Main Subjects : Pediatrics


Ready to-Use Supplementary Food in the Outpatient Management of Children with Acute Malnutrition in Basrah

Nedhal S Kudhayer; Sawsan Habib

The Medical Journal of Basrah University, 2021, Volume 39, Issue 2, Pages 120-127
DOI: 10.33762/mjbu.2021.130966.1085

Summary
Background Ready-to-use supplementary foods are high-energy, lipid-based provide energy, protein, fat, vitamins and minerals to treat acute malnutrition in children aged 6 -59 months.
Aim To evaluate the effect of ready-to-use supplement foods on the outpatient management of children with acute malnutrition.
Methods A prospective appropriate study was carried out on children with acute malnutrition who were referred to the nutritional rehabilitation center at Basra Teaching Hospital; were received ready-to- use supplementary foods at a quantity sufficient to meet their nutrient requirements for full catch- up growth and followed at two subsequent visits
Results Moderate wasting and underweight recorded in (66.7 %) and severe wasting in (33.33%) of the patients. Mean weight gain at the first and second follow-up visit was (5.78 ±2.43) and (6.52 ±2.75) g/kg/day respectively. There was a significant improvement in the weight for height Z score at the first and second follow-up visits after the administration of ready-to-use supplementary foods (P value < 0.05). Approximately 32% of the children aged 12-18-month experienced moderate weight gain. Bottle feeding with complementary feeding was reported in 24.19% of the children with moderate weight gain, and 9.52% and 34.68% of the children of illiterate parents and unemployed fathers respectively, showed moderate weight gain. Children belong to families with low income group accounted for 37.09% of those with moderate weight gain. Family income was the only variable that depend on the weight gain results (P value < 0.05). Conclusion: Ready-to-use supplementary food is significantly effective for outpatient management of acute malnutrition.
Key words: Acute Malnutrition, Ready-to-Use Supplementary Food, Outpatients

low birth weight risk factors in Basra city

Zainab hussain Almussa; Narjis A.H Ajeel

The Medical Journal of Basrah University, 2021, Volume 39, Issue 2, Pages 128-138
DOI: 10.33762/mjbu.2021.129962.1070

Abstract:
Introduction: Low birth weight is the best indicator of the impact in the health system and the best predictor of mortality and morbidity in the neonatal, post neonatal and childhood periods.
Objectives: This study was planned to study the association between birth weight and selected risk factors in Basrah governorate with special reference to: Socio demographic factors, Present obstetric history, Past obstetric history, History of Ante Natal Care, and Medical history.
Methods: This is hospital- based cross sectional study was conducted on 362 infants delivered and /or admitted to AL-Basrah-Maternity and Children Hospital. The data were collected through direct interview of the mothers using a special questionnaire form designed for the study purpose. The questionnaire included information about the following aspects socio-demographic characteristics and other clinical characteristic. Data were analyzed using the Statistical Package for Social Sciences version 15.
Results: The highest percentage of LBW was found among births for mothers who finished their primary education or less including illiterate, mothers in the age group30- 39 years, employed mothers, history of complications during pregnancy, preterm births, previous history of having LBW infant and short preceding birth interval (≤6 months)
Conclusion The factors which found significantly associated with LBW included: low education level, complication during pregnancy, previous history of LBW, preterm delivery, short preceding birth interval- ,No significant association was found between birth weight and the following factors, parent's age, maternal occupation, gravidity, and bad previous obstetric history, low number of ANC visits.
Keywords : low birth weight , risk factors , Basrah city
Correspondence to, Zainab Hussain Tahir Basrah Health Directorate
Zalmussazyahoocom@gmail.com

Nutritional Status of Children and Adolescents with Type1 Diabetes Mellitus in Basra

Ban R Dohan; Sawsan Habib; Abbas Abd Khazal

The Medical Journal of Basrah University, 2021, Volume 39, Issue 1, Pages 54-60
DOI: 10.33762/mjbu.2021.127780.1027

Abstract
Background: Growth problems represent an important complication in children and adolescent with Type1 diabetes mellitus and poor metabolic control seems to impact their growth velocity.
Aim: to assess the nutritional status in children with type 1 diabetes mellitus, in relation to selected patients' variables.
Methods: a case-control study has been carried out to assess the nutritional status of sixty-one patients with type 1 diabetes mellitus; and eighty-two age and sex matched healthy children as control group; their ages ranged from 3-14 year, from the 1st of October 2016 till 15th of March 2017.
Results: The mean age of diabetic patients was (10.3±3.02) years; (60.66%) belong to large family size with low education. Diabetic patients significantly belong to families with poor financial support and income in (45.9%) compared to the control group (26.8%) (p value 0.02), as well as those undernourished diabetic children significantly belongs to families with poor income than those with normal nutritional status (75%, 38%) respectively. Body mass index was significantly below 5th percentile in diabetic patients than the controls (19.68 %, 2.4 %) respectively; P value 0.001. History of inadequate dietary intake was recorded in 66.67% of patients; significantly related to undernutrition in diabetics patients than controls (P value 0.002). Undernutrition in diabetic children significantly associated with poor glycemic control with significantly high level of HbA1c (13.9±9.57) than those without undernutrition (10.6±5.28) respectively.
Conclusions: Frequent evaluation of diabetic children is required to overcome the problem of undernutrition in patients with type 1 diabetes mellitus.
Keywords: Type1diabetes; Nutritional status; Children; Basra

Pattern of Childhood Leukemia in Duhok City

Khalaf Hussein Hasan Al Iessa; Khalaf Hussein Hasan

The Medical Journal of Basrah University, 2020, Volume 38, Issue 2, Pages 99-103
DOI: 10.33762/mjbu.2020.127119.1016

Background: There is substantial variation in the incidence rate of acute lymphoblastic leukemia by ethnicity. In addition, leukemia has broad-spectrum variations in clinical and laboratory findings at presentations.
Aim: This study aimed to determine the patterns of acute childhood leukemia in Duhok city.
Patients and methods: In this cross-sectional study, the patients who were diagnosed with leukemia and admitted at Jin pediatric Oncology Haematology center in Duhok .The general and clinical features of the patients included age, sex, season diagnosis, socioeconomic status, clinical features, and biochemical parameters were collected between the 1st of September, 2015 and 1st of September 2016.
Results: The study revealed that most of the patients were in the 1-5 age group (54.8%) followed by 5-10 years (24.7%). The patients were males (56.2%) and females (43.8%) with 1.28:1.0. Acute lymphoblastic leukemia was the most prevalent type of leukemia (86.3%). The patients were admitted in dry and rainy seasons; 54.8% and 45.2%, respectively. Most of the patients were admitted in winter (45.2%), followed by summer (34.2%). The patients had low (45.2%), middle (42.2%), and high (12.35) socio-economic status. Pallor was the most prevalent presentation of the patients with leukemia (n=50) followed by fever (n=36), and splenomegaly (n=32). Some of the patients had multiple signs and symptoms. The HB and WBC of most of the patients were abnormal (84.9% and 71.2%, respectively), similar to platelets (53.4%).
Conclusion: This study showed that there is variation in the age group, clinical features, season of diagnosis, and biochemical parameters in leukemia patients.

Vitamin D Status in Children with Recurrent Wheeze

Sawsan Habib; Ghufran Salman

The Medical Journal of Basrah University, 2020, Volume 38, Issue 1, Pages 29-36
DOI: 10.33762/mjbu.2020.127089.1014

Background it has been shown that low serum 25-hydroxyvitamin D concentration was associated with a higher risk of upper and lower respiratory infections in children
Aim to evaluate vitamin D concentration and selected biochemical markers in infants and children with recurrent wheeze.
Methods a case-control study has been carried out to measure serum vitamin D concentration; on 33 patients with recurrent wheeze, their ages ranged from 4-60 months; over the period from the1stof March 2014 to the end of June 2014.
Forty-two age and sex matched healthy children were selected as control group. List of investigation was measured by spectrophotometer as serum calcium, phosphorus, alkaline phosphatase and 25-OH vitamin.
Result
Frequency of breast feeding in the first two years of life was low in wheezy children and significantly shorter duration of breast feeding less than 4 months in wheezy children than control group, P value 0.01.
Vitamin D concentration was significantly low in children with recurrent wheeze than the control group; (21.69 ng/ml, 39.36 ng/ml) respectively with p-value 0.000
The severity of vitamin D deficiency was significant in children with recurrent wheeze, severe deficiency of vitamin D There is no significant relation observed between mean Vitamin D concentration and selected variables of infants and children with wheeze (p value >0.05)
Conclusion vitamin D supplementation may be considered in infants and children with recurrent wheeze.

FACTORS INFLUENCING COMPLIANCE WITH IMMUNIZATION REGIMEN AMONG MOTHERS IN BASRAH, IRAQ

Jhood Abdul Samad Molan

The Medical Journal of Basrah University, 2020, Volume 38, Issue 1, Pages 37-46
DOI: 10.33762/mjbu.2020.126642.1002

ABSTRACT
Introduction: Immunization is a proven tool for controlling and eliminating the life-threatening infectious diseases among children. In most developed countries, immunization programs have had dramatic success in reducing morbidity and mortality rate significantly. Although the children received immunization free of charge, the immunization status in developing countries did not achieve the immunization targets of the WHO. The factors and barriers that influence the immunization program include child demographic factors, family factors and other factors.
Purpose: It was to evaluate immunization completeness among children younger than 2 years, demographic characteristics and familial data associated with immunization rates and the reasons of immunization incompleteness as reported by the mothers attending PHC centers in Basrah.
Methods: A cross-sectional study was conducted in four PHC centers in Basrah during a period of February to April 2019; two hundred twenty five mothers with children aged below 2 years were interviewed.
Results: About one third of children were incompletely immunized. The study found significant association of immunization completeness with child’s age (p<0.05). Other demographic factors (child’s gender, birth weight, mother’s education, occupation and family income) were insignificantly associated with immunization completeness (p>0.05). The most reported reasons for incomplete immunization were: remoteness of PHC centers and transportation problems, fear, negligence and forgetfulness, vaccine unavailability and child’s illness.
Conclusion: Incomplete immunization was observed in (29.8%) of the children, which represent an alarming percentage.
Keywords: Immunization; Compliance; Basrah; Child and Maternal Factors