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Home > Outcomes and Associated Factors of Neonatal Intestinal Obstruction Nio at French Medical Institute for Children, Kabul, Afghanistan

Outcomes and Associated Factors of Neonatal Intestinal Obstruction Nio at French Medical Institute for Children, Kabul, Afghanistan

Thesis Info

Author

Mohammad Omar Bahram

Department

French Medical Institute for Children (FMIC)

Program

Diploma

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Paediatric Surgery

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727862662

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Introduction: Intestinal obstruction is one of the common causes for emergency surgical consultations among neonates. Neonates’ quality of lives can be made better by early identification of the risk factors and proper management. The best available management for NIO is surgical treatment but the success rate for surgery of NIO is not reported as high. There are few studies available worldwide but no research is available in Afghanistan regarding the outcomes and factors associated with NIO surgery.Aim: The current study aims to find the outcome of NIO surgery and associated factors at FMIC, Kabul, Afghanistan.Methodology: A retrospective Case Series design was utilized. Consecutive sampling was employed and with the help of a structured checklist, medical records of 228 patients who had undergone surgery for intestinal obstruction in their neonatal period at FMIC were reviewed from January 2010 to September 2016. Chi-square test of independence was run to determine the factors associated with the outcomes of NIO. Results: A total of 228 neonates were participants of the study. Male to female ratio was 2:1. Mean weight was 3.04 kg and mean age was 9.5 days. Prematurity was seen only in 10 (4.4%) participants. Initially 118 (51.8%) patients were septic at their first visit to FMIC. Overall survival was 85.1% and high mortality was reported in complicated cases. The leading cause of NIO was ARM (42.1%) and leading cause of death was septicaemia (82.4%). Add factors like weight, septic condition at the time of admission, associated anomalies, and specific type of etiologic pathology, diagnostic accuracy and postoperative complications were found to be the predictors of outcomes of surgeries performed for patients with diagnosis of NIO at FMIC. Conclusion: The mortality associated with NIO surgery has improved over the years but still there is significant mortality which could be prevented by early diagnosis, proper management like proper resuscitation and a NICU setting with appropriate equipment and skilled health care professionals
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حکیم عبدالحمید دہلوی

آہ!حکیم عبدالحمید دہلوی
موت ہرجاندار کے لیے مقدر ہے جودنیا میں پیداہواہے اسے ایک دن جانا بھی ہے۔موت کسی کونہیں چھوڑتی چاہے وہ پیغمبر وولی ہی کیوں نہ ہو۔لیکن بعض شخصیتوں کی موت کو ایک شخصیت کی موت کہہ کراوراس پر اناﷲ واناالیہ راجعون پڑھ کر اسے بھلایانہیں جاسکتاہے۔ان کی موت سے ایک عالم کورنج وغم اور دکھ وصدمہ کے ساتھ ناقابل تلافی نقصان بھی ہوتاہے۔حکیم عبدالحمید دہلوی کا شمار ایسی شخصیتوں میں ہوتاہے جن کی وفات سے ان کے خاندان کے افراد کو صدمہ ورنج توہے ہی پوری قوم کو پوری ملت کوان کی وفات کی خبر سن کر رنج وغم اور دکھ وصدمہ کے ساتھ ساتھ ناقابل تلافی نقصان پہنچا ہے۔ حکیم عبدالحمید صاحب نے اپنی پوری زندگی ملک وقوم کی بے لوث خدمت کے لیے صرف کی ہے۔ وہ اپنے لیے نہیں بلکہ قوم وملک کے لیے جیتے تھے۔انہوں نے تواپنی زندگی قوم وملک اورانسانیت کی خدمت اورفلاح وبہبودگی کے لیے وقف کردی تھی۔ ان کے دل میں غریبوں کے لیے تڑپ تھی ہمدردی تھی۔۱۹۶۴ء میں مولانا عبدالماجد دریاآبادی کے اخبار ’’صدق جدید‘‘لکھنؤ میں ایک دہلوی صحافی نے حکیم عبدالحمید کی شخصیت اورملک وقوم [کے لیے] ان کی بے لوث خدمات پر ایک مضمون لکھا تھا جس میں حکیم عبدالحمید کوولی کامل کہا گیا تھا۔
ایک وقت تھا جب حکیم عبدالحمید صاحب پابندی سے ہرجمعہ کودفتر ندوۃ المصنفین میں تشریف لاتے تھے اورحضرت قبلہ اباجان مفکر ملت مفتی عتیق الرحمن عثمانی، مجاہد ملت مولانا حفظ الرحمن، قاضی سجاد حسین صاحب اورسعید احمد اکبر آبادی کے ساتھ رائے ومشورہ کرتے تھے۔ہماری والدہ مرحومہ ہرجمعہ کاانتظار کرتی تھیں کہ ان رہنمایان ملت کے لیے اپنے ہاتھ سے کھانے تیار کرتی تھیں اورہراتوار کوحکیم صاحب گاڑی بھیج کر مفتی عتیق الرحمن عثمانی، مولانا حفظ الرحمن، قاضی سجادحسین اورسعید احمداکبرآبادی کوکوٹلیامارگ نئی دہلی میں واقع اپنی کوٹھی پر...

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Reflect Arrays for High Gain Applications

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