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مدى انتشار الم الظهر لدى طلبة المدارس الابتدائية والعوامل المصاحبة له في مدينة بغداد == PREVALENCE AND ASSOCIATED FACTORS OF BACK PAIN AMONG PRIMARY SCHOOL CHILDREN IN BAGHDAD CITY

Author name: نوار صاحب خليل
Supervisor name: مازن غازي جاسم الربيعي
General topic: Medicine
Specific topic: Community Medicine
Degree: Doctorate
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

التاخير الثالث لوفيات الامهات في مستشفيات الولادة في بغداد == third delay of maternal deaths in maternity hospitals in baghdad

Author name: سارة ضياء سلمان
Supervisor name: لمياء ضياء الدين بهاء الدين
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

سرطان القولون في العراق : دراسة وبائية == Carcinoma of The Colon in Iraq : Epidemiological Study

Author name: علي موسى مهدي
Supervisor name: E. N. Kassira
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad

وبائية العرق العقلي في العراق خلال خمس سنوات == Epidemiology of Mental handicap in Iraq With in Five Years

Author name: ثائر عبد الواحد محمد
Supervisor name: S. Al-Obiadi
General topic: Medicine
Specific topic: Community Medicine
Degree: Higher Diploma
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad

الصحة الانجابية في البصرة دراسة لتحليل السياسة وتقييم الخدمات

Author name: رجاء احمد محمود
Supervisor name: نرجس عبد الحسن | عجيل حسين العبوده
General topic: Medicine
Specific topic: Community Medicine
Degree: Doctorate
University: University of Al Mosul - Faculty Of Medicine
Language: English
University location: Mosul
First pages:

شيوع ومحددات والتاقلم مع مرض ارتفاع ضغط الدم في محافظة ذي قار: دراسة مسحية سكانية == Prevalence, determinants and coping with hypertension in Thi-Qar governorate: A household survey

Author name: علي عبد سعدون
Supervisor name: جاسم نعيم الاسدي
General topic: Medicine
Specific topic: Community Medicine
Degree: Doctorate
University: University Of Basrah - Faculty Of Medicine
Language: English
University location: Basrah
First pages:

دراية واتجاهات وممارسات الامهات تجاه خدمات رعاية الامومة والطفولة في مدينة تكريت == Mothers Knowledge, Attitude and Practice Toward Maternal and Childhood Health Services in Tikrit City

Author name: عذراء عيسى احمد الجبوري
Supervisor name: Thamir Kadim
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: Tikrit University - Faculty Of Medicine
Language: English
University location: Salahaddin
First pages:

تاثير اعتمادية مراكز الرعاية الصحية الاولية على جودة الرعاية الصحية من منظور مقدمي الخدمات الصحية ومدراء المراكز الصحية في بغداد - الكرخ == THE IMPACT OF ACCREDITATION OF PRIMARY HEALTHCARE CENTERS ON QUALITY OF CARE AS PERCEIVED BY HEALTHCARE PROVIDERS AND DIRECTORS IN BAGHDAD

Author name: هبة جواد كاظم
Supervisor name: مازن غازي الربيعي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

تاثير وسائط الاعلام والالعاب العنيفة على سلوكيات الاطفال عينة من مدينة بغداد == Effect of Violent Media & Video Games on Children’s Behavior A sample from Baghdad City

Author name: صبا ضياء احمد
Supervisor name: وليد عارف توفيق
General topic: Medicine
Specific topic: Community Medicine
Degree: Doctorate
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

تقييم الحالة التغذوية عند الاطفال بعمر 12–59 شهرا في العوائل النازحة في بغداد == NUTRITIONAL ASSESSMENT OF CHILDREN (12-59) MONTHS IN DISPLACED FAMILIES IN BAGHDAD

Author name: سامر جاسم محمد
Supervisor name: جمال رشيد الراوي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

عبء الامراض في مرحلة الانتقال الوبائي في العراق == BURDEN OF DISEASES IN THE STAGE OF EPIDEMIOLOGICAL TRANSITION IN IRAQ

Author name: اشرف محمد علي حسين
Supervisor name: رياض خضير لفتة
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: Mustansiriyah University
Language: English
University location: Baghdad
First pages:

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.

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

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.

تاثير الخدمات الصحية على وفيات الولدان في بغداد 2012 - 2016 == The Impact of Health Services on Neonatal Deaths in Baghdad, 2012 - 2016

Author name: سالي سعد محمد علي باش
Supervisor name: جواد كاظم الديوان
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : وفيات الاطفال حديثي الولادة مؤشر لجودة الخدمات الصحية للام والطفل في المجتمع والوضع الاقتصادي. العراق لازال يعاني من حروب ووضع اقتصادي مزري نتيجة حصار سابق وانخفاض اسعار النفط وسيطرة الارهاب على اراضيه، وتزايد عدد النازحين داخل البلد. وظهرت تلك الاشكالات الاجتماعية على شكل صراعات.الاهداف : اجريت هذه الدراسة لمراجعة نسبة وفيات الاطفال حديثي الولادة في المستشفى حماية الاطفال التعليمي ومستشفى الاطفال الكاظمية من 2012 الى 2016..الطرق : جريت دراسة مستعرضة باثر رجعي. مستشفيات عشوائية مختارة من كل جانب من بغداد ، المستشفى حماية الاطفال التعليمي فيجانب الرصافة من مدينة بغداد ومستشفى الاطفال الكاظمية في جانب الكرخ من مدينة بغداد. تم جمع جميع سجلات حالات حديثي الولادة في وحدات الرعاية المركزة للولدان من عام 2012 الى عام 2016 في المستشفيات المذكورة. تحتوي السجلات على بيانات حول حديثي الولادة . ومن سجلات الادارة تم الحصول على اعداد الاطباء والكادر التمريضي ومن سجلات القسم الفني على اعداد الاجهزة الطبية.ظهرت الخدمات الصحية في عدد من اطباء اختصاص اطفال واطباء الدراسات العليا والكادر التمريضي الجامعي.النتائج : زيادة في دخولات حديثي الولادة في نهاية السنوات المدروسة بنسبة 25.9 ٪. كانت هناك زيادة في نسبة اطباء الاطفال ونسبة اطباء الدراسات العليا ونسبة الممرضين المتخرجين بمقدار 0.004 و0.2 و0.02 على التوالي. لم تتاثر نسبة وفيات المواليد الجدد بعدد اطباء الاطفال (P = 0.3) ، وطبيب الدراسات العليا (P = 0.2) ، وممرضة الدراسات العليا (P = 0.02). الاستنتاج : لوحظ ارتفاع معدل وفيات الولدان. الصراعات اثرت سلبا على الخدمات الصحية، واظهرت اسباب غير واضحة لذلك. | Background : Neonatal mortality is an indicator to evaluate and assess the maternal and neonatal health services system in the community. Neonatal mortality reflects the quality of socioeconomic status and health services of each country.Iraq has been suffering from wars, economic sanction, and internal displacement population.Conflicts lead to deterioration in health system which is in turn affect health status.Objectives : This study was carried out to review the neonatal mortality proportion in Children's Welfare Teaching hospital and Al - Kadhimiya children hospital from 2012 to 2016.Methodology : A retrospective cross - sectional study was conducted. A random chosen hospitals from each site of Baghdad, Children's Welfare Teaching hospital in Al - Rusafa side of Baghdad city and Al - Kadhimiya children hospital in Al - karkh side of Baghdad city. All cases records of newborns in neonatal intensive care units from 2012 to 2016 in the mentioned hospitals were collected. Records contain data about newborn, the health worker, and medical instrument.Health services were manifested in number of specialist pediatrician, postgraduate physicians and graduate nurse. Results : The admissions increased in the ending years of studied period by 25.9%. There was an increase in pediatrician proportion, postgraduate physician proportion and graduated nurse proportion by 0.004, 0.2, and 0.02 respectively. Neonatal mortality proportion wasn’t affected by number of pediatrician (P = 0.3), postgraduate physician (P = 0.2), and graduate nurse (P = 0.02).Conclusions : High neonatal mortality was observed. Conflicts mask the impact of the health services.Keyword : Neonatal mortality, Proportion, conflict, Iraq, neonatal intensive care unit.

متلازمة القولون المتهيج بين طلاب المدارس الثانوية : نسبة الانتشار والاسباب 2017 - 2018 == Irritable Bowel Syndrome Among High School Students : Prevalence and Determinants 2017 - 2018

Author name: هناء فريق هزاع
Supervisor name: فارس حسن اللامي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : ان متلازمة القولون المتهيج هي خلل وظيفي يصيب الامعاء الغليظة ويؤدي الى اعراض مزمنة في الجهاز الهضمي. وهو مرض واسع الانتشار يصيب كل الفئات العمرية لكنه اوسع انتشارا" بين فئة المراهقين والشباب.الهدف من الدراسة : هو معرفة نسبة انتشار المرض بين طلاب المدارس الثانوية وتحديد العوامل المؤثرة في زيادة نسبة انتشاره في محافظة بغداد 2017 - 2018 الاشخاص وطريقة العمل : هذه دراسة مقطعية اجريت على 12 مدرسة من المدارس الثانوية التابعة لمديريات تربية بغداد \ الكرخ. حيث تمت الدراسة عن طريق الاستبيان المباشرلاعراض المرض لجميع طلاب المرحلة السادسة في تلك المدارس , ذكورا"واناثا". وقد تم استبعاد الطلبة الذين يعانون من الاعراض التي تشير الى امراض اخرى قد تتداخل مع تشخيص المرض., وكذلك استبعاد الطلبة الذين سبق وان اجروا عملية سابقة او شخصوا باصابتهم بامراض اخرى في الجهاز الهضمي وقد تمت الدراسة بتطبيق نوعين مختلفين من الاستبيان, الاول لجمع المعلومات الاجتماعية والديموغرافية والعادات اليومية للطلبة, والاستبيان الثاني (Rome Criteria III) لتشخيص المرض ,ثم تصنيفه الى ثلاثة انواع (رابط الاسهال, رابط الامساك ,النوع المختلط) النتائج : شملت الدراسة 592 طالب وطالبة, وقد اظهرت الدراسة ان النسبة العامة لانتشارالمرض كانت 29,7% (فاصل الثقة 95% 29.4 - 30.1%) مع نسبة اعلى للانتشار بين الاناث عن الذكور بنسبة1 : 1.5 كما اظهرت الدراسة ان النوع المختلط من المرض هو النوع الاكثر شيوعا"(42.6%) يليه رابط الاسهال(33.5%), ثمرابط الامساك(23.9%). وكشف معامل الانحدار اللوجستي عوامل الخطورة التالية : الضغوط الحياتية) 3.93% (OR= والحساسية للاطعمة (2.89% OR=) والامراض المزمنة (2.22% (OR= والعامل الوراثي (2.04% OR=) والجنس (1.84% OR=) هي من اهم العوامل المؤثرة في زيادة نسبة انتشار المرض | Background : Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder. It's worldwide prevalent and causes a great challenge on the health system and patients' daily life activity. It affect all age groups but more common among adolescents and young age groups.Objectives : To estimate the prevalence and identify potential determinants of IBS among high school students in Baghdad, Iraq.Methods : This cross - sectional study was conducted on a cluster sample of 12 high schools in Baghdad. All students in the sixth grade were considered eligible. Students with "red flag" symptoms were excluded. Rome III criteria questionnaire was considered to define Irritable Bowel Syndrome. A self - administered questionnaire used to compile socio - demographics, personal habits and certain potential determinants.Statistical Analysis : Statistical Package for Social Sciences (SPSS) program, version 23 was used for data entry and analysis. The prevalence (and its 95% confidence interval) of Irritable Bowel Syndrome among high school students was calculated. Chi square and fisher's exact probability test were applied to test association of qualitative and categorical variables with IBS. Logistic regression analysis was used to identify the significant, independent and un - confounded risk factors.Result. Among 657 eligible high school students, 592 (90.1%) were enrolled. The prevalence of Irritable Bowel Syndrome was 29.7% (95% C.I. 29.4 - 30.1%). The most common type was mixed type (42.6%) followed by diarrhea - predominant (33.5%), then constipation - predominant (23.86%). Binary and logistic regression analyses revealed the following significant factors. Exposure to stressful life event (OR. 3.93; 95% CI. 2.64 - 4.85), food hypersensitivity (OR. 2.89; 95% CI. 1.59 - 3.27), chronic diseases (OR. 2.22; 95% CI. 1.24 - 3.95), family history of IBS (OR. 2.04;95% CI. 1.30 - 3.01) and female sex (OR. 1.84; 95% CI. 1.25 - 2.73). C - IBS was significantly more common among females (P=0.02) Conclusion : Irritable Bowel Syndrome is prevalent among high school students in Iraq, affected about one third of them. Stressful life events were the most important modified risk factor and it was the strongest factor affecting the prevalence of Irritable bowel syndrome. Food hypersensitivity, family history, chronic health problems and gender were the most important non - modified risk factors and Migraine was the most common comorbid chronic disease among students with Irritable Bowel Syndrome.

مستوى فيتامين د والكالسيوم في مصل الدم لدى النساء الحوامل اللواتي يعانين من القئ المفرط الحملي في مستشفى بغداد التعليمي == Serum Vitamin D and Calcium levels in Pregnant Women with Hyperemesis Gravidarum at Baghdad Teaching Hospital

Author name: نور جليل جبار الصائغ
Supervisor name: علياء مكي حسن الصافي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : نقص فيتامين (د) ومستوى الكالسيوم في الدم له علاقة مع القيء المفرط الحملي. كان هدف الدراسة الحالي هو فحص مستويات فيتامين د والكالسيوم في مصل الدم لدى النساء الحوامل المصابات بالقيء المفرط الحملي وتاثيراته على صحة الانجاب لدى النساء الحوامل.طريقة البحث : هذه دراسة مقطعيه تشمل 97 مشاركة تشمل النساء الحوامل المصابات بالقيء المفرط الحملي تمت في مدينة الطب / بغداد / العراق. تم جمع البيانات من قبل الباحث بعد اعداد استبيان منظم لهذا الغرض بعد الحصول على الموافقة اللفظية من قبل المشمولين بالدراسة (عمر الامهات، الاقامة، الحالات الزوجية، الاقتصادية والاجتماعية، والتعليمية والمهنية، التاريخ الحملي السابق والحالي ومؤشر كتلة الجسم). اجريت التحاليل المختبرية بحساب نسبة فيتامين د والكالسيوم في مصل الدم.النتائج : ان اعمار النساء المشاركات بهذه الدراسة كان يتراوح بين 16 الى 41 عام، حيث ان 70% من المشاركات في هذه الدراسة كان متوسط اعمارهم يتراوح بين 25 الى 35 عام. ان اغلب المشاركات كانوا من متوسطي الدخل المعاشي (40%)، مستوى تعليم متوسط (54%)، ربات البيوت (77%) ونساء متعددات الولادات (1 الى 3 ولادات) (47%). حسب منظمة الصحة العالمية ان معدل الاسقاطات بين النساء للحوامل يمثل نسبة عالية تصل الى (25%) والنساء اللاتي يلدن ولادات ميتة ايضا يشكل نسبة مرتفعة (12%). كان مؤشر كتلة الجسم 56 ٪ من عينة الدراسة. فيما يتعلق بفقر الدم، كان معظم عينات الدراسة يعانين من فقر الدم (70 ٪) مع التاريخ الغذائي السيئ اثناء الحمل (61 ٪) وانخفاض التعرض للشمس (84 ٪). وجود فقر الدم (فيتامين د : ص = 1.0؛ الكالسيوم : ر = 1.0) والتاريخ الغذائي (فيتامين د : ص = 0.07، ع = 0.82؛ كالسيوم : ر = 1.0) اثناء الحمل، كان له ارتباط عالي غير مهم للانقسام من النساء مع نقص فيتامين (د) وانخفاض الكالسيوم في الدم.الاستنتاج : توصلت الدراسة الى ان نسبة عالية من النساء الحوامل اللواتي يعانين من القيء المفرط الحملي تعاني من نقص في فيتامين د ومستوى الكالسيوم في مصل الدم، وكشفت ايضا ان الامهات التي يعنين من نقص فيتامين د ومستوى الكالسيوم في مصل الدم اثناء الحمل واللواتي يعانين من القيء المفرط الحملي يرتبطان ارتباطا بشكل كبير مع ارتفاع خطر الاصابة بفقر الدم. ان خطر نقص في فيتامين د ومستوى الكالسيوم في مصل الدم النساء الحوامل اللواتي يعانين من القيء المفرط الحملي ارتفاع في النساء الحوامل اللواتي كن ربات البيوت وذوي الحالة الاجتماعية والاقتصادية المنخفضة وكذلك الاقل تعرض لاشعة الشمس، ومعدومة النشاط البدني، وكمية اقل من تناول المكملات التي تحتوي على فيتامين د ومكملات الكالسيوم | Background : Vitamin’D’deficiency has a close relation with hyperemesis’gravidarum and serum’calcium level.The current study objective was’to investigate the levels of vitamin D’and serum calcium in pregnant women’with hyperemesis gravedarum and their’effects on their obstetric health. Methodology : This is a’cross - sectional study including 97’pregnant woman with hyperemesis’gravedarum’conducted in’Baghdad Teaching Hospital from the period of seven month starting from November 2017 to May 2018. Data collection from direct interview for the pregnant women.The sociodemographic’data was collected by researcher following a’structured questionnaire about (maternal age, residency, marital, economic and social states, educational and occupation states, previous and current obstetrical history and body mass index were collected). Laboratory Investigations were’done to’estimation of vitamin D and serum calcium level. Results : The age of women included in the study ranged from 16 to 41 years and 70% of them were between 25 and 35 years. Most of the participants were medium socioeconomic state (40%), secondary educational level (54%), homemakers (77%), and multipara (1 - 3 para) (47%). History of miscarriage among pregnant females (23%) and history of fetal death was (12%). Body Mass Index was 56% of study sampl, which are obese women. Regarding the anemia, most of study sampl was anemic (70%) with bad dietary history during pregnancy (61%) and low sun exposure (84%). The presence of anemia (vitamin D : r=1.0; calcium : r=1.0) and dietary history (vitamin D : r=0.07, p= 0.82; calcium : r=1.0) during pregnancy, had non - significant high correlation to division of women with deficient Vitamin D and low serum calcium. Conclusion : The study findings that high percentage in pregnant women with Hyperemesis Gravidarum has deficiency in serum vitamin D and calcium level also revealed that’maternal vitamin D deficiency’and low serum calcium in pregnant women with Hyperemesis Gravedarum are’significantly associated with elevated’risk for anemia. The risk of’vitamin D deficiency and low’serum calcium was higher Hyperemesis Gravedarum pregnant women which were’housewives, and those with low’socioeconomic state and less exposure to’sunlight, no physical activity, and less’vitamin D and calcium supplement intake.

فعاليه جهاز مفراس القلب الملون في تشخيص امراض الشرايين التاجيه في بغداد / العراق 2013 == ACCURACY OF CORONARYCOMPUTED TOMOGRAPHY ANGIOGRAPHY IN THE DIAGNOSIS OF CORONARY ARTERY DISEASE, BAGHDAD - IRAQ, 2013

Author name: ميثاق حسن العكيلي
Supervisor name: ايمان القصير | هلال الصفار
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Background : Various diagnostic tests, invasive and noninvasive, are used in the diagnosis of coronary artery disease (CAD). Recently, coronary computed tomography angiography (CCTA), being noninvasive and due to its high spatial and temporal resolution, are widely used particularly in patients with low to intermediate probability. Studies on accuracy of CCTA in Iraq are scarce; therefore this study was carried out. Methods : A total of 260 patients were included in this study, they were recruited from the Iraqi Centre for cardiac disease (medical city complex) and Ibn Al - Bitar Cardiac Surgery Center for the period from December 2012 to August 2013. Direct interview for those who referred for CCTA was done and case records of those who did invasive coronary angiography (ICA) were reviewed. Requested information regarding demographic data (age,gender, residence, etc.), history of smoking, alcohol consumption, hypertension, diabetes and present complaints, review of prior tests (electrocardiography (ECG), chest x ray (CXR), echocardiography, treadmill test “TMT”, etc.), referral indication as stated by the physician and outcome data, were filled in questionnaire for each patient.Results : The mean age of patients was 56.7 ± 10.2 with males were predominant (62.3%). There was significant difference between CCTA results with age (p=0.003), left ventricle ejection fraction (LVEF %) (p=0.01), sex (p=0.04) and hypertension (p=0.03). No significant association between CCTA results with diabetes and cholesterol level (P= 0.7, and 0.6 respectively). No significant association was found between TMT findings with CCTA results (p=0.6) or ICA results (p=0.2). Also there was no significant association between ICA findings according to CCTA results (p=0.3). The calculated sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) values for CCTA was (80.7%, 0.0%, 70% and 0.0, respectively). There was significant association between CCTA results with the pretest probability of CAD (p=0.01).Conclusions : Low accuracy figures for CCTA were reported. Guidelines according to Iraqi situation may enhance accuracy

العوامل المرتبطة مع سرطان الثدي وتاثيراتها في عينة من المرضى لمستشفى الامل الوطني لعلاج السرطان في بغداد == Factors associated with Breast Cancer Impact in a sample of Al - Amal National hospital for Cancer management in Baghdad

Author name: اسامة مدحت لفتة
Supervisor name: احمد سمير النعيمي
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Breast cancer (BC) known to be the most common cause of cancer - related death among females with excess of more than a million inflicted with this disease every year. In Iraq, breast cancer is the most common type of malignancy among the Iraqi population in general. The disease affects physical and mental health among breast cancer survivors. The true impact of a successful medical intervention could be understood by the degree to which the treatment has a positive influence on patient’s immediate and /or future well - being. Assessment of quality of life among breast cancer is vital to identify area of concerns to the patient and health professional, and to suggest means to improve disease outcome and reduce patient’s suffering. The current study aimed at measuring the impact of Breast Cancer on different aspects of health related quality of life. In addition, to studying the association between the impact of breast Cancer and sociodemographic characteristics or treatment modalities.A cross - sectional study was conducted on a total of 250 randomly selected females with an established diagnosis of breast cancer attending Al - Amal National hospital for Cancer management in Baghdad. Data collection took place during the period from January to April, 2016, each participant was asked to fill The questionnaire composed of three parts : The first one covered sociodemographic characteristics including : age, gender, educational attainment, marital status, living arrangement, finical status, BMI and blood pressure. The second part contained the ABCIS (Arabic Breast Cancer Impact Scale) with 14 questionnaire items. The third part of the questionnaire gathered data about disease associated factors like duration, treatment modalities. The answers that reflect the impact of the disease on specific life domains were anchored to a 5 points Likert - scale type rating scale. It ranges from large extent to no impact. Higher rating reflects higher negative impact. In addition, the importance of each domain rated on 4 points likert - scale ranges from very important to not important. Higher rating reflects greater importance.Breast cancer had negative impact on patients quality of life. The psychological domain was the most affected among the three domains of quality of life, while theviisocial domain was the least affected. The retest part of the study supported a high reliability for the tested instrument among Iraqi Breast Cancer patients. A quarter of study subjects described the quality of their life as poor. This group of females is at risk for bad prognosis and deterioration of their conditions later on.The study failed to detect an association between type of treatment (whether radio or chemo - therapy) and negative impact of breast cancer on quality of life. Most cancer patients in Iraq fail to cope with the new events and changes in their body image and daily activities that resulted from their disease, neither in their social or occupational life. This might be related to the lack of the psychological therapy and rehabilitation program, which should be provided in all stages of management.

الخصائص الوبائية لفتحات جدار القلب الخلقية للاطفال دون الخامسة الوافدين الى مستشفى ابن النفيس التعليمي، بغداد 2015 == Epidemiological characteristics of Under Five Children with Ventricular Septal Defects Attending Ibn - Nafees Teaching Hospital, Baghdad 2015

Author name: عمار حسن عبد القهار
Supervisor name: بتول علي غالب ياسين | علاء عبد الحسين الانباري
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Globally at least eight of every 1,000 infants born each year have a heart defect, and as Ventricular Septal Defect (VSD) is the commonest among Congenital Heart Defect (CHD), this study aimed to assess the impact of VSD among CHD and its association with certain factors, and to assess the anthropometrical measures among children with CHD as well as assess nutritional state of their mothers. A hospital based cross sectional study on 349 under five children with CHD attending Ibn Al - Nafees Teaching Hospital were subjected to questionnaires prepared by the researcher. The nutritional status of under five children was assessed through an anthropometric measures (height and weight) and compared with z - score of CDC 2000, meanwhile 296 Mother’s Body Mass Index (BMI) was assessed to point out an association with CHD and VSD.It was found that 54.7% of CHD were VSD, 29.2% were ASD and the combination of VSD and ASD was on the top of congenital heart malformation 61.4%.CHD had increase relation with Father’s and Mother’s education and indirect relation with Mother’s age, also was higher (84.2%) among 20 - 39 years Mother and appear more often in children under one year 64.2%. The studied factors had no obvious influence on VSD rather than other CHD.Nutritional status of the study sample showed that wasted children was almost three times over normal distribution which exhibit acuteness with no evidence on disease chronicity, as shown the study sample showed close frequency distribution regarding stunting and underweight. Mother’s BMI exhibit a problem as 37.2% were overweight and 26.4% were obese.Interfamily marriage express 58.5% positivity and only 8.3% report positive family history. Anemia reported in 33% of Mothers and 30.4% address febrile illness during first trimester.This study observed no significant associations between VSD and other congenital heart defects in term of socio - demographic characteristic; residency, mother’s age, child’s age, Father’s and Mother’s education and consanguinity. Also no associations were found regarding family history, febrile illness, passive smoking, certain medication received, anemia and DM.

المسح عن مسببات وطرق الوقاية من الجلطات الدموية الوريدية في مرضى مستشفى بغداد التعليمي == Screening of Venous thromboembolism risk factors and prophylaxis in Baghdad teaching hospital patients

Author name: صباح الشاوي
Supervisor name: ايمان عدنان القصير
General topic: Medicine
Specific topic: Community Medicine
Degree: Master
University: University of Baghdad - Faculty Of Medicine
Language: English
University location: Baghdad
First pages:
Abstract: Deep vein thrombosis is the silent killer, which complicate many of the hospital admission and the cause for many re - admission. In Iraq, deep vein thrombosis is the iceberg where little is known about the risk with the availability of many risk factors in the Iraqi population. The right selection for the patients who need the prophylaxis decrease the rate of the Deep Venous Thrombosis and the complication, which happen through the first three months of the admission history. Assessment of deep venous thrombosis risk in the admitted patients reduce the risk of the disease and the complications. This study aimed to explore the risk of the Deep Venous Thrombosis and the selection of the right prophylaxis regimen to decrease the Deep Venous Thrombosis and complication outcome. A cross - sectional study conducted on 404 randomly selected admitted patients with various admission causes attending Baghdad teaching hospital in Baghdad. Data collection done through 1st of April to 1st of July 2017 , five to six patients were screened for the risk factors available which were divided in five groups of risk factors according to Capirini risk assessment form which used internationally for this reason .The total score then calculated and divided into three categories (mild, moderate and high). The score of 1 to 2 considered as mild with no need for prophylaxis, the score of 3 to 5 considered as moderate, the score of more than five considered as high - risk patients. Moderate and high - risk patients should have prophylaxis administered to them according to the international guidelines of Deep Venous Thrombosis prophylaxis. Statistical test is applied to find the percentage of the patients at risk of VTE in total and subgroup analysis to see the risk factors in the Medical, surgical & gynecological patients separately. Another statistical test done to compare the patients receiving the VTE prophylaxis versus the international guidelines recommendation. Deep Venous Thrombosis risk found to be high in the study population 65% and 35% were free from deep venous thrombosis risk , the survey include the medical, surgical and gynecological wards. The risk found to be highest in the gynecological patients with 77% at risk of Deep venous thrombosis followed by the surgical patients with 59% and then by the medical patients by 8%.The prophylaxis administration to the eligible patients found to be very low where the patients who received the prophylaxis was 27% from the medical patients and 41% from the surgical patients and 28% from the Obstetric and gynecological patients.
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