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عوامل الخطورة المؤدية الى زيادة معدل انتشار مرض السكري للاعمار اقل من 40 سنة في مستشفى الديوانية التعليمي == Risk Factors Increasing Prevalence of Type 2diabetes Mellitus Under the Age of Forty Years Attending Al - Diwanyia Teaching Hospital

Author name: زهراء عبد الامير كاظم
Supervisor name: حسن راجي جلاب
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

مدى شيوع سرطان الرئة لدى غير المدخنين في مستشفى الديوانية التعليمي == Prevalence of Lung Cancer in Non Smoker Patients Attending Al - Diwaniyah Teaching Hospital

Author name: ثمار مالك خضير
Supervisor name: حسن راجي جلاب
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

معدل انتشار مرض عمى الالوان الوراثي في عينة من طلاب كليات المجموعة الطبية في جامعة القادسية == Prevalence of congenital color vision deficiency in a sample of students of medical colleges group at university of AL - Qadissiyah

Author name: هيفاء حسين جبار
Supervisor name: فرقان مجيد حميد
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

ارتفاع نسبة السكر في الدم لدى المرضى الذين يتناولون علاج الستاتين == Hyperglycemia Induced by Statin in Patients Using Statin Therapy

Author name: نور خالد محمد
Supervisor name: حسن راجي جلاب
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

معدل انتشار الاكتئاب في مركز الرعاية الصحية الاولية في الديوانية == The Prevalence rate of Depression in Primary Health Care Center in Al - Diwaniya

Author name: زينب علي عبد
Supervisor name: علي عبيد الحمزازي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

العلاقة بين بكتريا الملوية البوابية ومتلازمة القولون العصبي == Association of Helicobacter pylori and Irritable Bowel Syndrome

Author name: غفران عبد الاله جواد
Supervisor name: علي طالب نمنم
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

معدل انتشار سرطان الغدة الدرقية المتغاير بين المرضى الذين يعانون من تضخم الغدة الدرقية والمحالين الى مستشفى الديوانية التعليمي == The Rate Of Differentiated Thyroid Carcinoma Among Patients With Goiter Referred To Diwaniya Teaching Hospital

Author name: هدى غازي هبان
Supervisor name: عادل موسى الركابي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

معدل الاصابة بسرطان الثدي بين النساء المصابه بتورم في الثدي في محافظة الديوانية == Incidence of Breast Cancer in Women with Breast Mass in Aldiwanyia City

Author name: مروة عبد الهادي حسين
Supervisor name: حسن راجي جلاب
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

عوامل الخطر للربو القصبي عند الاطفال في مركز الحساسية والربو في مستشفى الديوانية التعليمي في محافظة الديوانية - العراق 2018م == Risk factors of bronchial asthma in children attending Center for Allergy & Asthma in Diwanyia Teaching hospital in ALDiwaniya Province – Iraq 2018

Author name: غفران هادي حسن
Supervisor name: حسن راجي جلاب
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
First pages:

تاثيرات اعطاء فيتامين (د) على مستويات هرمون التيستوستيرون ومقاومة الانسولين في النساء المصابات بمتلازمة تكيس المبايض اللواتي لديهن نقص فيتامين (د) == Effect of vitamin D Supplementation on Insulin Sensitivity and testosterone level in Vitamin D Deficient polycystic ovary syndrome Patients

Author name: امال رعد احمد
Supervisor name: صبا مطشر سوادي الثويني
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Qadisiyah
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
Language: English
University location: Dhi Qar
Key words:
  • Febrile seizure
  • serum sodium (hyponatremia)
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

نمط الامراض الجلديه للمرضى الوافدين الى العياده الخارجية للامراض الجلدية في مستشفى الامام الحسيني التعليمي في مدينة الناصرية لعام 2018 == Pattern of dermatological diseases among a sample of patients attending the dermatology outpatient clinic in Al - Hussein teaching hospital in Al - Nasiriya city 2018

Author name: زهراء جبر ابراهيم
Supervisor name: Ali A.Saadoon Al - Ghuzi
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Dhi Qar
First pages:
Abstract: Background : skin diseases are a common problem wide world affecting both sexes and all age groups, there are many factors contributing to skin diseases such as contact with infectious patient, contact with allergen or others irritant materials, overcrowding and poor hygiene.Objective : to study the epidemiology of common dermatological diseases in Al - Nasiriya city at 2018.Methods and materials : case series study from first of February 2018 to the September 2018.try to study sociodemographic, determinant, specific laboratory investigation of common dermatological diseases under a well prepared questionnaire. The analysis of data was done by - SPSS version 25 Result : total of 1048 patients had been studied where the extent of eczema/dermatitis 38.3%, viral infection20.4%, and protozoal infection 14%.regarding to the sociodemographic the age had significant association in multivariate analysis and other determinant the past medical history had a significant association.Conclusion : eczema /dermatitis, viral infection, protozoal infection had most extent of dermatological diseases.Recommendation : further studies are required to identify preventive measures and establishment of dermatological center

قياس جودة الاشعة السينية الرقمية لاشعة الصدر في مستشفيات مدينة الناصرية 2018م/1440هـ == Quality Assessment of digital Chest radiography in Al Nasiriyah Main Hospitals at 2018/1440H

Author name: رياض عادل عبد العزيز
Supervisor name: Muslim Nah. Saaeed
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Dhi Qar
First pages:
Abstract: الخلفية : يحق لطبيب الاسرة في حالات متكررة ترتيب وتقييم وتفسير وتشخيص صور الاشعة السينية بنفسه وبدون توجيه مهني متخصص من اخصائي الاشعة. جودة الاشعة السينية هي العنصر الاساسي لتسهيل التشخيص وزيادة دقة العلاج، من خلال القيام بذلك، فهي توفر اقصر الطرق للتعافي.الهدف : هدفت هذه الدراسة الى تقييم جودة الصور الشعاعية للصدر لتقييم كفاءة فنيي الاشعة في مستشفيات الناصرية الرئيسية : مستشفى الحسين، والحبوبي بنت الهدى.المواد والطرق : دراسة مقطعية بصورة رجعية، اجريت لمدة ثلاثة اشهر، من الاول من حزيران / 2018 حتى 31 اب / 2018، في ثلاثة مستشفيات جامعية في مدينة الناصرية / جنوب العراق. شملت العينة عينة من 711 صدر اشعة سينية الرقمية ، تم تقييمها لمعلمات الجودة من قبل اثنين من اطباء الاشعة من نفس المستشفى الذي تم اخذها منه.النتائج : كان معدل الرفض للاشعة السينية على الصدر 20.25 ٪، حيث كان هناك 144 من اصل 711 فيلما لم تجب على السؤال السريري، وتحتاج الى تكرار. تقريبا نصف الافلام المرفوضة كانت من بنت الهدى مع 70 (48.6٪) من الافلام المرفوضة. اعلى معدل للرفض كان سببه : تناوب مع 29 (20.14 ٪)، والتنغيم مع 28 (19.44 ٪) وخطا الاختراق 26 (18.06 ٪). سوء التنفس هو السبب الرئيسي للرفض في 15 (10.42 ٪) من الافلام، وقطع الاشتمال التشريحيAnatomical inclusion في 15 (10.42).الاستنتاجات : كان هناك معدل رفض الاشعة السينية الصدر (20.25 ٪) في المستشفيات الثلاثة. تشمل اكثر الاسباب شيوعا خطا الموقع (الدوران في 29 (20.14٪) وسوء التنفس في 28 (19.44٪)، اخطاء الاختراق في 26 (18.06٪)، اما مستشفى بنت الهدى فكانت الاكثر شيوعا في رفض الاشعة السينية (48.6). ٪). توافد عدد كبير من المرضى والتحميل الزائد في تلك المستشفيات، نتجت باخطاء تشخيصية مع ارتكاب العديد من الاخطاء في جودة الاشعة السينية للصدر. | Background : the the family physician is entitled in frequent situations to order, evaluate, interpret, and diagnose chest X - rays by himself and without professional guidance of a specialized radiologist. Quality of X - rays is the key element for facilitating the diagnosis and increase the accuracy of treatment, by doing that it provides the shortest way to recovery.Aim : This study aimed for assessing the quality of chest radiography in AlNasiriyah main hospitals; Al - Hussein, AlHabbobi, and Bent AlHuda Hospitals.Material and methods : Observational prospective cross sectional study, done for a period of three months, from the First of June/2018 until the 31st of Ougest/2018, in three tertiary hospitals in AlNasiriyah city/ South of Iraq. It included a total sample of 711 chest X - rays, assessed for quality parameters by two radiologists from the same hospital it was taken from. Results : there were 144 out of 711 films that did not answer the clinical question, and needed to be repeated. Almost half of rejected films were from Bent Al - Huda with 70(48.6%) rejected films. The variables that had the highest odds for rejecting an X - ray film were having an obese body built, angulated films, aftifacts and incomplete inspirationConclusions : There was a chest X - ray rejection rate of (20.25%) in the three hospitals. The most common causes included positioning fault (rotation in 29(20.14%) and angulation in 28(19.44%), and penetration errors in 26(18.06%). Bent AlHuda Hospital had the most frequent rejected X - rays of (33.9%). Large number of patients and resulting loading in those hospitals interfered with diagnosing their diseases and made several mistakes in chest X - ray quality

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.

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.

معرفة , اتجاه وسلوك النساء الحوامل عن فقر الدم خلال الحمل في مستشفي بغداد التعليمي 2016 == Knowledge, Attitudes and Practice of Pregnant Women about Anemia during Pregnancy in Baghdad Teaching Hospital - 2016

Author name: رؤى صفاء سعيد
Supervisor name: علياء مكي حسن الصافي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Back ground : Anemia constitutes a public health problem worldwide, in both developed and developing countries.Aims : 1) assess the level of knowledge, attitude and practice of pregnant women about anemia 2) assess the association between knowledge of pregnant women and their socio - demographic variances 3) assess the association between the practice of pregnant women and their socio - demographic variances. Methods : The study was cross - sectional, carried out in among pregnant Baghdad Teaching Hospital, from 25th February to 28th April, 2016. A total of 300 pregnant women participated in the study. The tool of study was questionnaire. Chi - square test was used to test the statistical significance (p - value< 0.05).Results : The study revealed 63.3% of pregnant women had good knowledge, positive attitude found in 65.3% and health practice in 59.3% among pregnant women regarding anemia, the study show association between the knowledge of the pregnant woman and educational level of her and her husband, also there is association between the practice of pregnant woman and her occupation.Conclusion : A noticeable general good level of knowledge , attitude and practice among pregnant women regarding anemia during pregnancy ,level of knowledge in pregnant woman associated with the educational level of her and her husband and healthy practice increase in employed pregnant woman.Recommendations : Raise the level of knowledge and practice for prevention, learn pregnant women healthy dietary habit and encourage pregnant women to early registration in primary health care center.

معدل انتشار السمنة بين الطالبات المراهقات في المدارس الثانوية في مدينة الفلوجة 2017 == Prevalence of obesity among female adolescents in secondary schools in Al - Fallujah city 2017

Author name: رغد باسم عبد الرزاق
Supervisor name: علياء مكي حسن الصافي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Obesity is a growing public health problem in both developed and developing societies. Changes in lifestyle, dietary habits, physical activity and the social and cultural environment are associated with the occurrence of obesity.Objectives : to estimate the prevalence of obesity among adolescent females in secondary schools in Al - Fallujah city and to highlight the possible factors that may be associated with obesity among the study sample.Methods : A cross - sectional study was conducted on the period from 1st - March till 1st - May - 2017, and involved a systematically chosen sample of 200 female students, 13 - 19 years old from a conveniently chosen two secondary public schools for females in Al - Fallujah city, Al - Anbar governorate. A questionnaire used to collect socio - demographic characteristics, dietary habits, daily physical activity and family history of obesity. Height and weight were measured to determine their BMI by using WHO BMI - for - age 2007 percentile references.Results : the prevalence of obesity for studied female students was 18% which was significantly associated with different age groups, positive family history of obesity, meals frequency (n/day), more sweets, potato crisps & carbonated beverages consumption, TV watching & playing videogames time (h/day) and home ownership.Conclusions : the prevalence of obesity was nearly one fifth of the studied population. So that health education programs about healthy lifestyle, healthy dietary habits and adverse health consequences of obesity and activation of the school sport lessons are essential to be implemented among secondary schools to help preventing obesity.

تقييم المعرفة حول هشاشة العظام في عينة من النساء البالغات في بغداد, العراق, 2016 == Assessment of Knowledge about Osteoporosis among a Sample of adult Women in Baghdad, Iraq, 2016

Author name: هند صلاح محمد
Supervisor name: فارس حسن اللامي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
Key words:
  • Osteoporosis
  • Iraq
  • OKAT
  • Adult women
First pages:
Abstract: Background : Osteoporosis is a global growing health problem and contributor of mortality and morbidity. It causes a significant personal and societal impact and increases the burden of healthcare services. The objective of this study is to assess the level of knowledge about osteoporosis among a sample of adult women in Baghdad, Iraq, 2016.Methods : A cross - sectional study conducted on a sample of adult women in Baghdad (age ≥ 25 years old) who attended consulting clinics in Baghdad Teaching Hospital. The estimated sample size was calculated to be 384. We used a questionnaire to gather socio - demographic data and life habits that may affect osteoporosis risk, and the Osteoporosis Knowledge Assessment Tool (OKAT) to measure osteoporosis knowledge of women. The maximum score of the total knowledge was out of 100 points. The score had been categorized as follow weak (<50%), moderate (50% - 75%), good (>75%).Results : The mean level of knowledge scores is 53.53±13.04, and the range is 5 - 85%. Around 70% had correctly answered half of the questions. On Binary analysis, we found the level of education and source of information were the only significant risk factors (p value=0.001). On application of Logistic regression analysis; educational status was the only significant (OR=1.41, 95% CI : 1.2 - 1.7).Conclusion : Iraqi women had moderate level of knowledge about osteoporosis.More work is needed to ensure more women having the right knowledge, attitudes and practices.

نوعية الحياة لمرضى الفشل الكلوي المرحلة النهائية الذين يخضعون لغسل الكلى، بغداد، العراق 2017 == Quality of Life of End Stage Renal Disease Patients Undergoing Hemodialysis, Baghdad, Iraq, 2017

Author name: هند وليد خضر
Supervisor name: عدنان عبد العظيم | فارس حسن اللامي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : The quality of life is an important predictor of outcome in end stage renal disease patients. The quality of life needs to be regularly assessed. Our study describes quality of life, as well as demographic and clinical variables associated with quality of life in chronic haemodialysis patients in Baghdad, Iraq, 2017.Method : This was a descriptive cross sectional study conducted from March to May, 2017 at dialysis unit in Baghdad and Al - Karama teaching hospitals. The study participants were all patients available during data collecting period included. The participants were directly interviewed according to a special questionnaire designed for the purpose of the study; it contains items exploring socio - demographic data, clinical data. Data regarding assessment of effect of kidney disease on quality of life were collected by kidney disease quality of life - short form 1.3 versions .The maximum score of the total quality of life was 100 points. The score had been categorized as excellent > 80 score, good (61 - 80) score, moderate (40 - 60) score, and the poor score (< 40).Results The total number of participants was 248 patients. The mean of quality of life was 47.63±16.22. The total score was excellent in12 participants (4.8%), good in 47 (19%), moderate in 99 (39.9%), and poor in 90 participants (36.3%). The highest mean of quality of life domains was found for social support subscale, the low scores was reported for work status, role limitation due to physical problem, role limitation due to emotional problem, general health, and sexual function.Conclusions : The study had shown that the quality of life of hemodialysis patients was highly impaired and it clearly defines how the disease state adversely affects the physical and mental status of the patient. Regular and systematic monitoring for dialysis patients’quality of life must be considered as an effective tool of quality control in dialysis care

تقييم مؤشرات النمو لدى الاطفال المصابين بداء السكري من النوع الاول المراجعين لمستشفى حماية الاطفال التعليم / مدينة الطب بغداد / العراق 2017 == Evaluation of growth parametersamong children with Type 1 Diabetes Mellitus attending Diabetic clinic at Children Welfare Teaching Hospital / Medical City Baghdad - Iraq, 2017

Author name: زينة ستار هادي
Supervisor name: ايمان عدنان القصير
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Type 1 diabetes mellitus (T1DM) is a chronic autoimmune disease characterized by lack of insulin production, it is the most common type of diabetes in childhood. T1DM was listed among the causes of growth retardation in children. Glycemic control is an important factor in growth of children with T1DM.Objectives : To assess growth parameters (height, weight and body mass index [BMI] )in children with T1DM, and to study the impact of age at diagnosis, duration of disease, and glycemic control on growth indices.Patients and methods : A cross sectional study was conducted at diabetic clinic in Children Welfare Teaching hospital - Medical City - Baghdad, for the period from the 1st of February to the end of May 2017. A total of 100 children with T1DM between (2 - 14) years of both gender was included in the study, the information were obtained directly during interview including : relevant demographic data, disease information (age at diagnosis, duration of disease and type of presentation). Also each patient had two measurements for weight in kilogram and height in centimeter first one was measured by researcher at the time of interview and the second one obtained from their case file around the time of diagnosis.Results : A total of 100 children with T1DM included in this study showed that male to female ratio were equal. Peak age of children at diagnosis was less than 5 years. Most of patients presented with classical signs and symptom (64%). Of the total diabetic children in this study, (5%), (2%), and (5%) were stunted, wasted and underweight, respectively. Duration of T1DM was a significant determinant of growth indices (height and weight). Conclusions and Recommendations : Retarded growth indices (height and weight) were the highest growth problems among diabetic children. Duration of diabetes was an important determinant of growth parameters. We recommend for paying attention to anthropometric measurements in management of T1DM and participation of PHCC in the management plan.

تاثير عمر الام على نتائج الحمل == Effect of maternal age on pregnancy outcome

Author name: حلا نعمان محمدعلي
Supervisor name: جواد كاظم الديوان
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: خلفية البحث : في العقود القليلة الماضية ،كان هناك تاخير في الحمل الاول ، ومعدل عمر النساء في وقت الولادة تزايدت. يرافق المراهقات الحوامل والحوامل المتقدمات بالعمرمضاعفات اثناء الحمل والولادة. هدف الدراسة : لدراسه تاثير عمر الام على صحه الام والوليد .المنهجية : دراسة مقطعية اجريت في مستشفى بغداد التعليمي للفترة من بداية شهراذار وحتى بداية شهر حزيران من سنة 2016 ،العينة متكونة من( 500امراة) اختيرت بطريقة العينات العشوائية المنتظمة من ملفات المرضى في قسم الاحصاء .تمت جمع المعلومات من قبل الباحثة من فايلات المرضى اللذين دخلوا او رقدوا في ردهات قسم النسائية لسنة 2015 ، ثم تم تصنيفهم حسب العمر الى ستة فئات عمرية المجموعة(<20 )، المجموعة (20 - 24 ) ،المجموعة (25 - 29) ،المجموعة (30 - 34 ) المجموعة(35 - 39)،المجموعة (40≤) .النتائج : اظهرت الدراسة بان هناك فروق ذات دلالة احصائية بين المجاميع العمرية المختلفة ،بالنسبة لوجود ارتفاع ضغط الدم اثناء الحمل ،داء السكري الولادة المبكرة ،وزن الوليد ،التشوهات الولادية ، وفاة الجنين داخل الرحم ،وطريقة الولادة. ولايوجد فروق ذات دلالة احصائية بالنسبة لوجود الاسقاط ،ولادة جنين ميت ،فقر الدم ،والحمل المتعدد. الاستنتاج : اثبتت الدراسة ان مضاعفات الحمل والولادة والمشاكل المتعلقة بالجنين عند الولادة تكون نسبتها اعلى عندالمراهقات الحوامل والنساء المتقدمات بالعمر . | Background : In the last few decades, there has been a delay in first - time pregnancies, and the average age of women at the time of delivery has increased in many countries. Teenage and advanced maternal ages are associated with adverse pregnancy outcomes.Objective : To demonstrate the effect of maternal age on pregnancy outcomes in different age groups mothers.Subjects and methods : Across sectional study was conducted in Baghdad Teaching Hospital, data was collected in obstetric \gynecology department from 1st of March until 1st of June 2016 .Total of 500 women were included in the study using the systemic random sampling, every 10th case was selected, then divided into six age groups, a list of information was taken from hospital record at statistic department.Results : The results showed that there was statistically significant association among different age group, regarding presence of pregnancy induced hypertension, diabetes mellitus, preterm delivery, birth weight, congenital anomalies, IUD, mode of delivery (p value<0.05). Interestingly there was no statistically significant association regarding presence of fetal loss (miscarriage, stillbirth), anemia, and multiple pregnancies (p value> 0.05).Conclusion : Maternal and neonatal complications are higher during the teenage years and advanced maternal age.Keywords : Maternal age, outcome of pregnancy

المعارف والمواقف والممارسات المتعلقة باصابات وخز الابر بين العاملين في مجال الرعاية الصحية في بغداد == Knowledge, attitude and practices regarding needle stick injuries among health care workers in Baghdad

Author name: ميس علاء الدين علي
Supervisor name: سهير محمد محمود الجبوري
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Needle stick injuries are serious occupational hazards in thetransmission of a variety of bloodborne diseases, more than twenty pathogens canbe transmitted through NSI including hepatitis B virus, hepatitis C virus, and humanimmunodeficiency virus (AIDS) among healthcare workers.Objective : Determine the prevalence of needle stick injuries among healthcareworkers and its predisposing factors. Assess the knowledge, attitude and practice ofhealth care workers towards needle stick injuries.Methods : Cross - sectional descriptive study, a convenient sample of 300 health careworkers were selected from various hospitals and primary healthcare centers inBaghdad, Iraq. Data were collected by an anonymous questionnaire from Februaryto May 2018. The collected data was analyzed by using statistical package for thesocial sciences (SPSS version 24).Results : Among the studied sample, there were 218 (72.7%) nurse and 82 (27.3%)laboratory technician. Prevalence of needle stick injury among the health workerswas found to be 38.7%, which was higher in nurses (40.8% of nurses) compared to32.9% of laboratory technicians. The highest number of needle stick injuriesoccurred by recapping of needles (43.8%) followed by injuries during handling(25%) and (23.2%) injuries while withdrawing a blood. A high proportion (84.33%)of health care workers whom sustained needle stick injury had reported their Injury.The mean score of knowledge, attitude, and practice were 8.21, 7.07 and 7.19respectively. Nurses scored better than laboratory technicians. A considerable percentage of the participants (88.33%) were immunized against HBV.Conclusions : The study showed a high prevalence of NSIs among health care workers. The score of knowledge was high, acceptable responses were obtained in most attitude and practice statements, except for recapping of needles statements.Key Words : needle stick injury, sharp injuries, universal precautions,

دراسة عن حالات التهاب الكبد الفيروسي ج عند مرضى التحال الدموي في وحدة غسيل الكلى في مستشفى بغداد التعليمي العراق == Hepatitis (C), virus infection among patients in Hemodialysis unit in Baghdad Teaching Hospital, Iraq, 2018

Author name: عادل عبد عنبر
Supervisor name: ايمان عدنان القصير
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Viral hepatitis C infection are important cause of morbidity and mortality in hemodialysis patients, and it's prevalence varies considerably among different areas of the world. Patients receiving maintenance hemodialysis are at high risk for acquiring hepatitis C virus infection than the general population. This study was conducted to estimate the prevalence rate and the possible associated factors responsible for hepatitis C viral infection among chronic hemodialysis patients in Baghdad.Iraq. 2018.Method : A cross - sectional study was carried out in hemodialysis unit in Baghdad Teaching Hospital for the period from 1st February to 30th April 2018. The study participants were all patients available during data collecting period. The participants were directly interviewed according to a special questionnaire designed for the purpose of the study. Data collected regarding patient's age, gender, duration of dialysis, number of sessions per week, history of blood transfusion, renal transplantation, previous surgery, history of tattoo, alcohol use, injecting drugs user, previous dialysis in another center, having diseases(Hypertension, Diabetes), and viral screen of all patients for hepatitis C and B viral infection. in addition of reviewing patient's medical records to confirm the laboratory results. Results : the total number of participants were 218 patients. The prevalence rate of Hepatitis C infection was 25.7%. male gender, age between 51 - 70 years, married and not worker patients were having higher prevalence rates of infection. Hemodialysis patients with diabetes mellitus and dental procedures were more prone to Hepatitis C infection while blood transfusion and frequency of transfusion was not a significant factor.Conclusion : High prevalence of Hepatitis C virus in hemodialysis patients in Baghdad teaching Hospital in Hemodialysis unit. The hepatitis C virus infection was significantly associated with Duration of dialysis, previous dialysis in another center, Diabetes mellitus, dental procedures and creatinine level. That need to follow the universal precaution to minimize nosocomial infection particularly at the hemodialysis unit.

التصورات والممارسات والمعتقدات التقليدية نحو اليرقان الولادي وادارته بين الامهات العراقيات في بغداد\ الكرخ == Perceptions, Practices and Traditional Beliefs toward Neonatal Jaundice and Its Management among Iraqi Mothers in Baghdad Al - Karkh 2018

Author name: ياسمين خالد يوسف
Supervisor name: علياء مكي حسن الصافي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Neonatal jaundice is one of the most common neonatal disorders worldwide. It is still a main cause of avoidable brain damage, physical and mental impairment, and probable death in newborns.Aim of the study : To assess mothers' perceptions toward neonatal jaundice. To assess mothers' practices and traditional beliefs toward neonatal jaundice. To identify the relationship between mothers' perceptions with their beliefs and their socio - demographic variables such as mothers' age, occupation, residence and level of education.Method : A cross - sectional study was conducted from February - May 2018, at postnatal care clinics in ten primary health care centers in Baghdad AL - Karkh.Mothers who gave birth in less than one month before the study, using a structured questionnaire to gather data on socio - demographic character, there knowledge toward this condition, its causes, complication and their practices and traditional beliefs relating its management.Results : (61%) of the participants had acceptable level of perception toward NNJ and (30.8%) had good level of perception toward it..Two variables were found to have significant association toward their perception according to this condition : occupation status (working) (p - value 0.05) and those who had informed about the condition (p - value 0.013) Conclusion : There are still misconceptions on the risk factors, treatments and mothers practices and traditional beliefs towards this condition. Special educational programs are needed to increase the awareness of mothers

العلاقة بين جودة النوم وضغط الدم الحملي في بغداد, العراق,2018 == THE ASSOCIATION BETWEEN SLEEP QUALITY AND GESTATIONAL HYPERTENSION IN BAGHDAD, Iraq, 2018

Author name: اندلس عادل محمود
Supervisor name: فارس حسن اللامي
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Hypertensive disorders in pregnancy are the most common medical complications of pregnancy and are an important cause of maternal and perinatal morbidity and mortality worldwide. The development of sleep disorder breathing in pregnancy is considered a consequence of necessary physiologic adaptations that occur in pregnancy, such as dramatic hormonal and subsequent physical changes. The objective of this study was to identify the role of sleep disorder as a risk factor of hypertension among a sample of pregnant women in Baghdad. Method : this case control study was conducted in two hospitals and one Primary health care center in Baghdad. The cases were pregnant women of >20 weeks of gestation with a diagnosis of gestational hypertension, and the controls were pregnant women of >20 weeks of gestation but free from hypertension. The controls to cases ratio was 2 : 1. All the participants were directly interviewed using questionnaire to gather data on socio - demographics, clinical and risk factors. The sleep quality was assessed using The Pittsburgh Sleep Quality Index (PSQI). A score of ≥5 indicates poor sleep quality.Result : The total number of cases was 103 and the controls was 206. Poor sleep quality index was observed in 58 (56.3 %) of the cases and 88 (42.7%) of the controls (P=0.024 OR 1.728, 95%CI 1.968 - 1.488).Two other variables were also found significant risk factors after logistic regression analysis : working status (employed) (P - value 0.025, OR 1.89, 95%CI 1.103 - 2.440) and increasing gravida (P - value 0.023, OR 1.330, 95%CI 1.177 - 1.501).Conclusions : Sleep disorder is an important risk factor of gestational hypertension. It is important to consider this association upon screening, prevention and treatment of gestational hypertension.
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