scholarly journals Evaluation of Serum Potassium Level in Pediatric Gastroenteritis at Children – Welfare Teaching Hospital

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Mohanad Adnan Bakr ◽  
Ghazi Farhan Haji ◽  
Fadil Agla Al-Rubaye ◽  
Asaad Abullah Abbas
Keyword(s):  
Teaching Hospital ◽  
Serum Potassium ◽  
Acute Gastroenteritis ◽  
Paralytic Ileus ◽  
Urban Areas ◽  
Deficiency Anemia ◽  
Prospective Clinical Study ◽  
Severe Dehydration ◽  
Female Ratio ◽  
Children Welfare

Objective: To measure the incidence of the hypokalemia in children who are suffered from acute gastroentitis and to estimate their complications. Method: A prospective  clinical study, is enrolled (153) patients from 1st of January 2017 to  1st of December 2017, at the Children-Welfare Teaching Hospital and it is included the children from ( 1-5 years ) who are firstly admitted to the emergency department and then to the pediatric wards who were  suffered from acute gastroentitis and their serum potassium levels were below (3.5 mmol/l )and is excluded the children with a chronic diarrhea or a bloody diarrhea or with any nutritional diseases, like  marasmus disease, kwashiorkor  or  iron deficiency  anemia disease or parenteral  diarrhea, like ( pneumonia, UTI), or   their ages either below ( 1year )  or more than ( 5 years )  and the study depends on history and physical examination and serial serum potassium levels. Result: A total of (153) patients with acute gastroenteritis were included in a study, (91) male patients, (62) female patients with male to female ratio (1.4:1), the majority of the patients were from urban areas. In this study, 61(39%) of patients with acute gastroenteritis were complicated by hypokalemia, 92(61%) were not. Of  those with a severe dehydration, 11(23%) had a mild hypokalemia, 17(36%) a moderate, 19(41%) a severe one, patients with a moderate dehydration, 7(50%) had a mild hypokalemia, 5(38%) a moderate, 2(15%) a severe one .Concerning the main complain, 65(44%), had both diarrhea and vomiting, 61(39%), had only diarrhea, 28(17%), had only vomiting.  According to degree of dehydration, there were 72(47%) with moderate dehydration, 81(53%) with a severe dehydration. UOP is poor in (70) with a severe dehydration, and (21) with a moderate dehydration, and is good in (8) with a moderate dehydration, (53) with a severe dehydration. The percentages of the complications were 51(83%), had generalized weakness, 10(17%), and had both generalized weakness and paralytic ileus. Conclusion: Children with acute gastroenteritis were complicated by a hypokalemia 61(39%) paralytic ileus. Diarrhea and vomiting were the commonest complaint of acute gastroenteritis.

Patterns of acute poisoning among children admitted tomaternity and children,teaching hospital,Al Diwaniyah city,Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Adel J Hussein
Keyword(s):  
Emergency Department ◽  
Teaching Hospital ◽  
Rural Areas ◽  
Urban Areas ◽  
Food Poisoning ◽  
Acute Poisoning ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
Level Of Education ◽  
At Home

Acute poisoning,a common pediatric emergency,is one of the important causes of morbidity and mortality in children,especially in developing countries. The patterns of poisoning usually differ from country to country and from province to another within the same country.The purpose of this study was to clarify the characteristics of acute chemical and drug poisoning.cases admitted to the emergency department (ED)ofmaternity and children,teaching hospital in Al- Diwaniyah city and to compare poisoning characteristics between different age groupsin the region. A review of medical records of 125 poisoningcases under 7 years of age, except for cases of food poisoning,snake bite,scorpion stings and cases with incomplete data were not included in this study,presenting to the Emergency Department (ED) during 2016 were determined.The mean age of all poisoned patients (mean ± standard deviation) was 2.26 ± 0.750.One hundred and twenty five children,forming 2.2% (125/5494) of total emergency unit admissions of all patients,were under seven years of age. Slightly more boys 71 (56.8%) than girls 54 (43.2%) were intoxicated with the male to female ratio of 1.3:1. The majority of all cases were due to accidental poisoning. In patients younger than one year of age 23 (18.4%),of all poisonings were due to therapeutically error,1 – 3 year 47 (37.6%),4 – 7 year 55 (44%). Chemical agents (58.4%) mostly kerosene (30.1%),agriculturalpesticides/insecticides (19.1%),were the most frequent offending agent,followed by drugs comprised (41.6%),mostly due to Cold and cough medication (15.3%),The vast majority of these materials was stored in non-original containers,These drugs were available at home,being used either by the child or the parents and grandparents.The most common route of poisoning was ingestion of the poison (118 patients; 94.4%) and most were ingested inside the house (73.6%). No deaths were reported.There were obvious seasonal variations and most cases were admitted during in summer (42.4%) and spring (29.6%). Patients from rural areas (57.6%) were more than the patients from the urban areas (42.4%). Effective health promotional programs for parents regarding poisoning hazards are needed to increase the awareness and reduce the incidence of poisoning among children in our region in addition correct dealing with the chemical materials. A relationship exists between the parents’ level of education and the occurrence of pediatric poisoning particularly mothers. Since the level of education in this study was lower in the mothers and for mothers are those who take primary care of children at home; they should be educated regarding care and prevention of lethal injuries to their children at home.

Patterns of acute poisoning among children admitted tomaternity and children,teaching hospital,Al Diwaniyah city,Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Adel J Hussein
Keyword(s):  
Emergency Department ◽  
Teaching Hospital ◽  
Rural Areas ◽  
Urban Areas ◽  
Food Poisoning ◽  
Acute Poisoning ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
Level Of Education ◽  
At Home

Acute poisoning,a common pediatric emergency,is one of the important causes of morbidity and mortality in children,especially in developing countries. The patterns of poisoning usually differ from country to country and from province to another within the same country.The purpose of this study was to clarify the characteristics of acute chemical and drug poisoning cases admitted to the emergency department (ED)of maternity and children,teaching hospital in Al- Diwaniyah city and to compare poisoning characteristics between different age groupsin the region. A review of medical records of 125 poisoningcases under 7 years of age, except for cases of food poisoning,snake bite,scorpion stings and cases with incomplete data were not included in this study,presenting to the Emergency Department (ED) during 2016 were determined.The mean age of all poisoned patients (mean ± standard deviation) was 2.26 ± 0.750.One hundred and twenty five children,forming 2.2% (125/5494) of total emergency unit admissions of all patients,were under seven years of age. Slightly more boys 71 (56.8%) than girls 54 (43.2%) were intoxicated with the male to female ratio of 1.3:1. The majority of all cases were due to accidental poisoning. In patients younger than one year of age 23 (18.4%),of all poisonings were due to therapeutically error,1 – 3 year 47 (37.6%),4 – 7 year 55 (44%). Chemical agents (58.4%) mostly kerosene (30.1%),agriculturalpesticides/insecticides (19.1%),were the most frequent offending agent,followed by drugs comprised (41.6%),mostly due to Cold and cough medication (15.3%),The vast majority of these materials was stored in non-original containers,These drugs were available at home,being used either by the child or the parents and grandparents.The most common route of poisoning was ingestion of the poison (118 patients; 94.4%) and most were ingested inside the house (73.6%). No deaths were reported. There were obvious seasonal variations and most cases were admitted during in summer (42.4%) and spring (29.6%). Patients from rural areas (57.6%) were more than the patients from the urban areas (42.4%). Effective health promotional programs for parents regarding poisoning hazards are needed to increase the awareness and reduce the incidence of poisoning among children in our region in addition correct dealing with the chemical materials. A relationship exists between the parents’ level of education and the occurrence of pediatric poisoning particularly mothers. Since the level of education in this study was lower in the mothers and for mothers are those Who take primary care of children at home; they should be educated regarding care and prevention of lethal injuries to their children at home.

scholarly journals Study of electrolyte disturbances and renal parameters in acute gastroenteritis under 5 years of age in a tertiary care hospital of Bengaluru, India

2020 ◽  
Vol 7 (9) ◽  
pp. 1910
Author(s):  
Poornima Shankar ◽  
Shajna Mahamud ◽  
Anjum Aara C. A.
Keyword(s):  
Serum Sodium ◽  
Acute Gastroenteritis ◽  
Fluid Replacement ◽  
Electrolyte Imbalance ◽  
Care Hospital ◽  
Severe Dehydration ◽  
Serum Electrolytes ◽  
Female Ratio ◽  
Electrolyte Disturbances ◽  
Sodium And Potassium

Background: Diarrhoea still continues to be a major cause of hospitalization and death in under fives. Electrolyte disturbances play an important role in the associated morbidity and mortality.  Acute renal failure is one of the important complications of acute gastroenteritis (AGE) in children. Early intervention and proper fluid replacement may lessen this risk. This study was designed to find out the incidence of acute gastroenteritis and the status of associated electrolyte derangements and renal involvement.Methods: This was a cross sectional study conducted at KIMS, Bengaluru in which 117 children from the age of 1 month to 5 years with acute diarrhea were included based on a predefined inclusion and exclusion criteria. Demographic profile of the patients, details of diarrhea, clinical examination and accompanying degree of dehydration (defined as per WHO criteria) were recorded. Serum electrolytes along with renal parameters were investigated.Results: Total 117 children with acute gastroenteritis were enrolled in the study as per the inclusion criteria which constituted 5% of total paediatric admissions. Children aged 1-12 months had the highest incidence of diarrhea (50%). Male to female ratio is 1.3:1. 65% had some dehydration, 19% no dehydration and 16% had severe dehydration. Isonatremia was seen in 58% followed by hyponatremia in 35% and hypernatremia in only 7%. 83% had isokalemia, hypokalemia in 12%, hyperkalemia in 5%. Levels of serum sodium and potassium decreased with the severity of dehydration. Serum urea and creatinine were significantly high in severe dehydration (p value 0.001). Out of 28 children who were given diluted ORS before admission, majority had hyponatremia (39%) and all of them who received concentrated ORS had hypernatremia.Conclusions: Hyponatremic dehydration is the second most common type of dehydration next to isonatremic dehydration, but it is more common in children who took diluted ORS. Increased awareness regarding ORS preparation may help in preventing electrolyte imbalance in AGE. The levels of serum sodium and potassium decreased and urea and creatinine increased with severity of dehydration. Measurements of serum electrolytes and renal parameters early can help to predict the complications due to AGE and may help in the prevention of diarrhea related complications in children.

An Epidemiological, Diagnostic and Therapeutic Study of Giardia lamblia in Anbar Province – Iraq

2019 ◽  
Vol 9 (01) ◽  
pp. 39-45
Author(s):  
Suad Shallal Shahatha
Keyword(s):  
Teaching Hospital ◽  
Rural Areas ◽  
Giardia Lamblia ◽  
Urban Areas ◽  
Culture Media ◽  
Age Groups ◽  
Stool Samples ◽  
Women And Children ◽  
Teucrium Polium L ◽  
Therapeutic Study

This study was carried out to investigate the epidemiology of Giardia lamblia parasites in patients who visited some of the hospitals in Anbar province, which included (Fallujah Teaching Hospital, Ramadi Teaching Hospital, Ramadi Teaching Hospital for Women and Children and Hit Hospital) during by examining 864 stool samples in a direct examination method, The results revealed the infection rate was 41.7 % and the percentage of infection among males 47.8% is higher than that of females 35.4% with significant differences (p≤0.05). The age groups (1-9) years recorded the highest rates 55.4% and the lowest rate 13.6% in the age group (40-49) years. The highest rate of infection was 62.5% during the month of June, while the month of October was the lowest rate 5% and significant differences. The incidence rate in rural areas was 50.6% higher than in the urban areas 32.5%. The study also included the effect of Teucrium polium L. on the parasite in the culture media HSP-1, the concentrations of 0.5-3 mg / mL significantly affected Giardia, it was noted whenever the greater the concentration, the greater the effect during different treatment periods (1-4) days, as the highest concentration 3 mg/ml killed all Giardia parasites on the fourth day of treatment.

scholarly journals Role of Serum Transferrin Receptor in Diagnosing and Differentiating Iron Deficiency Anemia from Anemia of Chronic Disease in Patients with Chronic Kidney Disease

2017 ◽  
Vol 7 (2) ◽  
pp. 132-137
Author(s):  
Abdul Latif ◽  
Muhammad Rafiqul Alam ◽  
Asia Khanam ◽  
Farhana Hoque ◽  
Muhammad Abdur Rahim ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Chronic Disease ◽  
Kidney Disease ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Transferrin Receptor ◽  
Deficiency Anemia ◽  
Control Group ◽  
Anemia Of Chronic Disease ◽  
Female Ratio

Background: Anemia is common in patients with chronic kidney disease (CKD) and this is generally anemia of chronic disease, but iron deficiency anemia (IDA) is also common. Soluble transferrin receptor (sTfR) is a useful marker for IDA. Present study was undertaken to assess the utility of sTfR as a marker of IDA in selected group of Bangladeshi patients with CKD.Methods: This cross-sectional study was conducted in the Department of Nephrology, BSMMU, Dhaka, Bangladesh from January 2013 to December 2014. Patients with anemia admitted in nephrology department whether on hemodialysis or not and medicine department of BSMMU were taken for study. The study population was further divided into two groups; Group A, patients who are having IDA and Group B, patients with ACD and a control group was also selected. Data were collected by face to face interview and laboratory investigations with a self-administered questionnaire.Results: The mean age of the patients in two study groups were 38.40±13.23 and 34.85±10.52 years respectively and male-female ratio were 0.5:1 and 1:0.5. Mean sTfR level was higher (4.81± 1.64 ?g/ml) in patients with IDA than (2.89±1.40 ?g/ml) in patients with ACD (p <0.0001). In our study mean ferritin level was 599.59± 449.15?g/L in ACD patients whereas 101.23±119.42 in IDA patients (p<0.0001). Total iron binding capacity (TIBC) was more in ACD patients with sTfRe”3?g/ml as compared to ACD patients with sTfR<3?g/ml. Transferrin saturation (TSAT) level was significantly decreased in ACD patients with sTfR ?3?g/ml as compared to ACD patients with sTfR<3?g/ml.Conclusion: sTfR has a comparable ability to S. ferritin in diagnosing IDA and ACD. However, sTfR and serum ferritin alone cannot definitely exclude co-existing iron deficiency in ACD. As sTfR is not affected by infection and/or inflammation, thus providing a non-invasive alternative to bone marrow study.Birdem Med J 2017; 7(2): 132-137

Orbital Hydatid Cyst: An Interventional Case Series

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Tajamul Khan ◽  
Ibrar Hussain ◽  
Zaman Shah
Keyword(s):  
Visual Acuity ◽  
Hydatid Cyst ◽  
Teaching Hospital ◽  
Case Series ◽  
Surgical Excision ◽  
P Value ◽  
Presumptive Diagnosis ◽  
Female Ratio ◽  
Orbital Imaging

Purpose:  To find out the demographics, presentation, and outcome of surgical treatment in patients of orbital hydatid cyst. Study Design:  Interventional case series. Place and Duration of Study:  Khyber Teaching Hospital Peshawar, Pakistan from 2009 to 2019. Methods:  This study included 11 patients with orbital hydatid cyst who presented in Khyber Teaching Hospital, Peshawar. Detailed history, ocular examination and Orbital imaging (Ophthalmic B-Scan, CT scan and/or MRI) was performed. The patients underwent Orbitotomy, cyst extirpated and sent for histopathology. Albendazole was given to the patients for 12 weeks after surgery. The preoperative and postoperative data until last follow-up was analyzed. Results:  Male to Female ratio was 5:6 and the mean age of the patients was 18.17 ± 17.4 years. Mean amount of proptosis was 26.27 ± 2.05mm and visual acuity was 0.23 ± 0.33 decimal in the affected eye at presentation. Eight patients (72.8%) had Relative Afferent Pupillary Defect with swollen discs. After imaging studies, presumptive diagnosis of hydatid cyst was made. Histopathology confirmed the diagnosis of hydatid cyst in all cases. Mean proptosis at the last follow up improved to 19.04 ± 1.45mm (P value = 0.00) and visual acuity to 0.47 ± 0.22 decimals (P value = 0.048). Only one patient (9.1%) had an associated hydatid cyst in the lung. There was no recurrence until last follow-up. Conclusion:  Hydatid cyst should be considered in differential diagnosis of proptosis in patients under 20. Surgical excision followed by a course of oral Albendazole is effective for the treatment of orbital hydatid cyst. Key Words:  Orbital hydatid cyst, Proptosis, Orbitotomy.

scholarly journals Prevalence and associated morbidities of preterm neonatal admissions at the University of Maiduguri Teaching Hospital, North-Eastern Nigeria

2020 ◽  
Vol 47 (3) ◽  
Author(s):  
B. Mustapha ◽  
P. Simon ◽  
B.I. Abdullahi ◽  
H.I. Abubakar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Teaching Hospital ◽  
Special Care ◽  
Sub Saharan Africa ◽  
Female Ratio ◽  
Special Care Baby Unit ◽  
North Eastern ◽  
Preterm Babies ◽  
The University

Introduction: Preterm delivery is of considerable concern to clinicians and researchers being a leading cause of infant morbidity and mortality in the industrialized countries and also contributes to substantial complications among survivors. Sub-Saharan Africa, including Nigeria accounts for significant proportion of preterm births, with over million deaths due to complication of prematurity. Objectives: The study aimed to determine the prevalence and associated morbidities of preterm deliveries at the University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria. Patients and methods: This is a retrospective review of neonates delivered before 37 completed weeks of gestation and admitted into the Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital, from 1st January 2008 to 31st December 2015. Results: There were 3435 admissions into the Special Care baby Unit (SCBU) during the 8 year period. Out of these 1129 were preterm babies giving a prevalence of 32.9%. Of the 1129 preterm babies managed in SCBU, 714 case records were retrieved and analyzed giving a retrieval rate of 63%. There were 372 (52.1%) males and 342 (47.9%) females; with the male to female ratio of 1:1.08. There were 17(2.3%) extreme low birth weight  (<1000g), 288 (40.3%) very low birth weight (1000-1499 g), 406 (56.9%) low birth weight (1500- 2499 g) babies. The range of admission weights was 700-2500g with mean of 1600±900g. Conclusion: The burden, complications and mortality from preterm newborns remain significant public health challenges to care givers in Nigeria. Key words : Prevalence, preterm babies, associated morbidities, Maiduguri 

scholarly journals Pattern of childhood malignant tumours in two tertiary teaching hospitals in Nigeria: Comparative study

2013 ◽  
Vol 40 (2) ◽  
pp. 175-178
Author(s):  
UA Shehu ◽  
SA Adegoke ◽  
U Abdulsalam ◽  
M Ibrahim ◽  
OA Oyelami ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Public Health Problem ◽  
Bone Tumours ◽  
Teaching Hospitals ◽  
Malignant Tumours ◽  
Acute Leukemias ◽  
Female Ratio ◽  
Hospital Unit ◽  
Tertiary Teaching ◽  
Male To Female

Background: Cancer is a public health problem worldwide affecting all categories of persons. It is the second common cause of death in developed countries and among the three leading causes of death in developing countries.Objective: To compare the patterns of malignant childhood tumours intwo tertiary hospitals in the north- Western and South western Nigeria.Methods: Retrospective studies of childhood malignancies diagnosedat Aminu Kano Teaching Hospital (AKTH), Kano and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) (Ife Hospital Unit, Ile-Ife and Wesley Guild Hospital Unit, Ilesa, Osun state) were undertaken from January, 2001 to December, 2010. The patterns of childhood cancers inthese hospitals were compared.Results: Four hundred and ten children aged 7 months to 15 years were admitted at AKTH with malignancies of which 236 were males and 174 females with male to female ratio of 1.4:1. At OAUTHC, 568 children aged two months to 15 years were admitted with malignancies over the ten year period. There were 401 males and 167 females, with male to female ratio of 2.4:1. Lymphomas were the commonest type of malignancy in both centers, which accounted for 47.3% and 59.7% at AKTH and OAUTHCrespectively. Retinoblastoma was the second commonest tumour atAKTH constituting 14.9% of all malignancies followed by nephroblastomaand acute leukemias. In contrast, acute leukemias were the second commonest malignancy at OAUTHC accounting for 12.7% of all malignancies followed by retinoblastoma and nephroblastoma. Tumoursof central nervous system were observed to be commoner at AKTH, while bone tumours were commoner at OAUTHC.Conclusion: The pattern of childhood cancer varies rather little betweendifferent regions in Nigeria, with malignant lymphomas being the most common as is the case in most developing countries. However, the findings in this study suggest that there is variation in prevalence of leukemia, CNS and bone tumours in northern and southern Nigeria.Key words: Childhood, malignant tumours, pattern, teaching hospitals,Nigeria

scholarly journals HEAVY SMOKING

2012 ◽  
Vol 19 (04) ◽  
pp. 433-435
Author(s):  
MUMTAZ ALI SHAIKH ◽  
DUR-E- YAKTA ◽  
DARGAHI SHAIKH
Keyword(s):  
Standard Deviation ◽  
Urban Areas ◽  
Sampling Technique ◽  
Serum Lipoprotein ◽  
High Density Lipoproteins ◽  
Lipid Levels ◽  
Serum Triglycerides ◽  
Heavy Smoking ◽  
Female Ratio ◽  
Heavy Smokers

Objective: This study is conducted to observe the serum lipoprotein alterations in chronic heavy smokers in LUMHS Sindh. Study Design: Analytical study Material and Methods: It was conducted on 60 non obese adult smokers, both sexes, who smoked more than twenty cigarettes or beeries a day regularly for more than five years. All the participants were current smokers. Sampling technique was simple random technique. Setting: The study was conducted in outdoor department of LUMHS Jamshoro/Hyderabad. Period: Jan 2010 to Jan 2011. Eighteen hours fasting blood sample was sent for lipid studies. Lipids studied were serum cholesterol, serum triglycerides, high density lipoproteins and low density lipoproteins. For control values ATP 3 guidelines were used. Statistics: Mean of statistical values was calculated with standard deviation and variance in standard deviation. Results obtained were analyzed by SPSS 11. Results: Age of the patients was 25-70 years. Mean age was 47.81±12.96 years. Median age was 50 years. Male/ female ratio was 45/15. Patients were from both rural and urban areas. Mean duration of smoking was 25.5±9.15 years. The study carried out on 60 chronic heavy smokers, showed deranged lipid levels as: Total cholesterol mean 237.57 mg/dl ±37.89; TG mean 203.76 mg/dl ±47.08; LDL-C mean 158.62 mg/dl ±17.25; HDL-C mean 29.67 mg/dl ±3.12. Results are shown in Table No I. Conclusions: Our study concluded at LUMHS showed that by continuous heavy smoking the serum lipid levels get deranged.

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