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واقع تطبيق الفيتامين د وقائياً بين الأطفال المراجعين لمشفى الأسد الجامعي في اللاذقية

958   1   37   0 ( 0 )
 Publication date 2009
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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References used
Madkour. A. nutritional disorders in essential of pediatrics. 5th edition ayad press Alexandria 2003, 73-79
Bourrillon A.urgences metaboliques in urgences pediatriques. Masson. Paris 2002.393- 398
Vidailhet M.vitamine D chez l'enfant.(Encycl med chir .elsevier SAS,paris) pediatrie, 4- 008-a-20,8p
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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 ma lnutrition, 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).
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.
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 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 .
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 p atients 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.

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