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Obesity Impact on Heart Rate Variability Indices and the Modulation Effect of Regular Physical Activity.
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Background: Obesity is imposing a growing threat to world health. The autonomic nervous system (ANS) regulates visceral functions via balance between sympathetic and parasympathetic divisions. In the cardiovascular system (CVS) this non stationary balance results in the fluctuation between intervals of consecutive heart beats, so called heart rate variability (HRV). Obesity is one of the causative co-morbid conditions leading to metabolic and cardiac disorders as it is accompanied with varied combinations of abnormalities in the ANS, one view is that obese people have higher sympathetic tone. HRV measures the effect of autonomic function on the heart alone. Therefore, it could be the most useful method to investigate the effect of obesity on CVS as obesity is associated with decreased HRV. Regular physical activity has been shown to increase HRV in healthy individuals. Therefore, exercise training may improve cardiac autonomic regulation in a variety of clinical populations including obese individuals.

Objectives: to assess the alteration in cardiac autonomic function that may be associated with obesity by measuring HRV indices using (Holter monitoring) and to test the hypothesis that regular physical activity is associated with improved HRV.

Methods: A total of 49 asymptomatic obese individuals (28 males, 21 females) were recruited from Obesity Unit in Alkindy College of Medicine/ University of Baghdad.

Holter monitoring was applied to the obese individuals to assess HRV in addition to 47 healthy non-obese subjects of either sex as controls. All participants were subjected to 4-6 weeks moderate intensity of physical activity, and then Holter monitoring was repeated after the end of physical activity. Blood tests were done for all participants to exclude renal, liver and endocrine dysfunctions.

Results: all HRV indices were significantly low in obese subjects (p value less than 0.05) body mass index (BMI) was negatively correlated with overall HRV index (p= 0.0001, r= - 0.87). After onset of regular physical activity, all HRV indices were increased significantly in obese subjects whereas the increase in HRV indices in normal weight subjects did not reach the level of significance.

Conclusion: Obese subjects had a significant lower values of all HRV indices, overall low HRV values usually indicate a relative sympathetic dominance. BMI was negatively correlated with overall HRV index significantly in obese subjects. The significant increment in all HRV values in obese subjects after the onset of regular physical activity indicates a shift of sympathetic/parasympathetic balance towards increased vagal activity, which is a marker for cardiac autonomic modulation that may offset the negative effect of obesity.

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Publication Date
Wed Dec 13 2017
Journal Name
Al-khwarizmi Engineering Journal
Experimental Investigations Performance for (VCC) Using 2-Way (PFCV) Type (2FRE)
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In modern hydraulic control systems, the trend in hydraulic power applications is to improve efficiency and performance. “Proportional valve” is generally applied to pressure, flow and directional-control valves which continuously convert a variable input signal into a smooth and proportional hydraulic output signal. It creates a variable resistance (orifice) upstream and downstream of a hydraulic actuator, and is meter in/meter out circuit and hence pressure drop, and power losses are inevitable. If velocity (position) feedback is used, flow pattern control is possible. Without aforementioned flow pattern, control is very “loose” and relies on “visual” feed back by the operator. At this point, we should examine how this valv

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Publication Date
Fri Dec 01 2023
Journal Name
Bahrain Medical Bulletin
Effectiveness of Instructional Program on Nurses’ Knowledge Concerning Palliative and Supportive Care for old Adults with Heart Failure
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Abstract Background: The prevalence of heart failure (HF) continues to increase with an increase in the aging population. Palliative care should be integrated into routine disease management for all patients with serious illness, regardless of settings or prognosis. Objectives: The purposes of this study were to determine the level of knowledge of nurses concerning palliative care for patients with heart failure after implementation of instructional program. Design: The study was a quasi-experimental study and consists of 60 nurses. Setting: The study was conducted between17th November 2021, to 10th February 2022, at three teaching hospitals in Baghdad city, Iraq. Method: A non-probability (purposive) sample was utilized, nurses who agreed

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Scopus
Publication Date
Sun Sep 01 2019
Journal Name
Baghdad Science Journal
The Effect of MHD on a Longitudinal Flow of a Fractional Maxwell Fluid between Two Coaxial Cylinders
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      In this paper fractional Maxwell fluid equation has been solved. The solution is in the Mettag-Leffler form. For  the corresponding solutions for ordinary Maxwell fluid are obtained as limiting case of general solutions. Finally, the effects of different parameters on the velocity and shear stress profile are analyzed through plotting the velocity and shear stress profile.

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Publication Date
Sun Feb 21 2021
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Artifacts in electrocardiogram interpreted as cardiac arrhythmias: Reports of clinical cases
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Background: Artifact waves in the ECG and Holter recording are not rare in clinical practice and can be mistaken for tachyarrhythmia.

Objective: To orient the practicing physicians to differentiate these artifacts from cardiac arrhythmias.

Patients and Methods: Thirteen patients with incorrectly diagnosed cardiac arrhythmias by ECG or Holter recording then distinguished to be ECG artifacts were included in this study. The patients were collected from the author’s private practice in the northern Iraqi governorate of Sulaimanya during the period from June 2015 to August 2020. The differentiation of the artifact waves from the arrhythmias were made by careful inspection o

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Publication Date
Mon Jun 01 2015
Journal Name
Journal Of Economics And Administrative Sciences
The phenomenon of negative behavior has studied as a social and psychological phenomenon that effect on the performance and life of workers inside and outside the organization. The adoption of this phenomenon is studied in terms of the role of the interna
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The phenomenon of negative behavior has studied as a social and psychological phenomenon that effect on the performance and life of workers inside and outside the organization. The adoption of this phenomenon is studied in terms of the role of the internal environment of the organization in addressing this behavior, being the variables belong to the field of organizational behavior to see the results of those variables on the Iraqi organizations, since the specificities of it differ from the rest of the Arab and foreign environments. Therefore, this study focused on testing the relationship of the internal environment of the organization and its role in addressing the negative behavior of the workers.

thi

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Publication Date
Thu Apr 30 2020
Journal Name
Journal Of Economics And Administrative Sciences
The impact of the of Six Sigma to improve the performance of dentists in albaladeat specialized Dental
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The research aims at introducing the principles of six sigma and if it had any effect of the dimensions of six sigma to improve the performance of the dentists and the availability of an appropriate environment in the center Specialist respondent to the application of six sigma principles and how to adopt Specialized Center under the dimensions of the six sigma and if there informed enough with the management methodology six sigma, and if you can adopt six sigma as one of the entrances to reduce medical errors. So  Search creating six sigma five dimensions and are (the commitment and support of senior management, the focus  on the patient, continuous improvement, training and civil, and infrastructure) as a variable int

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Publication Date
Sun Apr 02 2017
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Evaluation of Myocardial Function in Cases of Gestational Hypertension Using Myocardial Performance Index
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Background: Gestational hypertension represents a transient period of elevated blood pressure with  special effects on the maternal left ventricle that is different from the effects observed in chronic essential   hypertension; it affects a previously normal heart and lasts for a maximum of nine months associated with   volume and pressure overload on the maternal heart. Tei index (also called myocardial performance index)   was found to be a dependent combined index evaluating the systolic and diastolic function of the left   ventricle and represents a sensitive indicator for many types of heart diseases.
Objective: to evaluate the effects of gestational hypertension on the maternal myocar

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Publication Date
Tue Mar 19 2019
Journal Name
Political Sciences Journal
Rentierism effect on the democratic choice of the state In Iraq after 2003
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The linguistic meaning of the verse in the Arabic dictionaries applies very much to the reality of rent and its effect. This is true of economic growth as a continuous increase in real per capita income in addition to the same thing. Therefore, development does not necessarily achieve a comprehensive and structural increase of the various economic sectors. As the rent came in the sense of a terrible land open Maim any fertilized. And the camel is a ma'aya and a ra'i: that is, it goes in the pasture and returns itself. This is similar to the extraction of oil after it is ready for investment and earn its revenue as soon as it exists or is extracted by external parties. If the rent is first linked to agriculture, especially the fertile lan

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Crossref
Publication Date
Fri Oct 28 2022
Journal Name
Political Sciences Journal
The impact of the US military variable in reality Security in the Arab Gulf region after 2003
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The military presence in the Gulf region after the British withdrawal from it in 1971 was one of the most important pillars of the American strategy to climb the ladder of global leadership, as the geostrategic features that the region enjoyed provided factors of controlling energy sources and global trade routes. The United States of America guarantees Western Europe and Japan the process of access to energy sources and the exclusion of its opponents from the region, especially the Soviet Union, and the growing American military presence in the Gulf after the invasion of Iraq in 2003. On the other hand, the region experiences many contradictions, some of which threaten its security, such as the exacerbation of disputes between its count

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Publication Date
Wed Jul 01 2009
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Prevalence of Fibromyalgia in Iraqi Patients with Ischemic Heart Disease
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Background: Fibromyalgia has been associated with physical and emotional trauma including invasive medical procedures. Both Fibromyalgia and ischemic heart disease have been linked with depression. The aim of the study is to assess the prevalence of fibromyalgia syndrome in patients with ischemic heart disease.Patients and Methods: A cross-sectional comparative study was done in the Iraqi Center for Heart Disease. One hundred patients, angiographically proved to have ischemic heart disease, were subjected to rheumatologic examination by another physician, and compared to hundred healthy individuals as a control group. Diagnosis of fibromyalgia was based on 1990 American College of Rheumatology Classification criteria for the diagnosis of

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