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Article
THE PROFILE OF NEONATAL SEPSIS IN DUHOK CITY AND PREDICTORS OF MORTALITY: A PROSPECTIVE CASE SERIES STUDY
صورة انتان الدم عند حديثي الولادة في دهوم ومتنبئات الوفاة

Author: AKREM M. ATRUSHI
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2018 Volume: 12 Issue: 2 Pages: 10-20
Publisher: University of Dohuk جامعة دهوك

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Abstract

ABSTRACTBackground: Neonatal sepsis is a major cause of death all over the world. Risk factorsrepresent an interaction between maternalimmunity and the defense mechanisms of the neonate.epidemiological, clinical and laboratory profiles of neonates with sepsis in relation tooutcome and to determine the predictors of outcome.Subject and Methods: A prospective study included neonates with sepsis admitted toneonatal care unit. 126 neonates with features of sepsis were included with age ranged from(1-30) days. From each patient, neonatal and maternal data were collected and clinicalfeatures as well as laboratory test results of hemoglobin, platelets count. total white blood celland absolute neutrophil count , Cstatistically analyzed.Results: of 126 neonates, 32 (25.39%) died while others survived. Age < 7 days was in61.9% of all cases, 69.84% had respiratory distress syndrencephalopathy, 60.31% were preterm, 61.9% were born vaginally and male to female ratiowas 1.73:1. There is a significant relation of mortality to respiratory distress syndrome andhypoxic ischemic encephalopathy, preterm dVomiting, apnea, sclerema, cyanosis and tachypnea were significantly related to themortality. Eschericia coli weremortality is with Acenatobacterbaumanirelation. The C reactive protein was>10 mg/dl was in higher number of neonates with sepsiswho died by comparison to those who survived, with a significant relation.Conclusions: Neonatal sepsis is still a cthe pattern of causative organisms and this requires more monitoring and periodicsurveillance. There is a real need to find out the local antibiotic sensitivities of patestablish an optimal empirical treatment before the results of culture and sensitivity areavailable.

الʳلفʻة والأهʗاف:انتان الدم عند حديثي الولادة سبب رئيسي للموت في جميع انحاء العالم , تظهر علاماته السريرية بشكلاعراض موقعية او غيرمحددة للانتان , عوامل الخطورة الممهدة لانتان الدم تمثل تداخلا بين الاستيطان الجرثومي للام والطفل وبين المناعة المنتقلة خلال المشيمة و اليات الدفاع عند حديث الولادة .اهداف البحث هوتحديد مواصفات حديثي الولادة المصابين بأنتان الدم من الناحية الوبائية و السريرية و المختبريةوارتباطها بنتيجة هذا الانتان و تحديد المتنبأت بالنتيجة.ʙʟق الʖʲʮ:شملت الدراسة الاطفال حديثي الولادة المصابين بإنتان الدم الذين ادلخلوا الى وحدة العناية لحديثي الولادة فيمستشفى الولادة في دهوك للفترة من (1 أذار 2015 الى 1 أذار 2016 ( شملت الدراسة 126 طفل حديث الولادة تظهرعليهم علامات الاصابة بإنتان الدم مع استثناء الاطفال الذين اعطوا مضادات حيوية و المصابين بتشوهات خلقية .تراوحت اعمار المشمولين بين ( 1 -30 ( يوم ، اخذت من كل طفل مشترك المعلومات الاتية : الاسم . العمر . الجنس .طريقة الولادة . تاريخ الدخول . العمر الجنيني عندة الولادة . اصابات حادة مثل متلازمة عسا النقس او اعتلال الدماغالناتج عن قلة الدم و الاكسجين للدماغ ، المعلومات المأخوذه من الام شملت : فترة طويلة فاصلة بين تمزق الاغشيةوالولادة ، استعمال المضادات الحيوية . الحمى التهاب المجاري البولية . تم تسجيل العلامات السريرية ايضاً و تم تقسيمالمرض الى احياء ومتوفين . اخذت من كل طفل عينة من الدم لاجراء فحوص مكونات الدم ، البروتين التفاعلي ، وزرع. ً الدم الهوائي و ال بأستخدام نظاملاهوائي، ثم تحليل النتأج احصائيا ( SPSS حيث 05.0 10 ملغم /دل كان اكثر شيوعيا عند المتوفين مع علاقة هامة.اتنان الدم لايزال سببا g من المرا ً مهماً الاسʯʹʯاجات: للوفاة عند الولادة مع تغير نمط الجراثيم امسببة مما يتطلب مزيدا قبة ًوالاستقصاء الدوري . هناك حاجة حقيقية لإيجاد حساسية الجراثيم للمضادات الحيوية لغرض بدأ عيلاج تجريبي مثالي قبلنتائج الزرع والحساسية للجراثيم


Article
Attitudes and Trends of Kurdish Mothers Towards Breast Feeding in the First Six Months of Age in Duhok

Authors: Akrem M. Atrushi --- Wala'a Yousif Mahmood
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 2 Pages: 259-265
Publisher: Babylon University جامعة بابل

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Abstract

Background: Breast feeding is the ideal way of providing young infants with nutrients they need for healthy growth and development. One in 3 infants is exclusively breastfed during the first 6 months of life. Unfortunately, compliance with breastfeeding recommendations in developing countries is low.Objective: To assess the trends and attitudes of Kurdish mothers in Duhok towards breastfeeding, the main factors determining them and the reasons for not exclusively breastfeeding in the first 6 months.Methods: A cross-sectional study carried out in Heevi Pediatric Hospital and 2 Health Care centers in Duhok, North of Iraq in the period between November 2012 and August 2013. A pre-coded questionnaire was used that included: Age of the mother, education, employment, Types of feeding in the first 6 months, mode of delivery, parity , gender of the baby and the reason for not exclusively breastfeeding. Data were analyzed using SPSS 18. Chi-square and Fischer’s exact tests, the level of significance is 0.05.Results: The study included 588 mothers. The type of feeding they used in the first 6 months was exclusive breastfeeding in 8% cases only. Most of mothers who are not only breastfeeding (58.93%) fell within the age group between 20-29 years. Most mothers who were only breastfeeding (37.77% for each) were uneducated or had primary school education while 34.43% of those who were not only breastfeeding in the first 6 months were uneducated. Most mothers were unemployed. Multiparity was present in 66.66% of mothers who were only breastfeeding and 78.64% of those who were not only breastfeeding. Normal spontaneous vaginal birth was the most common mode of delivery Females babies predominate in those who are only breastfed (53.34%) while males predominate in the other group (56.16%) The most common reasons for not only breastfeeding in the first 6 months were not enough breast milk (51.56%), illness of the baby(16.57%) and illness of the mother(12.52%).Conclusion: Most Kurdish mothers in Duhok do not exclusively breastfeed their babies in the first 6 months. The main reason is thinking that breast milk is not enough. Most of them were aged 20-29 years, had male babies, were uneducated, unemployed and fed their babies solids but none of these variables was found significant. Spontaneous vaginal delivery was significantly associated with exclusive breastfeeding. Health care providers should be encouraged to educate mothers of young infants on the benefits of breastfeeding and give them motivation to continue with breastfeeding for at least 6 months.

Keywords

Breastfeeding --- Kurdish

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