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Article
Clinico- epidemiological study of moderately and severlymalnourished children attended Tikrit Teaching Hospital
الدراسة الطبية السريرية الوبائية للأطفال الذين يعانون من سوء التغذية المعتدلة والقاسية التي انجزت في مستشفى تكريت التعليمي

Authors: Nadhim Gh. Noaman --- Saad Shaaban سعد شعبان
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2011 Volume: 7 Issue: 1 Pages: 162-168
Publisher: Diyala University جامعة ديالى

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Abstract

Abstract
Malnutrition in certain communities represents both medical as well as social problem
that may contribute in or aggravate other illness. To evaluate the clinical and epidemiological
criteria of Malnutrition among children and its relevance factors in Tikrit province.
Patients and methods: This study was conducted in Tikrit Teaching Hospital for the
period from April/ 2005 to June/ 2005. One hundred fifty children with moderate to severe
malnutrition were included. The age range was 6 months to 60 months (mean 18, SD 11).
Children were clinically examined for signs of malnutrition. Assessment of malnutrition was
based on anthropometric measures weight and height depending on percentage of median and
standard deviation charts (Z score). A pre- constructed questionnaire was prepared for this
purpose which includes; age, sex, residence, type of feeding, educational level and occupation
of parents, and water supply.The results revealed that the highest percentage of malnutrition
was found among those with 6- 11 months (46%). Female were more affected than male (54%
vs. 46%). The majority of children suffering from malnutrition were belong to families reside
in rural areas 114 (76%). The educational levels of mother, type of feeding are also arise as
contributing factors of malnutrition. Socio-epidemiological factors and contributing in the
markedly prevalent malnutrition among children of 6 months to 5 years old in Tikrit province
Increase the health education of mothers about the importance of breast feeding and avoid
early feeding of liquid or solid diet and good sanitation.
Keywords: malnutrition, breast- feeding, Tikrit province.

تمثل سوء التغذية في بعض المجتمعات المحلية على حد سواء مشكلة طبية،بالاضافة الى مشكلة الاجتماعية التي يمكن أن تسهم في تفاقم المرض أو غيره. لتقييم المعايير السريرية والوبائية لسوء التغذية بين الأطفال وعوامل أهميتها في محافظة تكريت المرضى والطرق: أجريت هذه الدراسة في مستشفى تكريت للفترة من نيسان / 2005 وحتى يونيو / 2005. شملت مائة وخمسين طفل يعانون من سوء التغذية الحاد إلى معتدل. وكانت الفئة العمرية 6 أشهر إلى 60 شهرا (متوسط 18، تم فحص الأطفال سريريا عن علامات سوء التغذية. واستند تقدير من سوء التغذيةلقياسات الانثروبومترك للوزن والارتفاع اعتمادا على نسبة مئوية من رسوم بيانية ومتوسط الانحراف المعياري (حرز). وقد أعد استبيان ما قبل التشييد لهذا الغرض والتي تشمل؛ العمر والجنس والإقامة، ونوع من مستوى، والتغذية والتعليم الاحتلال من الآباء والأمهات، والنتائج المياه وكشف أنه تم العثور على أعلى نسبة من سوء التغذية بين الاعمار من 6 - 11 شهرا (46٪). كانت الاناث اكثر تضررا من الذكور (54٪ مقابل 46٪). وغالبية الأطفال الذين يعانون من سوء التغذية ينتمون إلى عائلات تقيم في المناطق الريفية 114 (76٪).تبزغ ايضا من العوامل المساهمة في سوء التغذية المستويات التعليمية للأم، ونوع التغذية. العوامل الاجتماعية والوبائية والمساهمة في سوء التغذية منتشر بين الأطفال بشكل ملحوظ من 6 أشهر إلى 5 سنوات من العمر في محافظة تكريت زيادة التوعية الصحية للأمهات حول أهمية الرضاعة الطبيعية وتجنب التغذية في وقت مبكر من حمية سائلة أو صلبة والصرف الصحي جيد


Article
Sero-Epidemiological Study of Outbreak of Measles among Children in Diyala – 2009

Authors: Ismail I. Latif --- Mehdi SH. Al-Zuheiry --- Nadhim GH. Noaman
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 236-246
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Measles is a serious infectious disease in children. Despite reaching global measles vaccination coverage of 80% of individuals, measles virus (MV) remains the fifth leading cause of death and the most common cause of vaccine-preventable death in children under 5 years of age. Objectives: to determine the sero-epidemiological characters of the outbreak of measles among children in Diyala province in 2009.Subjects and methods: This study was done during the outbreak of measles in Diyala provinc ( spring and summer of 2009) in Al-Batool hospital of Pediatrics and Gynecology at Baquba city during a 2-month period from 1 April 2009 to 1 June 2009. A sample of 103 child patients presented with clinically suspected measles was studied by thorough history and physical examination with a determination of immunoglobulin M (IgM) antibodies in serum by enzyme- linked immunosorbent assay ( ELISA) testing for measles for each patient. Results: There was 58.3% (66 out of 103) positive blood samples for IgM of measles in children with clinically evident measles. The study showed that there was no significant difference in the distribution of children with measles positive by IgM according to their age and sex, according to residency, according to mothers′ previous vaccination status or previous infection with measles. On the other hand, the study revealed that the distribution of IgM positive measles was significantly more (p<0.05) in children who did not receive previous measles vaccine than those who received vaccination, and in children with low & medium economic status families than those with good status, respectively. Conclusion: It was concluded that the single serum assay of IgM antibodies by ELISA testing has medium sensitivity in the diagnosis of measles in children, there is an increasing susceptibility of infection with measles for infant less than one year of age and for children with poor family economic status.

Keywords

Measles --- IgM --- serology --- Children --- Diyala

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