Home > Comparison Between Contrast Reduction Versus Open-Surgery for the Treatment of Intussusception Among Children at French Medical Institute for Children, Afghanistan
Comparison Between Contrast Reduction Versus Open-Surgery for the Treatment of Intussusception Among Children at French Medical Institute for Children, Afghanistan
Introduction: Intussusception is a surgical emergency and is one of the most common causes of intestinal obstruction in the pediatric age group, with the overwhelming majority of cases occurring in children between 3 months to 3 years of age with peak incidence of 3-12 Months. Contrast reduction is the primary, safest and successful means of treating intussusception and preferred due to less morbidity and mortality, shorter recovery period, less cost of procedure, less length of hospital stay, less complications and recurrence, higher degree of family satisfaction compared to open surgery. The objective of the study is to compare the effectiveness of Contrast reduction versus open surgery in the treatment of Intussusception among children in a tertiary care hospital (FMIC) French Medical Institute for Children. Methodology: A retrospective cohort study design was employed to achieve the study objectives. Records of all pediatric patients treated for intussusception between January-2010 till December-2014 at the French Medical Institute for Children in Afghanistan were reviewed using a structured checklist. Information Variables such as Age group, Gender, hospital length of stay, Comorbidities (Associated diagnosis), Post-operative Complications, and patient’s family satisfaction was collected. Statistical Package for Social Sciences (SPSS) version 19.0 was used to run the data analysis. Chi-square test of independence was run to determine the association between predictor variables and treatment groups.Results: Our study findings revealed that there is difference in the effectiveness of Contrast reduction versus open surgery for the treatment of Intussusception with regard to hospital length of stay, associated diagnosis, development of complications and family satisfaction. The length of stay for study subjects who had undergone Contrast reduction was relatively low and turn out to be significant (p-value: Conclusion: Intussusception is a very common disease among children with very good prognoses if treated timely with effective treatment method. Contrast Reduction technique is rarely used in Afghanistan and most affected children are being exposed unnecessary surgery. Our study has found that Contrast reduction technique is a safe and effective treatment modality and it should be widely implemented for the treatment of Intussusception for better prognoses and survival
الحاج ابراہیم سلیمان سیٹھ افسوس ہے کہ الحاج ابراہیم سلیمان سیٹھ ۲۷؍ اپریل کو دل کا دورہ پڑنے سے بنگلور میں وفات پاگئے اور وہیں ۲۸؍ اپریل کو ان کی تدفین ہوئی، اس وقت مسلمانوں کے جو گنے چنے سیاسی قاید اور ملی رہنما رہ گئے تھے، ان میں ابراہیم سلیمان بڑے مخلص اور قدآور تھے۔ تقسیم ہند کے بعد جب پورے ملک میں مسلمان شکستہ خاطر اور پست حوصلہ ہورہے تھے تو اس وقت الحاج مولوی محمد اسماعیل مرحوم نے انڈین یونین مسلم لیگ کی بنیاد ڈالی اور مصالح و حالات کے تقاضے سے اس کا دائرہ عمل کیر الا تک محدود رکھا، بعد میں دوسرے صوبوں میں بھی اس کو وسعت دینے کی کوشش کی گئی مگر اس میں کامیابی نہیں ہوئی تاہم کیرالا میں انڈین یونین مسلم لیگ نے مسلمانوں کی ہمت و حوصلہ بلند کیا اور ان کا وزن و وقار باقی رکھا، یہاں اس کا زور و اثر اتنا بڑھا کہ کوئی حکومت اس کے اشتراک کے بغیر نہیں چل سکتی۔ الحاج ابراہیم سلیمان سیٹھ شروع ہی سے مولوی محمد اسماعیل مرحوم کے معتمد اور قریب ترین رفیق تھے، ان کی زندگی ہی میں سیٹھ صاحب مسلم لیگ کے جنرل سکریٹری ہوگئے تھے اور ان کی وفات کے بعد اس کی مسند صدارت کو رونق بخشی، ان کی قیادت میں مسلم لیگ بڑی متحرک اور سرگرم رہی، اس کی کامیابی اور اترپردیش میں مسلم مسائل سے کانگریس کی سرد مہری اور متعصبانہ رویہ دیکھ کر مرحوم ڈاکٹر عبدالجلیل فریدی کو یہاں بھی مسلم مجلس قائم کرنے کا خیال ہوا لیکن ڈاکٹر صاحب کی بے وقت موت، اترپردیش کے سیاسی حالات کی پیچیدگی اور خود مسلم مجلس کی تقسیم در تقسیم کی وجہ سے مسلم مجلس کوئی کارنامہ انجام نہیں دے سکی۔ یہ مسلمانوں کی بڑی بدنصیبی ہے کہ جب ان کی کوئی...
Qruan is the last divine book which revealed on last Prophet Muhammad (PBUH). Every thing regarding to human guidance is mentioned in this book. Prophet Muhammad (PBUH) explained all the aspects of human life according to the Quranic commandments. After Prophet Muhammad (PBUH), his companions and Muslim Scholars (Ulama) of all regions in every era discussed the Quranic commandments in different forms. Their efforts in this regards called "Tafseer" (comments on verses). In this article an attempt will be made to discuss about Moulana Muhammad Shafi Okarvi's Tafseeri points regarding to social welfare. Moulana Okarvi discussed the some core aspects of social welfare according to Quranic guidence just like equality, mutual cooperation and women rights.
Background: Women tend to have lower haemoglobin compared to men due to menstrual blood losses. This is often compounded by nutritional deficiencies. There is a further drop in haemoglobin during pregnancy due to red cell dilution. Pregnancy itself places a huge demand on maternal iron stores. High haemoglobin may reflect haemoconcentration due to a failure of the normal physiological expansion in plasma volume. Iron excess has also been associated with free-radical damage. In current practice, high maternal haemoglobin in pregnancy is often not given as much attention as anaemia. This study examines the association between high maternal haemoglobin in the third trimester and neonatal birth weights as well as other maternal and neonatal outcomes.
Objectives: To determine the potential association between elevated third trimester maternal haemoglobin and neonatal gestational age adjusted birth weights at term.
Methods: In this retrospective cohort study, women delivering at the Aga Khan University Hospital’s maternity unit who had either normal or high haemoglobin levels in their third trimester of pregnancy were recruited at delivery. Information about the pregnancy outcome was then recorded for analysis. The primary outcome measure was neonatal gestational age adjusted birth weights.
Results: No difference was found in the proportions of small for gestational age newborns between mothers with elevated haemoglobin and those with normal haemoglobin in the third trimester [9.9% 95% CI (7.4 to 13.1) and 9.7% 95% CI (6.5 to 13.8) respectively]. Similarly no difference was detected in the secondary outcomes of maternal hypertension, mode of delivery as well as other neonatal outcomes, though the study was not powered to detect differences in these outcomes.
Conclusion: There is evidence of no association between elevated maternal haemoglobin in the third trimester and small for gestational age newborns in this study population.