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Factors Associated with Intestinal Atresia and Its Complications 肠闭锁及其并发症的相关因素
H. Hassan
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引用次数: 0
Effect of Educational Program of Eclampsia Management on Knowledge of Maternity Nurses at Mosul Teaching Hospitals 子痫管理教育方案对摩苏尔教学医院产科护士知识的影响
A. Ayed, R. Ibrahim
Background: Eclampsia is a pregnancy-specific syndrome. It affects more than 5% of pregnant women and is characterized by edemas, high blood pressure and proteinuria, it considered as one of the most serious pregnancy specific medical conditions of increasing incidence. its complications are one of the top four causes of maternal deaths even in developed societies. Objective: To assess the Maternity Nurses Knowledge and educational program Regarding Eclampsia Care at Mosul Teaching Hospitals. Method and Material: A Pre-experimental study design (one group pretest-posttest) was used for period extended from 15th of November 2020 to 10th of March 2021. 30 nurses were selected by purposive sampling technique from obstetrics and gynecological departments at teaching hospitals of Mosul city. A semi-structured questionnaire was used to collect the data. Results: The results of the study showed the educational program on nurses' knowledge regarding eclampsia is effective, highly significant differences in the knowledge of nurses after implementation of the educational program compared to their knowledge before the educational program in study group. According to the findings, 53.3 % of nurses had poor knowledge of prior implementation of the educational program. However, after implementation, 70.0 % of them had excellent knowledge. Conclusions: The educational program has a positive effect on nurse's knowledge of eclampsia treatment, according to the study's conclusion. Recommendation: Recommendation, Continuous educational program to improve nurses’ knowledge regarding care of preeclampsia and eclampsia.
背景:子痫是一种妊娠特异性综合征。它影响了超过5%的孕妇,其特征是水肿、高血压和蛋白尿,它被认为是发病率不断增加的最严重的妊娠特定医疗条件之一。其并发症是产妇死亡的四大原因之一,即使在发达社会也是如此。目的:了解摩苏尔教学医院产科护士子痫护理知识及教育方案。方法和材料:采用实验前研究设计(一组前测后测),研究时间为2020年11月15日至2021年3月10日。采用目的抽样方法,从摩苏尔市教学医院妇产科抽取30名护士。采用半结构化问卷收集数据。结果:研究结果显示,护理人员对子痫知识的教育方案是有效的,实验组护理人员在实施教育方案后对子痫知识的了解程度与实施教育方案前有显著差异。根据调查结果,53.3%的护士对先前实施教育计划的知识不了解。但实施后,70%的学生知识水平优秀。结论:根据本研究的结论,教育方案对护士子痫治疗知识有积极作用。建议:建议,持续教育计划,以提高护士对子痫前期和子痫的护理知识。
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引用次数: 0
Mucormycosis in COVID-19 Diabetic Patient COVID-19糖尿病患者的毛霉菌病
Wassan Nori, Sanaa Norri
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引用次数: 0
Two-intervention Social Distancing Strategy to Control COVID-19 in Salaheddine Province; A Comparative Study 萨拉赫丁省控制新冠肺炎疫情的双干预社交距离策略比较研究
M. A. Ajeel, Muhammad A. Alkataan, O. B. Aghaa, Moataz Abdel-Gawad Abdel-Hamid Al-Ani, Zina Nizar Thanoun
The COVID-19 pandemic, which is caused by a novel coronavirus, is a global health issue. A respiratory tract illness, acute respiratory distress syndrome, micro thrombosis, sepsis, sepsis, and mortality are presented in this case. Early identification of suspected cases allows sufficient time for medical and local authorities to initiate an appropriate international and national infection transmission control protocols. Assess the effectiveness of the two-way strategy for distancing social intervention that has been implemented to control COVID 19 in the city of Salaheddin as compared to Santa Clara in the U.S. The COVID-19 mathematical model is used to estimate the expected burden of pandemic in Salaheddin City as well as in in Santa Clara, US. This model provides numerical data on the number and time interval of the application of appropriate intervention control strategies by comparing one-strategy (social distancing) with a two-stage strategy (social distancing & light switch approach). The two strategies show that, on average, in 12.3% of the population the baseline epidemic scenario affected 11.6%, with a 1-strategy contact rate of 70%. While only 0.11% of the population will have been infected by the two-intervention strategy at a rate of 20% of social contact, compared to 0.165% with the application of the one strategy. This will significantly reduce the spread of the infection and significantly delay the peak incidence of all hypotheses. The two-way social distancing strategy is an efficient tool in Salaheddin to control COVID-19 and represents a major success for the Crisis Cell pandemic in the city of Salaheddin until the end of the study period .
由新型冠状病毒引起的COVID-19大流行是一个全球性的健康问题。呼吸道疾病,急性呼吸窘迫综合征,微血栓形成,败血症,败血症和死亡率提出在这个情况下。及早发现疑似病例可使医疗和地方当局有足够时间启动适当的国际和国家感染传播控制方案。对比美国圣克拉拉市和萨拉赫丁市为控制新冠肺炎疫情而实施的双向距离社会干预战略的效果。利用新冠肺炎数学模型,对萨拉赫丁市和美国圣克拉拉市的预期大流行负担进行了估算。该模型通过比较单阶段策略(社会距离)和两阶段策略(社会距离&电灯开关方法),提供了适当干预控制策略应用的数量和时间间隔的数值数据。这两项战略表明,平均而言,12.3%的人口受基线流行病情景影响的比例为11.6%,一项战略的接触率为70%。在20%的社会接触中,只有0.11%的人口会被两种干预策略感染,而采用一种策略的人口感染率为0.165%。这将大大减少感染的传播,并大大推迟所有假设的高峰发生率。双向社交距离战略是萨拉赫丁控制COVID-19的有效工具,也是萨拉赫丁市危机细胞大流行在研究期结束前取得的重大成功。
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引用次数: 0
Mitochondrial Number in Oligo and Azoospermia Male Patients 男性少精症和无精症患者的线粒体数目
Haneen E. Hashim, Mowafak K. Hasan
Male infertility causes present in about 50% of the infertility cases, the standard quantity and quality of semen ejaculated during each coitus averages about 2-4 milliliters and every milliliter of seminal fluid contains contain about 100-120 million sperm/ ml. When the number of sperm in each milliliter drops below 20 million; the person is probably having infertile problem. Forty-five semen samples were collected from males with ages ranged from 25 to 45 years. The samples were divided into three groups each consists of 15 males. The first group represent control group included 15 apparently health fertile subject. The second group contain 15 patients with oligospermia with sperm count ≤20 million sperm / ml. The results of this table display there were significant variation in count between control group (54 ± 19.7) in comparison to oligo group (9.2 ± 7.49) and the p ≤0.000. there is a significant variation in active motility between control group (37.6 ± 15.1) in comparison to oligo group (18.0 ± 10.1), we can note a variation in normal morphology between control group (69.2 ± 8.0) and oligo group (60 ± 9.6) but it is less than the variation between count and the active motility as we mentioned above, whereas the p-value≤ (0.01). There was significant reduction in both seminal pyruvate and Lactate in Azoospermia patients in comparison to control group p<0.01 figure 1 and 2 respectively. In conclusion; Mitochondrial copy number significantly related to fertility status in males
男性不育症病因约占不育症病例的50%,每次性交时射精的标准数量和质量平均约为2-4毫升,每毫升精液中含有约1 - 1.2亿个精子/毫升,当每毫升精子数量降至2000万个以下时;这个人可能有不孕问题。从年龄在25岁到45岁之间的男性中收集了45份精液样本。这些样本被分为三组,每组15名男性。第一组为对照组,包括15名明显健康生育的受试者。第二组有15例精子计数≤2000万个/ ml的少精症患者,本表结果显示,对照组(54±19.7)与少精症组(9.2±7.49)相比差异有统计学意义,p≤0.000。与oligo组(18.0±10.1)相比,对照组(37.6±15.1)与oligo组(18.0±10.1)的主动运动性有显著差异,正常形态学在对照组(69.2±8.0)与oligo组(60±9.6)之间有差异,但小于计数与主动运动性之间的差异,p值≤(0.01)。与对照组相比,无精子症患者精液中丙酮酸和乳酸含量均显著降低(p<0.01)(图1和2)。结论;线粒体拷贝数与男性生育状况显著相关
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引用次数: 0
Rate of Adenovirus Infection in Patients with End Stage Renal Disease in Kirkuk Governorate 基尔库克省终末期肾病患者腺病毒感染率
Azzawi M. Hadi, I. Saadoon, Wirya Ahmed Tofiq
Adenovirus is a DNA virus which was discovered in 1950s from military recruit with atypical pneumonia. The majority of the higher-level number for serotypes has been insulated from immunocompromised persons. While the majority of infections linked to adenovirus are self-limiting, those who occur in immunocompromised individual can be far more serious, even deadly. Patients who have reached the end of their kidney function have weakened immune response, due to high rates of infection by virus. The goal of this research was to find out the infection with adenovirus in terminal stage of kidney disease patients who undergoing hemodialysis. This study was done in Kirkuk General Hospital/Dialysis Unit in Kirkuk city from the period 12/11/2019 to 5/5/2020. Serum of 200 hemodialysis patients were investigated for both adenovirus-specific immunoglobulin G and M by using enzyme-linked immunosorbent assay (ELISA),108 (54%) patients were males and 92 (46%) were females. The results showed that 142 patients (71%) had anti-adenovirus IgG, 10 patients (5%) had anti-adenovirus IgM and 6 patients (3%) had both anti-IgM and anti-IgG. There was no significant variance in adenovirus seropositivity (p>0.05) between males and females (51.26% and 48.74% respectively). The study showed that non-significant relation between the seropositivity and sex, age and residency. We advise to do adenovirus detection test to those patients who undergone dialysis to decrease the rate of adenoviruses contagion and to avoid renal transplantation failure.
腺病毒是一种DNA病毒,于20世纪50年代从患有非典型肺炎的新兵身上发现。大多数血清型较高水平的数字已与免疫功能低下的人隔离。虽然大多数与腺病毒相关的感染是自限性的,但那些发生在免疫功能低下个体中的感染可能要严重得多,甚至是致命的。由于病毒感染率高,肾功能衰竭的患者免疫反应减弱。本研究旨在了解终末期肾脏疾病血液透析患者的腺病毒感染情况。本研究于2019年12月11日至2020年5月5日在基尔库克市的基尔库克综合医院/透析科进行。采用酶联免疫吸附试验(ELISA)对200例血液透析患者血清腺病毒特异性免疫球蛋白G和M进行检测,其中男性108例(54%),女性92例(46%)。结果显示,142例(71%)患者有抗腺病毒IgG抗体,10例(5%)患者有抗腺病毒IgM抗体,6例(3%)患者有抗IgM抗体和抗IgG抗体。男女腺病毒血清阳性率差异无统计学意义(p>0.05)(分别为51.26%和48.74%)。研究结果显示,血清阳性与性别、年龄、居住地无显著相关。建议透析患者做腺病毒检测,以降低腺病毒传染率,避免肾移植失败。
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引用次数: 0
Evaluation of Two Housekeeping Gene in Diagnosis of Helicobacter Pylori and Compare It to another Routine Test 两个管家基因在幽门螺杆菌诊断中的价值及其与其他常规检查的比较
Saja A. Al-Jumaili, Amina N. Althwani, Nawal M. Al-Khalidi
Helicobacter pylori consider as one of the major components of the stomach microbiome, this bacterium is prevalent worldwide and more than half of the world populations are infected with it. Various methods have been developed for the diagnosis and detection of infection with H. pylori by using molecular and routine techniques with different levels of specificity and sensitivity. to evaluate and compare two diagnostic methods for the detection of H. pylori bacteria in Iraqi patients, A total of 105 patients and 20 individuals as control with age ranged 17-85 years who attended the gastroenterology and hepatology tertiary center, Baghdad – Iraq, they diagnosed through physicians according to endoscopic findings. Furtherly Biopsy samples from different places were collected by gastroenterologists from each patient, used for histopathological and genetic detection of two Housekeeping gene (16SrRNA and amiA) by PCR technique. Peripheral blood (3 ml) was also withdrawn from patients, then each blood placed into gel tube for separate serum and measure the IgG antibody by ELISA technique. Result: Histological examination' show that 78(74.2%) were positive for H.pylori , while the detection of ' H. pylori by using molecular method has shown that 69 (65.7%) of the patients were positive for H. pylori by using 16SrRNA gene and only 47 (44.7%) where positive for amiA gene. By ELISA 92 (87.6%) of patients were positive for IgG antibody. Conclusion: There is no test that we can considered it as golden standard method for the diagnosis' of H.pylori, the combination of more than test is a good choice to achieve the most reliable result.
幽门螺杆菌被认为是胃微生物群的主要组成部分之一,这种细菌在世界范围内普遍存在,世界上一半以上的人口感染了它。各种方法已经开发用于诊断和检测感染幽门螺杆菌通过使用分子和常规技术具有不同水平的特异性和敏感性。为了评价和比较两种诊断方法对伊拉克患者幽门螺杆菌的检测,在伊拉克巴格达胃肠病学和肝脏病学三级中心就诊的105名患者和20名作为对照,年龄在17-85岁之间,他们通过医生根据内窥镜检查结果进行诊断。进一步由胃肠病学家从每位患者的不同部位采集活检标本,采用PCR技术对两个管家基因(16SrRNA和amiA)进行组织病理学和遗传学检测。取患者外周血3 ml,放入凝胶管分离血清,ELISA法测定IgG抗体。结果:组织学检查显示幽门螺杆菌阳性78例(74.2%),分子法幽门螺杆菌检测显示16SrRNA基因幽门螺杆菌阳性69例(65.7%),amiA基因幽门螺杆菌阳性47例(44.7%)。ELISA检测IgG抗体阳性92例(87.6%)。结论:没有一种检测方法可以作为诊断幽门螺杆菌的金标准方法,多种检测方法联合使用是获得最可靠结果的良好选择。
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引用次数: 0
PCI in High Risk Advanced Breast Cancer Patients 高危晚期乳腺癌患者的PCI治疗
H. Shukur
Background: A high incidence of brain metastases has been conveyed in patients with triple-negative and her 2-positive breast cancer receiving trastuzumab therapy. The rationale for prophylactic cranial irradiation is to regulate or eliminate unnoticeable micro-metastases without making unwanted harm. Methods: This prospective study investigated the role of prophylactic cranial irradiation for lowering the frequency of brain metastases for patients who had triple-negative and her2-positive advanced extra-cranial metastatic breast cancer including 48 succeeding patients, with this disease scenario were collected in this study & were categorized into 2 arms over 3 years period: The first arm consisted of 24 patients who did not receive PCI. The second group included 24 patients who received PCI 25 Gray/10 fractions over 2 weeks carried 4 weeks after completion of chemotherapy with or without trastuzumab while hormone therapy is continuous for hormone-positive patients. All patients were primarily evaluated by brain CT scan with contrast or MRI which was part of the neurological assessment included before PCI then every 3 months in the first year, then every 6 months thereafter. Neuro-cognitive Functions (NCF) were estimated in both arms before and then 6 months and 1 year after PCI using Mini-Mental State Exam (MMSE). Health-related quality of life was assessed before and then 1 month and 3 months after PCI using Functional Assessment of Cancer Therapy-Brain (FACT-Br). Results , only four (16.6%) patients developed symptomatic brain metastases in the treatment arm compared to nine (37.5%) patients in the control arm, the median brain metastasis-free survival duration in the PCI arm was 22 months with a 95% CI (18.37-25.62) compared with 16 months with a 95% CI (13.78-18.21) with p = 0.011, figure (1). A brain metastases hazard ratio = 0.398, 95% CI (0.187.0.844) is significantly reduced by 60% in the PCI patients set when compared to no PCI arm at any given time over 30 months with p-value (0.016). All patients died due to progressive breast cancer. There were no death due to treatment. Three of the 24 patients experienced grade 3/4 toxicity (two grade 3 nausea and vomiting, one grade 4 nausea and vomiting). Grade 1 to 4 fatigue occurred in majority of the fifteen (62.5%) treated patients, but only in 3 (12.5%) grade 3 and 4 patients. Hair loss was virtually common as a consequence of chemotherapy, so no more alopecia was observed during PCI. Neurocognitive function in both groups was equal, without statistical differences between the MMSE scores between the two study arms (p=0.137). Most of the MMSE scores declined at a 6-month evaluation in the PCI group with a significant difference at a P value of 0.001, but resumed to the baseline value in the one-year evaluation without statistical difference between the two arms, P = 0.679. The initial levels of evaluation of the quality of life of the respondents in both groups were comparable, without stat
背景:在接受曲妥珠单抗治疗的三阴性和2阳性乳腺癌患者中,脑转移的发生率很高。预防性颅脑照射的基本原理是在不造成不必要伤害的情况下调节或消除不明显的微转移。方法:本前瞻性研究探讨预防性颅脑照射对降低三阴性和her2阳性晚期颅脑外转移性乳腺癌患者脑转移频率的作用,共收集48例具有这种疾病情况的患者,分为2组,为期3年:第一组24例未接受PCI治疗。第二组包括24名接受PCI 25 Gray/10分数超过2周的患者,在化疗完成后4周接受曲妥珠单抗或不接受曲妥珠单抗,而激素阳性患者持续接受激素治疗。所有患者主要通过脑CT扫描对比或MRI进行评估这是PCI术前神经学评估的一部分第一年每3个月,之后每6个月。采用简易精神状态检查(MMSE)评估两组患者PCI前、PCI后6个月和1年的神经认知功能(NCF)。采用肿瘤治疗-脑功能评估(FACT-Br)对PCI术前、术后1个月和3个月的健康相关生活质量进行评估。结果,治疗组只有4例(16.6%)患者出现症状性脑转移,而对照组有9例(37.5%)患者出现症状性脑转移,PCI组无脑转移的中位生存时间为22个月,95% CI为18.37-25.62,95% CI为16个月,95% CI为13.78-18.21,p = 0.011,图(1)。脑转移风险比= 0.398。在超过30个月的任何给定时间,PCI患者组与未PCI组相比,95% CI(0.187.0.844)显著降低60%,p值(0.016)。所有患者均死于进展性乳腺癌。没有人因治疗而死亡。24例患者中有3例出现3/4级毒性(2例3级恶心和呕吐,1例4级恶心和呕吐)。15名接受治疗的患者中,大多数(62.5%)出现了1至4级疲劳,但只有3名(12.5%)出现了3级和4级疲劳。作为化疗的结果,脱发实际上很常见,因此PCI期间没有观察到更多的脱发。两组的神经认知功能相同,两个研究组的MMSE评分无统计学差异(p=0.137)。PCI组MMSE评分大部分在6个月时下降,P值为0.001,差异有统计学意义,但在1年评估时恢复到基线值,两组间无统计学差异,P = 0.679。两组被调查者生活质量的初始评价水平具有可比性,无统计学差异,P = 1.000。PCI组与无PCI组相比,大部分评分(FACT-Br)在1个月评估时降低,P值为0.050,差异有统计学意义,但在3个月评估时几乎恢复到基线水平,两组之间无统计学差异(P=0.162)。结论:PCI与公认的毒性有关,可降低脑继发性转移的发生率,延长无脑转移的中位生存期。这一结果是否可以解释为令人满意的治疗改善,需要额外的评估。
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引用次数: 0
The Beneficial Effect of Glutathione in Protection of the Central Nerves System from Damage Induced by D-galactose 谷胱甘肽对d -半乳糖致中枢神经系统损伤的保护作用
Sadiq Mahdi, Wefak J. Albazi, Muna Hussain Al-aameli
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引用次数: 2
Mother’s Knowledge and Practices Concerning Early Colostrum Feeding in Erbil Governorate: A Comparative Study 埃尔比勒省母亲早期初乳喂养知识与实践的比较研究
Madiha Abbas, S. Hasan
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引用次数: 0
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Proceedings of the 1st International Ninevah Conference on Medical Sciences (INCMS 2021)
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