTB_RR Xpert gene

Author name: زينب اكرم سالم
Supervisor name: نادية عزيز ناصر
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Tuberculosis is a deadly infectious disease that caused around 1.7 million deaths in 2016 worldwide. X pert MTB - RR assay is a new test that is revolutionizing tuberculosis control by contributing to rapid diagnosis of disease and drug resistance.Objectives : To study tuberculosis patient characteristics, drug resistance, reaching conclusions about proper measures to control TB, and highlight importance of the new diagnostic method X - pert gene MTB - RR.Method : Cross sectional study was conducted among patient diagnosed with tuberculosis in Balad pulmonary disease center from January, 2016 to May,2018 using Gene X - pert as main diagnosis method, patient's characteristics were studied and information were analyzed using SPSS.Result : Tuberculosis incidence in Balad district was (40/100000) in 2017, and 6.9%(11/158) of patients in the study were found to had Rifampicin resistance.X - pert gene MTB - RR was found to be 100% sensitive and 85% specific Most important risks for relapse in tuberculosis patients with statistically significant p - value were diabetes, low level of education and far distance from health center. Conclusion : Gene X - pert MTB - RR is simple, rapid and accurate test for diagnosis of Tuberculosis and rifampicin resistance.Diabetes have significant statistically association with tuberculosis and relapse rate and this subgroup of patients need special care from TB health workers.

مستوى فيتامين دال في الشابات العراقيات المحجبات وغير المحجبات == Vitamin D Level in Veiled and Unveiled Iraqi Young Females

Author name: مهند خليل احمد
Supervisor name: محمد هادي العصامي
General topic: Medicine
Specific topic: Diseases - Joints
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Vitamin D is one of the primary regulators of calcium (Ca) homeostasis in the body. Although a small amount of vitamin D is supplied from food, exposure of skin to the ultraviolet (UV) rays in sunlight is known to be the major source. Vitamin D is critically important for normal mineralization of bone.Aim of the studyThe aim of the study is to compare vitamin D status in veiled and unveiled healthy Iraqi women of reproductive age. Patients and methods A cross - sectional study was conducted at Baghdad TeachingHospital, Rheumatology unit. Between January and August 2018, A 100 healthy Iraqi volunteer women were recruited from the city of Baghdad at local hospitals. Informed consent was obtained from all subjects.ResultsThe laboratory testing of the serum 25 - Hydroxy vitamin D, serum calcium, serum phosphate and ALP of women in both groups revealed that veiled women had significantly lower 25 - Hydroxy vitamin D, than unveiled women.ConclusionsThe high prevalence of low vitamin D status in veiled females in comparism to unveiled females, calls for action to increase the population’s awareness and to develop strategies to reduce this risk among women, particularly those wearing dress styles that cover most or all of their skin

نتائج القسطرة القلبية لمرضى الذبحة القلبية المستقرة الذين لديهم تخطيط طبيعي او انسداد في الحزمة الكهربائية اليسرى او اليمنى == CORONARY ANGIOGRAPHIC FINDINGS IN PATIENTS WITH CHRONIC STABLE ANGINA AND NORMAL ECG, LBBB OR RBBB

Author name: زاهر عبد القادر حسين علي
Supervisor name: حسن علي الفرحان
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : الذبحة الصدرية المستقرة هي احد مظاهر الاصابة بامراض القلب في حوالي 20 الى 40٪ من المرضى ، والمريض النموذجي المصاب بالذبحة الصدرية يحدث في رجل اكبر من 50 عاما او امراة اكبر من 60 عاما من العمر ، والنتائج على مخطط القلب الكهربائي (ECG)قد يكون طبيعي في نصف المرضى الذين يعانون من الذبحة الصدرية المزمنة المستقرة. هدف الدراسة : لمعرفة نتائج القسطرة القلبية لمرضى الذبحة القلبية المستقرة الذين لديهم تخطيط طبيعي او انسداد في الحزمة الكهربائية اليسرى او اليمنى.المواد والعمل : اجريت دراسة مقطعية مستعرضة في المركز العراقي لامراض القلب. في الفترة من 15 يناير 2018 الى 15 يوليو 2018 والتي شملت المرضى الذين يعانون من الذبحة الصدرية المزمنة والمستقرة ولديهم تخطيط القلب كان طبيعيا او مع انسداد في الحزمة الكهربائية اليسرى او اليمنى. خضع جميع المرضى تخطيط صدى القلب, جميع المرضى قاموا بعمل تصوير الاوعية التاجية وتم اخذ البيانات من التقارير ، ثم التحليل الاحصائي.النتائج : في الدراسة الحالية ، كان متوسط عمر المرضى الذين كان تصوير الاوعية التاجية لهم غير طبيعي 57.7، وكان معظم المرضى من الذكور ، ومعظم المرضى كانوا من الذين يعانون من مرض السكري وكذلك معضم المرضى الذين لديهم تصوير الاوعية التاجية غير طبيعي كانوا لديهم علامات نموذجية لقصور الشرايين التاجية، والمرضى الذين كان لديهم تخطيط القلب طبيعيا كان لديهم انسداد في الشريان الايسر, 66 مريض من اجمالي 156 و72 في الشريان المحيطي و45 في الشريان الايمن, واما مرضى الحزمة الكهربائية اليسرى كان هناك 18مريض لدية انسداد في الشريان الايسرمن اصل 53, و14مريض لدية انسداد في الشريان المحيطي, و8 مرضى في الشريان الايمن. واما مرضى الحزمة الكهربائية اليمنى كان لديهم 6 مرضى مصابين بانسداد الشريان الايسر من اصل 41 و4 مرضى لديهم انسداد بالشريان المحيطي و6 بالشريان الايمن.في المرضى الذين كان لديهم تخطيط القلب طبيعيا كان لديهم 85 مريض لدية انسداد في شريان واحد و43 لديهم انسداد في شريانيين و17 لديهم انسداد في ثلاث شرايين.واما مرضى الحزمة الكهربائية اليسرى كان لديهم 37 مريض لدية انسداد في شريان واحد و13 مريض في شريانين ومريضان لديهم انسداد في ثلاث شرايين.والحزمة الكهربائية اليمنى 35 مريض لدية انسداد في شريان واحد و4 مرضى لديهم انسداد في شريانيين | Background : Stable angina is one of the manifestation of ischemic heart disease in about 20 to 40 % of patients, The typical patient with angina occurs in a man> 50 years or a women >60 years of age, Findings on the resting electrocardiogram (ECG) are normal in half of patients with chronic stable angina. (1)Aims of the study : To study the coronary angiographic findings in patients with chronic stable angina and normal ECG, LBBB or RBBB.Patients and methods : A cross sectional study conducted in the Iraqi center for heart diseases. In the period from 15 January 2018 to 15 July 2018 which included patients with chronic stable angina and had normal ECG or BBB either LBBB or RBBB. All patients underwent echocardiography, the ejection fraction and contractility of the heart had reported. A special form of questionnaire had been constructed by the researcher to comprise the required data. It include the general information such as : age, gender, as well as smoking habits and history of hypertension and diabetes and history of symptoms of chest pain either typical or atypical. All patients had done coronary angiography and data had been taken from reports, then statistical analysis done. Results : In the present study mean of age of the patients with abnormal coronary angiography was 57.5, most of the patients were male, and most of the patients with DM had abnormal coronary angiography and most of the typical symptoms had abnormal coronary angiography, patients with normal ECG had LAD lesion in 66 patients from total 156 and LCX 72 and RCA 45 and in patients with LBBB 18 had LAD, 14 LCX, 8 had RCA and in RBBB 6 had LAD, 4 had LCX, 6 had RCA, and most of lesion were critical then intermediate and less for subtotal and total.In patients with normal ECG 85 had one vessel 43 had two vessel 17 had three vessel and in LBBB 37 had one vessel 13 had two vessel and 2 had three vessel and in RBBB 35 had one vessel 4 had two vessel.Conclusions1 - The most predominant artery in patients with CSA and normal ECG is LCX then LAD.2 - Most of the lesion in CSA and normal ECG, LBBB, RBBB is critical then intermediate and less subtotal and total.3 - One or two even there vessel disease could occurs in patients with CSA and normal ECG/LBBB, RBBB, but most of the cases are with one then two vessel and less for three vessel.4 - In BBB no specific artery is related to BBB although predominance was for LAD.

سرطان الثدي عند النساء العراقيات من نوع HER2 +VE مع الفائدة من استخدام العقار المناعي Trastuzumzb بعد الانتكاسه السريريه لاستخدامه == Her2 positive Iraqi breast cancer women Use of trastuzumab beyond progression

Author name: وليد جاسم محمد
Supervisor name: منور عبد الاله النقاش
General topic: Medicine
Specific topic: Therapeutic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in women. Her 2 positive disease carries worse prognosis and anti her 2 therapy is required in addition to chemotherapy which increase the cost of management of those patients especially in metastatic settingObjectives : The aim of this study to assess Iraqi breast cancer patients with HER2/neu molecular profile. Evaluate the role of using Trastuzumab in metastatic HER2/neu positive breast cancer patients beyond progression after its use in first line by changing the chemotherapeutic agent only.Patients & Methods : This is a retrospective study which was conducted in oncology teaching hospital - medical City complex from 1st of July 2017 to 1st of December 2017, carried out on 253 breast cancer female patients diagnosed within the period 2010 - 2017 with different age groups. Their histopathological reports, immunohistochemistry (IHC) results including ER, PR, HER2/neu and CISH test when indicated in addition to their clinical profile were collected. The subgroup of patients (253) with her2 positive disease were identified. From which patients with metastatic disease were analyzed for the use of trastuzumab beyond progression.Results : The mean age ± SD was (51.7 ± 11.1) years in HER2/neu positive patients, while it was (51.4 ± 13.8) in metastatic HER2/neu patients. The prevalence of HER2/neu positive 16.656 %( 95% CI : 16.468_16.843%). The mean of number of trastuzumab cycles used in patient that not metastatic HER2/neu was (16.6 ±3.9) and at metastatic HER2/neu was (16.1 ± 6.9). Median time to progression was 16 (95% CI : 11.009 - 20.991) months, after 6 months 92.8% had progression - free and after 12 month 53.8% had progression - free.Conclusion : HER2/neu positive disease constitutes 16.656% of Iraqi patients with breast cancer. And the median age for metastasis was (51.4 ± 13.8).Also Trastuzumab use beyond progression had a clinically significant metastatic free survival benefit. The cumulative incidence of metastasis to different body organs was lung (89.8%), liver (57.6%), and bone (45.8%), brain (27.8%).

احداث الشريان التاجي بعد عام واحد من اعادة التوعية تجربة مركز واحدة == Coronary artery events one year after revascularization : a single center experience

Author name: مروان كامل عبود
Supervisor name: حسن يوسف النجار
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: associated with concerns about their potential adverse effects. In - stent restenosis and stent thrombosis definitely affect the PCI outcome. However, review of recent relevant studies suggests that stent - related problems may have been somewhat overestimated when compared to coronary artery disease (CAD) progression at non stented coronary segments as causative factors of adverse cardiac clinical events late post - PCI.Both stent - related problems and native CAD progression have to be equally addressed to optimize the PCI clinical benefitAim of the study : To study the major adverse cardiac events and one year outcome after PCI.Patients & Methods : This study is cross - sectional study of all patients who were referred to Iraqi Center for heart disease, for further evaluation of suspected coronary artery disease (CAD) for the period January to July 2018. The total number of patients was fifty (50).Results : The total No. of patients were 50, mean age was 59.1±11.3, (22%) were below age 45 and (78%) equal and above age 45 year.54% were male and (46%) were female. The frequency risk factors were DM (62%), HT (56%), Dyslipidemias (52%), Obesity (21%) and Smoking (21%). The most common clinical presentations were chronic stable angina (98%) of cases and one case (2%) acute coronary syndrome. The outcome of PCI after one year divided in to four groups, group A : patients with ISR (5/50) (10 %), group B : patients with new stenosis (8/50) (16 %),group C : patients combined lesions (16/50) (32%) and group D (21/50) (42%) cases were normal.Conclusion : After one year from PCI there was high frequency of recurrence of symptoms exceeding half of the patients, most of them due to development of new lesion.

اتجاه مرض التهاب السحايا للاطفال دون سن 51 عام في مستشفى حماية الطفل التعليمي ومستشفى الطفل المركزي التعليمي قبل وبعد ادخال اللقاح المستدمية النزلية نوع ب في البرنامج الوطني للقاح الاطفال من 2011 - الى 2014 == Trend of Meningitis in children below 15 years old in Welfare Teaching children Hospital and Central Children Teaching Hospital before and after introduction of Haemophillus influenza type b vaccine From 2011 To 2014

Author name: ميس حسن جاسب
Supervisor name: نادية عزيز ناصر
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Meningitis is serious threat to children health (esp. bacterial) particularly in developing countries. Early diagnosis and management may prevent children from death and serious complication ObjectivesTo determine type of meningitis and characteristic and outcome in children below 15 years old in a period before and after introduction of Haemophillus influenza type b (2011 - 2012 - 2013 - 2013(.Method A retrospective cross sectional study of children below 15 years old diagnosed with acute meningitis who were admitted to welfare children teaching hospital and central children teaching hospital in Baghdad for year : 2011 - 2012 - 2013 - 2014. Statistical analysis done by using SPSS version 23.ResultIn 290 patients, The mean age of children with meningitis was 32.46 month (2.6year). Bacterial meningitis was 25.2%, probable meningitis was 26.6%, and viral meningitis was 45.2%. The most frequent type of bacteria in 73 patient was streptococcal Pneumonia 47.9% followed by Neisseria meningitis 24.7% followed by E coli 9.6% then haemophillus influenza 6.8%. There was significant statistical association between type of meningitis with residence area. Case fatality rate was 4.8%, case fatality rate from bacterial meningitis was 10.9%, case fatality from streptococcal pneumonia was 11.4% and from Neisseria meningitis was 22.2%.Conclusion and recommendation Meningitis is more frequent in age below one year. Streptococcal pneumonia was the most frequent bacterial pathogen. The study recommend more study about misuse antibiotic.

تقييم وظائف البطين الايمن لمرضى العيب الاذيني للقلب قبل وبعد القسطرة العلاجية بواسطة تتبع ضربات القلب == Evaluation of RV functions in ASD patients pre & post transcatheter occlusion by speckle tracking

Author name: فينوس عبد الواحد علوان
Supervisor name: علاء عبد الحسين الانباري
General topic: Medicine
Specific topic: Diseases - Heart
Degree: Higher Diploma
Language: English
University location: Baghdad
Key words:
  • Atrial septal defect
  • Speckle tracking defect
  • Right ventricular function
First pages:
Abstract: Background : The atrial septal defect is a common congenital heart disease. Speckle tracking echocardiography is non - invasive diagnostic technique used in assessment of myocardial function. Aim of study : To evaluate the feasibility and reproducibility of right ventricular 2D Strain assessed by speckle tracking in patients undergoing atrial septal defect transcatheter occlusion compared with conventional markers before and after transcatheter occlusion.Patients and methods : A prospective follow up study conducted in Ibn AL - Bitar Specialized Center for Cardiac Surgery in Baghdad during the period from 1st of July, 2017 to 30th of June, 2018 on sample of 30 patients with atrial septal defect and sample of 30 healthy controls. All patients were investigated with echocardiography and speckle tracking one month before transcatheter occlusion and one month after the transcatheter occlusion.Results : Post transcatheter occlusion, there was a significant decrease in mean right ventricular end diastolic dimension (p<0.001) and a significant decrease in mean of tricuspid annular plain systolic excursion (p<0.001). There was a significant increase in global strain speckle tracking echocardiography mean post transcatheter occlusion (p<0.001). The global strain speckle tracking echocardiography mean was significantly higher among controls and atrial septal defect patients in post occlusion while lower among patients in pre - occlusion (p<0.001) with no significant difference in global strain mean between controls and patients in post occlusion (p=0.1). Conclusions : The speckle tracking echocardiography is a valuable diagnostic technique for evaluation of right ventricular function before and after transcatheter occlusion of atrial septal defect in adults
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