ABSTRACT Studying burden of maternal diabetes mellitus on preterm babies is an important step to improve outcomes of these babies. The study was designed to compare morbidity and mortality in preterm babies (28-36 wks) born to `mothers with and without diabetes mellitus (DM). An analytical cross-sectional study was conducted at Al Jala Maternity Hospital, Neonatal Intensive Care Unit (NICU) department; all preterm babies with gestational age (GA) (28-36 wks) were enrolled in the study, from January 1st 2016 to December 31st 2016. The study sample was divided to two groups according to maternal health; preterm infant of diabetic mother (IDM) and preterm non-IDM. The information retrieved and analyzed were; sex, gestational age, birth weight, mode of delivery (MOD), Apgar score at 1st and 5th minute, hypoglycemia, respiratory illness, hyperbilirubinemia, sepsis, major congenital anomalies , length of stay (LOS), and neonatal death. Collected data coded and SPSS software was used for analysis. A total of 378 preterm babies were enrolled in the study period divided into: preterm IDM group 79(20.9%) babies and preterm non-IDM group 299(79.1%) babies. The preterm IDM group had significant high frequency of large for gestational age (LGA) and unexpectedly significantly low frequency in respiratory diseases (P= 0.047), perinatal asphyxia (P=0.021) and neonatal mortality (P=0.007); and no statistical significant difference in rate of hyperbilirubinemia (P= 0.145), congenital anomalies (P= 0.187) and sepsis (P= 0.468). Preterm babies born to diabetic mothers do not appear to be at an excess risk of mortality or early morbidity, except for birth weight for which diabetic mothers need more antenatal care. arabic 29 English 150
Najwa Fituri(10-2018)

Asthma has been considered the most common chronic respiratory disease affecting children and is involved in .different diagnoses of acute bronchiolitis in first year of life Therefore, this research has been conducted to explore the relationship between asthma and bronchiolitis on known asthmatics aging from 6months old to 16 years old frequenting the asthma clinic Tripoli Children Hospital for .)regular follow ups for 3 months (January, February, and march of 2004 The aim of this study: To ascertain the percent (prevalence)of bronchiolitis patients who will develop]e asthma .symptoms later on Conclusively there has been a strong relationship between asthma and bronchiolitis in a way that bronchiolitis pre- .disposes to asthma in 53.5% of patients especially in whom had a family history of allergy
Hisham Mukhtar Alrabty(4-2020)

Opinion Cough in kids less than 6yrs old whether being with sputum i.e. wet or without i.e. dry and parental asking about any medicine stopping this symptom certainly if being dry i.e. irritating and disturbing sleep. So most studies being done on this subject proved the following: a) It is not wise to suppress cough because it is natural defense mechanism to expel infected mucus i.e. sputum out of the body and clearing the airways to improve oxygenation so never to prescribe antitussive i.e. cough suppressant. b) sputum mucolytic agents and there are many agents their purpose to liquify it and get it watery to be easy expectorated again studies proved that the best muculytic agent is Good Hydration so no need to use except where there is a mucus retention in the lungs like case of brocheictasis. c) WHO recommendation made about 6 yrs back was never to prescribe any cough medicine whether antitussive or mucolytic to kids less than 6 yrs old. Myself and since about 10 years I had not prescribed any cough suppressant to children despite of age but if kids older than 6 years old I do prescribe mucolytic agent made certainly for kids like amydramine syrup which contains antihistamine diphenhydramine and without restrictions. In kids less than 6yrs old again I do prescribe mucolytic made for kids like soolan or Amydramine pediatric syrup in trial to hit 2 birds which are sedating and antihistamine effects and satisfying anxious parents and it does work almost in all cases arabic 6 English 32
Hisham Mukhtar Alhaashimi Alrabty(5-2017)