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Introduction : Premature rupture of membranes (PROM) occurs in 10% of pregnancies , while 3-5% of pregnancies are complicated with Preterm rupture of membranes (PPROM) . Aim : To study the role of uterine cervix injuries in PROM . Materials and M ethods :This is a case-control retrospective study conducted at Obstetrics and Gynecology Department at Al-Assad and Tishreen University Hospitals , Lattakia , Syria , during the period between January 2015 – July 2017 . The case group consisted of 90 PROM patients with a history or a physical examination suggesting a cervical traumatic injury after exclusion the traditional risk factors of premature rupture of membranes, The control group consisted of 50 healthy pregnant women who successfully completed the pregnancy without PROM.
The search was conducted (newborn feeding "premature" in the first week of life) in order to assess nutrition in newborn and learn about nutrition during the first week of life and what is the best food in preterm infant valiant hospital generously almonds-Pediatrics-premature Division.
It is found in this research to adopt a new classifier for diagnosing Cardiac Arrhythmias depending on detecting the Electrocardiograph (ECG), where the classifier can identify heart beats and extract its features. Using these features we can deci de if the heart beat is healthy or disordered. Beside detection normal heart beats, the research focused on detection two diseases: 1. Premature Ventricular Contraction PVC. 2. Premature Atrial Contraction PAC. The new classifier diagnosed the two diseases with a very high quality where the accuracy average is 97.56%. The new classifier is developed depending on algorithms of ANFIS Adaptive Neural Fuzzy Inference System. System includes two consecutive neural networks; first one sorts the heart beats to two types: normal and abnormal were the second diagnose the disease of the disordered heartbeats only. This new classifier offered higher levels of efficiency and accuracy in the comparison with the internationally known classifiers.
Nursery ward is the safe place for premature after deliverey . It contains the basic requirements of life to him. but full of noise caused by alarms of devices, conversations of health team, ringing phones, and close the doors, exceeds what is reco mmended by the American Academy of Pediatrics in the Nursery wards 45 dBA (decibel A-weighting). Although it stimulates the autonomic system leading to physiologic instability like disorder in the level of oxygenation. We found in this study conducted on 30 premature with pre and post test, that the level of noise within first hour of non interventions reached 67.2 dBA, level of oxygenation inversely with noise level in it, and reduction of noise level under 45 dBA at second hour increases the oxygenation significantly. so we suggests to make reduce noise interventions within daily practices of nursing procedures, and subsequent research to study effect of noise on the rest of vital premature indicators.
Low birth weight and premature infant need complementary treatment intervention to promote optimal clinical outcome and to decrease the immediate adversities and developmental deficits associated with prematurity and intensive care unit environment. The purpose of this study was to investigate the effect of complementary treatment program on the clinical outcome for preterm and low birth weight infant. The study was conducted at the pediatric intensive care units of AL-Assad hospital and maternal &child hospital (lattakia). The sample was divided into two groups of 20 infants experimental croup and 10 infant control croup with gestational age less than 36 weeks at birth, birth weight less than 2500g and more than 1500 g, and no congenital anomalies. The clinical outcome was significantly improved in clinical outcome, while no change in the control group. The experimental group had significantly weight gain, higher scores for awake state and motor activity than the control group. Significantly greater fidgeting or crying, and increased motor activity. The results of this study advice to apply complementary treatment therapy because its affect in improve clinical outcome. Nursing staff can use complementary treatment to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants
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