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Article
Malnutrition and Growth Status in Patients with Congenital Heart Diseae

Author: Rabab Hasan Baaker
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 2 Pages: 152-156
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGRAUND:Different congenital heart diseases could affect children growth.AIM OF STUDY:To assess the growth (Weight, height and head circumference) in patients with different types of congenital heart disease (CHD).METHODS:The growth of one hundred ninety six patients with CHD, attending the out patient department of the Central Teaching Hospital of Pediatrics and Ibn Al Betaar Center for Cardiac Surgery, aged 0-24 months, between February and June 2002 was assessed.They were grouped according to cardiac diagnosis:Group I: Acyanotic CHD without heart failure (HF) or pulmonary hypertension(PH);Group II: Acyanotic CHD with HF;Group III: Acyanotic CHD with PH;Group IV: cyanotic CHD.RESULTS:It was found that 29.6 % of patients with CHD had acute malnutrition (AM) and 21.9% had chronic malnutrition (CM). The acute malnutrition was more in group I of CHD (39.2%) while chronic malnutrition was more in group III of CHD (26.3%). The acute malnutrition was more obvious in infants (31.7%) than in those in the second year, while chronic malnutrition was more obvious in second year of life (34.7%).CONCLUSION AND RECOMMENDATIONS:In all patients with congenital heart disease( cyanotic and a cyanotic),the growth is affected. Because of the delay in surgical correction in our patients, so we suggest a better nutritional counseling and possible earlier surgical correction to optimize the growth in our patients.


Article
nutritional status and dental caries in five years old kidergarten children of Baghdad city

Author: zayed S.Hassan زيد حسن
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2006 Volume: 48 Issue: 2 Pages: 172-176
Publisher: Baghdad University جامعة بغداد

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Article
Relation between Behavioral Factors, Malnutrition and Persistent

Authors: Ghazwan G.Al-Badawi, --- Makaei A.F. Al Ammary, --- Adel A. Al-Badri,
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2007 Volume: 49 Issue: 1 Pages: 22-26
Publisher: Baghdad University جامعة بغداد

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Background A high prevalence of Behaviors which is related to persistent diarrhea and theprevalence of moderate to sever malnutrition in patients with persistent diarrhea in children.Objectives To asses the prevalence of negative behaviors that causes the persistent diarrheaand to asses the prevalence of malnutrition among children with persistent diarrhea and tocompare prevalence of malnutrition due to persistent diarrhea to that of national figures.Patients and Methods This study was carried out at the Central Teaching Hospital forChildren in Baghdad, a total number of 200 cases of persistent diarrhea (lasting more than 14days)"with no more than 48 hour normal bowel motions in this period" in children less than 2years of age. The period of the study was one year from the 1st of January 1999 to the thirty-oneof December 1999. Information was taken from patient's companions usually the mothers andthe patients were selected at Inpatient, out patient and Emergency departments in a randomizedway.Results. The study showed that the most common age group of persistent diarrhea was the 2ndhalf of the first year constituting (47%) (94/200) of patients with persistent diarrhea. Patientswhose mothers were illiterate constituted a high proportion (48%) (96/200). Patients on bottleor mixed feeding constituted (77%) (144/200). A high prevalence of some behaviors which isrelated to persistent diarrhea was noticed like allowing the children to pick up food spilled onthe floor and eat it (65%) (130/200), stopping or altering feeding during episodes of diarrhea(78%) (156/200), mothers neglecting washing hands or their babies hands before feeding theirchildren (74%) (148/200) and (66%) (132/200) respectively, failure to introduce solid food in1st year of life (72.3%) (94/ 130) and failure to eat adult type of food in 2nd year of life (65.7%)(46/ 70). The prevalence of moderate to sever malnutrition at the three age groups wassignificantly higher in children with persistent diarrhea in present study compared to generalpopulation figures reported by polio immunization national day (PIND) survey at 1999 in Iraq,marasmus was significantly more common in 2nd half of the 1st year of life and the prevalenceof kwashiorkor was significantly higher (15.8%) (11/70) among the older age group (2nd yearof life)Conclusion. The most common age group who developed persistent diarrhea was the secondhalf of the first year of life. The negative behaviors of the mothers had a significant effect on theoccurrence of persistent diarrhea in children and the development of malnutrition diseases likemarsmus and kwashiorkor


Article
Distribution of intestinal protozoa and the effect of Giardia lamblia on anthropometric measurement in school children in kirkuk
اللمبلية الجيارديا على قياس الجسم البشري في أطفال المدارس في كركوك

Author: Najlaa Kadhim Ali Zangana،Mosaa Mahmood Marbut،Mohammed A. Kadirن
Journal: The Medical Journal of Tikrit University المجلة الطبية لجامعة تكريت ISSN: 18131638 Year: 2013 Volume: 19 Issue: 1 Pages: 55-68
Publisher: Tikrit University جامعة تكريت

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Aim: - The study was planned to show the distribution of protozoal intestinal parasites and the effect of Giardia lamblia infection on some physiological parameters of school age children in Kirkuk city, for the period from February 2002 till January 2003. Subjects and Methods: - the study was conducted on a six hundred and forty five pupils chosen randomly from six primary schools in Kirkuk city. The age of the pupils were ranging from 6-15 years old. The stool sample were collected from each child and examined by direct wet mount technique. The anthropometric parameters of pupils were assessed by estimation of body weight, height, and skin fold thickness. Results: - it was found that children infected with Giardia lamblia infection had lower body weight for age, height for age in both sexes than control group. The skin fold thickness among infected males and females was lower than control. The results of weight for age among infected group were subdivided into three groups according to growth chart, the first group involves those children below 3rd percentile 19.71% in males, and 16.90 % in females; the second group who were below ≤ 25th percentile which presents the critical group and were 8.45% in males and12.67% in females, and the third group above 25th percentile involved those children who have normal growth percentile were 21.12% in males and 19.71% in females. The height for age also divided in to three groups; the first groups were 16.90% in males, and 7.04 % in females, the second groups were 9.85% in both males and females; while in the third groups were 22.53 % in males, and 33.80 % in females. Conclusion: - It is concluded from this study that Giardia lamblia infected children had lower anthropometric parameters than controls.

الهدف: - كان من المخطط الدراسة لإظهار توزيع الطفيليات المعوية و الأوالي تأثير العدوى الجيارديا اللمبلية على بعض القياسات الفسيولوجية من الأطفال في سن المدرسة في مدينة كركوك ، في الفترة من فبراير 2002 حتى يناير 2003 الموضوعات وطرق : - و وقد أجريت الدراسة على 645 تلميذا تم اختيارهم عشوائيا من ست مدارس ابتدائية في مدينة كركوك. سن التلاميذ و تتراوح ما بين 6-15 سنة من العمر. تم جمع عينات من البراز من كل طفل وفحصها بواسطة تقنية جبل الرطب مباشرة. تم تقييم المعلمات القياسات البشرية للتلاميذ عن طريق تقدير وزن الجسم ، والطول، و سمك الجلد أضعاف. النتائج : - تبين أن الأطفال المصابين بعدوى اللمبلية الجيارديا كان أقل من وزن الجسم بالنسبة للعمر والطول بالنسبة للعمر في كلا الجنسين من مجموعة المراقبة. كان سمك طية الجلد بين الذكور والإناث المصابة أقل من السيطرة. تم تقسيم نتائج الوزن بالنسبة للعمر بين مجموعة المصابين إلى ثلاث مجموعات وفقا ل مخطط النمو، و ينطوي على المجموعة الأولى هؤلاء الأطفال أقل من المئين 3 19.71 ٪ في الذكور ، و الإناث 16.90 ٪ في ؛ المجموعة الثانية الذين كانوا تحت المئين ≤ 25 الذي يعرض المجموعة الحاسمة و كانت 8.45 ٪ في الذكور and12.67 ٪ في الإناث ، و المجموعة الثالثة أعلاه المئين 25 المتورطين هم أولئك الأطفال الذين لديهم المئين النمو الطبيعي 21.12 ٪ في الذكور و 19.71 ٪ في الإناث . تقسيم الطول بالنسبة للعمر أيضا في ل ثلاث مجموعات ؛ وكانت المجموعات الأولى 16.90 ٪ في الذكور ، و 7.04 ٪ في الإناث ، كان من أبرز المجموعات الثانية 9.85 ٪ في كل من الذكور والإناث ؛ بينما في المجموعات الثالثة 22.53 ٪ في الذكور ، و 33.80 ٪ في الإناث . الاستنتاج : - و يستنتج من هذه الدراسة أن الجيارديا اللمبلية الأطفال المصابين زيارتها المعلمات الجسم البشري أقل من الضوابط.


Article
Malnutrition: A Risk Factor in Childhood Acute Lymphoblastic Leukemia

Author: Sawsan S. Abbas سوسن صباح
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2010 Volume: 52 Issue: 2 Pages: 118-121
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Malnutrition is an adverse prognostic factor in the outcome of children with standard risk acute lymphoblastic leukemia due to a significantly higher rate of bone marrow relapse in the malnourished patients. The event free survival of children with acute lymphoblastic leukemia in developed countries has increased substantially in the last two decades as treatment with intensive protocols has brought the estimated probability of event free survival at 5 years close to 75%. Although the prognosis of acute lymphoblastic leukemia has also been improved in underdeveloped countries, the figures for event free survival are lower, even when aggressive protocols are used. Unfavorable socioeconomic factors could contribute to this observation.Patients and Method: A retrospective study was done on cases of childhood acute Lymphoblastic Leukemia admitted to the Pediatrics Oncology Ward in AL-Kadhimiyia Teaching Hospital over a period of one year from 1st of June 2007 to end of May 2008.Fifty five patients were collected .Informations were taken from the case sheets of the patients and their records in the Pediatric Oncology Clinic. Weight and height were recorded, Using charts of height for age (Ht/Age) and the Z score = -1.28 (10th percentile), the patients were divided into two groups, malnourished and well nourished.Results: Of the studied group, 28 patients (51%) were between 1-10 years. Thirty two patients (58.2%) were males and 23 (41.8%) were females, with male to female ratio of 1.39:1. Thirty Six (65.45%) patients were below 10th percentile (with Z score below – 1.28) i.e. malnourished, and 19 (34.55%) patients above 10th percentile (Z score above – 1.28) i.e. well nourished. Of the malnourished patients, 26(81.2%) patients achieved complete remission, while in comparison to well nourished patients, 16(84.2%) patients achieved complete remission. The result is statistically not significant (p. value > 0.05). During follow up, of the 42(82.3%) patients that achieved complete remission, 12(28.57%) relapsed, 9(34.62%) of them were malnourished. Death occurred in 7 (16.67%) patients, 6 (23.08%) of them were malnourished. Three patients (7.14%) discontinue treatment, 1(3.84%) of them was malnourished. Twenty (47.62%) patients remained with continuous complete remission, 10 (38.46%) patients were malnourished and another 10(62.5%) were well nourished. Using the Chi square, the results were statistically not significant (p. value> 0.05). Conclusion: From this study, it was concluded that malnutrition in children with acute lymphoblastic leukemia is considered an important risk factor. Although malnourished children achieved complete remission but a high percentage of them relapsed or died.Key words: Malnutrition, childhood, Acute Lymphoblastic Leukemia


Article
Malnutrition among first year school children in Iraq

Author: Nadher Al-shammary MB ChB, DCH Jawad K. Al-Diwan “ MB ChB, MSc Nafi Al- Ani "MB ChB, MSc د. نادر الشمري
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2007 Volume: 49 Issue: 3 Pages: 307-308
Publisher: Baghdad University جامعة بغداد

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Background: Iraqi people have endured an excess burden of morbidity’ and mortality during the last two decades due to wars and sanctions. This report M’as carried out to assess the nutritional status of first year primary school children.Methods: A total of3881 school children in Balad district in Salahadin govemorate was included in the study. Age, height and weight were recorded. Malnutrition was regarded as value of less than 2 SD of the reference value.Results: Among the total sample, 16.5%, 20.06% and 15.3% were underweight, stunted and wasted, respectively. No significant difference was detected in malnutrition rates between both sexes. Conclusion: High rates of malnutrition were detected among school children.Keywords: malnutrition, first years school children, Iraq


Article
Effect of protein energy malnutrition (PEM) on oral health status of children aged 6 years old in Sammawa city

Author: Shayma Abdullah Hanoon شيماء عبد الله حنون
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: special issue 2 Pages: 150-155
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: It has been realized that good nutrition is interdependent with good health, and the protein is the mostimportant nutrient because it regulates the key process within the body, so if any deficiencies in protein occur this willlead to protein-energy malnutrition which is evaluated by using anthropometric measurements(height and weight).When PEM begins it affects adversely various aspects of growth and increase the severity of oral problems later. Ithas been reported that dental caries and enamel defect occur in malnourished children more than well nourished.The aim of this study was to investigate the nutritional status of children by physical examination and its effect ondental caries and enamel anomalies in relation to gender.Materials and methods: This study was conducted among urban primary school children aged 6 years in sammawacity which lies 300 Km south of Baghdad, were clinically evaluated to determine the prevalence of dental cariesand enamel anomalies in relation to protein energy malnutrition. The sample size composed of 300 childrendistributed in primary schools which were randomly selected from different areas in sammawa city. The samples wereexamined physically by anthropometric measurements (weight and height) and orally for dental caries and enameldefects.Results: The malnourished children with mild grade was the most prevalent grade in this study, males showedmalnutrition more than females within the same age group, dmfs and DMFS according to nutritional status indicatorswere higher among malnourished children than well nourished group, the enamel opacities was higher in femalesthan in males regarding gender differences and according to nutritional status indicators was higher among wellnourished children than malnourished group in both primary and permanent dentition.Conclusion: The prevalence of malnutrition was higher in boys than in girls, also the prevalence of dental caries washigher in malnourished children when compared with well nourished children, while enamel opacities was presentonly in well nourished children when compared with malnourished group, it was absent in malnourished children


Article
Socio-Economic Factors Affecting Household Nutrition in Some Parts of Rivers State, Nigeria

Authors: Hart, A. D. --- Adikema, N. A.
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 2 Pages: 266-273
Publisher: Babylon University جامعة بابل

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Abstract

Factors affecting household nutrition in Rivers State Nigeria were studied using structured questionnaires. Two hundred and seventy households were randomly selected in four local government areas (LGAs) of Rivers State namely: Ahoada East, Khana, Asari Tolu, and Port Harcourt City. The LGAs were selected to represent the geographical nature of Rivers State which has both upland and coastal areas. Response was obtained from the household heads with regard to socio-economic factors which included house hold population, monthly food expenditure, monthly income, drinking water source , toilet waste disposal methods, domestic waste disposal methods, and educational level of household heads Results showed that at the most, 27% of households spent between N11, 000 to N18, 000 monthly on foods, 38.5% of households earned N20, 000 monthly ,39% of households disposed toilet wastes in nearby bushes, 64% of households disposed domestic waste in bushes and 37% of households obtained water from dug out wells and rain falls. Inadequate socio-economic and sanitary conditions of the population studied are indicated. The findings point to need for the improvement of the underlying socio-economic and environmental factors which contribute to malnutrition at the household level.


Article
MALNUTRITION IN SURGICAL PATIENTS ADMITTED TO BASRA GENERAL HOSPITAL

Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 1 Pages: 24-28
Publisher: Basrah University جامعة البصرة

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This study aimed to investigate and assess the nutritional status of patients admitted to the general surgery wards and define the correlation between the risk of malnutrition, hospital course, clinical outcome, any coexistence between malnutrition and obesity in adult surgical patients and to correlate between two systems used in the assessment of malnutrition. This is a cross sectional study done between December 2012-April 2013, on 214 patients, randomly selected admitted to public and private surgical wards in Basra General Hospital. They underwent two screening tools; the Malnutrition Universal Screening Tool (MUST) and Malnutrition Screening Tool (MST). The 214 patients were divided into two groups, both were included in the two validated screening tools for identification of the risk of malnutrition. Patients who were at risk of malnutrition in the private wards in the MST group were 6 out of 43(13.9%) while in the public ward were 10 out of 64 (15.6%). Regarding the MUST risk score in the private wards, there were 11 patients in the medium and high scores out of 54 patients( 20.3%) while in the public wards were 7 out of 53(13.2%).In the MST group, there were 7 positive females out of 58(12%) and males were 9 out of 49(18.3%). In the MUST group, 7 out of 53(13.2%) females were positive and 11 of 54(20.3%).In the MST group, there were 2 positive <30 patients out of 30(6.6%) and 10 patients (30-60) out of 62(16.1%) and above 60 years were 4 out of 15(26.6%). Regarding the MUST group, there were 3 patients at positive risk in <30 y out of 17(17.6%) and in 30-60 y they were 9 out of 69(13%) and in above 60 y they were 6 out of 21(28.5%).The MUST tool depends on BMI in its scoring. The results of this study showed there was not even a single patient with BMI <18.5 and the majority of the patients were either overweight or obese. In conclusion, the prevalence of under nourishment in the surgical inpatients in this trial is low; there is slight difference in the prevalence of malnutrition risk between MST and MUST. Malnutrition according to BMI is rare in patients included in MUST, over weight and obesity are the main problems in this study not the malnutrition. Patients with positive risk of malnourishment are not malnourished primarly but influenced by their diseases.


Article
Nutritional and Epidemiological Characteristics of Iraqi TB Patients
المميزات التغذوية والوبائية لمرضى التدرن الرئوي العراقيين

Author: Tawfeeq F. R. AL-Auqbi توفيق فاخر العقبي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 3 Pages: 383-387
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:Introduction: There is good evidence, both at the population and the clinical level, for the effect of primary malnutrition on tuberculosis, both to increase frequency of occurrence and to exacerbate clinical manifestations.Objectives: To study the nutritional and socio-epidemiological characteristics that may affects the Iraqi TB patients.Patients And Method: Prospective observational designed study for one year were conducted in Al-Rasheed Teaching Military Hospital / Department of Medicine – TB and pulmonology clinic. A 206 patients of pulmonary TB visiting the clinic monthly were included in the study. At the interview patients asked about medical history (including the social habits, smoking, family history of TB and history of prison); examined physically and assessed nutritionally (BMI, triceps Skin fold thickness and waist to hip ratio) then send for laboratory investigation ( Hb%, sputum for AFB, liver function test) at each monthly visit.Results: mean age of patients were 26.12 ± 6.46 years and BMI 20.09 ± 3.37 kg/m2; while the prevalence of malnutrition (BMI <18.5 kg/m2) was 23.52% of studied patients. Mean duration of complaint 37.82±26.91 days before seeking medical consultation. Prisoners form 61.28% of all patients. Prevalence of smoking was 61.76% among studied patients. Prevalence of previous TB history was 19.60% of patients. Prevalence of positive TB family history was 7.38% of patients.Conclusions: Nutritional status, Prison, smoking, previous TB history and family history of TB were possible TB risk factors which compound the nutritional effects on TB patients.

الملخص :- مقدمة: هناك شواهد على مستوى السكان والمستوى السريري تدعم تأثير سوء التغذية على الأصابة بالتدرن الرئوي فيما يخص زيادة حدوث المرض واشتداد اعراضة. هدف الدراسة: أثبات تأثير سوء التغذية والعوامل الأجتماعية و الوبائية على مرضى التدرن الرئوي العراقيين. طريقة البحث: تم تصميم الدراسة لمراقبة ومتابعة المرضى لمدة سنة في مستشفى الرشيد العسكري التعليمي / شعبة الباطنية/ قسم الأمراض الصدرية والتدرن. تم شمول 206 مريض بالدراسة وتمت مقابلتهم و فحصهم سريريا ومختبريا كل شهر. النتائج: كان معدل العمر 26.12 ± 6.46 سنة ومعدل معامل كتلة الجسم 20.09 ± 3.37 كغم/متر مربع و نسبة الأصابة بسوء التغذية (اقل من 18.5 كغم/متر مربع ) 23.52% من المرضى. معدل فترة الشكوى من المرض قبل الفحص 37.82±26.91 يوم؛ شكل السجناء نسبة 61.28% من المرضى والمدخنين 61.76% والذين لديهم اصابة تدرنية سابقة 19.60% والذين لديهم تاريخ مرضي عائلي للتدرن .7.38% الأستنتاجات: ان سوء التغذية والعوامل المساعدة الأخرى كالتدخين والسجن والتاريخ المرضي السابق والعائلي تعتبر عوامل متضافرة لتعقيد تأثير التدرن الرئوي على المرضى.

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