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Register a new userAssess the nutritional status of children auditors to Al Assad University Hospital in Lattakia using the classification of WATERLOW
تقييم الحالة التغذوية للأطفال المراجعين لمشفى الأسد الجامعي باللاذقية باستخدام تصنيف WATERLOW
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أجريت هذه الدراسة من أجل تقييم الحالة التغذوية للأطفال المراجعين لمشفى الأسد الجامعي و ذلك باستخدام تصنيف واترلو و مشعر كتلة الجسم . كان هدف الدراسة معرفة نسبة انتشار سوء التغذية الحاد و المزمن و البدانة و دراسة العوامل المرتبطة بها , بالإضافة إلى دراسة وجود علاقة بين تصنيف واترلو و مشعر كتلة الجسم في تقييم الحالة التغذوية . شملت الدراسة 830 طفلاً ممن تراوحت أعمارهم بين 6 أشهر و 5 سنوات . بلغت نسبة انتشار سوء التغذية الحاد 16.62%،سوء التغذية المزمن 35.42%، البدانة%12.28 و زيادة الوزن 10.72 % . وجدنا أن سوء التغذية الحاد و المزمن أكثر انتشاراً في المجال العمري (1-2) سنة . ارتبط سوء التغذية بمجموعة من العوامل (عمر الأم و درجة تعليمها , عمر الأب و درجة تعليمه , السكن في المدينة , النزوح, الفقر, و بازدياد عدد أفراد الأسرة [أكثر من5] ).
This study was conducted to assess the nutritional status of auditors children to Al Assad University Hospital by using the classification of Waterlow and body mass index. The aim of the study was to determine the prevalence of acute and chronic malnutrition, obesity,and associated factors, in addition to study the relationship between the classification of Waterlow and body mass index in the evaluation of the nutritional status .The study included 830 children who ranged in age from 6 months to five years. The prevalence of acute malnutrition was 16.62%, chronic malnutrition 35.42% , obesity 12.28% , weight gain 10.72% . We noticed that the acute and chronic malnutrition were more prevalent in the domain age (1-2) year. Malnutrition has been associated with a variety of factors(mother's age and the degree of her education , father's age and his level of education, living in the city, displacement ,poverty , and increasing in the number of family members (more than 5).
Artificial intelligence review:
Research summary
أجريت هذه الدراسة لتقييم الحالة التغذوية للأطفال المراجعين لمشفى الأسد الجامعي باستخدام تصنيف واترلو ومشعر كتلة الجسم. هدفت الدراسة إلى معرفة نسبة انتشار سوء التغذية الحاد والمزمن والبدانة، ودراسة العوامل المرتبطة بها، بالإضافة إلى دراسة العلاقة بين تصنيف واترلو ومشعر كتلة الجسم في تقييم الحالة التغذوية. شملت الدراسة 830 طفلاً تتراوح أعمارهم بين 6 أشهر و5 سنوات. بلغت نسبة انتشار سوء التغذية الحاد 16.62%، سوء التغذية المزمن 35.42%، البدانة 12.28%، وزيادة الوزن 10.72%. وجد أن سوء التغذية الحاد والمزمن أكثر انتشاراً في الفئة العمرية (1-2) سنة. ارتبط سوء التغذية بعوامل مثل عمر الأم ودرجة تعليمها، عمر الأب ودرجة تعليمه، السكن في المدينة، النزوح، وزيادة عدد أفراد الأسرة (أكثر من 5). تم استخدام معامل التوافق وقانون كاي مربع لتحليل البيانات، ووجد توافق بين تصنيف واترلو ومشعر كتلة الجسم في تصنيف الحالة التغذوية. خلصت الدراسة إلى ضرورة أخذ القياسات الجسمية لأي طفل يراجع أي مركز طبي بغض النظر عن الشكاية الأساسية لتقييم الحالة التغذوية وتقديم النصائح اللازمة، وأوصت باستخدام تصنيف واترلو في الدراسات المستقبلية.
Critical review
دراسة نقدية: تعد هذه الدراسة خطوة هامة في فهم الحالة التغذوية للأطفال في منطقة اللاذقية، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الممكن توسيع نطاق الدراسة ليشمل مناطق أخرى في سوريا للحصول على صورة أشمل عن الحالة التغذوية للأطفال. ثانياً، لم تتناول الدراسة بشكل كافٍ تأثير العوامل البيئية مثل تلوث المياه ونوعية الغذاء المتاح. ثالثاً، كان من الممكن استخدام تقنيات تحليلية أكثر تعقيداً مثل النماذج الإحصائية المتقدمة لتحليل البيانات بشكل أعمق. وأخيراً، كان من الممكن تقديم توصيات أكثر تفصيلاً حول كيفية تحسين الحالة التغذوية للأطفال بناءً على النتائج المستخلصة.
Questions related to the research
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ما هي نسبة انتشار سوء التغذية الحاد بين الأطفال في الدراسة؟
بلغت نسبة انتشار سوء التغذية الحاد 16.62%.
-
ما هي الفئة العمرية الأكثر عرضة لسوء التغذية الحاد والمزمن؟
الفئة العمرية الأكثر عرضة لسوء التغذية الحاد والمزمن هي (1-2) سنة.
-
ما هي العوامل الاجتماعية والاقتصادية المرتبطة بسوء التغذية؟
العوامل المرتبطة بسوء التغذية تشمل عمر الأم ودرجة تعليمها، عمر الأب ودرجة تعليمه، السكن في المدينة، النزوح، وزيادة عدد أفراد الأسرة (أكثر من 5).
-
ما هي التوصيات التي قدمتها الدراسة لتحسين الحالة التغذوية للأطفال؟
أوصت الدراسة بضرورة أخذ القياسات الجسمية لأي طفل يراجع أي مركز طبي بغض النظر عن الشكاية الأساسية لتقييم الحالة التغذوية وتقديم النصائح اللازمة، واستخدام تصنيف واترلو في الدراسات المستقبلية.
References used
TORUN, B. ;VITERI, F. E. Energy requirements of preschoolchildren and effects of varying energy intakes onprotein metabolism. Food and nutrition bulletin, Tokyo , Suppl. 5,1981, 229-241
GOMEZ, F., GALVAN, R.R., FRENK, S., MUNOZ,J.C., CHAVEZ, R. and VAZGUEZ, J. Mortality in second and third degree malnutrition. Journal of Tropical Pediatrics,VOL2,1956 , 1271-1274
WATRRLOW,J.C. Classification and definition of proteincalorie Malnutrition. British Medical J'ournal ,VOL3,1972, 566-569
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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 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.
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.
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.
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