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

The Evaluation And Application Of Alacally Prepared Divect Agglutination Test For The Diagnosis And Ser

Author name: قحطان طه خلف

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

Pattern Of Mother Motbidity In The Postpartum Puerperium Period

Author name: بشرى زيدان الجميلي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

Clinicoepidemiological And Socil Profile Of Patients With Cerbro Vascular Accidents In Baghdad

Author name: بان عبد الستار خضير

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: Mustansiriyah University

University location: Baghdad

Urinary Tract Infections In Patients Hospilized Atal - Rasheed Military Hospital

Author name: hana k . mohammed

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Baghdad - Faculty Of Medicine - Department Of Community Medicine

University location: Baghdad

Key words:

/meningitis/ /leptomeningitis/ /central nervous system - diseases/

A Study Of Septic Meningitis Cases In Ibn - Al Khateed Hospital For One Year

Author name: nima j . khenger

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

Key words:

/meningitis/ /leptomeningitis/ /central nervous system - diseases/

Epidemiological And Clinical Study Of Haemorrhagicfever Cases Admitted To Ibnéal - Khateeb Hospital

Author name: al - khakani alia a . a .

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Baghdad - Faculty Of Medicine - Department Of Community Medicine

University location: Baghdad

Key words:

/hemorrhagic fever/ /hemorrhagic fever,omsk/ /theses/

قيم الكوليسترول في الدم لدى افراد الجيش العراقي الاصحاء

Author name: توفيق فاخر رسن

General topic: Medicine

Specific topic: Community Medicine

Degree: Iraqi Board

University: Iraqi Board for Medical Specialities - Department Of Community Medicine

University location: Baghdad

Key words:

المستنصرية

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:

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

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.

Author name: عبد الصاحب هادي عبد الكريم

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:

الخصائص الوبائية وصورة فيتامين د للنساء المصابات بهشاشة العظام في العراق المراجعات لعيادة امراض المفاصل الاستشارية في مستشفى بغداد التعليمي لسنة 2013 == Epidemiological Characteristics and Vitamin D Profile in Iraqi Osteoporotic Women Attending Rheumatology Outpatient Clinic of Baghdad Teaching Hospital 2013

Author name: مينا صلاح عبد الفتاح

Supervisor name: علياء مكي حسن الصافي | سامي سلمان شهاب

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: هشاشة العظام هوالمرض الاكثر شيوعا من جميع امراض العظام في البالغين، وخاصة في سن الشيخوخة. تتميز هشاشة العظام بانخفاض كتلة العظام وفقدان النسيج العظمي التي قد تؤدي الى ضعف العظام وهشاشتها. فيتامين (د) ضروري لتحسين صحة العظام.تهدف الدراسة الى : 1 - لتسليط الضوء على الخصائص الوبائية لهشاشة العظام للنساء العراقيات المراجعات العيادات الخارجية للمفاصل في المستشفى في بغداد التعليمي في بغداد عام 2013. 2 - لقياس فيتامين د ومستوى الكالسيوم في عينة من النساء اللاتي يعانين من هشاشة العظام ومقارنتها مع النساء الاصحاء. 3 - لربط مستوى فيتامين د مع كثافة المعادن في العظام .4 - للحصول على التاريخ الغذائي لبعض الاغذية المتعلقة بهشاشة العظام عند النساء.كانت هذه دراسة مقطعية اجريت في مستشفى بغداد التعليمي،العيادة الخارجية لشعبة امراض المفاصل من 16 كانون الثاتي الى 16 حزيران 2013 . على مجموعه من النساء عددهم 136 ( 68 يعانين من هشاشة العظام ، 68 لا يعانين من المرض ) الذين تتراوح اعمارهم بين 40 سنة وما فوق وليس لهم تاريخ تناول حبوب الكالسيوم وفيتامين (د) كوقاية او علاج. كما اجريت مقابلات لتقييم العديد من عوامل الخطر لمرض هشاشة العظام بين مجموعة من النساء العراقيات المراجعات العيادة الخارجية لمرضى المفاصل.ادنى نتيجة من نتائجT كانت تستخدم لتشخيص هشاشة العظام، وقد صنفت بحيث اذا كانت نتيجة T اقل من( - 2.5 ) شخصت كهشاشة العظام واعتبرت الاكثر من - 1 كنساء اصحاء .الاستبيان اشتمل على الخواص الديموغرافية للنساء وبيانات عن تاريخ تناول بعض الادوية المرتبطة بهشاشة العظام ( التيروكسين، جلايكورتيكود، ادوية مضاد للصرع ووسائل منع الحمل عن طريق الفم) وبعض الاطعمة المسببة لهشاشة العظام ومصادر الكالسيوم.وقد اخذت عينة من الدم لقياس مصل فيتامين د,الكالسيوم والفسفور ووظائف الكلية والكبد والغدة الدرقية. وقد تم قياس فيتامين (د) عن طريق قياس 25 هيدروكسي فيتامين د باستخدام مقايسة الممتز المناعي المرتبط بالانزيم .قد وجد ان النساء اللاتي يعانين من هشاشة العظام 68 ( 50 ٪ )، وكانت النساءالاصحاء 68 ( 50 ٪ ) . كان متوسط عمر النساء اللاتي يعانين من هشاشة العظام 58.5 ± 7.7 ومتوسط عمرالنساء الاصحاء كان 54.8 ± 8.4 سنة . فقد وجد ان هناك فروق ذات دلالة احصائية في العمربين المجموعتين (ع = 0.001 ). عثر على ان المستوى التعليمي، الحالة الاجتماعية، والاقامة والعمل لم يكن لها تاثير على هشاشة العظام. تم العثور على خطر نقص فيتامين (د) في ( 61.1 ٪ ) من النساء الاتي يعانين من هشاشة العظام وفي ( 38.9 ٪ ) من النساء الاصحاء مع الجمعيات ذات دلالة احصائية تم العثور عليها. كان هناك فرق كبير بين s.Ca (p = 0.001 ) ، s.Ph (p = 0.001 ) ، s.Alk.ph (p = 0.001 ) ، s.T3 (p = 0.001 ) ، s.Creatinine (p = 0.001 ) . لم يوجد فرق ذو دلالة احصائية (p > 0.05) وجدت فروق ذات دلالات احصائية بين النساء اللاتي يعانين من هشاشة العظام والنساء الاصحاء في رباعي يودوثيرونين واليوريا في الدم ، ووظائف الكبد. كانت غالبية النساء اللاتي شخصن بهشاشة العظام ( 55.5 ٪ ) قد دخلن سن الياس و( 26.0 ٪ ) قبل سن الياس مع اختلاف ذو دلالة احصائية بين مجموعة النساء المصابات بهشاشة العظام ومجموعة النساء الاصحاء ( P = 0.001 ) . ولوحظ انخفاض كمية الكالسيوم الغذائية في كل من النساء المشخصات بهشاشة العظام والنساء الاصحاء الذي قد يعزى الى الفقر، عادة غذائية سيئة، قلة مستوى التعليم وتاثير الحروب والحصار والعنف.تم العثور على ارتباط كبير بين هشاشة العظام وانقطاع الطمث، مستوى فيتامين د، التدخين، وتناول اللحوم > 100 غم/ يوم والاملاح المضافة (p< 0.05) .لوحظ علاقة سلبية بين عدد الولادات والكالسيوم في الدم (r= - 0.1 ) .تم العثور على الاثر الايجابي لتناول الحليب على الكالسيوم في الدم (r= 0.2 ) . | Osteoporosis is decrease in bone mass accompanied by deterioration of bone quality. Vitamin D is essential to optimizing bone health. Aims of the study : 1. To describe the sociodemographic characteristics in a sample of osteoporotic Iraqi women.2. To identify factors associated with osteoporosis like nutritional, medical problems (renal, thyroid, liver..) and biochemical markers.3. To correlate vitamin D level with bone mineral density. This was a cross sectional study conducted in Rheumatology outpatient clinic in Baghdad teaching hospital from 16th of January to 16th of June 2013, aged 40 years and older with no history of intake of Calcium and vitamin D supplements as prophylaxis or treatment and all women were interviewed to evaluate some of the risk factors of osteoporosis. Lowest DXA T - score results was used to detect osteoporosis, T - score below ( - 2.5) was classified as osteoporosis, more than - 1 were considered as normal. A questionnaire include sociodemographic data, history of intake of drugs, some of food itemsassociated with osteoporosis and dietary calcium intake. Blood sample were taken to measure serum vit D( by 25(OH) D ELISA kit) and biochemical markers. In studied sample the prevalence of osteoporosis women were 68 (50%), normal women were 68 (50%). The mean age of the osteoporotic women was 58.5 ± 7.7 and that of the normal women was 54.8 ± 8.4 with statistically significant difference in age of the two group (p=0.001). The educational level, marital status, residence and occupation were found to have no effect on osteoporosis. Risk of Vit D deficiency were found in (61.1%) of the osteoporotic women and in (38.9%) of the normal with statistical significant association found. There was significant difference in s.Ca (p=0.001), s.Ph (p=0.001), s.Alk.ph (p=0.001), s.T3 (p=0.001), s.Creatinine (p=0.001). No significant difference (p >0.05) was found between osteoporosis and normal women height, T4, Blood urea, s.ALT and s.AST. The majority of postmenopausal women (55.5%) were osteoporotic and of the pre - menopause (26.0%) were osteoporotic with significant association between the osteoporotic & normal group (p=0.001). Low dietary calcium intake was observed among the osteoporotic and normal women which might attributed to poverty, bad eating habit, lower education and the effect of wars, sanction and violence.Significant association were found between osteoporosis and menopause, vit D level, smoking, meat intake >100 gm/day and added table salts (p < 0.05)

عادة الشيشة بين طلاب كلية الطب وكلية طب الاسنان - جامعة بغداد == Shisha Habit among Medical Students at College Of Medicine & College Of Dentistry - Baghdad University

Author name: حسن خلف عبد

Supervisor name: بتول علي غالب یاسین

General topic: Medicine

Specific topic: Community Medicine

Degree: Higher Diploma

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: Background : Tobacco is a preventable cause of morbidity and mortality across the globe. Low and middle income countries (LMICs) are the most severely affected (1). The shisha is used to smoke specially made tobacco by heating the tobacco indirectly, usually with burning charcoal or embers, filtering the smoke through a bowl of water (sometimes mixed with other liquids such as wine) and then drawn to a mouthpiece through a rubber hose (6). Shisha has been shown to be associated with a wide range of detrimental health effects and smoking shisha is associated with three main detrimental health effects : CV damage, infection and cancer formation (30)P.The Objective of this study is to measure the prevalence of shisha smoking among medical students at College of Medicine & College of Dentistry - Baghdad University, Identify the characteristics of Shisha smokers that have numerous public health and clinical implications and to identify factors associated with shisha smoking.Subjects and Methods : A cross - sectional study was conducted on a sample of 654 students at the College of Medicine and College of Dentistry in Baghdad University from the 1st of February till the 30th of June 2017. Under graduate students from the selected colleges were included. A questionnaire was used to gather the necessary information and filled by the study participants themselves. It included questions to gather information on certain socio - demographic variables, the family of the participants, and believes about smoking. Information about shisha smoking, medical history and habits of the participants and their parents were gathered.Results : This study involved 654 students. The mean age of the participants was 20.6±1.93 years; 64.7% were females; 95.9% were currently single; and 90.6% were from Baghdad.About 44.6% were in the 2nd stage; 91.4% were living with family; 70.4% were living with crowding index 1 - 2. Regarding parents of participants, 90.9% of fathers andII81.2% of mothers were highly educated; 82.8% of fathers and 88.6% of mothers were present and live with; and 49.1% of fathers and 49.4% of mothers were governmental employees.The prevalence of shisha smoking was 12.1%; 57.5% of them were smoking for more than three years, 76.2% preferred café for smoking; 87.5% preferred friends for smoking with. The factors that significantly associated with prevalence of shisha smoking were (gender, address, marital status, living condition, presence of private work, parents smoking history, and belief about which type of smoking is more harmful).Conclusion : Although the prevalence of shisha smoking was still not high (12.1%), it was increasing during the last few years and becoming a community acceptable behavior, especially among college students. There was a significant positive effect for male gender, being divorced or widowed, living alone and outside Baghdad, and having own job on smoking prevalence among students. Also parent's positive history of tobacco smoking and students beliefs about shisha and cigarette harm were significantly associated with the use of shisha.

المعرفة المرضية لدى مرضى السكري وتاثيرها على التطور المرضي في بغداد 2017 == The Level Health Literacy Among Diabetic Patients and its Impact on Disease Outcome in Baghdad 2017

Author name: احمد علي عبد الحسن

Supervisor name: بتول علي غالب ياسين

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: تعتبر الامراض غير الانتقالية مثل امراض القلب والطارئات الوعائية والسرطان وامراض الجهاز التنفسي المزمنة والسكري من الاسباب المهمة للمراضة والوفيات على مستوى العالم. وتحدث اكثر من نصف الوفيات الناتجة من السكر بعمر دون السبعين. حيث ان ارتفاع عدد الاصابات بالسكري يكون اسرع في الدول ذات معدل الدخل الواطي والمتوسط. وتوقعت منظمة الصحة العالمية بان السكري سيحتل المرتبة السابعة ضمن قائمة اسباب الوفيات بالعالم بحلول العام2030.تعرف المعرفة المرضية بانها حالة الادراك وامتلاك المهارات الاجتماعية التي تحدد طموح وامكانية الفرد على الوصول الى المعلومة وفهمها واستخدامها بطرق تطور وتحافظ على الصحة العامة لدى الشخص.داء السكري هو داء قابل للعلاج ويمكن تفادي مضاعفاته او تاخيرها باتباع النظام الغذائي الصحيح وممارسة النشاطات البدنية بصورة منتظمة والالتزام بالنظام العلاجي ومتابعة المرض برصد مضاعفاته. حيث يعتبر السكري من اكثر الامراض شيوعا وكلفة للمريض والنظام الصحي.في هذه الدراسة سيتم القاء الضوء على مستوى الوعي الصحي وتاثيره على السيطرة على المرض وظهور او عدم ظهور المضاعفات. حيث لا توجد دراسة في العراق مختصة في البحث في هذا الموضوع.تم اجراء دراسة مقطعية باخذ 447 مريضا من مرضى السكري النوع الثاني من مراجعي المراكز الصحية الاولية في بغداد للفترة من الخامس عشر من حزيران 2016 ولغاية الخامس عشر من نيسان 2017. وشملت العينة 267 مريض ذكر و180 مريضة انثى. وشمل مدى العمر للعينة من 19 - 93 سنة وبمعدل 50,89 25 وانحراف معياري 20,3 سنة.تم قياس الوعي الصحي للعينة باستخدام اداة خاصة مصممة لهذا الغرض تم تحضيرها بواسطة خبراء في المجال. وتم الحصول على نتائج تتراوح من 18 - 67 نقطة بمعدل 43,34 نقطة وبانحراف معياري 11,1 نقطة. وتم ايضا قياس معدل السيطرة على المرض باخذ معدل السكر التراكمي HbA1c وتم الحصول على معدل يتراوح من 6,4 - 13,4 وبمعدل 10,25 وانحراف معياري 1,01 نقطة.وتم ايضا تسجيل وجود المضاعفات من عدمها في العينة حيث ثبت وجود مضاعفات السكر في 65 مريض وهم يشكلون 14,5% من العدد الكلي للعينة.بعد اجراء الاختبارات الاحصائية اللازمة على البيانات تم كشف وجود ارتباط احصائي بين وعي المريض الصحي ودرجة السيطرة على المرض وبالتالي معدل السكر لديه. وايضا تم وجود ارتباط احصائي بين وجود المضاعفات وبين مستوى الوعي الصحي للمريض. حيث اوضحت الدراسة ان المرضى ذوي الوعي الصحي الاعلى سجلو معدلا اقل للمضاعفات.واظهرت البيانات وجود ارتباط احصائي لمستوى وعي المريض مع بعض الخصائص الديموغرافية للعينة, حيث وجد ان معدل الوعي الصحي يكون اعلى بين العزاب مما هو لدى المتزوجين او المطلقين. كما وجد كونه مرتفعا ايضا لدى المرضى الذين يمارسون الرياضة بصورة منتظمة.كما ظهر وجود ارتفاع مستوى الوعي لدى المرضى الذين لم يدخلو للمستشفى مسبقا بسبب داء السكري عما هو لدى المرضى الذين دخلو للمستشفى بسببه. ولم تظهر بعض الخصائص الاخرى ارتباط بمستوى وعي المريض.لم تظهر البيانات اي ارتباط لبعض الخصائص بوعي المريض كجنسه وعمره ونمط وظيفته ومده المرض لديه ولا نوع العلاج الذي يتناوله المريض.حسب نتائج الدراسة يمكن القول بان حصول المريض على مستوى اعلى من الوعي والمعرفة الصحية عن مرضه له تاثير ايجابي في الحصول على مستويات سكر افضل ومعدل مضاعفات ومشاكل اقل بخصوص حالته المرضية.لذلك يمكن القول بان زيادة التركيز ورصد موارد اكثر في رفع مستوى الثقافة الصحية للمريض والمجتمع قد يسهم في الحصول على ناتج افضل للسيطرة على المرض وتخفيف ثقل المرض وكلفتة على المريض بالخصوص والنظام الصحي عل العموم. | Non - communicable diseases, such as heart disease, stroke, cancer, chronic respiratory diseases, and diabetes, are the leading causes of morbidity and mortality worldwide. Diabetes prevalence has been rising more rapidly in middle - and low - income countries. Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. WHO projects that diabetes will be the 7th leading cause of death in 2030. (Boutayeb, A. and Boutayeb, S., 2005)Health Literacy has been defined as the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. (WHO, 2014)Diabetes can be treated, and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications. Diabetes is one of the most common and costly chronic diseases. (American Diabetes Association, 2002)In this study the effect of health literacy of diabetic patients on the disease management efficiency and prevention or delaying complications is tested.Health literacy and its relation to diabetes and outcomes for diabetic patients are yet to be investigated in Iraq.A cross section study done by taking random sample of 447 patients from PHCC’s in Baghdad from 15th July 2016 to 15th April 2017. From them, 267 males (59.7%) and 180 females (40.3%). Their age ranged from 19 - 93 years with a mean of 50.89 years ± 20.3 years Standard Deviation (SD).Health literacy was measured by special tool designed for this purpose (Ranges 18 - 67 points with a mean of 43.34 ± 11.1 SD) and disease outcome is quantified by testing HbA1c (ranged between 6.4 - 13.4 with a mean of 10.25 ± 1.01 SD) and recording presence of diabetic complications in our patients (only 65 patient (14.5%) report having complications, the rest 382 (85.5%) reported no complications).After applying proper statistical tests there was a significant association between patient literacy and glycemic control, also the frequency of complications was significantly associated with level of health literacy, i.e. the rate of complications was significantly less in patients with higher literacy level, also, patient with higher literacy tend to have lower HbA1c and hence better glycemic control.Certain demographic criterion found to have associated with patient literacy, marital status of the patient found to have significance (singles have better health literacy than married or divorced).Patient physical activity level found to have significance (more active life style has better health literacy than sedentary life style.The mean total health literacy score was significantly higher among diabetics with no or limited hospital admissions.Gender did not affect the literacy score of diabetic patients, similarly, disease duration, Employment type and treatment regimen don’t seem to have association with patient literacy.In the contest of our results, we may state that having higher level of literacy and knowledge about the disease and its related issues tend to improve the level of glycemic control in diabetics and make them significantly less likely to develop diabetic complications.Enhancing patient knowledge and activating educational programs may give better public health outcome regarding this chronic disease and ameliorate its burden on the patient and community

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.

انتشار ومحددات قلة النشاط البدني بين مرضى داء السكري و\ او ارتفاع ضغط الدم في محافظة بغداد, العراق, 2015 - 2016 == PREVALENCE AND DETERMINANTS OF PHYSICAL INACTIVITY AMONG DIABETIC AND/OR HYPERTENSIVE PATIENTS, BAGHDAD PROVINCE, IRAQ, 2015 - 2016

Author name: مناف فائق احمد

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 انتشار الامراض غير المعدية في تزايد في جميع انحاء العالم مع 80% من وفيات الامراض غير المعدية تحدث في البلدان المنخفضة والمتوسطة الدخل. هذه الامراض عادة ما تكون الاصابة بها ذات مدة طويلة ، وكذلك بطيئة التقدم . وعلى الصعيد العالمي ، كانت عوامل الخطر الغذائية وقلة النشاط البدني المسؤولة عن اكبر اعباء المرض. سنويا الخمول البدني يسبب حوالي 3.2 مليون حالة وفاة و69.3 مليون سنة مصاحبة للعجز ( 2.8% من المجموع الكلي) على مستوى العالم.اهداف الدراسة : لقياس مدى انتشار وتحديد الفئات عالية الخطر والمعرضة لقلة النشاط البدني بين البالغين الذين يعانون من ارتفاع ضغط الدم و/ او مرض داء السكري في محافظة بغداد, 2015 - 2016 . الاشخاص وطرق العمل : هذه دراسة مقطعية اجريت على عينة من 584 من البالغين الذين يعانون من ارتفاع ضغط الدم و/ او مرض السكري في بغداد (عمر ≥ 18 عام) والذين حضروا الى مراكز الرعاية الصحية الاولية والعيادات الطبية الشعبية. الذكور والاناث الذين تتراوح اعمارهم بين 18 عام او اكثر والذين حضروا لاي سبب الى مراكز الرعاية الصحية الاولية او العيادات الطبية الشعبية المختارة بالدراسة. تم استبعاد المرضى الذين لديهم اي حالات مرضية تتداخل مع النشاط البدني من الدراسة. وبالمثل، استبعدت ايضا الذين يعانون من مضاعفات خطيرة تجعل المقابلة غير مجدية. وقد تم تطبيق نوعين مختلفين من الاستبيانات لجميع الحاضرين لجمع المعلومات المطلوبة. تم ملئ الاستبيانات من قبل الباحث من خلال المقابلة المباشرة مع المشاركين في الدراسة وتم استخدام الاستبيان الاول لجمع المعلومات الاجتماعية والديموغرافية للمشاركين. الاستبيان الثاني (GPAQ) يحتوي على 16 بند خاصة بالنشاط البدني وضعتها منظمة الصحة العالمية وسجل حسب البروتوكولات القياسية المستخدمة لقياس المتغيرات النشاط البدني. اي درجة لمعامل التمثيل الغذائي (MET) اقل من 600 في الاسبوع فانها تمثل قلة النشاط البدني. النتائج : شملت هذه الدراسة 584 مريضا بارتفاع ضغط الدم او \ وداء السكري. كان معدل اعمار المرضى هو 48.9 ± 11.8 سنة. كان 57.2% منهم اناث. 69.5% منهم كان متزوج و82.5% منهم كانوا من المناطق الحضرية. 73% منهم كانوا مصابين بارتفاع ضغط الدم و53.3% كانوا مصابين بداء السكري (92% من النوع الثاني) وان 27.1% كانوا مصابين بدائي السكري وارتفاع ضغط الدم معا. 45% لم يكملوا الدراسة الثانوية وان 84.4% من الاناث ربات بيوت. 72% من الذكور كانوا موظفين او مرتبطين بعمل. 71% من المشاركين كانوا غير مدخنين وكذلك 92.5% من المشاركين غير متعاطين للكحول وان 47.4% من المشاركين يعانون من السمنة.كان انتشار الخمول البدني بنسبة 57.5% (فاصل الثقة 95% : 53.49 - 61.51). في مجتمع الدراسة وجد ان المجال الاقل نشاطا هو وقت الفراغ (6.7%) مقارنة مع مجالات العمل (45.7%) والنقل (47.6%). وكشف تحليل الانحدار اللوجستي عوامل الخطورة التالية : الشيخوخة ( 1.047=OR)، مطلق / ارمل (1.323=OR)، متقاعد / ربات البيوت (1.331=OR)، ومستوى الاميين من التعليم (1.439=OR)، والسمنة (1.46=OR) وعدم وجود المشورة المتعلقة بفوائد النشاط البدني (3.443=OR).الاستنتاجات : اكثر من نصف مرضى ارتفاع ضغط الدم و/ او داء السكري هم غير نشطين بدنيا. وكان التعليم المنخفض، والسمنة وقلة المشورة المتعلقة بفوائد النشاط البدني اهم عوامل الخطورة القابلة للتعديل. | Background : The prevalence of Non communicable diseases is increasing throughout the world with 80% of NCDs mortality occurring in low - and middle - income countries (LMICs) (Lee et al 2015). They are generally of long duration, and slow progression. Globally, dietary risk factors and physical inactivity were responsible for the largest disease burden. Physical inactivity causes around 3.2 million deaths and 69.3 million DALYs (2.8% of the total) globally, each year (Lim et al 2012). The Objective of this study is to measure the prevalence and identify high risk groups of physical inactivity among adults with hypertension and/or diabetes in Baghdad, Iraq, 2015 - 2016.Subjects and Methods : A cross - sectional study conducted on a sample of 584 adults with hypertension and/or diabetes in Baghdad (age ≥ 18 years) who attended primary health care centers and Medical Popular Clinics. Male and female individuals aged 18 years or more who attended the selected PHCCs or MPCs for any complaint. Patients that have any comorbid illnesses that interfere with physical activity were excluded from the study. Similarly, those with severe complications that make the interview not feasible were also excluded. Two different types of questionnaires had been applied to all attendants to collect needed information, the questionnaires were filled by the researcher through direct interview with the study population. First questionnaire was used to gather socio - demographic information of the participants. Second one was the 16 - item Global Physical Activity Questionnaire (GPAQ) (developed by WHO and incorporated within the WHO Stepwise instrument), scored as per standard protocols used to measure the physical activity variables. A metabolic equivalent task (MET) score of less than 600 per week indicates physical inactivity.Results : This study involved 584 HYN and/or DM patients. The mean age of the patients was 48.9±11.8 years; 57.2% were females; 69.5% were currently married; and 82.5% were from urban areas. Around 73% had HTN, 53.3% had DM (92% type2 DM), and 27.1% had both HTN and DM. About 45% didn’t complete their secondary school; 84.4% of females were housewives, and 72% of males were currently employed. Around 71% were non - smokers; 92.5% were non - alcohol drinkers; and 47.4% were obese. The prevalence of physical inactivity was 57.5% (95% CI : 53.49 - 61.51%). The study population was found to be least active in the leisure time domain (6.7%) compared with the work (45.7%) and transport (47.6%) domains. Logistic regression analysis revealed the following risk factor : Aging (OR=1.047), Divorced/Widowed (OR=1.323), Retired/housewives (OR=1.331), Illiterate level of education (OR=1.439), obesity (OR=1.46) and lack of physical activity advice (OR=3.443).Conclusion : More than half of hypertension and/or diabetes subjects were physically inactive. Low education, obesity and lack of advice were the most important modifiable risk factors affecting PA

عوامل الخطورة في التحصي الصفراوي == Risk Factors In Cholelithiasis

Author name: الطبيب عيسى رحيم ابراهيم

Supervisor name: اسماء احمد الجوادي

General topic: Medicine

Specific topic: Community Medicine

Degree: Master

University: University of Baghdad - Faculty Of Medicine

Language: English

University location: Baghdad

First pages:

Abstract: يتمثل هدف هذه الدراسة في تحديد حجم مشكلة وعوامل الخطورة المسؤولة عن التحصي الصفراوي . وتبنت الدراسة الحالية تصميم العينة - الشاهد لتحقيق الهدف من الدراسة . تم جمع 109 حالة من حالات التحصي الصفراوي من المستشفى الجراحي الرئيسي في الموصل (مستشفى الزهراوي التعليمي) واقسامها . وشملت عينة الحالات حالات التحصي الصفراوي باكملها والذين جاؤوا الى مستشفى الزهراوي التعليمي خلال فترة الدراسة (اي عينة متتابعة غير عشوائية) . وكانت كافة الحالات من مدينة الموصل وضواحيها . وشملت العينة الضابطة المرضى الذين قدموا الى قسم الطوارئ والوحدات الجراحية العامة من غير حالات التحصي الصفراوي . واختيرت العينة الضابطة وفقا لطريقة التقابل الفردي . وامتدت فترة جمع الحالات والعينات الضابطة من الاول من حزيران من عام 2001 ولغاية الحادي والثلاثين من كانون الثاني من عام 2002 . كانت نسبة الاناث الى الذكور حوالي 3.4 : 1 ، وكان معدل العمر للاناث (45.46+11.46) وبالنسبة للذكور كان (49.80+18.64) سنة . ومن المثبت ان الاناث معرضات للاصابة بالتحصي الصفراوي . كان الالم في الجهة العليا اليمنى للبطن من اكثر الاعراض التي لوحظت في اكثر من 95% من الحالات ، يليها الم المغص (65.14%) وسوء الهضم (62.44%) والم الصدر (56.88%) والتقيؤ (48.62%) . وكان لتاريخ العائلة الايجابي الاثر في زيادة التعرض للاصابة بالتحصي الصفراوي بطريقة معنوية عالية (p= 0.000) .اظهرت الدارسة العلاقة بين عدد الاصابة بحمى التيفوئيد وتطوير التحصي الصفراوي (p= 0.006) عندما يكون عدد الاصابات اكثر من ثلاثة . واظهر ضغط الدم بوجود اكثر من مرض قيمة معنوية (p= 0.006) لذا فان اسلوب الحياة الساكنة يضيف عامل خطورة لتسبب التحصي الصفراوي (p= 0.007). وكان للغذاء الدهني دور في تطوير التحصي الصفراوي وتراوح طبقا لنوع الدهن المستخدم كما مبين في الدراسة . وكان لمؤشر كتلة الجسم > 25 دورا معنويا في الاصابة بالتحصي الصفراوي (p= 0.011) . | The aim of the present study is to determine the size of the problem of cholelithiasis in Mosul and the effect on health system together with responsible risk factors. The present study adopted a case - control design to achieve the aim of the work. A total of 109 cases of cholelithiasis were collected from the main surgical hospital in Mosul (Al - Zahrawi Teaching Hospital) and its departments. The sample of cases included the entire cholelithiasis cases who came to Al - Zahrawi Teaching Hospital during the study period (i.e. non - randomized consecutive sample). All cases were from Mosul city and it vicinity. The controls included patients admitted to the casuality department and general surgical units other than cholelithiasis cases. The sample of controls was selected according to the method of individual matching. The period of collection of both cases and controls was from the 1st of June 2001 to the 31st of January 2002.The female to male ratio was about 3.4 : 1 and the mean age for females was (45.46+11.46) and for males was (49.80+18.64) years. It is well established that female sex in a risk factor for the development of cholelithiasis. Cholelithiasis were significantly higher in urban than rural population (p= 0.009). A positive family history of cholelithiasis increased the risk of condition in a very high significant way (p< 0.0001).Right upper quadrant pain was the most frequent symptoms observed in over 95% of cases followed by colicky pain (65.14%) and dyspepsia (64.22%), chest pain (56.88%) and vomiting (48.62%). The study shows an association between the number of typhoid fever attacks and the develop of cholelithiasis with (p= 0.006) when the number of attack is more than three.Hypertension in the presence of more than one disease show significant value (p= 0.006) so the sedentary life style add a more risk factor in the causation of cholelithiasis (p= 0.007). Fatty diet played a role in the developing of cholelithiasis and this varies according to the type of fat intake as shown in the study. BMI > 25 played a significant role in the causation of cholelithiasis with (p= 0.011). This study has helped to provide a tool for identification of the problem of cholelithiasis and responsible risk factors. A campaign of health education about risk factor should be conducted early in life in order to have a protective role of cholelithiasis

ظاهرة التنمر ضمن طلاب المدارس الاعدادية في بغداد - الكرخ == BULLYING AMONG STUDENTS IN HIGH SCHOOLS IN BAGHDADKARKH

Author name: حيدر مجيد يحيى

Supervisor name: مشتاق طالب هاشم

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 : Bullying is a major public health problem especially among students in high schools.Literature showed that bullying have an effect on mental, social, emotional, general behavior and academic function of students in school.Objective : To explore the prevalence of bullying among students in intermediate and secondary schools in Baghdad.Subjects and methods : A multi - stage stratified random sample of (302) students from intermediate and secondary schools in Baghdad - Karkh was included in the study; collection of data was done from October to December 2014. Using Focus Group Discussion each participant was directly interviewed to complete a questionnaire which contains four elements. First element was contained the sociodemographic information, Second element was formulated to measure the bullying depending on “Factors associated with bullying behavior in middle school students” by Bosworth, Espelage and Simon, and “A comparison of the Gatehouse Bullying Scale and the Peer Relations Questionnaire for students in secondary school” by Bond, Wolfe, Tollit, Buttler and Patton, and “Development of the Multi - dimensional Peer Victimization Scale” by Mynard and Joseph. Third element was for measuring the frequency of symptoms of bullying, the statements were translated from a compendium of the National Center on Birth Defects andDevelopment disabilities, Centers for Disease Control and Prevention. Fourth element was to assess the posttraumatic stress symptoms by using Harvard Trauma Questionnaire - Iraqi version for trauma symptoms (Part IV).Chi - square was used to examine the association between independent variables (socio - demographic variables and traumatic events) with dependent variables (bully, victim and witness). P value < 0.05 was considered statistically significant.Results : The rate of bullies was 24.3%, rate of victims was 38.8%, rate of sexual bullies was 17.1%, and rate of sexual victims was 21.4%. There was no significant statistical association between age and bullying (P=0.3).A significant association was noticed between sex and bullying (P=0.001).Bullying was varied significantly between resident area (P=0.004). A significant association was found between bullies with smoking and failure in school (P=0.001 for each).Conclusion : High prevalence of bullying (bullies, victims, sexual bullies and sexual victims) was found among student. The smoking and substance use was reported among the participants of study.Key words : Bullying, victimization, war, PTSD, Iraq.

Author name: رحيم نايف ناصر

Supervisor name: علي عبد سعدون الغزي

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: دراسة مدى انتشارالامراض المزمنة غير الانتقالية بين الناس المسنين في مدينة الناصرية وتقييم الوضع الصحي العام لهم وتقييم خدمات الرعاية الصحية المقدمة لهذه الفئة من السكان.المواد والاساليب : دراسة مقطعية وصفية وتحليلية من خلال اجراء المسح السكاني للعوائل في بعض الاحياء السكنية. اجريت هذه الدراسة في منطقة حضرية جغرافيا من مدينة الناصرية التي تبعد عن العاصمة بغداد 360 كم جنوبا. تمت الدراسة خلال فترة امتدت اكثر من سنة (من 1 ايلول 2015 الى نهاية شهر تشرين الاول 2016). تم جمع البيانات من عينة تمثيلية من 423 من الاشخاص الذين تتراوح اعمارهم من 60 سنة فما فوق ومن خلال اخذ عينات متعددة المراحل (عنقودية).النتائج : كان معدل انتشار الامراض المزمنة غير الانتقالية بنسبة 89.8% بين الاشخاص المسنين، وفي مقدمتها الحالات الخمسة التالية : ارتفاع ضغط الدم (67%)، مرض السكري (31,2%)، امراض العظام والعضلات (15,4%)، امراض القلب (11,1%)، اعتام عدسة العين (12,8%) وكان انتشار مرضين او اكثر في ان واحد بمعدل 59%.اما اعراض ومشاكل الشيخوخة الرئيسية فكانت : مشاكل في الرؤيا (77,8%), الشعور بالحزن او الاكتئاب (36,4%)، مشاكل السمع (31,7%)، السقوط (30%), مشاكل في الذاكرة (22,9%)، والاعراض البولية (11,1%).اثبتت هذه الدراسة ان معدل انتشار الامراض المزمنة غير الانتقالية في مدينة الناصرية كان مرتفعا ومثيرا للقلق وخاصة امراض القلب والاوعية الدموية التي تحتاج الى الجهود الفعلية والتركيز في مجال الوقاية وكذلك تحسين وتعزيز نظام الرعاية الصحية خاصة في مجال الرعاية الصحية لكبار السن للحد من الاصابة بالامراض المزمنة ومضاعفاتها والاثر السلبي على الحياة والتطور الاقتصادي | More than one year starting from the 1st September 2015 to the end of October 2016, an observational, analytical - cross - sectional study through a household survey was conducted in Al - Nasiriya city to study the prevalence of non - communicable diseases among a geriatric population, other objectives were to describe the symptomatology (geriatric review of system for elderly), subjective general health status of wellbeing, and the accessibility and satisfaction of patients to health care services provided in this segment of the population. A representative sample of 423 individual aged ≥ 60 years through multistage sampling had been included in the study. Special form of questionnaire was planned to collect information, which tested by three experts in the field of community medicine and family medicine for the validity before its use in the collection of data. The diagnosis of cases (the inclusion and exclusion criteria) was clearly depending on the chronic disease card or any available documentations that support the definite diagnosis (medical reports, investigation, or current treatment). In contrast to self - reporting studies, the direct observation from the researcher as an advantage of a cross - sectional household survey study plays an important role in minimizing the information bias during the stage of data collection. In addition, it was based mainly on the doctors - diagnoses conditions and consistent with the definition of chronic diseases A pilot study was conducted on 18 elderly individuals prior to the proper study in order to test the feasibility of the research, time requirement and the cost. The results were discussed with the supervisor for any change or modification needed. All those 18 cases were included in the proper study. For statistical analysis, Statistical Package for Social Sciences (SPSS)version (23) was used for data analysis including frequencies, percentages, test of significance (Chi - square test, Monte Carlo test, Fisher exact test), correlation and logistic regression analysis. A p - value of <0.05 was considered to be significant. The overall prevalence of at least one chronic NCD was 89.8%. The top five chronic conditions : hypertension (67.8%), diabetes mellitus (31.2%), musculoskeletal diseases (15.4%), heart diseases (11.1%), and cataract (12.8%). The prevalence of multi - morbidity (patient with two or more chronic diseases) was 59%. The main geriatric symptoms were vision related problems (77.8%), feeling sad or depressed (36.4%), hearing problems (31.7%), falls (30%), memory problems (22.9%), and urinary symptoms (11.1%). The main limitations in this study were its performance in an urban area, some cautions must be taken regarding the generalization of the results. Also not all types of chronic disease and geriatric symptoms were discussed in this study, however all the available data in the sample were collected and studied. Nevertheless, further studies are required specially to estimate the prevalence of risk factors, to estimate the cost of care and health, expenditure, quality of health services and geriatric health need. This study will help in establishing the priorities to act on according to the magnitude of the problems and their impact. Also to design the strategies for prevention and control of NCDs. According to the results obtained from this study and the current situation regarding the care of geriatric population in Iraq and specifically in Al - Nasiriya city, the most important and practical recommendation is to activate the geriatric health care at PHCCs or at least in every hospital with a geriatric clinic with well - trained doctors and other heath staff in the field of geriatrics.