• أ.د اسراء فائق جعفر
  • Prof. Dr. Israa Faeck Jaafar
  • تدريسي : كلية طب الاسنان
  • Teaching : College of Dentistry
  • دكتوراه / فسلجة/ بكلوريوس طب وجراحة عامة
  • M.B.ch.B, MSc, PHD
  • pro.israa@esraa.edu.iq
  • youngdoctor2007@gmail.com
  • المقررات المكلف بها

    المقررات المكلف بها

    المقررات المكلف بها - 1
    القسم المرحلة الفصل رمز المقرر الوحدات توصيف المقرر
    كلية طب الاسنان المرحلة الثانية سنوي PHY06200 6 General Physiology
    المحاضرات الالكترونية

    المحاضرات الالكترونية

    المحاضرات الالكترونية - 34
    العام المقرر القسم المرحلة المحاضرة
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية synaptic transmission
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية neuromusculer junction
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية Nerve action potential
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية muscle physiology
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية blood group
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية bleeding & clotting
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية blood physiology 2
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية blood physiology
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية body fluid
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية special senses
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية respiratory system1
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية respiratory system
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية CVS
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية CVS 1
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية Endocrine 3
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية Endocrine system 2
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية Endocrine system 1
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية autonomic N.S
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية GIT 1
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية GIT 2
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية renal system
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية C NS 4 sleep & speech
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية CNS3
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية CNS 2
    2023-2024 General Physiology كلية طب الاسنان المرحلة الثانية CNS
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية motor function of CNS
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية introduction to CNS
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية Autonomic NS
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية neuromusculer junction
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية nerve action pot
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية Muscle physio
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية blood physio 2
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية blood physiology1
    2021-2022 General Physiology كلية طب الاسنان المرحلة الثانية body fluids
    البحوث

    البحوث

    1 iraqi jms
    Background A stroke is a serious life-threatening medical condition that occurs when the blood supply to part of the brain is disrupted. Spasticity is a state, in which, there is an increase in muscle tone or stiffness, which might be associated with movement and speech disorders. Spasticity is usually caused by damage to nerve pathways within the brain or spinal cord that control muscle movement. The Hreflex is a compound electromyographic (EMG) response composed of group Ia (and large group II) afferents from muscle spindles (and Golgi tendon organs) that project monosynaptically (and to a lesser extent di- and tri-synaptically) to spinal efferent α-motoneurons (αMN), which in turn activate the muscle after an electrical current is applied to the nerve. Objective To assess the Medical Research Council (MRC) scale in post stroke spasticity patients and to estimate the neurophysiological changes in those patients regarding H-reflex and Hmax/Mmax ratio. Methods A randomized clinical trial involves 50 patients with stroke of both sexes. Their age ranged from (30-60 years old) suffering from upper and lower limb spasticity. They were assessed by the MRC scale to determine the grade of power of muscle. The neurophysiological test is done by using the H-reflex for both upper and lower limbs (flexor carpi radialis and soleus muscles, respectively). The maximum amplitude was measured from the peak of the first positive deflection to the peak of the negative one. The latency and the Hmax/Mmax ratio were also measured. Results The result of this study showed a significant decrease in MRC in spastic patients (P value ≤0.001). Hreflex latency in lower limbs was significantly decreased from (30.3±2.4 ms) in the normal population to (18.5±1.3) in the spastic patient. The H reflex amplitude in the lower limb was significantly increased in post stroke spasticity patients (P value ≤0.05). In the upper limbs H-reflex latency in flexor carpi radialis was also significantly decreased. Regarding H reflex amplitude of the upper limb in the spastic patient was significantly increased. There is a noticeable increase in the H/M ratio in post stroke spasticity patient which was (0.51±0.92) with a significant P value of 0.005. Conclusion Patient with post stroke spasticity had decreased in MRC scale, while H-reflex has decreased in latency and increased in amplitude, as well as decreases in Hmax/Mmax Ratio in both upper and lower limbs. Keywords Post stroke spasticity, H-reflex latency, H-reflex amplitude, H/M ratio, MRC scale. Citation Fawzi SM, Hamdan FB, Al-Gawwam GA, Jaafar IF. Neurophysiological changes in post stroke spasticity patients. Iraqi JMS. 2023; 21(2): 254-259. doi: 10.22578/IJMS.21.2.13

    2024 Romanian Journal of neurology
    Abstract Background: Covid-19 pandemic is an infectious disease that spread throughout the world and caused global health problem the association of covid with neuroendocrine system is well known fact especially the connection between the endocrine and immune system neuroinflammation plays a crucial role in the pathphysiology of disorder. different neurological complications occur after Covid infection one of which is strock which results in spasticity. spasticity following strock (PSS) is a disorder of sensory and motor system , resulting from an upper motor neuron lesion due to involuntary activation of muscles which is either sustained activation or intermittent one. therapeutic indication of Botulinum neurotoxin-A (BoNT-A) is used in a variety of treatment in focal post strock spasticity (PSS), in rehabilitation and as an effective and safe treatment. Objectives: To assess spasticity after covid 19 infection, with assessment of BoNT-A injection on H-reflex in lower extremities . To investigate whether there is a relation between H-reflex excitability and the degree of spasticity which was scored by Modified Ashworth scale (MAS) . Methods: thirty patients diagnosed as postcovid stroke spasticity were enrolled in the study, there age ranged from (30 - 60 years) from both sexes, they had focal spasticity of lower extremities. BoNT-A was given in day 0 at day of arrival of patients and then 4 weeks later in the gastrocnemius, and soleus muscle. H-reflex was recorded from soleus muscles at 1st presentation (day 0) in patients with post covid spastocity and then after 4 weeks after injection of BoNT-A. muscle power was assessed by Medical Research Council scale and MAS . Results: The latency and amplitude of H reflex recorded from soleus muscles and the H/M ratio showed statistical significant difference between pre- and post-treatment with BoNT-A injection in patients with post covid spasticity patients. The MRC scale was significantly increased whereas, the MAS was significantly reduced after injection of BoNT-A. Conclusion: post covid spasticity is a well known complication after covid 19 infection, there was clinical improvement in PSS after BoNT-A injection ,which was assessed clinically by MAS and MRC scale and as neurophysiological test by H-reflex. There was negative correlation regarding H reflex latency , not correlation regarding H-reflex amplitude or Hmax/Mmax ratio and MAS. Key words: covid-19,post covids pasticity, H-reflex, BoTN-A, MRC scale

    2024 iraqi jms
    Abstract Background A stroke is a serious life-threatening medical condition that occurs when the blood supply to part of the brain is disrupted. Spasticity is a state, in which, there is an increase in muscle tone or stiffness, which might be associated with movement and speech disorders. Spasticity is usually caused by damage to nerve pathways within the brain or spinal cord that control muscle movement. The Hreflex is a compound electromyographic (EMG) response composed of group Ia (and large group II) afferents from muscle spindles (and Golgi tendon organs) that project monosynaptically (and to a lesser extent di- and tri-synaptically) to spinal efferent α-motoneurons (αMN), which in turn activate the muscle after an electrical current is applied to the nerve. Objective To assess the Medical Research Council (MRC) scale in post stroke spasticity patients and to estimate the neurophysiological changes in those patients regarding H-reflex and Hmax/Mmax ratio. Methods A randomized clinical trial involves 50 patients with stroke of both sexes. Their age ranged from (30-60 years old) suffering from upper and lower limb spasticity. They were assessed by the MRC scale to determine the grade of power of muscle. The neurophysiological test is done by using the H-reflex for both upper and lower limbs (flexor carpi radialis and soleus muscles, respectively). The maximum amplitude was measured from the peak of the first positive deflection to the peak of the negative one. The latency and the Hmax/Mmax ratio were also measured. Results The result of this study showed a significant decrease in MRC in spastic patients (P value ≤0.001). Hreflex latency in lower limbs was significantly decreased from (30.3±2.4 ms) in the normal population to (18.5±1.3) in the spastic patient. The H reflex amplitude in the lower limb was significantly increased in post stroke spasticity patients (P value ≤0.05). In the upper limbs H-reflex latency in flexor carpi radialis was also significantly decreased. Regarding H reflex amplitude of the upper limb in the spastic patient was significantly increased. There is a noticeable increase in the H/M ratio in post stroke spasticity patient which was (0.51±0.92) with a significant P value of 0.005. Conclusion Patient with post stroke spasticity had decreased in MRC scale, while H-reflex has decreased in latency and increased in amplitude, as well as decreases in Hmax/Mmax Ratio in both upper and lower limbs.

    2014 Journal of Babylon University/Pure and Applied Sciences/ No.(4)/ Vol.(22): 2014

    2008 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 4 Ver. III (Apr. 2015), PP 75-89 www.iosrjournals.org

    2015 Diyala Journal of Medicine Vol. 8, Issue 1, April 2015

    2014 J Fac Med Baghdad 2014; Vol.56, No .4 Received Oct.2014 Accepted Dec. 2014

    2008 Medical Journal of Islamic Academy of Sciences 13:4,141-145, 2000

    2012 Fac Med Baghdad 2012; Vol.54, No. 3 Received Sept.2011 Accepted Sept.2012

    2012 Fac Med Baghdad 2012; Vol.54, No. 3 Received Sept.2012 Accepted June2012

    2009 fac. med. Baghdad 2010

    2014 fac med Baghdad 2014

    2008 fac med Baghdad

    2008 IRAQI J MED SCI, 2008; VOL.6 (1):45-51

    2008 Iraqi Journal of Medical Sciences

    2012 Fac Med Baghdad 2012; Vol.54, No. 3 Received Sept.2011 Accepted Sept.2012

    2008 IRAQI J MED SCI, 2011; VOL.9 (2)

    2013 THE IRAQI POSTGRADUATE MEDICAL JOURNAL VOL.12, NO. 3,2013

    2013 IRAQI J MED SCI, 2013; VOL. 11(1)

    2019 Official Publication of Africa Health Research Organization June 2019 Vol. 20

    2014 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 13, Issue 12 Ver. VII (Dec. 2014), PP 00-00 www.iosrjournals.org

    2015 Diyala Journal of Medicine Volume 8, Issue 2, June 2015

    2017 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 16, Issue 6 Ver. IX (June. 2017), PP 110-113 www.iosrjournals.org

    2009 THE IRAQI POSTGRADUATE MEDICAL JOURNAL VOL.8, NO.4, 2009

    2010 fac med baghdad

    2008 Iraqi Journal of Medical Sciences

    2014 J Fac Med Baghdad 2015; Vol.57, No .1 Received Oct. 2014 Accepted Feb.2015

    2008 Fac Med Baghdad 2008; Vol.50, No.2 Received July 2007 Accepted Nov.2007

    2014 Journal of Babylon University/Pure and Applied Sciences/ No.(3)/ Vol.(22): 2014

    2008 J. Fac. Med. -Baghdad. 2004; 46 (2-Jan): 125-128

    2008 Iraqi army medical journal 1995

    2008 J fac med Baghdad

    2008 J.Fac.Med. 2002; 44(3), 507-513

    2008 2003; J.Basic Med.Sc.Vol.3 (1):37-42.

    2008 J. Basic Med.Sc, 2004: vol 4(1):37-41

    2008 J fac med Baghdad 46 vol1&2:110-113

    2009 J fac med Baghdad2009,vol51(1):71-75

    2010 THE IRAQI POSTGRADUATE MEDICAL JOURNAL VOL.9, NO. 1,2010:88-94

    2012 iraqi J Embryo and infertility researches2012 vol 2 no 3:9-15

    2015 J Fac Med Baghdad 2015; Vol.57, No .1 :87-91

    2016 IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) .Volume 115, Issue 9 Ver. iv :p49-54

    JANUARY 2022 Wiadomosci Lekarski,Official journal of the Polish Medical Association,VOLUME LXXV, ISSUE 2

    ABSTRACT

    The aim: The aim of this study is to assess the training of medical interns in Baghdad Medical City Complex.

    Materials and methods: A cross-sectional observational study was conducted in the Medical City Complex, Baghdad. The study targeted all the medical interns who finished year one of internship. A questionnaire form was designed for data collection. A questionnaire form was done according to the Medical Interns’ Guideline adopted by the Minister of Health in 2015.

    Results: A total of 60 interns filled the questionnaire, their mean age is 27.07 years (SD = 2.04), male respondents constituted 48.3%. Twenty-seven respondents (45%) were from Baghdad Medical College. More than half (58%) of them were singles. The mean pre-internship score was 69.32 (SD = 6.6). About half of the interns (29, 48.3%) have a future interest in surgery. Average preparedness for the internship was reported in 45% of interns. Half of the interns had prior ideas about the internship through variable means. A larger percentage of interns reported average/poor quality of training in different aspects of medical internships. Accepted quality of training (above average and excellent) and average one were reported respectively by 19 (31.7%) and 31(51.7%) of interns in general surgery, followed by the internal medicine branch. Thirty-one (51.7%) interns were moderately prepared for their future medical careers. Surgeons and general physicians gained better opinions (above average and excellent) from the interns (17, 28.3%, and 13, 21.6%) respectively.

    Conclusion: There was a deficiency in the preparedness of newly graduated doctors for the internship. But they reported an average skill performance in major medical branches, and some related laboratory and medical procedures, there was a defect in dealing with emergency cases. The Supervision of interns was below average in gynecology and obstetrics units and was good in other branches. The medical school training was poor to help interns in dealing with deaths and legal medicine cases. More than 50% of trainees were prepared for the future medical branches of interest.

    2022 Oncology and Radiotherapy © Vol.16 Iss.2:42-46

    2022 Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.

    2023 Folia Neuropathol 2023; 61

    2022 Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.