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Register a new userEpidemiology of Visceral leishmaniasis in Al- Assad University Hospital ,Latakia between 2010 and 2014
وبائيات الليشمانيا الحشوية في مشفى الأسد الجامعي في اللاذقية بين عامي 2010-2014
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Authors
نورما تيشوري( باحث )
Created by
Shamra Editor
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يتميز داء الليشمانيا الحشوية بطيف واسع من التظاهرات السريرية و المخبرية و نسب شفاء عالية في حالات التشخيص المبكر . هدف البحث :وصف أهم الموجودات السريرية و الوبائية و المتغيرات المخبرية للأطفال المصابين بداء الليشمانيا الحشوية ، تحديد نسبة إيجابية التحري المباشر للطفيلي في نقي العظم في تشخيص المرض . المرضى و طريقة الدراسة : دراسة وصفية راجعة ل 25طفل مقبولين في مشفى الأسد الجامعي في اللاذقية في الفترة مابين حزيران 2010و حتى حزيران 2014 . النتائج :تضمنت الدراسة 25 طفل راجع 23طفل المشفى بترفع حروري بنسبة92%، كان الشحوب (100%) و الضخامة الطحالية (97%) أهم الموجودات السريرية بالفحص، التحري المباشر لطفيلي ببزل النقي إيجابي في 88% من الحالات.
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 .
References used
MÁRCIA J. A .QUEIROZ ,JOÃO G. B .ALVES ,JAILSON B .CORREIA . Visceral leishmaniasis 7clinical and epidemiological features of children in an endemic area .Jornal de Pediatria - Vol. 80, Nº2, 2004:142-146
Ebru ARIK YILMAZ ,Gönül TANIR ,Nilden TUYGUN ,Aysegul TAYLAN ÖZKAN Visceral Leishmaniasis in 13 Pediatric Patients in Turkey: Treatment Experience .Türkiye Parazitoloji Dergisi 33 (4): 2009,259 – 262
PHILIPPE DESJEUX , JEAN-PIERRE DEDET .Actualités sur le traitement de la leishmaniose viscérale .JNI, 8-10 Juin ,5112 Nice, France
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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 .
laparoscopic cholecystectomy has many features that make it preferable to open
surgery with a low incidence of complications.
The study was conducted on 877 patients who underwent laparoscopic
cholecystectomy at Al-Assad and Tishreen hospitals in
the period 2010-2017
The surgical method used and the reasons for conversion to open surgery were
studied in addition to the complications occurring during or after the surgery in terms of
occurrence rate and method of management of complications and the results of this
management.
The average age of patients was 46 years, the proportion of females was 64.5%, the
mean surgical time was 45 minutes.
The ratio of conversion to open surgery was 2.05% and the most common cause was
severe inflammation, "unclear calot`s triangle" and suspicion of malignancy.
Partial laparoscopic cholecystectomy was performed in 1.36% of cases and
peroperative complications occurred in 0.34% of cases and postoperative complications in
2.16% of cases.
Analysis of the results revealed that the rates of conversion for open surgery and the
incidence of complications are within the internationally accepted rates and that the results
of management of complications were satisfactory and consistent with the methods used
globally to manage complications.
We concluded that this surgery is safe and its complications are rare. We recommend
applying it in our hospitals . We have suggested some recommendations that can reduce
the complications of this surgery.
Visceral Leishmaniasis is still seen in developing country
To study the epidemiology of Visceral Leishmaniasis cases
hospitalized in Damascus University Children Hospital.
It was retro-spective study on (89) cases of Visceral
Leishmaniasis hospitalized between 1993 and 2005.
We decided to carry out this study to highlight the risk factors, clinical presentations and
prognosis for AFS in the neonatal care department at Al-Assad University Hospital in Lattakia,
and thus reaching conclusions and recommendations that avoid
high incidence rates of this lifethreatening
condition. The aim of the study was to shed light on the clinical and laboratory
characteristics of the AFS when developing the diagnosis and to study its potential risk factors for
its occurrence of neonates in the department of neonatal care. The gold standard for diagnosing
AFS in our study was the positive results of blood culture by isolating fungal yeasts from all
neonates of the study sample.
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