Search — Iraqi Digital Repository

Search results: 25 out of 33

اثر جودة الخدمة في صياغة الاستراتيجية في مؤسسة الشهداء : مديرية شهداء ذي قار دراسة حالة == The effect of quality of service on formulation the strategy in the martyrs' establishment Thi Qar Martyrs Directorate - Case study

Author name: كرار مهدي صالح

Supervisor name: عقيل عبد الحسين الطائي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

بناء انموذج استراتيجي لمواجهة ازدياد حوادث الحرائق في محافظة ذي قار == Building a strategic model to face the increase in fire accidents of Dhi Qar Governorate

Author name: علي خليف نايف خماط

Supervisor name: عبد العظيم دريفش الزيادي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

اثر تبني مدخل الزراعة الذكية المتوجهة نحو المناخ في صياغة استراتيجية التكيف : مديرية الزراعة في ذي قار دراسة استطلاعية == The impact of adopting entry climate oriented smart agriculture approach in shaping adaptation strategy Directorate of Dhi-Qar Agriculture (Exploratory study

Author name: عبير جمعة فاضل الناصري

Supervisor name: ليث خليل الجاف

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

استراتيجية مقترحة لمكافحة الجريمة : محافظة ذي قار دراسة حالة == A proposed Strategy For Fighting Crime (Case Study - Thi Qar Governorate)

Author name: عبد الله محمد خيون

Supervisor name: عدنان محمد حسن

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics

Language: Arabic

University location: Dhi Qar

First pages:

بناء انموذج استراتيجي لتقليل محددات انتاج الطاقة في محطة كهرباء الناصرية البخارية == Building a strategic model to reduce the determinants of energy production in Nasiriyah Steam Power Station

Author name: رحاب جبار طعمة

Supervisor name: صادق زوير السعيدي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

دور التخطيط الاستراتيجي في تطوير الموارد البشرية : رئاسة جامعة ذي قار دراسة حالة

Author name: اشواق عبد الكريم عبد اللطيف

Supervisor name: عدنان محمد حسن الشدود

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics

Language: Arabic

University location: Dhi Qar

First pages:

صياغة استراتيجية لحل مشكلة السكن في محافظة ذي قار == Formulate a strategy to solve the problem of housing in the province of Thi Qar

Author name: احمد ثامر عطية

Supervisor name: عبد العظيم دريفش الزيادي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

اقتراح نموذج استراتيجي لتطوير الخدمات : دراسة حالة مديرية ماء ذي قار == Proposing a strategic model for service development A case study / Thi- Qar Water Directorate

Author name: هيام حمود خضر

Supervisor name: عدنان محمد حسن الشدود

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

استراتيجية مقترحة لتطوير الخدمات الجامعية : دراسة حالة جامعة ذي قار

Author name: مناف علي محمد

Supervisor name: صادق زوير السعيدي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

دراسة الطرق الحديثة لزيادة كفاءة محطة حقل الزبير النفطي لتوليد الكهرباء == Studying the Modern Methods for Increasing Zubair Oil Field Power Plant Efficiency

Author name: محمد مهدي صالح

Supervisor name: رافد معلك حنون

General topic: Mechanical Engineering

Specific topic: Mechanical Engineering

Degree: Higher Diploma

University: University of Thi-Qar - College Of Engineering - Department Of Mechanical Engineering

Language: English

University location: Dhi Qar

First pages:

امكانية تطبيق موازنة البرامج والاداء بدلا عن موازنة البنود لتحقيق الرقابة والاهداف : رئاسة جامعة ذي قار دراسة حالة == Distributive approach in language An Applied Study of " swr aleazayimas a Model"

Author name: غسان عدنان هاشم

Supervisor name: عدنان محمد حسن الشدود

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics

Language: Arabic

University location: Dhi Qar

First pages:

تحسين هيدروليكيات مثقاب الحفر في الابار النفطية == Improvement Hydraulics of Drilling bit for Petroleum Wells

Author name: علي خلف عبدالرزاق

Supervisor name: حسام علي خلف

General topic: Mechanical Engineering

Specific topic: Mechanical Engineering

Degree: Higher Diploma

University: University of Thi-Qar - College Of Engineering - Department Of Mechanical Engineering

Language: English

University location: Dhi Qar

First pages:

دراسة الحوض الحراري المايكروي بانواع مختلفة من موائع التبريد == Study the microchannel heat sink with different cooling fluids

Author name: ضي محمد مطر

Supervisor name: مشتاق اسماعيل حسن

General topic: Mechanical Engineering

Specific topic: Mechanical Engineering

Degree: Higher Diploma

University: University of Thi-Qar - College Of Engineering - Department Of Mechanical Engineering

Language: English

University location: Dhi Qar

First pages:

تقييم الاستراتيجية الوطنية للتربية والتعليم 2011-2020 محور البنية التحتية == Evaluation of the National Strategy for Education (2011-2020)/Infrastructure Axis

Author name: حيدر علي حسين

Supervisor name: عبد العظيم دريفش الزيادي

General topic: Administration and Economics

Specific topic: Strategic Planning

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Administration And Economics - Department of Economics

Language: Arabic

University location: Dhi Qar

First pages:

EVALUTION OF EARLY DETECTION OF HYPERTENSION AND DIABETES MELLUTES IN PRIMARY HEALTH CENTERS IN AL - NASIRIYAH CITY AT 2016

Author name: Murtadha Kadhim yasir

Supervisor name: Alaa Hussein Abed | Ali Jern Hasson

General topic: Medicine

Specific topic: Family Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

نتئج تنظير القولون والفحص النسيجي لمراجعي مركز التنظير البالغين في مستشفى الحسين التعليمي 2018 == Colonoscopic and histopathological finding among adults attending to Al Hussein teaching hospital colonoscopic center 2018

Author name: وجدان عجيل حسن

Supervisor name: علي عبد سعدون الغزي | فائز خلف عبد المحسن

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine - Department Of Family And Community Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: Colonoscopy is a preventive, diagnostic & possible therapeutic safe procedure .Its results influence patient’s life and outcome. To estimate the extent of abnormal colonoscopy finding among adults attended to colonoscopy center, to estimate the extent of pathological finding among patients which were biopsies had been taken , to find out the main determinant of clinical and pathological findings of colonoscopy , and to estimate the validity of colonoscopy hospital based analytical cross sectional study carried out. It is extended from beginning of February 2018 to second week of September 2018. It was carried out in Al Hussein teaching hospital in Al Nasiriyah city Thi Qar Governorate . A convenience sample of (178) attended to colonoscopy center was included in the study. The researcher try to study the socio - demographic characters and determinant using a well prepared questioner that approved by ethical committee. It was revised by two experts in medicine. Statistical Package for Social Sciences (SPSS) version 23 was used for data analysis P value (0.05) was a cut - off point for measuring statistical association .The colonoscopy findings for178 participants were as follow the normal cases were 76 (42.7%), internal hemorrhoid in 49 cases (27.5%) , nonspecific inflammation in 23cases (12.9%) , polyp in 20 cases in (11.2%) , inflammatory bowel disease in 7cases (3.9%) , colorectal cancer in 6 cases (3.4%) , and other diseases in 7cases (3.9%) Some patients had more than one abnormality.The histopathological result of colonoscopic biopsies for 39 cases which were as follow non - specific inflammation 25 cases (64.2%) ,colorectal cancer 6 cases (15.4%) , and inflammatory bowel disease 4 cases (10.2%) , and polyps 4 cases (10.2%) .About the diseases that diagnosed by colonoscopy there was a significant statistical association between age groups and specific diseases like inflammatory bowel disease, non - specific inflammation diverticular diseases , and polyps. No significant statistical association between age and colorectal cancer .Bleeding per - rectum is a big predictor sign and symptoms of lower gastrointestinal problems , and it is the main cause of referral. The Combination of diazepam and pethidine represent the highest percent (87.6%) of intravenous sedation used in 156 cases.Adequate bowel preparation in 133 cases (74.7%) while inadequate preparation was in 34 cases (19.1%) ,and bad preparation was in 11 cases (6.2).About the site of polyp we found that the most commen site of polyp others colonic polyp 9 cases (45%) , sigmoid polyp 6 cases (30%) ,and rectal polyp 5 cases (25%). While the distribution of carcinoma according to the site of location . Carcinoma of sigmoid were 3 cases (50%) , carcinoma of other colon were 2 cases (33.3%) ,and carcinoma of rectal was 1 case (16%). Sigmoid represent the most common site of occurrence of carcinoma.Colonoscopy is 92.30 % sensitive in diagnosis lower GIT problems .The most common cause of referral was bleeding per - rectum and most abnormal finding was internal heamorrhoid . Inadequate prepared bowel hide small pathology

معدل انتشار ومحددات الامراض المهنية في مدينة الناصرية في العام 2018

Author name: صفاء خضير عباس

Supervisor name: علي عبد سعدون الغزي | مسلم ناهي الهلالي

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine - Department Of Family And Community Medicine

Language: English

University location: Dhi Qar

First pages:

دراسة معدل انتشار ومحددات امراض العيون في العيادة الخارجية في الناصرية خلال عام 2018 == Epidemiology Of Ophthalmological Disease in Outpatient Clinic in AL - Nasiriya During 2018

Author name: هالة علي حسين

Supervisor name: علي عبد سعدون الغزي | واجدة سعد بنيان

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine - Department Of Family And Community Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: Background : Ophthalmological disease especially (ocular allergy) represents one of the most common conditions encountered by ophthalmologists.Allergic conjunctivitis is often underdiagnosed and consequently undertreated. Basic and clinical research has provided a better understanding of the cells, mediators, and immunologic events, which occur in eye allergy.Objectives : This study was carried out to provide a profile on the epidemiology of ophthalmological disease in outpatient clinic in Al - Nasiriya at 2018.Materials and methods : Cross - sectional analytical study involved 1000 patients, attending Al - Habboby Teaching hospital _ophthalmology out patient in Al Nasiriya , the study extended from February to September 2018. sociodemographic factor ,current history of ophthalmology disease and some determinants, specific investigation had implemented from each patient to assess the frequency ,determinants ,distributions of the commonest ophthalmological disease, (SPSS) version 23 had been in used to analysis data when be p - value <0.05 considered as significant statistically.Results : Female to male ratio was (1.277). Mean age (35 - +2.0) , the highest Prevalence ophthalmological disease according prevalence rank as follow (allergy, viral conjunctivitis , cataract ,bacterial conjunctivitis and foreign body) the result was (32.1%,14.5%,9.5%,4.6%,4.1%) respectively. While lowest prevalence of ophthalmological disease was (astigmatism ,hyphema ,lazy eye, hordeolum, sebaceous cyst) the result was (0.1%,0.1%,0.1%,0.1%,0.1%)respectively. Where resident and education had significant statistical association.Conclusion : Ophthalmological disease specially allergy are becoming more common in Al - Nasiriya . Increasing levels of allergy carry significant clinical and economic implications, with more people at risk of the sight - threatening complications associated with high allergy.

نوع التركيب النسيجي في العقدة المنعزلة في الغده الدرقية في مدينه الناصرية لثلاث سنوات 2017.2016.2015 == HISTOPATHOLOGICAL CHARACTERS OF SOLITARY THYROID NODULE IN PATIENT UNDERGOING SURGERY AT 3 YEARS(2015_2017) IN AL - NASIRIYAH CITY

Author name: مروة ياسين عايد

Supervisor name: علاء جميل حسن

General topic: Medicine

Specific topic: Surgery

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: دراسه لتوثيق نسبه ان العقدة المنعزله في الغدة الدرقية ان تكون سرطانية الخلايا واحتمالية انتشارها للغدد اللمفاوية للرقبة عند وقت تشخيص العقدة لمرضى مدينه الناصرية في محافظه ذي قار خلال ثلاث سنوات السابقه(2017_2016_2015). المواد والاساليب : - دراسة مقطعية وصفية وتحليلية, الدراسة تتضمن تجميع عدد من الحالات المرضى الذين يعانون من عقدة منعزلة الغدة الدرقية وبعد اجراء عملية جراحية في صالات عمليات مستشفى الامام الحسين التعليمي لاستئصال العقدة تم اخذها لاجراء الزراعة النسيجية المختبريه,وقد تمت الدراسه في مختبرات مستشفى الامام الحسين التعليمي في مدينه الناصريه التي تبعد 360كم جنوبي بغداد العاصمة.تمت الدراسه من خلال السنه الدراسيه 2 /10/2017 باثر رجعي لسنوات السابقة(2015_2016_2017).وقد شملت الدراسه المرضى من مختلف الفئات العمرية وكلا الجنسين .اهداف الدراسة : - 1 - الكشف عن الحالات المسجلة باحتماليه العقدة المنعزله في الغدة الدرقية ان تكون سرطانية الخلايا.2 - معرفة عند وقت الاستئصال ان كانت الخلايا السرطانية منتشرة في الغدد اللمفاويه للرقبه ام لا ؟النتائج : هذه الدراسة شملت الحالات المسجلة للعقدة المنعزلة في الغده الدرقية خلال السنوات (2015_2016_2017)ضمت 162حاله وكانت النتائج اكثر الحالات سجلت في سنه2016 ,وكانت نسبه المريضات(96.9%)واغلبهم يتراوح عمرهم(18_45) بنسبه(67.9%)ومنهم اعمارهم(45_65)بنسبه(29.6%).وكانت نسبه ان تكون العقدة المنعزلة ذات خلايا حميده(57.4%) اكثر من نسبه كونها خلايا سرطانية(35.2%) اوصت الرسالة : 1_فتح مراكز تهتم بمتابعة الهرمونات بمشاركة فريق متخصص لعدة اختصاصات كالجراحة العامة والنسائية وطب المجتمع والاسرة ....................2_متابعة النظام الغذائي مع متخصصين تغذية.3_يتطلب اجراء مزيد من الدراسات مع تصميمات مختلفة ولفترات اطول نسبيا,ويفضل ان يكون نوع الدراسة بشكل يسمح لمتابعة لتحديد تاثير عوامل الخطر المربكة مثل العمر,والاجهاد,والاشعاع بدلا من العوامل المحددة وكذلك الدراسات المطلوبة حول الاستجابة للعلاج ومتابعة مضاعفات المرض | Background : The morbidity of solitary thyroid nodule to be benign or malignant affecting different age group and gender are generally not well established need to more focus about details histopathology and identified the characters of histopathology. AIM OF STUDY : To know histopathological characters of solitary thyroid nodule in patients undergoing in Nasiriya city at (2015_2016_2017).Patients and methodThis cross - sectional analytical study was carried out at the department of general surgery, Al_Hussain teaching hospital. It is retrospective study during 3 years ago(2015,2016,2017).The study include the collection samples of known cases of solitary thyroid nodule from operation room in ,Al_Hussain teaching hospital for 3 years about 162 cases and send it into histopathology in lab. In same hospital in Nasiriya city about 360 km south Baghdad the capital, and take the result of histopathology from lab. In same hospital.The study include different ages All age groups were included in this study. Classified into : • Child and adolescence less than 18 years old• Young adult(18_45) years old• Old adult (45_65) years old • Elderly (65years old and above)And both sexes (male and female).Results : A total samples collection to study are 162 of patients with STN during three years(2015_2017),The female (157) and the male( 5 ).majority of the studied population were female (96.9%), and most of them were at age of 18 - 45 years (67.9%), followed by the old adult 29.6%, while the other groups were having an equal percent of 1.25%., a studied total number were attending the Al - Hussien teaching hospital mostly coming at the 2016followed by 2017 then 2015.were most of them at the 2016 (41.1%), followed by 2017 (39%), while the 2015 were the smallest proportions of the contributors.most of the presented cases were with follicular adenoma (57.4%) followed by papillary carcinoma (35.2%) then follicular carcinoma (5.6%), while medullary Ca were the littlest proportion (1.9%). Child and elderly show no case of lymph node involvement, highest proportion were among adult cases, while the old adult show only (6,3%) L.N involvement , where M.Ca showing no L.N involvement, while(15.8%) of the papillary carcinoma show L.N involvement, regarding folicular Carcinoma only 11.1% of them showing L.N involvement.

مدى انتشار الاكتئاب لدى مراجعي عيادة الجهاز الهضمي في مدينة الناصرية 2018 == Extent of depression among gastrointestinal tract symptoms in medical outpatient clinic attendees in Al - Nasiriyah city at 2018

Author name: ابرار علي حسن

Supervisor name: احمد حسن حسین | مسلم ناھي سعید

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine - Department Of Family And Community Medicine

Language: English

University location: Dhi Qar

First pages:

دراسة العلاقة بين نسبة الصوديوم بالدم وتكرار الصرع الحراري في الاطفال من عمر 6 اشهر الى 7 سنوات في مدينة الناصرية 2018 == THE RELATIONSHIP BETWEEN SERUM SODIUM LEVEL AND RECURRENT FEBRILE SEIZURES IN CHILDREN BETWEEN 6 MONTHS TO 7 YEARS AL - NASSIRIYA CITY 2018

Author name: فلاح حسن مالك

Supervisor name: امين تركي | مسلم ناهي

General topic: Medicine

Specific topic: Family Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: Background : Febrile seizure is the most common convulsive event in children younger than 60 months, it is often recurring within the first twenty - four hours. A febrile seizure is terrifying event for parent. Different factors enhance the occurrence of seizure and one of these factors is hyponatremia which thought to be low in children with recurrent febrile convulsion. Objective : To estimate the relation and the effect of serum sodium in recurrence of febrile convulsion. Patients and method : An observational case control study conducted on (180) child between the age of 6 months and 7 years ,all patients divided in to 3 groups ;group (A) which include (60) children presented with fever without convulsion which considered control group , group B which include (60) child presented with single febrile convulsion and last group was group C which include (60) child presented with recurrent febrile convulsion .Serum sodium was estimated for all children immediately after admission to emergency . Our study carried out in Mohammed Al Mousawi pediatrics hospital in AL - Nasiriya city during the period between May to September of 2018. Result : In our current study 180 children were included with age range between (6 months to 7 years) old. Serum sodium was estimated and we compare the result between the 3 groups of study. The study involved 89 males and 91 females. The mean serum sodium in group A, B, C, were 139.45,137.09,131.95 respectively with (p value <0.001) which found to be significant value. We estimate that decrease serum sodium levels in relation with increase recurrence of febrile convulsion, also we found that hyponatremia children are 4 times more likely to develop recurrent convulsion than children with normal or elevated serum sodium. Regarding the serum calcium, random blood sugar and Tamp., there is no significant association, but family history was significantly associated with occurrence of febrile seizure. Conclusion : The current study shows significant correlation between decrease serum sodium and recurrence of febrile convulsion us serum level found to be lower in children with recurrent febrile convulsion

تقييم ضعف السمع بين اطفال المدارس الابتدائية في مدينة الناصرية خلال عام 8102 == Hearing impairment among primary school children in Al - Nasiriya city during 2018

Author name: علي عبد سعدوى الغزي

Supervisor name: مشتاق نعمة المالكي

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: More than five percent of people in the world have disabling hearing loss . Children are thirty four millions from total four hundred sixty six million people with hearing loss . Hearing impairment among primary school children if remains unaddressed can significantly affect the academic performance of children and can result in poor psycho - social and intellectual development in children.so early detection and early intervention of hearing impairment in early childhood will ensure well - mental , social, communicational and educational development of children.Study objective : To estimate extent of hearing impairment among children of primary schools in Al - Nasiriya city and identify certain determinants .Methodology : Across - sectional and comparative school - based study was carried out through multistage systematic random sampling for 9 public primary schools in Al - Nasiriya city from1st of February/2018 - 3th of May /2018. Primary information was obtained through prepared questionnaires including the socio - demographic characters of studied pupils ,thorough otological history ; and clinical examination ( through direct observation ; and use of tuning fork test were conducted on all participants and screening audiometry was conducted for children with suspected hearing impairment). Then children with suspected hearing impairment were referred for AL - Habboby hospital to confirm the diagnosis of hearing loss by diagnostic audiometry and tympanometry and to know whether it was CHL or SNHL . The statistical analysis was done by using SPSS version 23 and tests of significance were used( x2 test and Fisher exact test ) , and the significant Probability value ≤ 0.05.Results : A total of 355 pupils were screened, 228(64.2%) of them were males and 127(35.8%) were female that ratio of male to female was 1.8 : 1. Nearly half of pupils were within 6 - 7 years at (55.2%) ,and least one were within age group >10 years (15.2%). Majority of pupils were within high socio - economic status (87.6%) , and the remaining were within moderateXIV(8.2%) - low class (4.2%). The extent of hearing impairment among pupils in Nasiriya city was 16% .Unilateral (9.2%) was more prevalent than bilateral (7%). of 58 pupils with HI , 24(41.4%), 23(39.7%) , 5(8.6%) , 4(6.9%) ,and 2(3.4%) had ear wax, otitis media with effusion , CSOM, ear wax ,and foreign body in external ear canal respectively.Of 58 pupils with hearing impairment,52(14.7%) of studied pupils had mild hearing impairment, and 6(1.7%) had moderate hearing impairment. Non showed moderately severe or sever or profound hearing loss.There was significant association between age , socio - economic status of studied population and Prevalence of hearing impairment by logistic regression analysis.Conclusion : The most affected pupils in our study were female gender , pupils aged > 10 years ,and with low socioeconomic status. Where univariate analysis shown statistical association of hearing impairment with sex , socioeconomic status, family size, ear discharge and otalgia. There was high prevalence of hearing impairment in comparable with other study. The study shown that most common ear diseases associated with hearing impairment were ear wax impaction and otitis media with effusion and the commonest degree

تقييم الخطوره على الحوامل اللاتي تراجع رعاية الحامل في المراكز الصحيه في مدينة الناصريه للعام 2018\1440 == Risk assessment among pregnant women attending antenatal care in the primary health care centers in Al - Nasiriya city in 2018 / 1440

Author name: زينب حيدر عبد الجبار

Supervisor name: الاء حسين علي الناصر | مسلم ناهي سعيد محاضر

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: دراسه مقطعيه وصفيه وبائيه تدرس ٥٨٦ من الحوامل في محافظة ذي قار في مركز الناصريه على المراكز الصحيه ، امتدت الدراسه من الاسبوع الثالث لشهر كانون الثاني ٢٠١٨ حتى نهاية شهر اب ٢٠١٨ ، لدراسة تقييميه للحوامل اللاتي تراجع المراكز الصحيه لاخذ رعاية الحوامل وخدمات للحوامل ودراسة تاثير عوامل الخطوره على الحامل وما هو العامل الاكثر انتشارا بين الحوامل وكم نسبة باقي عوامل الخطوره على الحوامل وعلاقة هذه العوامل على الحاله الاجتماعيه كالعمر والمهنه ودرجة التعليم والحاله الماديه ، كانت الدراسه على ٩ مراكز صحيه من مراكز المدينه : ٦ مراكز صحيه من القطاع الثاني و٣ مراكز صحيه من القطاع الاول حيث اختيرت عشوائيا ، واخذت جميع الحوامل المراجعات التي تنتمي لذلك المركز بالاعتماد على الرقعه الجغرافيه يوميا ولمدة تقريبا ٣ اشهر ونص في تجميع العينه يوميا من السبت للخميس من الساعه ٨ ونصف صباحا حتى الساعه ١ ظهرا عدا ايام الجمعه والعطل الرسميه ، وكانت نتيجة الدراسه كالتالي : منخفضة الخطوره ٦٠,٦% ، عالية الخطوره ٢٠,٦% ، جدا عالية الخطوره ١٨,٨% واما بالنسبه اكثر عامل خطوره هو التهاب المسالك البوليه بنسبة ٢٨,٩% ويليه فقر الدم بنسبة ٢٧,٨% واكثر فتره وجدت فيها عوامل الخطوره مرتفعه هي الفتره الثانيه من الحمل من الشهر الرابع حتى نهاية الشهر السادس ، وهناك علاقه مع الحاله الاجتماعيه لهذا كانت ضمن التوصيات للدراسه زيادة ثقافة وعي الحامل قبل الحمل وخلال الحمل | Background : Antenatal care services is particularly definitive for enhancing effectiveness of services for childbirth and introduce best pregnant women’s needs of antenatal care services and consequentially improve the outcome of both mothers and infants.Objectives : To assess of antenatal care in pregnant women's to identify the level of antenatal care, prevalence of risk factor according to the score among pregnant women attendens primary health care centers for antenatal care.Subjects and methods : A descriptive cross sectional study started from 15th of January 2018 to the end of august 2018 on 586 pregnant women attending nine Primary Health Care centers for antenatal care in Al Nasyria city. These nine PHCCs were located in two health Sectors, data collection continued for three months and a half.The questionnaire was prepared after a through literature review to include all potential risk factors in addition to possible related demographic and other related factors (educational level, socioeconomic level and occupation).Antenatal risks were calculated according to modified Coopland score.The data were analyzed by using the Statistical Package for Social Sciences version 23 (SPSS - 23).Result : according to Coopland score the distribution of the sample showed that : - Low risk : 355 women (60.6%) of the sample - High risk : 121 women (20.6%) of the sample - Extremely high risk : 110 women (18.8%) of the sampleThe high risk and extremely high risk cases occurred mostly in 2nd trimester. Urinary tract infection represented the prvelant risk factor (28.9%).Conclusion : the prevalence of risky pregnancy was high. Although low risk factors were found in about two thirds of the sample, high and very high risky pregnancy was found in two fifths of the sample. These findings indicated the urgent need for more facilities to improve antenatal services in the primary health care centers and to encourage women to utilize these services. Special emphasis need to be centered on high and extremely high risk groups through providing specialized care during antenatal care and put a plan for them to decrease both complication and death on both fetus and mother sides. Recommendation : the study results mandate more facilities like ultrasound to obtain more information that encourage pregnant women to visit primary health care centers and put plan for high risk pregnancy for specialized care

تقدير مدى انتشار ومحددات سرطان الثدي بين الاناث ذوات عقدة الثدي ومتغيراته الزمنية لستة سنوات في محافظة ذي قار == Extent and determinants of breast cancer among females with breast mass during 2018 in Thi - Qar province

Author name: استبرق امين حبيب

Supervisor name: علاء جميل حسن | حميد نعيم موسى

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: خلفية الدراسة : من اهم الاعراض الاكثر شيوعا لسرطان الثدي هي الاحساس بعقدة او كتلة جديدة في الثدي، وتعتبرايضا واحدة من اهم مؤشرات اضطرابات الثدي ، على الرغم من ان معظم عقد الثدي حميدة ، ولكن سرطان الثدي هو اكثر انواع السرطانات شيوعا في الاناث في جميع انحاء العالم ومن الاسباب الاكثر شيوعا للوفاة بسبب السرطان بين الاناث في البلدان المتقدمة والنامية بما في ذلك العراق.الاهداف : تهدف الرسالة الى تقدير نسبة سرطان الثدي الى عقدة الثدي بين الاناث التي تعاني من عقدة الثدي في ذي قار خلال عام 2018 ، ودراسة الخصائص الاجتماعية للمصابين كمحددا لسرطان الثدي مع دراسة خواص سرطان الثدي الخلوية والنسيجية في ذي قار 2018.طرق العمل : • التصميم : تم استخدام تصميم تحليلي مقطعي.• المرضى : ادرجت كل النساء اللاتي تعرضن بكتلة الثدي في عمر محدد.• اخذ العينات : تم اخذ حجم عينة طبقا لفترة الدراسة.• الاجراء التشخيصي : تم التشخيص بشكل اساسي على اساس التقييم الثلاثي(Triple test).النتائج : يشكل سرطان الثدي في ذي قار ربع الحالات المصابة بكتلة الثدي بين النساء, مع نسبة الكتلة الخبيثة للكتل الحميدة حوالي (1 : 2,8) ، ويشكل سرطان القنوات المتسلل غير المحدد النوع الشكل الاكثر شيوعا. (59.5٪) من الخلايا السرطانية كانت معتدلة التمايز اثناء الدراسة و( 32 ٪) كانت غير متمايزة اما (8.5 ٪) فان الخلايا متمايزة بشكل جيد. ، من ناحية اخرى فان معظم المرضى اكتشفوا في مراحل متاخرة (II, III, IV stages)، في حين ان 10 ٪ فقط في مرحلة مبكرة.التوصيات : 2. الفحص الدوري المبرمج اللازم للكشف عن السرطان في المرحلة المبكرة ، وتسهيل توافر ادوات الفحص في مراكز الرعاية الصحية وفي مستشفيات اقضية محافظة ذي قار.2. تعتبر عيادة الثدي جزءا مهما من الرعاية في مستشفى الحسين التعليمي وفي المحافظة ، مما يزيد من الحاجة الى مركز متخصص قادر على تحقيق الهدف الوقائي والصحي المطلوب.3. على الرغم من معظم عوامل خطر الاصابة بالسرطان ليست قابلة للتعديل ، فان عددا من العوامل يمكن التحكم بها وذلك بتغيير نمط الحياة العام بالتخلص من العادات غير الصحية كالتدخين ، وارتفاع الوزن بعد انقطاع الطمث ، وعدم ممارسة الرياضة او قلة النشاط البدني التدخين وتشجيع الرضاعة الطبيعية للحد من سرطان الثدي.4. الحاجة الى تفعيل برنامج الفحص على مستوى الرعاية الصحية الاولية مع وجود طبيب اشعة متخصص في فحص امراض الثدي في ذي قار.5. الطلب على التخصصات الفرعية الجراحية والاشعاعية في امراض الثدي ولزيادة اعداد اخصائيي امراض الانسجة لتحسين النظام الصحي.6. الحاجة لاجراء مزيد من الدراسات مع تصميمات مختلفة ولمدة اطول ، ويفضل ان يكون نوع الدراسة يسمح بمتابعة المرضى لفترات طويلة, لتحديد تاثير عوامل الخطر التي تداخل الدراسات المقطعية مثل العمر ، والاجهاد والاشعاع ، وكذلك دراسات اخرى حول الاستجابة للعلاج | Background : The most common symptom of breast cancer is a new mass. It is regarded as one of the most important indicators of breast disorders, Although most masses were benign, but breast cancer is the most common cancer in females worldwide and the commonest factor of cancer related death among females in developed and developing countries including Iraq. Aim of the study : To measure extent of breast cancer among female with breast mass in Thi - Qar, to define the most common types of malignant and benign breast mass and to study the soscio - demographic characteristics, and most important determinant of breast cancer patients counseling breast disease centre in Thi - Qar 2018.Methodology :  Design : A cross sectional analytical design was used.  Duration of study : 8 months. Patients : All women presented with breast mass at defined age, were included.  Sampling : A convenience sample size was taken. diagnostic procedure : Diagnosis was mainly done based on triple assessment. SPSS analysis has been used.Results : • Breast cancer in Thi - Qar constitute 26% of attendant with breast mass. The ratio of malignant for benign masses was 1 : 2.8.• Invasive carcinoma of NST the most common variant, and more than half of the malignant masses were moderately differentiated, one third of them were poorly differentiated, and only less than ten percent was well differentiated at the time of study. Also the majority of patients presents at late stages (II,III and 4) while only 10% at early stages (I) at the time of diagnosis.Recommendation : • Regular programmed screening required to detect the cancer in the earlier stage, and facilitate the availability of screening tools at the health care centers and in peripheries hospitals of Thi - Qar.• The breast clinic is an important part of care in Al - Hussein Teaching hospital, as its unique clinic in the governorate, so increasing the need to be specialized center.

النتائج السريرية لانثقاب المرارة اثناء عملية استئصال المرارة بالمنظار في مستشفى الحسين التعليمي 2018 == Clinical outcomes of Gall bladder perforation during laparoscopic cholecystectomy in AL - Husain Teaching hospital 2018

Author name: كاظم جواد كاظم

Supervisor name: مهند عبد الرضا عكموش

General topic: Medicine

Specific topic: Surgery

Degree: Higher Diploma

University: University of Thi-Qar - Faculty Of Medicine

Language: English

University location: Dhi Qar

First pages:

Abstract: The most common surgical procedure as laparoscopy, performed all over the world is Lap. chole. .It has now become the golden procedure of management for gallstones. Even though, there are many attempts to explore the influence of perforation of gallbladder on the clinical outcomes, but the conflicting results are still. Because of increasing in the attempts at minimally invasive surgery, during lap chole; accidental gallbladder perforation is on rise. Aims : The researcher try to investigate criteria and the clinical outcomes and the risk factors in patients who develop gallbladder perforation during Lap Chole. Methods : An (80) patients had been undergo Lap.chole.. by a cross sectional comparative analytical study in prospective pattern had been carried out in Al - Hussain teaching hospital - Thi - Qar - Iraq. The data collection phase extended over a period of 7 months from 2nd of January 2018 to 1st of august 2018. Each participants subjected to a questionnaire that include : personal socio - demography, and fallowed up for at least one week to assess the outcome. The data analyzed by using SPSS (version 23). p value less than 0.05 was considered as statistically significant .XIIResults : Eighty (80) patients sustained a gallbladder perforation, the bulk of the sampled cases taken was females were mostly at age of 40 - 60 years, and Al - Nasiriya residency, and these are not the total number of cases of accidental gallbladder perforation during laparoscopic cholecystectomy within 7 months of the study, only two cases ended with sub - hepatic collection, there was statistical association between type of perforation and some determinants such age and gender (p value=0.001), while there was no sig. Statistical association between complication and studied variables (P value >0.05) . Conclusion : The most age of occurrence of the complication is the peak age of gall stone development, and because the large number of female patient in our study, so female consider the main affected gender for both gall bladder diseases and perforation during lap. chole.. Accidental gallbladder perforation can be caused mainly by technical errors.