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Register a new userCauses of first trimester bleeding in Alasad University Hospital patients during 2013-2014
دراسة سببية لنزوف أشهر الحمل الأولي عند المريضات المراجعات لمشفى الأسد الجامعي خلال عامي 2013-2014
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Tishreen University ورقة بحثية
Publication date
2015
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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أجريت دراسة عن أسباب نزوف أشهر الحمل الأولى شملت الدراسة 816 مريضة نزف من أصل 3104 حامل بنسبة 26.28%. كانت الأسباب: الإسقاط (96.07%) و الحمل الهاجر (2.69%) و الحمل الرحوي (1.22%). في مريضات الإسقاط ترافق الألم البطني مع النزف التناسلي لدى نسبة أكبر من المرضى (61.9%) و ارتفعت نسبة الإسقاط التام لدى ترافقهما. بالنسبة لتصنيف الإسقاطات إلى باكرة و متأخرة فإنه 613 مريضة حدث لديها الإسقاط الباكر (78.18%) و 171 حدث لديها الإسقاط المتأخر (21.81%). و كان تدني المستوى الاقتصادي والاجتماعي من أكثر عوامل الخطورة المشاهدة لدى مريضات الإسقاط وكذلك كان أكثر حدوثاً لدى الفئة العمرية 35-40 عام. كان الحمل الهاجر البوقي أكثر التوضعات مشاهدة و أكثر عامل خطورة مشاهدة وجود عمل جراحي حوضي سابق. حدث لدى جميع مريضات الحمل الهاجر انقطاع طمث مع نزف تناسلي مع التبدل الطفيف أو ثبات قيمة المنمية التناسلية البشرية بينما حدث لدى (86.36%) منهن الألم أسفل البطن مع تبدلات عنق الرحم و الألم بتحريكه. احتاجت 16 مريضة (72.72%) من مريضات الحمل الهاجر للمعالجة الجراحية.
A study was done about bleeding in first trimester of pregnancy including 816 patients from 3104 pregnant women(26.28 %) . The causes was abortion ( %96.07), ectopic pregnancy (%2.69) and hyditidiform mole (%1.22). In patients with abortion 486 patients suffered from pain with bleeding(%61.09) and when happeded together the rate of complete abortion elevated . (%78.18) had early abortion whereas(%21.81) had late abortion.The most common high risk factors in patients with abortion were poor and low level of life also the age -35 40 years old(%47.44). The tubal ectopic pregnancy was the most common and the privious pelvic operation is one of the most important high risk factors for ectopic pregnancy. All patients with ectopic pregnancy had amenorrhea with low or no changes in β- HCG levels and (%86.36) had abdominal pain with changes and pain in the cervixs. 16 patients (%72.72) needed surgical therapy.
References used
HASAN, R ; DONNA,D. First Trimester Bleeding. North Carolina USA .1996- 1997. P:517-520
FRANK, W ; VREDEVOOGD ,C ; VAN VLZEN , K ; HERMANS, J ; Baptist, J ; TRUDY, C ; TRIMBOS, K.Gestational Trophoblastic Neoplasia ; Multicentre Study. Obstet Gynecol. Netherlande . 2005 , 7844 , P:266-270
POVEDANO, B; ARJONA, J ; VELASCO ,E; MONSERRATTE, J; LORENTE, J; CASTELO,C. Complications Of First Trimester Of Pregnancy.WWW.Bjog.Org. Spain. 2012,P:795-799
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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 .
Nursing is considered to be one of the most stressful professions among the human
services professions, it need compassion and involvement beyond physical care giving.
Nurses have tremendous responsibilities and deal with enormous challenges, Burno
ut is
one of these challenges, it is characterized by decreasing energy, power and resources in
the presence of excessive demands. It is one of the factors which influence the efficiency
and productivity of the workers and staff in every field. Aim: This descriptive study was
aimed to assess burnout among 135 nurses, were randomly chosen, working in various
section of Al-Assad university hospital. The data were collected by using a translated
version of the Maslach Burnout Inventory-Human Services Survey. Results: Showed high
levels of burnout among nurses as general Nurses working in Emergency Room, Intensive
Care, Operation Room with Baccholrius degree had high level of Emotional Exhaustio
(EE). Nurses young people experienced high level of Depronalization (D). Nurses working
in night shift showed low level of Personal Accomplishment (PA(.No statistical
significance was found between burnout and gende, marital status, work experience.
Conclusions: this problem must be studied more deeply and related factors should be
recognized in order to reduce burn out among nurses. Many affected aspects of nurse's job
should be noticed and appropriate intervention should be conducted.
During 2016 we have made 167 survey bronchoscopy (101 males & 66 females),they
had been done by flexible fibroscope (pentaxTM) slim diameter .
Patients has prepared for the endoscopy by local anesthesia on nose ,pharynx and
larynx using Lidocaine
.In few particular cases , the sedation has been done by Midazolam
(5mg) intravenous .
The endoscopy's tolerance was good and no complication that require recovery
occurred .
The indications of the endoscopy were suspected malignancy, 49 cases had
diagnosed in the rate of 56.3%. The disorders had been diagnosed and isolated in the case
of suspected infections in 11 patients in the rate of 45.8%.The tuberculosis had been
diagnosed in 9 patients in the rate of 42.8%.
In hemoptysis cases ,bleeding site and causing factor had causing factor had been
detected in 12 patients in rate of 63%.
In chronic cough cases, the diagnosis had been confirmed in 4 patients in the rate of
50%.
In case of interstitial pulmonary lesions , the diagnosis had been confirmed in 4
patients in the rate of 50%.
After the study ,we emphasize the importance of broncoscopy as survey diagnostic
instrument especially in malignancy cases , other negative tests (blood, sputum ), suspected
infections , tuberculosis ,hemoptysis cases and interstitial lesions .Especially it is external
good tolerances procedure with rare complication.
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 .
The study was carried out in Al-Assad University Hospital in Lattakia in surgery
department for a period of two years (2014 – 2016). There were 52 patients with 104
undescended testises , their ages were between (6 months -5 years) .The objects of
this
study were as following:
1- study the result of treatment of B-HCG for bilateral cryptorchidism.
2- Study the optimal age for the application of hormonal treatment with B HCG .
Ultrasound (US) was done to 39 patients (75%) to find the abnormalities of urinary
tract, and the results were negative. The mean age was 2,5 . There were 29 patients (55.77
%) who were less than 2 years of age. Patients were followed for six months .
There was success after six months of treatment 34,61 % of the total sample for
bilateral cryptorchidism , 13,64 % of the total sample for one side .
if treatment was early , the success rate would be better .
the preferred age for treatment of B Hcg is less than 2 years of age .
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