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Register a new userIndications and results therapeutic gastroendoscopy in children in AL-ASSAD University Hospital –Lattakia
استطبابات و نتائج التنظير الهضمي العلاجي عند الأطفال في مشفى الأسد الجامعي في اللاذقية
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Tishreen University ورقة بحثية
Publication date
2015
fields
Medicine
and research's language is
العربية
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Shamra Editor
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شملت الدراسة ( 77 ) مريضا قبلوا لاجراء تنظير هضمي علاجي في قسم الأطفال في مشفى الأسد الجامعي في اللاذقية خلال الفترة الممتدة مابين ( تموز 2009_ تموز 2014م), عدد الاجراءات (195) و تراوحت أعمارهم مابين (1 شهر- 16 سنة) و كان الاستطباب العلاجي الأول هو استخراج جسم أجنبي ثم توسيع التضيقات الهضمية يليه ربط دوالي أسفل المري و أخيرا استئصال البوليبات الهضمية ثم تدبير هبوط المستقيم المعند. لم تحدث أية اختلاطات في معظم الجلسات العلاجية بنسبة ( 94% ) و كانت نسبة الشفاء التام للمرضى مرتفعة (4,64%) مع بقاء نسبة (26%) من الحالات قيد المتابعة و لكنها جيدة حتى الآن , و قد يحتاج مريضان من مرضى توسيع المري الى تداخل جراحي..
The study included 77 patients admitted to Pediatric Department in AL-ASSAD University Hospital in Lattakia for doing therapeutic gastroendoscopy between ( Jul 2009-Jul 2014),number of procedures were (195) with age ranging between( 1mon-16 y) and The main indication of interventional GI endoscopy in this series was foreign body extractions, oesophageal stenosis, esophageal varices ligation followed by polyp resection and Management of rectal prolapse refractory. -There were" not any complications during therapeutic procedures (94%), and complet cure percent was high (64,4%), but (26%) of cases are followed up and good until now, there were Two patients of oesophageal dilatation may need surgical interference.
References used
Boukthir S,Choutch B,Mahzouni M,et all- -(Interventional endoscopy in the gastrointestinal tract in children) US National Library of MedicineNational Institutes of Health Tunis- Med, 2010 Dec;88(12):920-3
Squires, Robert H. Jr.; Colletti, Richard B - Indications for Pediatric Gastrointestinal Endoscopy Journal of Pediatric Gastroenterology@ Nutrition,A Medical Position Statement of the North American Society, August 1996 - Volume 23 - Issue 2 - pp 107-110
Dr Jonathan Green,-COMPLICATIONS OF GASTROINTESTINAL ENDOSCOPY, Novmber2006,556-615
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Introduction: As nursing develop with regard to science, knowledge & practice and nursing responsibilities increase, critical thinking- the ability to question and make rational decisions- becomes even more important. Whereas, critical thinking requi
res that all thoughts and actions be examined objectively, in patient care almost all actions require decision making, and problem solving. Critical thinking is an essential element in decision making which involves choices, and problem solving which requires analysis. Through critical thinking skills, a nurse manager can become a transformational leader. She can challenge the routine nursing practices now, develop a more robust understanding of any problem underlying causes, and develop her leadership skills as well as develop more creative solutions when using critical thinking. Although, critical thinking skills are more important but there were few studies both English and Arabic and there was no study in Syria concerned with critical thinking skills that must used by nurse mangers to do their role effectively, for that this study was conducted and aimed to assess critical thinking skills of nurse managers in Al- Assad university hospital and Al- Wattany hospital in Lattakia. The study was conducted in Al- Assad university and Al- Wattany hospitals in Lattakia. Whereas, The study sample consisted of 21 nurse managers , and 80 nurses from both hospitals. The results of this study showed that there were positive convergence between nurses 'viewpoints and nurse managers ' viewpoints in both hospitals and that nurse managers used critical thinking skills in their practice.
Appendectomy is one most common procedure in emergency cases . laparoscopic
surgery has many features and development which lead courageously to appendectomy by
laparoscopic procedure.
This study was conducted on 60 patients who underwent laparosc
opic appendectomy
at Al-Assad university hospital between 2014-2016.
The average age of patients was 38 years – the proportion of meals was 58,3 % and
females was 61,4 %. The mean surgical operation time was 105 minutes .
Normal appendectomy proportion was 13,3 % . Acute appendectomy without
perforation was 75 % . The proportion for gangrenous appendectomy with perforation was
11,6 % ,
The proportion for conversions to open surgery was 16,6 % . Post operation
complications were as follows : wound infection : 6,66 % - intra abdominal abscess :5 % -
Bowel obstruction :1,66 % .
Analysis of the results revealed that the rates are within the internationally accepted
rates .
We concluded that this surgery is safe and has many features and a little
complications . We recommend applying this surgery in our hospitals .
Introduction:The nurse manager role and how it is carried out in healthcare
organizations has been an important topic which had emphasized by many international
organizations and institutions during the past two decades. Thus, this role had impact
on
nursing staff, other healthcare providers, patients and on healthcare environment as whole.
To carry out her duties, nurse manager needs to build up and improve her personal skills
and leadership competencies continuously. This by depending on international competency
standards which developed by international organizations and institutions to be the basic to
assess and improve nurse managers competency. Depending on these standards, this study
was conducted and aimed to assess nurse managers' competency in implementing
international competency standards in Al- Assad university hospital and Al- Wattany
hospital at Lattakia.
Thestudy was conducted on Al- Assad university and Al- Wattany hospitals at
Lattakia. Whereas, The study sample consisted of 21 nurse managers , and 80 nurses from
two hospitals. The main results ofthis study was that there was agreement between nurses
'viewpoints and nurse managers' viewpoint in both hospitals on nurse managers'
implementation of international competencies standards.
Introduction 7 Visceral Leishmaniasis( VL )is characterized by a spectrum of
clinical features, with high cure rates in early diagnosis.
Objective: the objective is to describe the clinical and epidemiological features and
laboratory variables of
children with visceral leishmaniasis ,And to define the importance
of a positive direct investigation of the parasite in Bone marrow in the diagnosis of disease
.
Patients and Methods : It was a case series study of )52( cases of Visceral
Leishmaniasis which were hospitalized between June-20 31and June-2014 in Al -Assad
University Hospital ,Latakia
Results 52 7 7 children were included in this study .Majority of the patients (92%)
presented with fever ,common findings in physical examination were(100%) Pallor and
(97%) splenomegaly
The direct investigation of parasite in Bone marrow was positive in )%55( of cases .
The empty sella syndrome (ESS) is an asymptomatic radiological syndrome,
affecting 6% of post-menopausal women and can be seen in all ages.
The results were similar with other studies in many respects, such as a wide
age spectrum including childre
n, and the occurrence of diabetes insipidus in
5.97%.
The results of our study were discordant with other studies with respect to
hyperprolactinemia which reached 58.2% in our study (in other studies did
not exceed 33.7%). No concurrent cases of secretory pituitary adenomas
were found (studies refer to an incidence of acromegaly and Cushing’s
syndrome in 2.6% of ESS for each). We did not record CSF rhinorrhea nor
were visual disturbances seen in our cohort. Patients received symptomatic
treatment and none were referred to surgery.
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