ABSTRACT Background: work-related musculoskeletal disorders represent an important occupational health issues among dentists especially neck and low back complaints. Biomarkers of tissue damage as results of occupational physical demands could be used for detection of work related musculoskeletal disorders. Aim: The aim of this study was to assess work- related musculoskeletal disorders, physical work load index, selected salivary biomarkers (Creatine kinase and C - reactive protein) and to find the relation among them. Subjects and Methods: Study participants are consisted of 112 dentists. They were selected from college of dentistry /Baghdad University, health care center in Bagdad city. They were of both gender and aged between 40-45 years .they should fit the study criteria. Self-administered standardized Nordic questionnaires were used to evaluate musculoskeletal complaints. Physical work load was evaluated by used physical work load index. Stimulated saliva were collected from subsample (87) dentists drawn randomly from the total sample, for whom biochemical analysis (measurement of creatine kinase and C - reactive protein) were done. Results: Results showed that low back and neck complaints is the most complaint experienced by the dentists with percentages of ( 69.6% and 66.1% ), followed by the shoulder complaint (49.1% ) while the hip complaint showed the lowest percentage (13.4%).According to severity scores ,both low back and neck musculoskeletal complaints were of score 3 severity (score 3 constituted the highest percentages in both area (27.7% ,23.2%respectively) as compared to other severity scors.For shoulder complaint it was of score 2 severity (score 2 constituted the highest percentage 23.2% as compared to other severity scores, The musculoskeletal complaints(proximal ,neck, shoulder and low back) had higher mean rank values in the highest quartile of Physical work load index with non – significant differences (P<0.05). Regarding salivary creatine kinase the proximal ,total and low back complaints had higher mean rank values among dentists with highest Creatine kinase quartile , while distal manifestations ,neck and shoulder complaints had higher mean rank value in the average interquartile range of Creatine kinase with non – significant differences( P<0.05). For c- reactive protein almost all the complaints(proximal , total ,neck and shoulder) had higher mean rank values in the first lowest quartile with non – significant differences( P<0.05). Conclusions: Physical work load increase the risk of musculoskeletal disorders occurrence. Salivary creatine kinase could serve as a biomarker that reflects the underlying of musculoskeletal complaints more than C - reactive protein. Further studies that used more objective tools for assessing musculoskeletal disorders is needed.
Resumen
El presente trabajo nace de una inquietud por la enseñanza del español en Irak a nivel universitario especialmente ante las dificultades que los alumnos árabes en general, e iraquíes en particular, encuentran en su proceso de aprendizaje. Nuestra primera inclinación fue, pues, prestar una atención directa y cercana al alumno como sujeto del aprendizaje, así como a lo que el alumno produce como resultado del mismo. En el presente trabajo pretendemos dotar al estudiante de los conocimientos lingüísticos necesarios para poder interaccionar en una variedad de situaciones y enfrentarse a problemas cotidianos, de manera que desarrolle las destrezas comunicativas que le permitan establecer una co
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( 1990 -2005) to determine the degree of economic freedom in foreign trade promotion in Singapore and Turkey. The research recommends a number of recommendations, the most important is the responsibility of the Ministry of Planning in Iraq that is providing the necessary data for the Fraser Institute, the aim of increasing cooperation
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The problem of poverty is one of the most important development challenges facing developing countries including Sudan for several decades. Although many efforts have been made to reduce poverty, however, its rates are increasing, and public policies adopted by the government in this regard remain elusive in achievinging its main objectives or making any significant progress. The purpose of the present study is to analyse poverty in Sudan by identifying its measurement, causes and the factors that have contributed to the increasing poverty rates over the past two decades. Also this study aims at investigating the interim poverty reduction strategy in Sudan as well as evaluates that strategy throug
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Entered the technology in all areas of life and different regulations, This led to use as a change in all aspects The companies achieved success and progress today through the use of resources so as to ensure the wishes of the customers and their needs, and the requirements of the market primarily, Which is reflected on the basis of building strate
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