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Article
Risk Factors and Common Causes of Death Due to Measles in AL-Kadhimiyia Teaching Hospital.2009

Authors: Lamia Abdul Karim --- Abdul-KaremJasemAlbahadle --- Ali Kadhim Al-Husainawi*
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 1 Pages: 32-39
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Remains a common disease in many parts of the world. According to the World Health Organization (WHO), more than 20 million people worldwide are affected by measles each year. It is the leading cause of vaccine-preventable deaths among young children.OBJECTIVE:To find out the epidemiological criteria of died patients because of measles& the main causes of death.PATIENTS AND METHODS:Prospective study carried out in the pediatric ward of Al-Kadmyia Teaching Hospital between the 1st of January to the 1st of May 2009,the total number of measles cases admitted were 894 , the number of died cases in the same period due to measles were 52 case , the age of the studied sample (1month- 10 years).The data collected through a data sheet asked to the parents of the patient including the age ,sex, body weight, feeding history, history of contact, vaccination history , maternal vaccination status and her educational level.All the patients examined systematically and investigated and followed up till discharged or unfortunately diedRESULTS:The age of the died cases mostly in the 1st2years(27 case), there is male(31) , female(21) died cases.The mortality occur more in under weight cases27 , the died cases were either on mixed feeding 17cases, bottle feeding 10, solid feeding 25 cases.All the died cases had history of contact with measles., there were 49 cases non-vaccinated, the vaccination status of the mothers were 38 mother were not vaccinated. The educational level of the mothers were 29 illitrate,15 primary and 8 secondary school.The most common causes of death :16 encephalitis, 36 pneumonia.CONCLUSION:The death occurs more in infants and toddlers than in other age groups, more in males,underweight, and the non-vaccinated than in the vaccinated patients.Death is more common among children belong to non-vaccinated, illiterate mothers.Pneumonia is the most frequent complication of measles and encephalitis is the most lethal complication.


Article
Epidemiological Study of Measles in Al- Kadhimiyia Teaching Hospital

Authors: Lamia Abdul Karim --- Ali Kadhim Al-Husainawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 213-222
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Measles is a highly communicable disease caused by the measles virus. The disease ismarked by prodromal fever, conj unctivitis, coryza, cough, and the pathognomonic koplikspots followed by an erythematous maculopapular rash. Infection confers lifelong immunity. OBJECTIVE:Find out the frequency of measles in the hospital admitted cases in chi l dr en ≤ 12year s accor di ng t o t he vaccination and nutritional status,The causes of non-vaccination andthe vaccine efficiency in preventing measles.The incidence of measles in the exclusively breastfed infants.The presenting signs and symptoms, commonest complications, investigations and theoutcome. PATIENTS AND METHODS:A prospective study was performed from the 1st of January to the 1known as rubeola and is marked by prodromalfever, conjunctivitis, coryza, cough, andpathognomonic Koplik spots, followed by anerythematous maculopapular rash on the 3rd to 7day. Infection confers life-long immunity. st of May in the year 2009, inAl-Kadhimiyia Teaching Hospital.The data was collected through a questionnaire askeddirectly to the parents, and all the patients were systemically examined and followed up clinicallyuntil they discharged home or unfortunately died.The collected data was analyzed and adjustedusing the SPSS version 10 statistical programs.RESULTS:The incidence of measles was (44.29 %).Most of cases were living in crowded houses, allpatients had positive history of contact, mostly during a visit to a medical health facility (49.3%).All age groups were affected by measles, mostly in the 1st (27 %) and the nd (19 %) yearsof life.Higher incidence was reported in males (53.5 %).Most of the cases were nonvaccinated(86.25 %) with non-vaccinated mothers as well (85.25 %). Nineteen percent ofthe cases were malnourished. The incidence was lowest in the exclusively breast fed infants (1.5%).Measles mostly presented with fever for ≥ 3 days (100 %), rash (100 %) and conjunctivitis(98.25 %).The commonest complications were pneumonia (62.75 %), diarrhea (40.25 %).The majority of patients who had developed convulsions had normal CSF analysis results (76.7%). CXR reported pneumonic consolidation in (62.75 %) of the patients. Ninety percent of caseswere discharged home and (10 %) died. CONCLUSION:Measles is higher in the crowded places, in infants and toddlers, in males, in the nonvaccinated,and less in the exclusively breast fed infants. It is more severe in themalnourished patients. Vaccination is the most important preventive measure against measles.Measles mostly present with fever, maculopapular rash, and conjunctivitis, with the mostcommon complications are pneumonia, diarrhea, and encephalitis.The disease usually has no or little effect on the blood counts and CSF analyses, and CXRdocument pneumonic consolidation in the majority of cases.Measles is still a serious disease with high fatality rat

Keywords

measles --- epidemiology --- vaccination.


Article
Histopathological And Immune Response Against Infectious Bursal Disease In Chickens Vaccinated Against Newcastle Disease
دراسة الاستجابة المناعية والمرضية النسجية ضد مرض التهاب كيس فابرشيا الخمجي في الدجاج الملقح ضد مرض النيوكاسل

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Abstract

Two different vaccination programs against chicken infectious bursal disease (IBD) were compared. Results showed the first program including IBD vaccination at 8 and 16th day old as well as ND vaccination(live attenuated and inactivated types ) give high antibody titers at 21 days post vaccination with significantly difference (P≤0.0005) in comparison with the second program including only IBD vaccine . serological antibodies titer were determined to study the correlation between two different programs using ELISA test. pathological changes in vaccinated groups reveals mild & moderate lesions appear in liver, spleen and bursa of fabricius.

تم مقارنة برنامجي تحصين ضد مرض التهاب كيس فابريشيا الخمجي في الدواجن .اظهرت النتائج ان البرنامج الاول والذي يقيم التحصين ضد مرض التهاب كيس فابريشيا الخمجي بالاعمار ثمانية وستة عشر يوم على التوالي اضافة الى التحصين ضد مرض النيوكاسل باللقاح الحي المضعف والزيتي قد اعطى معيار عالي من الاضداد بعمر 21 يوم بعد التحصين مع اختلاف معنوي 0.005 ≥ P مقارنة مع البرنامج الثاني الذي يقيم التحصين ضد مرض التهاب كيس فابريشيا الخمجي فقط . وذلك بالاعتماد على نتائج اختبار الاليزا لقياس معيار الاضداد المصلية لكلا البرنامجين.كما ان نتائج دراسة التغيرات المرضية اشارت الى وجود افات بسيطة وطفيفة في المجاميع الملقحة لعينات الكبد ، الطحال وكيس فابريشيا .

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