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Article
The Role of Renal Ultrasound in Urinary Tract Infection in Children

Author: Sabih S. Mehdi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2004 Volume: 1 Issue: 3-4 Pages: 333-340
Publisher: Babylon University جامعة بابل

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Abstract

To study the role of renal ultrasound in urinary tract infection in children, any child with proved urinary tract infection is examined clinically and sent for renal ultrasound and results were analysed. A total of 132 patients with urinary tract infection age 1 month — 14 years, 40(30%) patients were found to have urinary tract abnormalities on ultrasound and the commonest abnormality was renal stones and the commonest organism linked with renal abnormality was E Coli. Renal ultrasound is a useful tool to diagnose urinary tract abnormalities, however, it is not useful to detect renal scars and vesicoureteric reflux.

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Article
Psychological Stress of Companions (Care givers) of Children in the Pediatric Intensive Care Unit

Authors: Sabih S Mehdi --- Wejdan Abid Sebty
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2011 Volume: 8 Issue: 1 Pages: 16-21
Publisher: Babylon University جامعة بابل

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Abstract

Background: Admission of a child to the Pediatric Intensive Care Unit (PICU) can create high parental and other companions psychological problems. Many factors contribute in a negative way to this abnormality. Hospital Anxiety and Depression Scale (HADS) has been used to help physicians to identify these care givers at risk and address contributing factors. Methods: The HADS has been administered to 42 care givers (26 in PICU and 16 as a control group in a general pediatric ward) in Babylon Gynecology and Children Teaching Hospital after their staying in hospital for 14 days. Factors which may have an effect on psychological status have been studied. Results: Fifteen care givers (57.7%) show depression and anxiety in the range of (11-21) according to HADS compared to only 2 (12.5%) of the control group<0.05. All care givers think their patients are in pain and all complained of noise in the PICU as causes of their distress. Twenty four patients were under ventilator, fourteen care givers (93.3%) fall in the (11-21) range according to HADS.. Conclusion: Care givers in the PICU were at more risk of psychological stress compared to the control group and there are stressful factors playing a significant role in aggravating this abnormality.

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Article
Peritoneal Dialysis in Children with Renal Failure; Outcome and Complications

Authors: Wejdan Abid Sebt --- Sabih S Mehdi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1238-1242
Publisher: Kerbala University جامعة كربلاء

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Abstract

Background : While the use of continuous renal replacement therapies in the management of children with acute and chronic renal failure have increased , the role of peritoneal dialysis ( PD ) in the treatment of pediatric renal failure(RF) has received less attention .Objectives: This study considers causes of renal failure ,complications during and after the procedure of peritoneal dialysis( PD),and their outcome .Methods: A retrospective database review of children requiring PD for RF from March 2010 to July 2011 in pediatric peritoneal dialysis unit in Babylon Gynecology and Children Teaching Hospital .Fifty two patients with or without previously known underlying renal disease were investigated with biochemical and radiological studies and got no benefit from conservative management so they have been referred for PD for the treatment of their renal failure .Results : The outcome of the patients with peritoneal dialysis was: Thirty three survivors ( 63 . 46 % ) , mortality (19 cases) 100% during infantile period ( 1 day – 1 year ) age group .Causes of mortality : Eighteen patients died due to multiorgan failure (94 .73 % ) .Causes of renal failure were: Sepsis (19) , renal disease (15) cardiac problems ( 6 ) , perinatal asphyxia ( 3 ) , hemolytic uremic syndrome ( 3) hypovoleamia ( 3 ) meningo -encephallitis ( 2 ) and inborn error of metabolism(1). Complications of PD occurred in (42 .3 % ) , the most prevalent was the need for further regular dialysis (45.8%) .Conclusion : The common age of death from renal failure is below one year ,the commonest cause of death was multiorgan failure. Forty five percent of patients need another dialysis.

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Article
Lipid profile in Diabetic Children

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Abstract

AbstractHeart problems are an important cause of morbidity and mortality all over the world. High cholesterol is an important cause which might start in childhood The aim of this study is to assess lipid profile as a risk factor for heart disease. Fifty two children with diabetes mellitus type 1 were assessed regarding their lipid profile compared to 37 non diabetic children. The results shows that growth parameters were found lagging behind the normal range for age and sex.Cholesterol and LDL(Low Density Lipoprotein) were found high compared to control group(P<0 .05).

الخلاصةتعتبر أمراض القلب من الأسباب المهمة للوفاة في العالم ويعتبر ارتفاع نسبة الدهون عاملا مهما في ذلك وقد تبدأ الزيادة في الدهون في عمر الطفولة. هدف البحث هو لقياس نسبة الدهون في الأطفال المصابين بالسكر كعامل مؤدي إلى تصلب الشرايين. تمت دراسة اثنين و خمسين طفلا مصابا بالسكر المعتمد على الأنسولين و قياس نسبة الكولسترول و الدهون قليلة الكثافة و قورنت النتائج مع سبع و ثلاثين عينة سيطرة لأطفال أصحاء و كانت الفروقات معنوية(P<0.05)

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