Background: Bloody diarrhea plays a major role in
morbidity and mortality especially in developing
countries, it is usually a sign of invasive enteric
infection, there is a thought that amoebic dysentery is
more common than bacillary dysentery in Iraq, and
from 1989 to 1997 amoebic dysentery increase from
20000to 550000 patients.
Objectives: This study aims to:
1. Outline the incidence of various infectious causes of
bloody diarrhea in Erbil district.
2. Assess the effect of multiple factors like age, sex,
source of water supply, etc... On the incidence of
amebic and bacillary dysentery.
3. To provide baseline data for making strategic plan to
reduce the diarrhoeal mortality and morbidity.
Methods: A prospective case- series study was
conducted on 116 infants and children aged 2 month –
12 years admitted to hospital complaining of bloody
diarrhea. Information was taken from their mothers
regarding (age, sex, geographical area, feeding pattern
and source of water supply) , their stool have been
examined for the presence of RBC, leukocyte, parasitic
cyst and trophozoit, however blood examination was
conducted for the presence of band.
Results: The results reveal 77.5% of patients were in the
younger age group (<2 year). Entamoeba histolytica was
the most common enteropathogen isolated in 60.3% of
patients, other enteropathogens identified were Shigella
3.5%, E.coli2.6%, Salmonella2.6%, mixed infection
were reported in 1.72%, 28.5%of patients have non
isolated pathogen.
On the other hand, source of water supply and type of
feeding have significant effect on incidence of
enteropathogens. The presence of fever, vomiting,
convulsion and band in peripheral blood mostly
indicates bacterial etiology.
Conclusion: Entamoeba histolytica was the commonest
enteropathogen isolated; the incidence of bloody
diarrhea was more in younger age group. There was
significant effect of source of water supply on the
incidence of bloody diarrhea with most enteropathogen
isolated from patients who have well water supply.
Breastfeeding was protective against enteropathogen
especially bacterial agents in infants under 6 month of
age. Presence of band in the peripheral blood indicates
most probably bacterial agents
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Contracting companies play a prominent role today in economic activity, due to their contribution to the implementation of major construction projects which together constitute the infrastructure of society. Most construction projects also suffer from exceeding the time and cost specified and planned for the completion of the project, and this comes for several reasons, including the work environment, country conditions, The method of managing project costs and the techniques used in its implementation Accordingly, the concepts of lean construction came, which help in addressing the causes of waste, both in time and cost, in addition to the fact that project management needs techniques that are useful in controlling the control and manag
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In writing this study, a number of goals have been set by the researcher. These goals may include but in no way limited to the nature of the US image as carried by the above three papers, the nature of the topics tackled by them and the nature of the Arab countries which received more and extensive coverage than others.
A qualitative research approach is proposed for the study. This approach has allowed the researcher to arrive at definite answers for the possible questions rais
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