Home > Outcomes of the Laryngeal Mask Airway Lma Application During Ventilation Among Children at French Medical Institute for Children, Kabul, Afghanistan
Outcomes of the Laryngeal Mask Airway Lma Application During Ventilation Among Children at French Medical Institute for Children, Kabul, Afghanistan
Background: Historically, there were some difficulties in saving patients’ lives in many cases such as diseases in which the patients were unable to managed for airway resuscitation. The laryngeal mask airway (LMA) has traditionally been used to secure the patients airway and maintain spontaneous ventilation during short outpatient surgical procedures in which general anesthesia required. To continue this practice at FMIC, Kabul, this study was conducted to identify the outcome of LMA among children of Kabul, Afghanistan, at FMIC. Objective: This research study was conducted to identify the outcomes of the laryngeal mask airway (LMA) application during ventilation among children at FMIC Institute, Afghanistan. Methodology: A descriptive Case series study design was employed to study research question. The study population comprised of all the children undergoing laryngeal mask airway (LMA) application during surgery at FMIC, Afghanistan from January 2015 till August 2016 and the data collection was done from the file records from July till August 2016. The information was also collected after reviewing the history of LMA. This study was conducted at French Medical Institute for Children (FMIC), Kabul Afghanistan. FMIC is a children's hospital in Kabul, Afghanistan, established in 2005 and is ISO 9001:2008 accredited, and was the first medical centre to receive this accreditation in 2009. The sample size for this study was calculated by using the statistical method of Epi-Info software 2000. The data was entered in SPSS version 23. Discriptive analysis was mainly done to estimate the proportion of the outcomes among those who had LMA during proceudres from 2015 till 2016. Results: There were 207 children with different airway anomalies from different province of Afghanistan (Parwan 7.8%, Kabul 80%, Qandhar 12% etc). All of them underwent for application of LMA under mechanical ventilation at department of anesthesia, FMIC Afghanistan from, 1st January 2015 to 31st August 2016. This study also identified that LMA was used in both the genders; Females (71%) and Males (29%). Our study demonstrated high success in application of anesthesia equipment with minimum, complication during ventilation and have identified only 9.15 % children had development of complication. These complications were only bronchospasm and stridor.Conclusion: Our study have shown that Larengyal Mask airway is safe to intubate among children during diferent surgical procedure with airway anomilies. They developed less complication. From review of history of LMA, this study identified that LMA is safe and secure equipment for ventilation during anesthesia.
المبحث الثاني: مأساۃ الحياۃ وأغنية للإنسان "مطولة شعرية" تکتب الشاعرۃ العراقیۃ المشھورۃ " نازك الملائکۃ" في دیوانھا المعروف "دیوان نازک الملائکۃ" أنھا تشرح الظروف الزمنیۃ والنفسیۃ والفکریۃ التي مرت بھا خلال کتابۃ مطولتھا الشعریۃ ’’مأساۃ الحیاۃ وأغنیۃ للإنسان‘‘ عبر عشرین عاماً من سنۃ 1945م إلی 1965م، وتقول : ’’یضم الأثر الشعري الذی أضعہ بین یدي القاریء في ھذا الکتاب ثلاث صور شعریۃ لقصیدۃ واحدۃ أولھا قد نظم بین سنۃ 1945م و 1946م وثانیھا قد نظم سنۃ 1950م وثالثھا متأخر التاریخ حتی 1965م، ویمکن أن تعد کل قصیدۃ من ھذہ القصائد الطویلۃ مستقلۃ عن الأخریین، لو لا أنني قد نسخت بعض الأبیات أحیاناً فنقلتھا من قصیدۃ إلی أخری علی اعتبار أنھا ما زالت ترضي ذوقي رغم مرور السنین‘‘۔ وتقول إنھا نظمت القصیدۃ الأولی عام 1945م وکان عمرھا إذ ذاک اثنین وعشرین عاماً۔ وعندما بدأت في نظم ھذہ المطولۃ فإن دیوانھا الأول (عاشقۃ اللیل) لم یظھر إلی الوجود بعد۔ وأنھا کانت تکثر من قراء ۃ الشعر الإنکلیزي فأعجبت بالمطولات الشعریۃ التي نظمھا الشعراء وأرادت أن یکون في الوطن العربي مطولات مثلھم، فبدأت في نظم القصیدۃ وسمتھا "مأساۃ الحیاۃ" وھذہ القصیدۃ دلیل علی تشاؤمھا المطلق، وأنھا کانت تشعر بأن الحیاۃ کلھا ألم وإبھام وتعقید۔ وتقول: ’’وقد اتخذت للقصیدۃ شعاراً یکشف عن فلسفتي فیھا ھو ھذہ الکلمات للفیلسوف الألماني المتشائم ’’شوبنھاور‘‘: "لست أدري لما ذا نرفع الستار عن حیاۃ جدیدۃ کلما أسدل علی ھزیمۃ وموت۔ لست أدري لماذا نخدع أنفسنا بھذہ الزوبعۃ التي تثور حول لا شيء؟ حتّام نصبر علی ھذا الألم الذي لا ینتھي؟ متی نتدرع بالشجاعۃ الکافیۃ فنعترف بأن حب الحیاۃ أکذوبۃ وأن أعظم نعیم للناس جمیعاً ھو الموت؟"۔ یتضح من ذلک أن الشاعرۃ کانت متشائمۃ مثل الشاعر الانکلیزي شوبنھاور وربما تشاؤمھا یفوق تشاؤم شوبنھا ور لأنھا ھي بنفسھا تعترف بھذا الشيء فتقول:’’والواقع أن تشاؤمي قد فاق تشاؤم شوبنھاور نفسہ، لأنہ۔ کما یبدو۔کان یعتقد أن الموت نعیم لأنہ...
The learning process in the Palu State Islamic Education Madrasah has run as it should, although in terms of strategies, methods, and learning media used varies according to the conditions, both the material and the condition of the students, and the ability of the teacher itself is different from one another. Blended learning based learning at the Palu Model State Islamic Education Madrasah is considered effective and efficient because teachers are not preoccupied with making material designs, simply accessing the internet is needed including practice in the form of videos so that it will facilitate teachers, both in terms of time, effort and cost. The challenge of blended learning is that teachers are required to be more creative and able to use internet networks. While the opportunity is the Madrasah Tsanawiyah Negeri Model Palu already equipped with network facilities and infrastructure that can support blended learning.
Cytochrome b is an integral membrane protein of approximately 400 amino acids and it is widely used as a region of mitochondrial DNA for determining Phylogenetic relationship between organisms due to sequence variability. It is considered to be most useful in determining relationship between families and genera. Comparative studies involving cytochrome b have resulted in new classification scheme and have been used to assign newly described species to genus as well as to deepen understanding of evolutionary relationship. The sequence variability of cytochrome b makes it most useful for the comparison of species in the same genus of the same family. The result obtained in many of phylogenetic studies in which this gene has been led to the proposition ofnew classification schemes that better reflectedthe phylogenetic relationship among the species. Furthermore cytochrome b gene will help in genus assignment of newly described species.
Computational analysis of cytochrome b gene will be carried out in the current study. The sequences derived will use to identify the biological origin of samples by aligning to cytochrome b sequences entries in nucleotide databases. The analysis will give the phylogenetic relationship among the various common species of vertebrate animals.Using bioinformatics tools, structure prediction, conservation analysis and docking studies will be executed. Phylogenetic trees reconstruction determined how species are related to their ancestors of various orthologous species. Multiple sequence alignment takes place by Tree based consistency objective functions for alignment evaluation.