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Article
CAUSES OF NEONATAL DEATHS IN AL- KADHIMIYA TEACHING HOSPITAL
أسباب الوفيات ت لحديثي الولادة في مستشفى الكاظمية التعليمي

Author: Lamia Abdul Karim Al- Saady لمياء عبد الكريم السعدي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2007 Volume: 5 Issue: 2 Pages: 44-48
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: neonatal death is the death take place in the first 28 days of life.Although the neonatal mortality has been declining more rapidly than the post neonatal mortality in the recent decades, neonatal mortality continue to account for close to two third of all infants death. Aim: to review the main causes of neonatal death among the neonates admitted to the nursery care unit (NCU) in Al- Kadhimiya Teaching hospital for ten years period. in order to prevent or treat the treatable ones.Patients and Methods: Through a retrospective study, analysis of the medical records of all the admitted neonates to the NCU in Al- Kadhimiya Teaching Hospital during the period between 1995 -2005, the medical information were analyzed to find the important causes of neonatal deaths.Results: the number of admitted cases during this period was 2683 cases and the total numbers of deaths were 982 cases (36.6%). We found that the main causes of death were Respiratory distress syndrome (RDS), neonatal sepsis, birth asphyxia, congenital anomalies, meconium aspiration and infant of diabetic mother.Conclusion: the most important causes of deaths were sepsis, birth asphyxia and congenital anomalies. Prevention of prematurity as a major cause for RDS will lead to a decrease in neonatal mortality and morbidity, and a significant reduction will depend on genetic counseling and prevention of congenital anomalies.Key Words: Neonatal Death, NCU, RDS .

خلفية الدراسة : على الرغم من الانخفاض الحاصل في الوفيات لحديثي الولادة في العقود المتأخرة عن الوفيات للأطفال الذين تجاوزوا سن حديثي الولادة ولكن الوفيات لحدثي الولادة لا زالت تشكل تقريبا ثلثي الوفيات لدى صغار الأطفال.الهدف : لإيجاد أهم الأسباب المؤدية إلى الوفاة لدى جميع حديثي الولادة اللذين ادخلوا إلى ردهة العناية المركزة لحديثي الولادة في مستشفى الكاظمية التعليمي وذلك لمنع والوقاية ومعالجة ما يمكن من هذه الأسباب.طريقة العمل: لقد تمت مراجعة السجلات الطبية لكل المرضى اللذين ادخلوا إلى ردهة حديثي ا لولادة في مستشفى الكاظمية التعليمي للفترة الزمنية بين 1995-2005 لايجا أهم الأسباب المؤدية إلى الوفاة خلال هذه الفترة.النتائج: كانت النتائج إن عدد المرضى الداخلين الى ردهة حدثي الولادة هو 2683مريض ولمختلف التشخيصات وكان عدد الوفيات لجميع الأسباب هو 982حالة مرضية . إن أهم أسباب الوفاة لدى المرضى الراقدين هو وحسب ما هو مسجل في السجلات الطبية للمرضى كالأتي :طفل خديج مع متلازمة عسر التنفس ,تسمم الدم الجرثومي,الاختناق الولادي , التشوهات الخلقية , استنشاق العق , والطفل لأم مصابة بداء السكر .الاستنتاج: إن من أهم العوامل التي تؤدي الى انخفاض الوفيات لدى حديثي الولادة هو محاولة منع حدوث الولادات المسبقة ومعالجة الأطفال الخدج وقليلي الوزن سوف يؤدي الى انخفاض في نسبة الوفيات بشكل كبير كذلك الأمراض الوراثية والتشوهات الخلقية ومعالجة ما يمكن معالجته منها ومحاولة منع حدوثها.مفتاح الكلمات: الوفيات لحديثي الولادة ,ردهة العناية المركزة لحديثي الولادة, متلازمة عسر التنفس.


Article
BRUGADA SYNDROME, A CASE REPORT
حالة لمتلازمة بروكادا " تقرير حالة "

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Abstract

Brugada syndrome is a clinical and electrocardiographic diagnosis based on syncopal sudden death episodes in patients with a structurally normal heart and characteristic ECG pattern composed of right bundle branch block (RBBB) and a specific shape ST-segment elevation in V1 to V3 2.The first report on this syndrome was published in 1992, although some reports on a similar condition has been reported since 1989, since 1992 there has been an exponential increase in the number of patients recognized all over the world (9). Its incidence and prevalence are difficult to estimate, however asymptomatic subjects with Brugada type ST-segment shift were present at a rate of 0.14% in the general Japanese population 1, 3. Key words: Brugada Syndrome, Ventricular arrhythmia, sudden cardiac death.

كلمات المفتاح: متلازمة بروكادا، لا نظميات بطينية، الموت القلبي المفاجئ


Article
Respiratory Distress Syndrome in Neonatal Care Units in Medical City

Author: Numan Nafie Hameed
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2007 Volume: 49 Issue: 4 Pages: 378-385
Publisher: Baghdad University جامعة بغداد

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Abstract

Introduction: Neonatal Respiratory distress syndrome (RDS) remains one of the major cause's neonatal morbidity and mortality despite advances in perinatal care especially in developed countries. Objectives: The aims of this study were to find out me risk factors of mothers and newborns (NB) which increase the incidence, morbidity, and mortality of RDS. Patients & Methods: A prospective descriptive cross-sectional study was conducted on 100 live NR infants born at neonatal care units in Baghdad hospital & private nursing home (medical city complex) / Baghdad in the period from the first of March to the end of June 2006. They were presented with RDS, which was diagnosed clinically and radio-graphically. The study includes preterm and mil term N8 with all birth weights. Results: In tins study, there was an increase in the incidence of RDS in preterm NBs 3.5 times more than in mil term, and 2.0 times more in small for gestational age (SGA) than in appropriate for gestational age (AGA). It was found that the risk of death from RDS with air leak was 11 times more than those without air leak, and from RDS with pneumonia 4.0 times more than those without pneumonia. The risk of death among NB delivered by elective Caesarian section (C/S) was 2.4 times more than those born by emergency C/S. and 5.1 times more in NB of diabetic mothers than those without diabetes. Conclusions: We conclude that prematurity and SGA are risk factors for the development of RDS, and air leak and pneumonia are most important complications that increase the risk of death from RDS. So we recommend a proper and regular antenatal care and. management of high risk pregnancies to avoid premature delivery and SGA, and proper respiratory care of NB to decrease the complications of RDS especially air leak and pneumonia to decrease the risk of death.


Article
Death And conditions of the Hereafter
الموت وأحوال من الآخرة

Author: Dr. Taha Yassin, Kazem al-Dulaimi الدكتور طه ياسين كاظم الدليمي
Journal: Research and Islamic Studies Journal مجلة البحوث والدراسات الاسلامية ISSN: 20712847 Year: 2007 Issue: 7 Pages: 119-152
Publisher: Directorate of Research and Studies / Sunni Endowment دائرة البحوث والدراسات/ديوان الوقف السني

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