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نمط اكتساب الوزن خلال الحمل في قطاع الاعظمية / بغداد العراق 2014 == WEIGHT GAIN PATTERN DURING PREGNANCY IN SECTOR AL - AADHAMIA/ BAGHDAD - IRAQ 2014

Author name: وسن اسماعيل ابراهيم
Supervisor name: علياء مكي حسن الصافي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
Language: English
University location: Baghdad
First pages:
Abstract: Weight gain has unique significance for pregnant women. Recently a new clinical guideline by united state institute of medicine (2009) addressing healthy weight during pregnancy according to prepregnancy body mass index. It has been introduced in some countries, like Iraq in 2013.This study objectives are to assess gestational weight gain pattern of pregnant women and its correlation with maternal health, labor and fetal outcomes, and to estimate the rate of low birth weight.A total 408 of recently delivered mothers attending primary health care centers of AL - Aadhamia sector to vaccinate their children during the period from the first of November, 2014 to the end of May, 2015. A convenient sample was collected through interview with the mothers and review their antenatal care files was done by a tailored questionnaire especially designed. The independent variables were gestational weight gain, body mass index and birth weight, the dependent variables were birth weight, maturity of pregnancy, maternal age, gestational diabetes, hypertension, urinary tract infection, anemia and cesarean section.The prevalence of gestational weight gain was 44.6% had high weight gain. The body mass index at first visit for studied sample were mostly overweight 40.9%. The rate of low birth weight was 18.1%.There was non - significant difference between gestational weight gain with body mass index at first visit, maturity of pregnancy and anemia. But there was a significant difference between gestational weight gain with birth weight, urinary tract infection, gestational hypertension and gestational diabetes.VIIThere was a significant association between low gestational weight gain group and anemia, urinary tract infection and preterm labor, normal gestational weight gain group and preterm labor, high gestational weight gain group with gestational hypertension, gestational diabetes and cesarean section.According the study results, we are recommended health education of women at bearing age before pregnancy and weight monitoring during pregnancy, Awareness of health care providers by training and alert the ministry of health to carry out nationwide study to evaluate gestational weight gain during pregnancy.

العلاقة بين النتائج السريرية ونتائج التصوير بالرنين المغناطيسي في عينة من المرضى العراقيين الذين لديهم تدلي القرص بين الفقرات القطنية == Correlation Between Clinical Finding And Magnetic Resonance Imaging In a sample of Iraqi patients with Lumbar Disc Prolapse

Author name: نورس نوري كعيد
Supervisor name: خضير زغير معيوف البدري | ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
Language: English
University location: Baghdad
First pages:
Abstract: Lumbar disc prolapse is one of the common causes of low back pain seen in the working population. There are contradictory reports regarding the clinical significance of various magnetic resonance imaging (MRI) findings observed in these patients.Objective : To find out the correlation of clinical features and magnetic resonance imaging (MRI) findings in determining the level of lumbar disc herniation.Patients and Methods : This study was conducted in department of radiology Baghdad teaching hospital from15thaugust 2013 to 15th august 2014 , the total number of patients with prolapse intervertebral disc was 100, the clinical level of disc herniation was determined depending on clinical findings (dermatomal distribution, pin - prick test , SLR Test , knee reflex And Ankle reflex ) and correlated with MRI findings (direction and location of disc herniation and nerve root compression).For both data entry and data analysis Statistical package for social science version 18 (SPSS18) was used. P - value of < 0.05 considered significant.11AbstractResults : Total 100 patients were studied during the12 months period. Out of 100 patient (52%) were male while (48%)were female. Age range was from 17 - 70 years, mean age was 38.9 ±11.4 .Maximum patients were in the age group range from17 - 34 (37%) followed by 35 - 45 years (33%).The duration of symptoms was ranging from 2 months to 2 years. The duration of symptoms was less than 1 year in 57% of patients and while 43% in 1 - 2 years group. The average duration in female patients was 1.1 years and in male patients was 11.23 monthon MRI the commonest nerve compression grade was grade 1 (contact) , when we comparing clinical test grade with nerve compression grade it was found that clinical test grade show very strong association with nerve compression grade .on MRI most disc herniation direction was posterolateral (61%)and (39%)central direction , when we test if there is association between the direction of disc herniation and whether there is nerve root compression we found strong relationship with p - value equal 0.003 .The level of disc herniation was determined on clinical basis as well as on MRI. These findings were compared and correlated for single level disc like L4 - L5 and L5 - S1 and for multiple levels. We found out the sensitivity, specificity and predictive values of clinical features and applied chi square test.In case of L4 - L5 level disc herniation, the sensitivity of all clinical features was 70.5% and positive predictive value was 80%, while the specificity was12Abstract62.5% and negative predictive value was 50%. The chi square value was significant with P value of 0.001.In case of L5 - S1 level disc herniation, the sensitivity and specificity of clinical features as a whole were 71.7% and 62% respectively. The positive predictive value was 55% and negative predictive value was 77.5% with significant chi square test of P value of 0.001.In case of L4 - L5 &L5 - S1 levels disc herniations the sensitivity and specificity of clinical features as a whole were 43% and 91.05% respectively. The positive predictive value and negative predictive value were 27% and 95.5% respectively with significant chi square test of P value of 0.028.Conclusion : This study shows that the lower lumbar discs are affected more than other disc site. In addition, there are strong association between nerve compression grade with severity of symptoms and signs so as the grade increase so also symptoms and signs increase.Also we found strong relationship between the direction of herniation and nerve root compression, so the posterolateral herniation direction compress root more often than central one .Finally, the clinical features should be correlated with MRI findings in determining the level of disc herniation. There is excellent correlation between the clinical features and MRI findings in case of single and multiple level disc herniation, when it is lying posterolaterally at L4 - L5 level or L5 - S1 level.

Gall Stones

Author name: عماد ا. الجبوري
General topic: Medicine
Specific topic: General Surgery
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Management Of Thyroid Nodule

Author name: شهاب احمد عبد الصاحب
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Hydated Pluid Analysis

Author name: عبد الخالق اسماعيل حسين
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Call Stone And Their Complications

Author name: علي هـ. البياتي
General topic: Medicine
Specific topic: General Surgery
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Traumatic Injuries Of Colon

Author name: صباح هـ. م. ناجي
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Solitosy Thyroid Nodule

Author name: علي عباس امين
General topic: Medicine
Specific topic: General Surgery
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Post Operative Complications Of Abdominal Surgery

Author name: ثامر س. عودة
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Montogyiars Facture

Author name: عبد الكريم جلال
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Matignant Tumoucs Of Hyroid Gland

Author name: علي السعدي
General topic: Medicine
Specific topic: General Surgery
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Gall Bladder Disease

Author name: ت. ا. مجيد
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Electrocardiographic Changes In Normal Young Population

Author name: طارق هـ الصافي
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Cushing Syndrome

Author name: صلاح جمال عبد الوهاب
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

Tumors Of Small Intestine

Author name: صالح عبد الصاحب
General topic: Medicine
Specific topic: General Surgery
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad

مقارنة فعالية العلاجات الجراحية للتقرن الضوئي

Author name: دار يوش داير
General topic: Medicine
Specific topic: General Surgery
Degree: Master
University: University of Baghdad - Faculty Of Medicine - Department Of General Surgery
University location: Baghdad