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

Author name: Murtadha Kadhim yasir
Supervisor name: Alaa Hussein Abed | Ali Jern Hasson
General topic: Medicine
Specific topic: Family Medicine
Degree: Higher Diploma
Language: English
University location: Dhi Qar
First pages:

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

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

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

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

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

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