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تاثير درجة الحرارة على الخصائص البصرية للبلورة السائلة 5PCH == Temperature Effect on Optical Properties of 5PCH Liquid Crystal

Author name: حاتم كريم حسين
Supervisor name: زيد عبد الزهرة حسن
General topic: Physics
Specific topic: Laser Physics and Electro-optics
Degree: Higher Diploma
University: University of Babylon - College Of Education For Pure Sciences - Physics Department
Language: English
University location: Babylon
First pages:
Abstract: البلورات السائلة حالة من المادة تمتلك خصائص بين السائل التقليدي والبلورة الصلبة ، فعلى سبيل المثال ربما تنساب مثل السائل ولكن جزيئاتها تدور بطريقة مشابهة للبلورات. هنالك انواع مختلفة في الطور من البلورات السائلة ، في هذا البحث تم دراسة تاثير درجة الحرارة على البلورة السائلة النماتية من نوع (5PCH) وعند طول موجي (632.8 nm). اثبتت الدراسة التناسب الطردي بين درجة الحرارة وكل من الامتصاصية (A) , الانعكاسية (R) معامل الامتصاص (α) , معامل الخمود (K) من ناحية ومن جهة اخرى فان درجة الحرارة تتناسب تناسبا عكسيا مع النفاذية (T). | Liquid crystals are state of substance possesses characteristics between traditional liquid and crystallization. For example , perhaps liquid crystal away similar to the crystals. There are different types of crystal in the liquid phase. In this study, we used nematic liquid crystals type (5PCH) , and He - Ne laser with wavelength (632.8nm) to find the temperature effect on the optical properties .This study shows the direct proportionality between the temperature and the absorbance (A ), reflectance ( R ) , absorption coefficient ( α ), and the extinction coefficient ( k ), from one side and the indirect proportionality between the temperature with the transmittance ( T ) from another side .

دراسة بعض الدوال التي تنشا في حل المسائل الفيزيائية == Study Some of Functions which Arise The Solution of Physical Problems

Author name: محمد عبد الجليل حبيب
Supervisor name: سحر محسن جبار
General topic: Mathematics
Specific topic: Mathematics
Degree: Higher Diploma
University: University of Babylon - College Of Education For Pure Sciences - Department Of Mathematics
Language: English
University location: Babylon
First pages:
Abstract: الهدف من هذا البحث هو دراسة بعض الدوال الخاصة والمعادلات التي تنشا لحل المسائل الفيزيائية , وبينا بعض النتائج حولة دالة كاما , دالة بيتا , دالة دي كاما والمشتقات اللوغارتمية لدالة كاما .كذلك درسنا العلاقة بين دوال كاما وبيتا وبعض تطبيقات المثيرة للاهتمام لدالة كاما .وعرضنا دالة كاما للقيم السالبة وايجاد قيم التكامل مع بعض التطبيقات الفيزيائية .واخيرا ناقشنا بعض خواص الدالة فوق الهندسية ودالة كاوس فوق الهندسية | The aim of this search is to study of some special functions and equations which arise in the solution of physical problems , some results of Gamma function , Beta function ,Digamma function and the logarithmic derivatives of the Gamma function are shown. Also , the relationship between Gamma and Beta functions are studied, with some interesting applications of Gamma function . The Gamma function for negative value of the argument and the integral evaluation are introduced with some physical applications. Finally ,some properties of the Hypergeometric Function and Gauss Hypergeometric function are discussed

استخدام الخوارزميات الجينية البسيطة لحل المعادلات التفاضلية == Using Simple Genetic Algorithms for Solving Differential Equations

Author name: علي اسماعيل عبد علي
Supervisor name: طفول حسين الخفاجي
General topic: Mathematics
Specific topic: Mathematics
Degree: Higher Diploma
University: University of Babylon - College Of Education For Pure Sciences - Department Of Mathematics
Language: English
University location: Babylon
First pages:
Abstract: الخوارزميات الجينية (Genetic Algorithms (GA)) هي خوارزميات بحث عامة يمكن من خلالها البحث عن حل معين موجود في فضاء البحث وهذه الخوارزمية تعتمد على مبادئ دارون في الانتقاء الطبيعي والبقاء للاصلح. الهدف من هذا العمل هو استخدام الخوارزميات الجينية (GA) لحل المعادلات التفاضلية من الدرجة الاولى بوجود الشرط الاولي. وتسمى هذه المسائل مسائل الحالة الابتدائية (Initial Value Problems (IVP)) ويكون لها شكل : y' = f(t, y), y(t0) = y | The Genetic Algorithms (GA) are general search methods through a solution that can be searched in the search space. This algorithm depends on Darwinian principles of natural selection and survival of the fittest. The aim of this work is to investigate the use of GA for solving the Differential Equations (DEs) of the first order having an initial condition. Such problems are called the initial value problems (IVP) which have the following form : y' = f(t, y), y(t0) = y0

خوارزمية هجينه رياضية مورفولوجيه لازالة الضوضاء لصوره ملونه == Color image denoising using hybrid mathematical and morphology algorithms project

Author name: اثير منعثر شلال
Supervisor name: ايناس حمود السعدي
General topic: Mathematics
Specific topic: Mathematics
Degree: Higher Diploma
University: University of Babylon - College Of Education For Pure Sciences - Department Of Mathematics
Language: English
University location: Babylon
First pages:
Abstract: في هذه البحث تم اقتراح طريقه هجينه للتخلص من الضوضاء من اجل ايجاد افضل الحلول الممكنة , لجعل قيمه Peak Signal - to - Noise Ratio) PSNR ) مثاليه .الطريقه المقترحه تكون معتمده على (morphologic filter) الذي نجح في التخلص من الضوضاء مع الطريقه المقترحه (mathematical algorithm) الخوارزميه الرياضيه او الطريقه الرياضيه وهذا البحث يتركز بالصيغة الاساس على تحليل واختبار ومقارنة الانواع المختلفة ل(filters,)مثل (morphology de - noising),( median filters)و(Gaussian filters) والطريقة الرياضيه الجديدة بالاضافة الى الطريقه الهجينه التي تضم كلا الطريقتين (morphologic, mathematical method) حيث تم اضافة ثلاثة انواع من الضوضاء الى الصور الملونه ,وبعدها تم حذف هذه الضوضاء باستخدام الطرق المقترحه لاختبار العلاقة بين انواع الضوضاء وطرق التخلص من الضوضاء وانواع الضوضاء التي استخدمت هي ((Gaussian noise ( Salt and pepper noise) (Speckle noise) حيث تم تقيم نتائج الطريقه الهجينه من خلال طريقة الاختبار المرئي لنتائج الصور والتي تدعى PSNR . | In this thesis, a hybrid denoising method is proposed to find the best possible solutions, so that PSNR (Peak Signal - to - Noise Ratio) value of the image after denoising process is optimal. The proposed model is based on morphologic filter which has been successfully used in noise removal and hybrid it with the proposed mathematical algorithm, which exploits the potential features of both morphologic filter and mathematical algorithm at the same time their limitations are overcome. The main focus of this thesis is to analyze, examine and compare various filters; and denoising methods such as morphology de - noising, median filters, Gaussian filters and a new proposed mathematical algorithm in addition to hybrid method which are combine two methods. Three types of noise inserted on colored image, and then removed by suggested filters to check the relation between the noise type and noise removing methods. The types of noise are Amplifier noise (Gaussian noise), Salt and pepper noise, Speckle noiseThe quality performance of these methods was checked by visual checking of the resultant images, and determining the PSNR value

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:
Abstract: Background : Occupational diseases and work - related injuries are a significant public health problem with severe consequences for workers and society (disabilities, lost working time, medical care). It's a major epidemic problem in the field of public health in developing countries .Aims : 1. Assessment of general workers' health.2. Exploring the extent and determinants of the occupational diseases in Al - Nasiriyah province in 2018.Method and material : An analytical cross - sectional study for exploring the extent of occupational diseases which was conducted in Al Nasiriyah thermal electrical plant, cable plant and oil refinery in the Al Nasiriyah - city at 2018. A multistage cluster sampling method was conducted to recruit (369) workers. The data gathered by survey questionnaire and processed by statistical analysis.Results : The extents of the occupational diseases and occupational injuries were about 68.02% and 22.5% respectively with diseased to non - diseased ratio equal to (2.1 : 1) and injured to non - injured ratio equal to (0.29 : 1) among the workers in AL - Nasiriyah city in 2018. The highest extent (46.6%) was being within the (From 41 - 50 years) age group. The extents of the occupational diseases for the males and females were accounting for 75.3% and 31.1% respectively with the male : female ratio equal to 12.2 : 1. Binary Logistic Regression was done for adjusting the confounder factors for systematically classified occupational diseases. An odds ratio was equal to (19.1).Recommendations : Introducing the speciality of the occupational doctor in primary health care. Requesting from the medical committees in Thi Qar Governorate Council of Nasiriyah for the establishment of the (Thi - Qar Occupational Medical Centre) to promote the optimal occupational medical care.

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
Key words:
  • AL Nasiriya
  • 2018
  • epidemiology of ophthalmological disease.
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
Key words:
  • depression
  • Gastrointestinal symptoms
  • Prevalence
  • Al - Nasiriyah 2018
First pages:
Abstract: Background : Depression is one of the most common mental health conditions in the general population as well as in clinical practice. In clinical studies, there is a strong relationship between gastrointestinal symptoms and depression and the gastrointestinal symptoms remain for longer time and are more serious than in patients without depression.Objective : To estimate extent of depression in gastrointestinal tract symptoms in medical outpatient clinic attendees.methods : The study was a cross - sectional analytical study for 154 adult population in the Al - Hussein teaching hospital in Nasiriya city ,conducted at first March 2018 and completed at end of September 2018. tools of method was questioner and for diagnosis of depression was used Diagnostic and Statistical Manual of Mental Disorders ,fourth edition (DSM - IV) criteria. refusal rate was zero and for statistic analysis was used SPSS version 22.Result : The study showed that 43.5 % of subjects with gastrointestinal symptoms suffer from depression. depression found in 40.7% of females and 47.1% of males . 50.0% of depressed patients were in two age groups of 20 - 44 years and ≥ 65 years.Most of depressed patients were suffering constipation (51.3%), change in appetite (51.3%), and change in weight(50.7%), where only change in appetite had significant association with depression, were p - value=0.001. More of depressedsubjects had GI symptoms with one month duration and ≥7 numbers of GIT symptoms. Recommendation : Raising awareness of general population about the depression and relation of that with GIT symptoms

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
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

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
Key words:
  • prevalence
  • pregnant women
  • antenatal care
  • Modified Coopland score
  • cross sectional study
  • laboratory results
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.

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
University: University of Thi-Qar - Faculty Of Medicine
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

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

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

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

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

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

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

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
University: University of Thi-Qar - Faculty Of Medicine
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

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

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

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

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

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

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

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

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

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

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

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

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