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Cancer in infancy: Experience of Children Welfare Teaching Hospital, Medical City Complex, Baghdad

Background: It is becoming increasingly apparent that the study of infant cancer may lead to further understanding of the mechanisms of carcinogenesis, due to the unique clinical, genetic, and epidemiologic characteristics of cancer in infant.
Objectives: To study the clinical and pathological presentation of infants with cancer, their outcome and survival.
Patients & methods: A retrospective study was done over a 6 years period between (Jan.1st.2001- Dec. 31st. 2006), reviewed the records of 85 infants diagnosed and treated in oncology unit, children welfare teaching hospital, medical city-Baghdad.
Results: The majority of patients 57(67%) were from Baghdad & surrounding provinces; Leukemia was the most common type of cancer reported in 26(30.5%) infants followed by Neuroblastoma in 25(29.4%) infants. Males were more common than females with a ratio of 1.5:1 with duration of onset more than one month in 60(72.3%) patients. Pallor & fever were the most common presenting symptoms in 56(65.8%) and 43(50.5%) patients respectively. Bone marrow was the most common site of involvement in 31(36.4%) patients. Event free survival in treated patients was 16.4% with high rates of death (32.9%) and patients lost to follow-up were 24(28.2%).
Conclusions: The study showed low event free survival due to high mortality rate due to lack of adequate supportive care, intensive care unit, bone marrow transplant facility and abandonment of treatment.

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Publication Date
Sat Dec 07 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Retinoblastoma in Iraqi Children, the Experience of Children Welfare Teaching Hospital

Background: Retinoblastoma is the most common intraocular tumor affecting young children.


Patients and Methods
: A review of 32 children with retinoblastoma, diagnosed and treated at the Oncology Unit, Children Welfare Teaching Hospital, Medical City, Baghdad from 1999 to 2006.

Objectives: To review the clinical presentation and treatment outcome of retinoblastoma in children treated at the Children Welfare Teaching Hospital, Baghdad.

Results: Among 32 patients, 56.25% were males and 43.75% were females with a median age of 34.5 months. Unilateral disease was observed in 19 patients. Leukocoria was the most common presenting feature. Advanced s

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Neonatal Polycythemia in Children Welfare Teaching Hospital, Medical city complex, Baghdad

Backgroun1d: Polycythemia is defined as a central Hematocrit of at least 65%. Its` incidence is increased in babies who have intrauterine growth restriction (IUGR), are small for gestational age (SGA), and are born post term.  Many infants with polycythemia are asymptomatic. However, it may be associated with feeding problems and lethargy.   

Objectives: This work aimed to study the polycythemic neonates admitted to neonatal care unit in children welfare teaching hospital, medical city complex, Baghdad, including demographic features, risk factors, management and early outcome.

Patients and Methods: A descriptive study was carried out over

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Publication Date
Wed Oct 01 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Bone Marrow Procedures in Children Welfare Teaching Hospital/Medical City Complex Indications and results

Background: Bone marrow aspiration (BMA) and biopsy is a procedure that is used to evaluate the cause of abnormal blood test results, to confirm a diagnosis or check the status of severe anemia of unknown cause, to evaluate abnormalities in the blood's ability to store iron and also to diagnose infection.

Objectives: To identify the main indications of bone marrow aspiration and the most common diagnoses encountered in children welfare teaching hospital.

Patients and methods: This was a prospective and retrospective descriptive study over 6- month period from 8th of February 2010 to 8th of August 2010 in children younger than 14 years. All bone marrow aspirate results wer

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Publication Date
Tue Jul 13 2021
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Germ cell tumor: A seven-year experience Children Welfare Teaching Hospital: Germ cell tumor; 7 years’ experience Children Welfare Teaching Hospital

Background: Germ cell tumors are a rare heterogeneous group of cancers with high cure rates in the pediatric age group.
Objectives: To study the clinical and pathological features in a group of patients with germ cell tumors and to evaluate their outcomes.
Patients and methods: A record review was undertaken on a group of patients with germ cell tumor who were admitted to the Children Welfare Teaching Hospital in Baghdad during the years 2009 - 2015. Information on gender, age, clinical signs, pathological findings, treatment and overall survival rate were reviewed.
Results: The patients had a mean age of 4.2 years (ranging from 1 month - 14 years). There were 45 girls and 16 boys. Abdominal pain was the most common presentation

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Publication Date
Thu Dec 13 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Study Some Parameters of HCV Isolated From Sample of Hemophilic Patients in Children Welfare Teaching Hospitalin Medical City/Baghdad

Objective(s) : This study aimed at evaluating the seroprevalence of anti -HCV and studying the
correlation between hemophilia and risk factors for acquiring HCV such as age , marital status &
occupation among hemophilic patients .
Methodology : 210 hemophilic patients in children welfare teaching hospital/medical city/Baghdad–Iraq
(hemophilia center) were investigated using prepared questionnaire and tested for HCV infection, those
were measuring patient’s age, hemophilia types and severity, marital status, residency and history of
previous HCV infection .
Results : Most hemophilic patients were hemophilia A at severe , hemophilia was at age group 20 – 29
years , the majority of patients were unmarried a

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Publication Date
Sat Nov 07 2020
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad

Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice.
Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq.
Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items).
Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About ha

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Publication Date
Sun Jul 04 2010
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Death rates and causes among admitted neonates in Children Welfare Teaching Hospital – Medical city –Baghdad (2000- 2004)

Background: The neonatal deaths account for two-third of all deaths in the first year of life, and 40% of under-five mortality. Extreme prematurity, respiratory distress syndrome , neonatal infections , and congenital malformations are among the common causes of neonatal deaths.
Methods: We retrospectively studied 668 neonates who died over 5 years period from first of Jan. 2000 to the end of Dec. 2004 in neonatal care unit of children Welfare Teaching Hospital-medical city, by obtaining data from reviewing their medical records and death certificates.
Results: The death rate in neonates admitted to SCBU (special Care baby Unit) during the period of study was (10.7%), male constituted 432 (64.7%) and female

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Publication Date
Wed Jan 01 2020
Journal Name
Iraqi National Journal Of Nursing Specialties
Effectiveness of Health Educational Program on Nurses’ Knowledge About Communication Skills with Children at Welfare Children Teaching Hospital in Baghdad City

Background: Therapeutic communication is the basis of interactive relationships among nursing team and their children: that affords opportunities to establish rapport, understand the client’s experience, formulate individualized or client interventions and optimize health care resources.

Objectives: The main aim of the study is to determine the Effectiveness of Education Program on Nurses’ Knowledge about Communication Skills with Children.

Methodology: A quasi-experimental study was conducted in Children Welfare Teaching Hospitals from 7th, October 2018 to the 20th, May 2019. The program and instruments have been constructed by the researcher for the purpose of the study. A non- prob

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Publication Date
Sun Apr 05 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Transient Tachypnea of Newborn in Neonatal Care Unit of Children Welfare Hospital Medical City /Baghdad

Background: Transient tachypnea (TTN) is a common disorder of the newborn. It is characterized by the                                                                  
early onset of tachypnea sometimes with retractions or expiratory grunting and occasionally cyanosis that is
relieved by minimal oxygen supplementation (<40%).
Objectives: To identify the risk factors and describe the clinical characteristics, treatment and outcome of
infants with TTN.
Patients and methods: This study was carried out on 100 newborn babies with birth weight of 2500 to 4000 &nbs

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Publication Date
Mon Jul 29 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Etiological factors of cholestasis ininfancy andearly childhood in Children Welfare Teaching Hospital

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Background: Neonatal cholestasis is defined as prolonged elevation of the serum level of conjugated
bilirubin beyond the first 14 days of life. There are many causes of neonatal cholestasis which must be  identified because early intervention may result in a better outcome , such as surgical intervention in biliary atresia within two months from birth , or effective dietary management in metabolic disorders like  galactosemia.
Objective:To determine the causes of early childhood cholestasis in children attending the Children Welfare
Teaching Hospital in Baghdad and to stu

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