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نوعية حياة مرضى التدرن في المركز الوطني التخصصي للامراض الصدرية والتنفسية / بغداد 2017 == Quality of life of the tuberculosis patients attended The National Specialized Centre of the Chest and Respiratory Diseases / Baghdad 2017

Author name: حيدر عبد الامام حميدان
Supervisor name: عدنان الجبوري
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Tuberculosis (TB) is one of the major public health problems. Apartfrom physical symptoms, TB patients have various general physical activities,social environmental and psychological problems. Which is important toconsider the overall TB on patients' perception of health and wellbeing.Aim of the study : To estimate the quality of life of TB patients, beside the routine clinical,radiological and bacteriological assessments and we want to determine theeffects of socioeconomic, demographic and the adjectives of the Tb diseases onthe domains of the quality of life (QOL).Methods : A cross sectional study involving 67 TB patients with or without comorbiddiseases, pulmonary and extra pulmonary Tb attending The NationalSpecialized Centre of the Chest and Respiratory Diseases in Baghdad. Dataobtained through direct interview using a standard questionnaire of WHOQOLBREF(26 questions) highlighting four domains : physical, psychological, socialand environmental, and also using of a structured form of identity information,socioeconomic and demographic information, we estimate the effects of variousaspect in this structured form on the four domains of WHOQOL - BREF (26questions) .Results : Regarding our results we found that general aspect of quality of life was(48.9%) of the quality of life rating, and (32.9%) of the general aspect of health satisfaction, concerning specific part of quality of life of TB patients, Physical domain (29.2 ± 12.3), Psychological domain (46.1±16.2), Social domain (47.4±20.6) and Environmental domain (38.6±13.8), with variation within each domain according to demographic and socioeconomic variation with significant correlation between domains of quality of life.Conclusions : Tb is a disease associated with low scoring of quality of life specially when associated with low socioeconomic state, while the marriage give positive effort to total perception of the QOL especially social domain. And the financial state of the TB patients is with direct effect on social domain of the QOL. And also highly educated TB patients and those with low crowded index have better environmental domain in their QOL among the other TB patients

تحليل نتائج ناظور القصبات المرن لردهه الامراض الصدريه والتنفسيه في مستشفى الديوانيه التعليمي للسنتين 2014 - 2015

Author name: اثير محمود علي
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:

دراسة حول قيم توسع الصدر بين الاصحاء البالغين في العراق == The chest expansion values among adult healthy Iraqi people

Author name: محمد احمد رحمان
Supervisor name: مصطفى نعمة عبد علي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Chest expansion measurements are used to evaluate a patient’s baseline status, treatment effectiveness, and progression of disease with regards to chest wall mobility and respiratory muscle function.Objectives : To establishing basic information about normal range of chest expansion measures among healthy Iraqis and to establish the variation of the chest expansion among Iraqi population and exploration of the relationship with age, sex and body built.Methods : A stratified random sampling technique was used to select a sample of 1020 persons (530 male and 490 female) aged between 20 to 70 years old from Baghdad and Al - Najaf city, Participants without any neurological, orthopedic, rheumatological or respiratory diseases or having pneumonia during the last month and smokers were excluded from the study, the chest expansion measured in 2 sites , for upper , at the level of the fifth thoracic spinous process and the third intercostal space at the mid clavicular line and for the lower thoracic excursion, the tape measure was placed at the level of the 10th thoracic spinous process and the tip of the xiphoid process by using inelastic tape measure.Results : The study shows that male participants have significant higher chest expansion than female participants in upper thoracic (5±0.6cm, 4.2±0.7cm) for male and female respectively and at lower thoracic (4.5±0.6cm, 3.7±0.6cm) (p< 0.05) for male and female respectively.Chest expansion of male and female participants at both upper and lower thoracic peak at age 20 - 29 and decreases thereafter with increasing age. In female participants, chest expansion was significantly correlated with BMI, which is decreased in the obese female.Conclusion : It was concluded that chest expansion of both upper and lower thoracic increase with age increases until the 3rd decade of life, and then steadily declines after this. Male chest expansion was significantly higher than female participants

معدل انتشار الداء السكري لدى مرضى الانسداد الرئوي المزمن في المرحلة الشديدة والشديدة جدا == The Prevalence of Diabetes Mellitus Type 2 in chronic obstructive pulmonary disease Patients with Severe and very severe Stage of the Disease

Author name: نادية عبد الكريم حمدان
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Chronic obstructive pulmonary disease (COPD) is the leading cause of morbidity and mortality worldwide.. There is an evidence to support a connection between COPD and diabetes mellitus Type 2 (T2DM). T2DM affects 2 - 37% of COPD patients, with results being highly variable between studies.Objective : To determine the prevalence of T2DM among COPD patients in severe and very severe stages of COPD patients. To assess the risk factors affecting the prevalence of T2DM among COPD patients. Subjects and methods A cross sectional study was conducted on 140 patients with COPD attending Out - patient and Inpatient of Respiratory Unit at Baghdad Teaching Hospital. The data were collected between the10th of October 2016 to the 10th of August 2017. These data included demographic parameters such as : age, sex, educational status, body mass index (BMI), smoking habit, and respiratory parameters from history& clinical examination. Spirometry was used to assess the severity of COPD patients. Random blood sugar testing was used for identification of COPD patients having T2DM when they are not clear or not known as a case of T2DM previously.Results : The prevalence of T2DM among COPD patients was 19.38%. (The prevalence of DM in those with severe stage was 10.9%, while in very severe stage was 35.4%).The prevalence of T2DM was higher in males than in females. The prevalence of T2DM was increased in the elderly COPD patients (>61 years). Increasing with increased BMI, and also VIP a g eincreased more among current smokers followed in order by former smokers and never smokers. Lung function tests decline more in COPD patients with presence of T2DM.Conclusions : Diabetes Mellitus Type 2 is more prevalent among COPD patients; it increased with increased severity of the COPD patients and subjects with DM are at increased risk of declining pulmonary function among COPD patients.

نتائج فحص السلين باختبار الجلد عند المرضى المصابين بالربو والذين يستخدمون الستيرويدات كجزء من علاجهم == THE RESULTS OF TUBERCULIN SKIN TEST IN ADULT ASTHMATIC PATEINTS USING STEROIDS AS PART OF THEIR MANAGEMENT

Author name: سرى علي حسين
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: بالنظر لكون مرض التهاب السل احد اهم العوامل المسببة للوفيات والمراضة في البلدان النامية وفقا لاحصائيات منظمة الصحة العالمية ومركز السيطرة على الامراض الانتقالية فان امكانية الاصابة بهذا المرض تزيد بنسب متطاردة مع نقص المناعة.استخدام الستيرويدات كجزء من علاج مرض الربو (البردنيزولون او مايعادله) بجرعة تقارب 15 مليغرام باليوم لمدة تتجاوز الاربع اسابيع يصاحبها هبوط واضح للمناعة مما يزيد من امكانية الاصابو بالربو بحوالي الثمان اضعافالهدف من البحثحاولنا في هذا البحث ايجاد مخاطر الاصابة بالسل عند المرضى المصابين بالربو والذين يستخدمون الستيرويد كجزء من علاجهمطرق اعداد البحثدراسة انية مصممة لاستيعاب المرضى المصابين بالربو الذين يراجعون مستشفى بغداد التعليمي للفترة من حزيران 2016 ولغاية حزيران 2017 بوحدة المرضى الراقدين ومرضى العياددة الخارجيةتم اعداد استبيان لتسجيل المعلومات المهمة لاعداد هذا البحث من قبل الباحثة وتدوين كل ما يمت بصلة من اجل اكمال هذه الاطروحةالنتائجتم ضم 60 مريضا لهذه الدراسة خلال مدة سنة واحدة. نسبة الذكور الى الاناث كانت 7 : 23. 80 % من المرضى كانوا من سكنة المدينة بينما 20 % كانوا يسكنون القرى المحيطة . 33.3 % من المرضى كانوا يعانون من مرض السكري كاعتلال مشترك. 21.7% من المرضى كانوا يستخدمون الستيرويد عن طريق الاستنشاق, بينما 45 % كانوا يستخدمون الستيرويد النظامي, و33.3 % كانول يستخدمون الطرق المشتركة. من ضمن المرضى الذين تم ضمهم للبحث, 18.3 % كانوا قد استخدموا الستيرويد لمدة لاتزيد عن اربع اسابيع, بينما البقية اجتازوا ذلك. بلنسبة لفحص السلين 11.7% من المرضى اعطوا نتيجة موجبة للفحص.كانت هناك علاقة واضحة بين فحص السلين وزيادة العمر (p=0.01), وكذلك مع زيادة مدة استخدام الستيرويد (p=0.001), وكذلك مع وجود تاريخ مرضي للسل سابقا (p=0.04).الاستنتاجبعد تحليل النتائج المستقاة من هذا البحث تبين التالي : 1. لا توجد علاقة واضحة بين نوع الستيرويد وخطورة الاصابة بمرض السل2. خطورة الستيرويد على اضعاف المناعة تزيد مع زيادة العمر للشخص3. زيادة مدة التعرض للستيرويد ستزيد بلا شك من امكانية لاصابة بمرض السلالتوصياتننصح باجراء بحث على نطاق اوسع واشمل ليتضمن اكثر من مركز تخصصي للامراض الصدرية على نطاق البلد لاعطاء صورة اوضح واكثر دقة لكشف مخاطر الاصابة بمرض السلان اجراء بحث اوسع سيعطي حساسية وخصوصية اكثر دقة عن دور الستيرويد بظهور والاصابة بمرض السل, ويمكن من خلالها توضيح الجرعة والنوع والمدة اللازمة لظهور المرض وسبل الكشف المبكر ومنع الاصابة | For tuberculosis infection being one of the major risk factor for morbidity and mortality in developing countries according to WHO and CDC. The risk of developing TB increases significantly with the drop of immunity.Using steroid (prednisolone or its equivalent) at a dose of more than 15 mg/day more than 4 weeks is associated with significant drop in immunity, hence increasing the risks of being infected with TB to eight folds Aim of the studyIn this study we tried to assess the risk of developing TB infection in asthmatic patients that use steroid in their asthma treatment regime.Materials& MethodsA prospective study designed to include patients complaining from Asthma who have visited Baghdad teaching hospital in the period from (June 2016 to June 2017) that included in - patients and out - patients A questionnaire prepared to document the related information of most concern to the researcher and for the sake of study. ResultsIn this study, we managed to enroll 60 patients. Male to female ratio was 7 : 23. 80% of the study cohort lived in urban residence, and 20 % in suburban neighborhood. 33.3% of the patients had diabetes as comorbidity. 21.7 % of the patients used inhaled steroid as a modality of management of asthma, while 45% used systemic steroids, and 33.3 % used combined modality. Of the study cohort, 18.3 % used steroid for no more than 4 weeks, and the rest used it for more than 4 weeks. Regarding tuberculin test results, 11.7 % test positive.A significant correlations were found between the tuberculin test and the increasing age of the patient p=0.01, and the TST and the duration of use of steroids p=0.001, also, between TST and previous history of TB p=0.04. ConclusionData analysis of our study have revealed the following points1. There is no relationship between the type of steroid and the risk of getting TB infection2. The risk of steroid on immune system and the raise of risk increase with increasing subject age3. The extended period of exposure to steroid will definitely increase the risk of TB infection Recommendations Our research have been conducted in a period of almost one year and included only the patients that visited the outpatients and in - patients ward of Baghdad Teaching hospital.We recommend to carry on a larger scale research and include more than one respiratory center across the country to obtain a more conclusive picture regarding the risk of catching TB infection after using steroid.A larger scale research will obtain more data and will elucidate the sensitivity and specificity of the contribution of steroid to development of TB, and to clarify more concerning the dose, type, and duration of exposure

مدى صحة استخدام اختيار التحكم بالربو لتقييم شدة الربو القصبي في الاناث الحوامل في الثلث الثالث للحمل : دراسة سريرية == Validity of Asthma Control Test in assessment of asthmatic pregnant females in third trimester (Single center study)

Author name: زينب علاء عبد الحسين
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Asthma is a common chronic medical condition in pregnancy, with a worldwide prevalence estimated between 8 - 13%; The ACT has the added advantage that it does not require pulmonary function assessment.Aims of study : To assess asthma control through ACT score and to determine if the ACT can be as useful as the spirometry usage of FEV1 in assessment of asthma status in asthmatic pregnant female.Methods : A cross - sectional study with analytic elements recruiting 55 pregnant asthmatic patients aged 16 - 35 year old were seen in gynecology and obstetrics department of Baghdad Teaching Hospital between 1st of November 2016 and 1ST of April 2017 for pregnant females in third trimester. Asthma control was assessed using the ACT score and FEV1.Results : There were 55 pregnant females in third trimester with history of asthma enrolled in this study.According to ACT score 15 patients (27.3%) were with poorly controlled asthma, 19 patients (34.5%) moderately controlled and 21(38.2 %) well controlled asthma.Of these 55 patients 32 patients (58.2 %) where with ACT score of ≤ 19 and abnormal FEV1, only 2 patients (3.6%) with ACT score of ≤ 19 and normal FEV1, while there was 19 patients (34.5%) with ACT score of ˃19 and normal FEV1, and only 2 patients (3.60%) with ACT score of ˃ 19 and abnormal FEV1.Conclusion :  ACT can serve as an alternative reliable tool in assessing asthma control even without an aid of a spirometer

المعلمات اللتي تزيد من خطر الاصابه بامراض الرئه الخلاليه في مريض التهاب المفاصل الرثياني == Parameters that Increase Risk of Interstitial Lung Disease in Rheumatoid Arthritis Patient

Author name: زينب عزيز
Supervisor name: عدنان الجبوري
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Background : Several studies have been focused on interstitial lung disease among patients with established rheumatoid arthritis, with fluctuating incidence and prevalence depending on the methods used.Objective : This study has been carried out to determine the risk of developing of interstitial lung disease according patients’ socio - demographic characteristics and other study variables.Patients and Methods : A case - control study design was used in this study performed on 100 cases with RA (50 cases with ILD). Data were analyzed by using Statistical Package of Social Sciences (SPSS) version18. Categorical variables were presented as frequencies and percentages. Continuous variables were presented as means with their 95% confidence interval (CI) and standard deviation. The Pearson's chi - square test (x2) was used to determine the associations between categorical variables. A p - value of < 0.05 was considered as statistically significant.Results : The overall mean age patients with rheumatoid arthritis were (49.65±11.94) years old and majority (54.0%) and (58.0%) of rheumatoid arthritis patients with and without interstitial lung disease were between 41 - 60 years, respectively. Female gender with rheumatoid arthritis patients about (66%) without interstitial lung disease & only (50.0%) of rheumatoid arthritis patients with interstitial lung disease are female. There was significant association between rheumatoid arthritis patients with and without interstitial lung disease with residence, rheumatoid arthritis patients who lived away from generators and factories areas were 15 times more likely to be without interstitial lung disease.Conclusion : The present study finding was reported significant higher rate 15 times of interstitial lung disease in rheumatoid arthritis patients who live near area of generators and or factories, as well as, current smokers in present study were two times higher in presenting interstitial lung disease among rheumatoid arthritis patients as well as non - smokers were three times higher to be without interstitial lung disease.

دراسة معدل انتشار التدرن الكامن في سجن اصلاح الكبار في محافظة بابل == Prevalence of Latent Tuberculosis in Hilla Male Prison

Author name: مرتضى نجاح جواد
Supervisor name: قاسم محمد سلطان
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Background : Tuberculosis (TB) is one of the oldest diseases known toaffect humans, it caused by infection with Mycobacterium Tuberculosis(M.TB). M.TB is most commonly transmitted from a patient withinfectious pulmonary TB to other person by droplet nuclei .prisoners areexposed to a variety of infections, including TB. the standard test fordetecting Latent TB infection (LTBI) is tuberculin skin test (TST).Objectives : determination the prevalence of latent tuberculosis amongAL - Hilla male prisoners .and Assessing its correlations with various riskfactors.Methods : A stratified random sampling technique was used to select asample of 120 male prisoners aged >20years old from the AL - Hillaprison. The selected inmates were interviewed using a structured pretestedquestionnaire,5 units of PPD(0.1mL) had been injectedintradermally to the volar surface of forearm to be seen within 48 - 72hours. The test was considered positive if ( >=10mm induration)developed.Results : The study shows the rate of tuberculin reactivity amongprisoners is 23.3% (28/120). A significant relationship between age ofprisoner, mean area of accommodation per prisoner in the prison and TSTpositivity. The overall mean age of prisoners was (34.43± 12.70) yearsold and (47.5%) of the prisoners was aged between 20 - 30 years. Majority(77.5%) of the prisoners were living in urban area. (57.5%) of theprisoners were married. The alliterated prisoners were(53.3%). selfemployedprisoners were(61.7%). (53.3%) of prisoners had monthlyincome between 500 000 - 1 Million IQD. (39.2%) of prisoners spent oneyear of their prison period .The prevalence of smokers were(76.7%) andVIIonly (14.2%) of prisoners had contact with TB patients, meanwhile,(6.7%) of prisoners had contact with TB patients in prisons. Theprisoners had BCG vaccine signs were (74.2%).the prisoners who did notshare their house holding were (57.5%). The overall mean prisoners BMIwas (22.21± 3.19) kg/m2. The mean space of each cell in prison was(120.67± 85.38) m2, meanwhile the mean prisoners per each cell was(43.07± 17.72).So space of each prisoner approximately is : 2.8 m2 .Conclusion : significant relationship between age, area of accommodationfor each prisoner inside cell and positivity of TST.

تقنية غير لائقة في استخدام جهاز الانشاق ذات الجرعة المعايرة في عينة من المرضى العراقيين المصابون بالربو == The effect of improper technique in using meter dose inhaler in a sample of Iraqi asthmatic patients

Author name: زياد طارق ملغوث
Supervisor name: قاسم محمد سلطان
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Improper asthma inhaler device use was most likely one of the major causes associated with uncontrolled asthma and frequent respiratory clinic visits. Therefore assessment the effect of the improper use of metered dose inhaler device in the control of bronchial asthma, and the factors that have important impact on asthma management and control.Objectives : The aim of study is to assess the effect of the improper use of meter dose inhaler device in the control of bronchial asthma. And the factors that affect the inhaler technique.Methods : A cross - sectional study of 100 patients who visited respiratory clinic at Baghdad Teaching Hospital with bronchial asthma from 1st of August 2014 to 28th February 2015. Information was collected about demographic data and asthma control and we assessed the inhaler techniques for each patient using an inhaler technique checklist.Results : Among the 100 asthma patients, 50(50%) were male, 50(50%) female. There was a statistically significant association between MDI technique use defect and all the following factors (the gender (P value ‹0.05),VIIAge (P value = 0.01), the education level of patients (P value = 0.00), the duration of disease of the patient (P value = 0.03), the asthma health education of the patient (P value = 0.00) and asthma control test (ACT)).Conclusion : Improper inhaler device use is major factor associated with poor asthma control.Keywords : Iraqi asthmatic patient, MDI, inhaler technique and Patient education.

دراسة استعادية لنتائج تنظير القصبات والنتائج المختبرية في عينة من المرضى يعانون من نفث دموي == Bronchoscopic findings and Final diagnosis in sample of patients presented with Haemoptysis

Author name: رعد مطر شمران
Supervisor name: قاسم محمد سلطان
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: يعتبر نفث الدم من الاعراض المثيرة للقلق بين مرضى الجهاز التنفسي . ومع ذلك ، فانه من الاعراض غير المحددة ويمكن ان يحدث في كثير من الحالات السريرية المختلفة .ان تقشع كمية من الدم وان كانت قليلة نسبيا يمكن ان يكون مؤشرا لمرض خطير مثل سرطان القصبات الهوائية .تنظير القصبات ذي الالياف البصرية التشخيصي هو الاجراء الاستقصائي المختار الموصى به في الوقت الحالي.ان التقنيات القياسية المستخدمة عالميا في اقسام الجهاز التنفسي تشمل خزعة الشعب الهوائية ، غسل القصبات الهوائية ، غسيل الشعب الهوائية بواسطة فرشاة وغسيل الشعبة الهوائية السنخية .الهدف : اجريت هذه الدراسة لتحديد نتائج تنظير القصبات وانواع الامراض في عينة من المرضى يعانون من نفث الدم .المرضى والطرق : شملت هذه الدراسة مجموعة من 53 مريضا يعانون من نفث الدم خضعوا لعملية تنظير القصبات المرنة وتم ارسال العينات الى الفحوصات الخلوية ، الامراض النسيجية ، والميكروبيولوجية.جميع هذه الحالات تم تشخيصها خلال الفترة من 1 اكتوبر 2010 الى 30 يونيو 2013. تم تحليل بيانات الحالات المسجلة من ( المركز الوطني للكشف المبكر عن اورام ) خلال الفترة المذكورة احصائيا بطريقة الدراسة الاستعاديةالنتائج : تضمنت هذه الدراسة 53 مريض يعانون من نفث الدم ، وكانت اعمار المرضى المسجلين تتراوح بين 19 - 87 عاما مع متوسط عمري 56.8 ± 15 سنة. كانت نسبة الذكور الى الاناث في هذه الدراسة 1 : 2,1. لوحظ بان نتائج تنظير القصبات من المرضى الخاضعين للدراسة طبيعية في (11.3 ٪ )و افرازات دموية في ( 41.6 ٪ ) وتضيق او انسداد في القصبات الهوائية ( 22.6 ٪ ) واحتقان او التهاب في الشعب الهوائية ( 22.6٪) وكتلة في ( 20.8 ٪ ) وافرازات قيحية كثيفة في (17 ٪ ) وافة داخل الشعب الهوائية في (13.2 ٪ ) وضغط خارجي على القصبات الهوائية في (7.6 ٪ ) وافرازات مخاطية في (7.6 ٪ ) والتليف الفحمي في ( 3.8 ٪ ) وانفراج جؤجؤ الرغامي في مريض واحد ( 1.9 ٪ ).كما كانت النتائج المجهرية لمرضى نفث الدم سرطان القصبات الهوائية في ( 54.7 ٪ ) والسل في( 7.5٪ ) ، وعدوى بكتيرية في (13.2 ٪ ) والعدوى الفطرية في ( 3.77 ٪ ) وتوسع القصبات في ( 5.66 ٪ ) وعدم وجود نتائج في (15.1 ٪ ).الاستنتاج : كانت نتائج تنظير القصبات الاكثر شيوعا هي افرازات دموية وانسداد الشعب الهوائية والكتلة.كانت النتائج المختبرية الاكثر شيوعا هي الاورام الخبيثة والعدوى البكتيرية السل وتوسع القصبات والعدوى الفطرية. | Haemoptysis is considered as an alarming symptom among the respiratory patients. However, it is a non - specific symptom and can occur in many different clinical conditions. Currently, diagnostic fiberoptic bronchoscopy is recommended as the investigative procedure of choice.Objective : To determine the prevalence of bronchoscopic findings and the types of diseases in a sample of patients presented with haemoptysis.Patients and Methods : A total of 53 patients with haemoptysis were underwent a flexible bronchoscope were targeted by this study . All of their sample were sent for cytological , histopathological, and microbiological investigations.All of these patients diagnosed during a period from 1st of October 2010 to the 30th of June 2013 were retrospectively analyzed based on the data of the ( National Centre of early detection of Tumors)Results : A fifty three patients with hemoptysis were enrolled in this study with a mean age of 56.8±15.7 years and the range was 19 - 87 years. Male to female ratio in this study was 2.1 : 1.The bronchscopic findings of studied patients were bloody discharge in (41.6%) , bronchial narrowing and\or obstruction in (22.6%) , bronchial congestion and\or inflammation in (22.6%) , mass in (20.8%) , thick purulent discharge in (17%) , endo - bronchial growth in (13.2%) , normal in (11.3%), external compression of bronchus in (7.6%) , mucous discharge in (7.6%) , anthrocho fibrosis in (3.8%) and splaying of carina in one (1.9%) .Microscopic findings for hemoptysis patients revealed CA bronchus in (54.7%), no findings in (15.1%), bacterial infection in (13.2%), TB in (7.5%), bronchiectasis in (5.66%) , and fungal infection in (3.77%). Conclusion : The commonest bronchoscopic findings were bloody discharge, bronchial obstruction, and mass.The most common laboratory findings were malignancy, bacterial infection, TB, bronchiectasis, and fungal infection.

نوعية الحياة صحيا لمرضى الانسداد الرئوي المزمن == Health - related Quality of Life of Chronic Obstructive Pulmonary Disease patients

Author name: علي اياد طارق
Supervisor name: عدنان الجبوري
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Background : Chronic obstructive pulmonary disease (COPD) is a common health problem, characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities.COPD usually caused by significant exposure to noxious particles or gases.Worldwide, COPD is also increasing as a cigarette smoking, the primary risk factor for COPD development, is increasing in prevalence throughout the world. It has a large impact on quality of life for patients and their families and kills millions of people worldwide yearly. .Study Objective : To assess the impact of COPD on health - related quality of life (HRQOL) of COPD patients.Patients and Methods : A cross sectional descriptive study assessed HRQOL of 60 stable COPD patients without significant comorbidity , not in acute severe exacerbation, were interviewed at chest consultant clinic of Baghdad Teaching Hospital by using 14 questions of CDC Health Related Quality of Life Questionnaire between May 2017 and February 2018.Results : From 60 participants (80 % male, 20% female)&#34; all of them were cigarettes smokers (current 57%, ex - smoker 43%)&#34; about 62% of them said that their general health is poor with COPD and 95 % of them said they were limited in any way in their activities from the disease.Statically significant results (p

السرطان الرئوي : دراسة سريرية في مجمع مدينة الطب (2010 - 2014) == Lung Cancer : A Hospital Based Study

Author name: مهند عبد اللطيف
Supervisor name: محمد وهيب سلمان العبيدي
General topic: Medicine
Specific topic: Diseases - Thoracic
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: خلفية الموضوع : سرطان الرئة هو السبب الاكثر شيوعا لحالات الوفاة.اذ تسبب بوفاة 1.4مليون سنويا. اذ يعتبر التدخين المسبب الرئيسي له. وكلمزاادت نسبة المدخنين ازدادت نسبة الحالات السرطانات الرئوية. وهناك خطر اخر ينحصر في التعرض الى استنشاق دخان المعادن الثقيلة والزرنيخ والاسبستوس. الهدف من الدراسة : الهدف من دراستنا هو دراسة سلوك السرطان الخلوي لحالات السرطان الرئوي في العراق. ودراسة العلاقة بين التدخين (نسبته وشدته) وانتشار حالات السرطان الرئوي.طرق الدراسة : تم احصاء 675 حالة تتعلق بالسرطان كان قد ادخلت المجمع خلال فترة خمسة سنوات من (2010 - 2014). وكانت فقط 500 حالة سرطانية رئوية مشخصة عن طريق الفحص الشعاعي للصدر والفحص المختبري الخلوي لكل من العينات كان قد اخذت من انسجة عن طريق الناظور القصبي او خزعة الغشاء الرئوي اوخزعة عملية الصدر المفتوح.النتائج : معظم المصابين من المرضى كانوا هم مدخنين وبنسبة (90%) وكان معظم هؤلاء المصابين من الرجال المدخنين. ومزاالت نسبة السرطان الحرشفي هي السائدة ونسبة (42%) يتبعه سرطان الغدي وبنسبة (26%) وسرطان الخلايا الصغيرة وبنسبة (17%) وسرطان الخلايا الكبيرة وبنسبة (10%).الاستنتاج : يعتبر مرض السرطان الرئوي من الامراض التي تحتاج الى وقفة جدية للنظر فيه وخصوصا وهو زيادة في نسبة الاصابات السنوية. شعاعيا كانت اصابات الجهى اليمنى في الرئة اكثر شيوعا. نحتاج الى الاعتماد على فحص الناظور القصبي وفحص خزعة الرئة عن طريق عملية الصدر المفتوح كونهما اكثر دقة وتفصيلا. | Background : Lung cancer is one of the most common causes of death in the world. It's causing 1.4 million deaths per year. Tobacco is the major preventable cause. However the risk of lung cancer increased by asbestos, arsenic and heavy metal exposure.Aim of study : In our study we are looking of prevalence, incidence rates of lung cancer. Patients and Methods : A retrospective study, are deal with 675 case of Lung cancer were admitted to medical city complex hospitals over period of five years (2010 - 2014). Only 500 cases have been established to have lung cancer by one or more of investigation as : sputum cytology, bronchoscope, pleural study, and open lung biopsy.Results : The commonest lung cancer is Squamous cell cancer (40%) is still commonest type, followed by adenocarcinoma (26%), small cell lung cancer (17%) and the large cell Cancer (10%), carcinoid (5%), and anaplastic (2%). The great majority of the patients (90%) of 500 patients were smoker. The average annual incidence is about 100 patient/year. Conclusion : The lung cancer is serious medical problem with increasing incidence annually. The most important risk factor for all cell types carcinoma is smoking (90%).

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

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

التغيرات البايوكيمياوية المصاحبة لمرض السل

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