Objectives: Determine the age and gender distribution of children who experience diabetes mellitus (DM) under
the age of 15 years and the presence of some associated factors that might be a predisposing factor for the
disease including obesity.
Methodology: A cross-sectional study was conducted at diabetic clinic in Children Welfare Teaching Hospital
in Baghdad City during 2006. The study sample included diabetic children less than 15 years of age. Data were
taken from the patients' record and by direct interview with the patients' parents. Information included
demographic data, as well as past history of the patient and his/her family relative to diabetes and other immune
diseases.
Results: Data analysis showed that there was an equal distribution of patients among the three age groups (I-5,
6-10-, and 11-15 years) in a rate of 33% for each. Females had higher incidence rate (660/o) than males. Onset of
the disease was mostly at age group I-3 years (32%) followed by age group 4-6 years (30%). IIistory of viral
illness was present in 24% of patients and a positive family history of DM was found in 23% of them, and a
family history of autoimmune disease was positive in 13% of cases. Body weight at the first visit to the clinic
was mainly below the 50th percentile (42% within the 25th percentile) and only 4% of patients had a body
weight within the 75th percentile.
Recommendations: Health education about the disease and provision of health centers those are easily
accessible for early diagnosis and treatment and uninerrupted insulin supply.
Ampullary carcinomas are uncommon malignant tumours of the digestive system, they usually are adenocarcinomas presenting histologically as three types: intestinal, pancreaticobiliary and mixed. β-catenin is a multifunctional protein involved in physiological homoeostasis and intracellular adhesion. Abnormal nuclear accumulation of β-catenin has been described in many malignancies such as colon, breast, liver and others. The relationships between the immunohistochemical expression of β-catenin and the subtype, the grade and the stage of ampullary carcinoma are studied.
Pharmaceutical care is a patient-centered, outcomes oriented practice that requires the pharmacist to work in concert with the patient and the patient’s other healthcare providers to promote health, to prevent disease, and to assess, monitor, initiate, and modify medication use to assure that drug therapy regimens are safe and effective. In addition, the presence of clinical pharmacists has led to a higher quality of patient education and provision of complete detailed information for patients. In developed countries Pharm D has become the professional degree for practice of Pharmacy. The graduates will be enrolled in a pharmacy residency program; admission to the residency programs is available to Pharm D graduates of an accredit
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