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الانتشار العائلي لداء الوسواس القهري في العراق == Family Study of Obsessive - Compulsive Disorder in Iraq

Author name: علي عباس السعيدي

Supervisor name: وائل صالح عريم

General topic: Medicine

Specific topic: Psychiatry

Degree: Master

University: Iraqi Commission for Medical Specialties - College of General Medicine - Department of General Medicine

Language: English

University location: Baghdad

First pages:

دراسة المضاعفات التنفسية من المرضى الذين يعانون من الاورام الخبيثة الدموية بعد العلاج الادوية السمة للخلايا في مستشفى بغداد التعليمي == Study of Respiratory Complications of Patients with Hematological Malignancies Following Cytotoxic Drugs Therapy in Baghdad Teaching Hospital

Author name: مهند حسن جابر

Supervisor name: عدنان الجبوري

General topic: Medicine

Specific topic: Psychiatry

Degree: Higher Diploma

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Hematological malignancies include lymphoblastic which divided into acute lymphoblastic leukemia is the commonest cancer in children andchronic lymphoblastic leukemia , myeloid leukemia also, acute and chronic , Hodgkin and non Hodgkin lymphoma and multiple myeloma all of these malignancies given cytotoxic drugs and most cytotoxic drugs cause pulmonary toxicity .Aim of study : To assess the respiratory complications following treatment with cytotoxic drugs in patients with hematological malignancies .Patients and method : A hospital based prospective study conducted between first of October 2015 to first of July 2016 in Baghdad teaching hospital hematology unit including 50 patients 25 male and 25 female .Patients information include their age ,sex, residence ,job address and smoking history name of hematological disease, type and duration of cytotoxic drug given.Inclusion criteria : 1 - All patients took chemotherapy mention name of drug , dose and duration of treatment.2 - All patients not have any respiratory signs or symptoms before taking chemotherapy but after took it will develop respiratory disease took the most common symptoms in respiratory disease which include cough ,shortness of breath, chest pain and hemoptysis.3 - All patient in our research have chest x - ray and CT scan findings All patients have oxygen saturation measurement by pulse oximeter .Exclusion criteria : - Exclude any patient have respiratory disease before taking cytotoxic drugs.Results : A total of 50 patients with diagnosis of respiratory disease after taking cytotoxic enrolled in study the mean age of patients was 39.7±18.2 years ( range 16 - 75 years) male to female ratio was 1 : 1 all these patients take cytotoxic drugs for treatment of their malignancies and develop respiratory signs and symptoms , we found that NHL was the most common malignancy in 17 (34%) patients and cytarabin was the most common cytotoxic drug use and cause respiratory complication, the most common respiratory symptom was shortness of breath in 44 patients , right lower zone most common site affected in 22 patients and patch was the commonest lesion in 26 patients, streptococcus viridance was the most significant microorganism in 11(22%) patients and we found only chest pain was significantly associated with deteriorated outcome (P <0.05).The Conclusion : We conclude from this study the following : - most of bacterial infection in hematological diseased patients causedby streptococcus viridance pneumonia were affect 11 patients (22.0%)from all 50 patients and induced by cytotoxic drugs and is the mostcommon cause for mortality and need careful monitoring and follow - up. - invasive fungal infection mostly caused by aspergillus fumigatus werefound in 4 patients and Candida albicans were also, found in 4 patientsand need careful monitoring . - also conclude from this study that pnemocystic jiroveci can affect hematological diseased patients which is found in one patients (2.00%) from 19 patients do cultures for them.

نسبة انتشار اضطراب الكابة بين النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد في مستشفيات ذي قار للامومة == Prevalence of depression among pregnant women with hyperemesis gravidarum in Thi - Qar maternity hospitals

Author name: منار نجم عبد

Supervisor name: Alaa Hussein Ali Al Nasir

General topic: Medicine

Specific topic: Psychiatry

University: University of Thi-Qar

Language: English

University location: Dhi Qar

First pages:

Abstract: خلفية : على الصعيد العالمي، يعتبر مرض الاكتئاب السبب الرئيسي الاول للعبيء المرضي بين النساء في سن الانجاب (14 - 45سنة). اما على الصعيد الوطني، فان المعلومات المنشورة حول انتشار الاكتئاب في النساء الحوامل الذين يعانون من التقيؤ الحملي الشديد هي معلومات شحيحة .الاهداف : تم اجراء هذه الدراسة لقياس مدى انتشار الاكتئاب بين النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد في مستشفيات ذي قار للامومة.الطرائق : تعتبر هذه الدراسة دراسة مقطعية منفذة في اثنين من المستشفيات التعليمية لمحافظة ذي قار ( مستشفى الحبوبي التعليمي ومستشفى بنت الهدى التعليمي) للفترة ما بين الاول من شهر ايلول 2015 ولغاية الواحد والثلاثون من شهر تموز 2016. جميع النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد واللواتي راجعن العيادات الخارجية لاقسام النسائية في هذه المستشفيات , تم تضمينها في هذه الدراسة. تم احتساب العينة البحثية بناء على نسبة انتشار الاكتئاب بين النساء الحوامل في دراسة سابقة في العراق (37.2٪)، وبنسبة دقة انتشار 5% ومستوى ثقة 95%, وبعد اضافة 10% لتغطية استمارات التحري الناقصة والنساء الحوامل الرافضات للاشتراك في هذا البحث, يكون حجم العينة البحثية (322) مشاركة .تم جمع البيانات بواسطة استمارتي استبيان, الاولى النسخة العربية من مقياس بيك للاكتئاب - II والثانية صممت خصيصا لغرض هذه الدراسة. النساء الحوامل المشاركات في البحث واللواتي يجمعن نقاط تقييم استمارة النسخة العربية لمقياس بيك - II اكثر من (20) نقطة, تعتبر المشاركة مصابة بالاكتئاب. النتائج : تبين هذه الدراسة ان معدل انتشار الاكتئاب بين النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد في مستشفيات ذي قار للامومة هو 37.1٪. يتاثر هذا المعدل بشكل كبير بزيادة العمر الحملي "Increased gestational age" (P = 0.003)، الوضع الاجتماعي والاقتصادي المرتفع "High socioeconomic status" (P = 0.009)، التاريخ السابق للاصابة بالتقيؤ الحملي"previous history of Hyperemesis gravidarum" (P = 0.03)، الحمل غير المرغوب فيه "Unwanted pregnancy" (P = 0.03)، وزيادة عدد مرات الحمل "Gravidity" (P = 0.03) .الاستنتاجات والتوصيات : ثلث النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد في مستشفيات ذي قار للامومة يعانين من الاكتئاب. عليه يوصى باعادة فرض برامج الرعاية الصحية النفسية للنساء الحوامل من خلال خدمات الرعاية الصحية الاولية السابقة للولادة في مستوى الرعاية الصحية الاولية، مع تعزيز اساليب اعادة التاهيل النفسي والاجتماعي التي تستخدم لتاهيل النساء الحوامل المصابات بالاكتئاب | Background : Globally, depression is considered as the first leading cause of disease burden in women at child bearing age (15 - 44year). Nationally, scarce information was published regarding the prevalence of depression in pregnant women with hyperemesis gravidarum.Objectives : This study was carried out to measure the prevalence of depression among pregnant women with hyperemesis gravidarum in Thi - Qar maternity hospitals.Materials and methods : A hospital based cross sectional study was carried out in two teaching hospitals (Al Habobi teaching hospital and Bent Al Huda teaching hospital) in Thi - Qar Maternity hospitals from first of Sep/2015 to 31st of Jul/ 2016. All pregnant women who were suffering from hyperemesis gravidarum, and attended the obstetric outpatients in these two hospitals were included in this study. Based on assumed prevalence of depressive symptoms among pregnant women in a previous study in Iraq was (37.2%), so the needed sample size to calculate such prevalence rate with precision of 5%, confidence level of 95%, and added extra sample of 10%, is almost equal to 322. Women data were collected by using Arabic version of Beck depression inventory - II and a specialized questionnaire which was designed for the purpose of the study. Depression was considered when patients have BDI - II score of > 20. Results : This study showed that prevalence rate of depression among pregnant women with hyperemesis gravidarum was 37.1%. This rate was significantly affected by increased gestational age (P = 0.003), high socioeconomic status (P = 0.009), previous history of hyperemesis (P = 0.03), unwanted pregnancy (P = 0.03), and increased gravidity (P = 0.03).Conclusion : One - third of pregnant women with hyperemesis gravidarum in Thi - Qar maternity hospitals had depression. It is recommended to re - inforce mental health care of pregnant women through the antenatal care services at primary health care level, with strengthening the mental and social rehabilitation methods that are used for diagnosed women with depression. Key word : Depression, pregnant, hyperemesis gravidarum, Thi - Qar province