Background: Bronchiolitis is the first episode of wheezing associated with low grade fever, rhinitis, tachypnea, and increasing respiratory effort in a previously healthy
infant during the winter months, and it is the most common lower respiratory tract infection in infancy.
Objectives: This study is designed to analyze the clinical signs and symptoms alone or as combinations as possible predictors of severe hypoxemia in infants with
bronchiolitis.
Patients and methods: This is a prospective study, which was carried out on 96 infants with a mean age of 7.74 ±3.72 months who were admitted to Children Welfare Teaching Hospital in Medical City-Baghdad with bronchiolitis during the period from 1st October 2006 to the 15th March 2007. They are divided into two groups: group one 46 cases (oxygen saturation (SaO2<90) and group two, 50 cases (SaO2≥90).Complete history taken from care taker and full examination done for each patient. A portable oximeter was used to measure oxygen saturation.
Results: Forty nine (51%) of patients were males and 47 were females (49%), with male to female ratio of 1.04:1. The mean age was (7.745±3.7) months. The mean
oxygen saturation was (90%), with a median of (84.7%) and a range of (76%-89%) in group one (SaO2<90), while it was (95.32%) with a range of (90%-99%) in group two
(SaO2≥90).
Conclusions: Reduced ability to feed, sleep disturbances, hypotonia and clinical signs as suprasternal retractions, continuous nasal flaring, tachypnea, grunting, head
nodding and cyanosis appeared to be statistically highly significant in this study as predictors of severe hypoxemia. Combinations of signs and symptoms that showed
statistically significant association with severe hypoxemia were: grunting or head nodding, cyanosis or head nodding, tachypnea or sleep disturbance, tachypnea or
suprasternal retractions, and tachypnea or head nodding (p.value <0.0001) for all mentioned combinations, So we recommend to use these combinations of signs and
symptoms as significant predictors of severe hypoxemia especially when pulse oximetry is not available.
Background: New data suggests that joint damage in Knee Osteoarthritis (KOA) may be caused by systemic factors like adipose tissue products; Adipokines, which may provide a
metabolic link between obesity & KOA. Recently, one of the known adipokines named LEPTIN has been linked to KOA because it can be detected in serum & synovial fluid of
patients with KOA.
Objective: To evaluate the contribution of Leptin & serum lipids to the pathophysiology of Osteoarthritis in Iraqi patients with Knee OA.
Subjects& Methods: The study was carried on 90 subjects divided into four groups: Knee Osteoarthritis cases group (n=60). Control group (n=30). Obese subjects group (n=60).
Non-obese subje
Existing literature suggests that construction worker safety could be optimized using emerging technologies. However, the application of safety technologies in the construction industry is limited. One reason for the constrained adoption of safety technologies is the lack of empirical information for mitigating the risk of a failed adoption. The purpose of this paper is to fill the research gap through identifying key factors that predict successful adoption of safety technologies.
In total, 26 key technology adoption predictors
Background: Several studies were carried out on association of infection with male infertility, which revealed great variations in the prevalence of genital infection in different parts of the world. This work was designed to study the effect of infection on semen parameters in a sample of Iraqi infertile males.
Methods: A sample of 400 infertile male patients attending the High Institute for Embryo Research and Infertility Treatment for laboratory investigations and treatment were selected. This study was carried out during the period Nov. 2002 to April 2003, inclusive. Seminal fluid analysis was performed on samples obtained by masturbation into a glass container after 48 to 72 hours from of abstinence from&
Background: Hypoxic ischemic encephalopathy (HIE) means failure to establish effective spontaneous breathing after complete delivery & leads to many changes if not diagnosed or treated immediately as mental retardation, cerebral palsy and epilepsy.
Objective: to study the demographic and clinical predictors of perinatal outcome in full term neonates with hypoxic ischemic encephalopathy.
Methods: Forty two neonates were diagnosed as cases of hypoxic ischemic encephalopathy by specialist pediatricians & admitted in Children Welfare Teaching Hospital & Al Kut Hospital in the period from January 2008 to March 2009. Predictors studied were sex, birth weight, Apgar scores at 1,5,15 min., meconium
Out of 180 children, 60 (33.3%) have Amoebiasis infection as diagnosed by direct wet smear and Saturated Salt Solution (SSS). SSS method is more significant (P=0.001) in diagnosis of the disease. Number of children infected with Amoebiasis infection is higher in infants aged 1-6 months, but without any significant difference to ages 6-12 or 12-18 months. In contrast, infants aged 18-24 months are significantly differant (P=0.01) as the infection rate is 16.6%. Gender also is seen to be reduced in significance (P= 0.001) for females aged 18-24 months. Blood profile of the involved infants has shown a significant variation (P=0. 01) for all blood profile parameters (RBC (P=0.05), WBC (P=0.001), Lymphocytes (P=0.05), Granulated WBC (P=0.05),
... Show MoreBackground: Seasonal variation and gender preponderance have not been adequately studied in Guillain-Barre syndrome (GBS).
Objective: This study aims to evaluate the seasonal variation and sex preponderance in children with Guillian Barré Syndrome.
Patients and methods: A cross sectional study was carried out by reviewing wards’ registry of all cases with Guillian Barré Syndrome admitted to Children Welfare Teaching Hospital during a 10-year period (1999 - 2008). Age, sex, seasonal distribution, residence and outcome were analysed.
Results: Guillian Barré Syndrome was diagnosed in 217 (126 boys, 91 girls) patients and the annual hospital rate of admission was 22.9 /100000 children. There was increase annual incidence from 1
The non-specific response of immunity has developed as the initial barrier for human protection from invading pathogens, which comprises certain pathogen recognition receptors (PRR) for instance toll-like receptors (TLRs). Toll like receptor 2 (TLR 2) is capable of recognizing pathogen associated molecular patterns (PAMP) coded by Mycobacterium tuberculosis. To evaluate TLR 2 level in sera of pulmonary tuberculosis (TB) patients. About 120 subjects, involving 80 patients with pulmonary TB including 40 multiple drug resistance (MDR), 20 recently diagnosed pulmonary TB (RD) and 20 recurrent TB patients named as old cases (OC), in addition to 40 apparently healthy individuals were studied as control group. Sera from 68 TB patients
... Show MoreBackground: The objective of this study was to investigate the possibility of standardizing the Bolton ratio analysis as a diagnostic measure for both Iraqi and Egyptian orthodontic populations within three Angle' classification groups. Materials and methods: Two hundred forty pretreatment study casts (one hundred twenty of each population) were included in this study and divided into three Angle' classification groups. The mesiodistal crown diameters of all teeth were measured for computing the anterior and total Bolton ratios. Analysis of variance was performed to compare the mean ratios of Bolton analysis as a function of the Angle classification.HSD test was used to specify the classes of malocclusion that have significant differences.
... Show MoreBackground: The Andrews’ six keys of normal occlusion contribute individually and collectively to the total scheme of occlusion and, therefore, are viewed as essential to successful orthodontic treatment. The present research aims to evaluate the presence of the parameters of the Andrews’ Six Keys of normal occlusion in a sample of 100 Iraqi adults with complete permanent dentition and clinically acceptable normal occlusion (Angle’s Class I) in Baghdad city. Their age range 18-25 years (60 males and 40 females). Materials and methods: Each patient was subjected to clinical examination and then study cast models were made, with their occlusal records. The measuring tools that have been used involved: Three-dimensional goniometer to me
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