المستودع الرقمي لـقسم طب الاطفال

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)

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)

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)

Background and objectives: Allergic rhinitis is common association to asthma according to worldwide studies which showed that control of allergic rhinitis improves in turn asthma symptoms so we have conducted this study looking for the percent of allergic rhinitis in Libyan asthmatic children who were attending regular follow up in asthma clinic of Tripoli children hospital over period of one year (2008). Methods: This study was conducted by asking children’s parents using questionnaire composed of directly answered questions (yes or no) if their children got attacks of rhinorrhea, nasal itching and sneezing around certain times of the year (spring and autumn). Results: Conclusively we found that the incidence of allergic rhinitis in asthmatic Libyan children was 36.6%. Conclusion: allergic rhinitis is common with asthma, and it needs to be put in consideration in any asthma patient and treated accordingly. Cite this article: Elzigallai O, Alrabty H. Study of the Association between Allergic Rhinitis arabic 12 English 82
Hisham Alrabty, Ola Mahmoud Alzigallei(3-2020)

Background: Atopic dermatitis (AD) is a common, chronic, relapsing, itchy, skin condition occurring in patients with a personal or family history of atopy, and there is clinical association among different allergic disease in a way that treating one of them will improve the other. Many studies worldwide showed presence of AD in asthmatic children with different prevalence among countries and showed clinical improvement in asthma control on treatment of atopic dermatitis. Therefore, this study was conducted to assess the prevalence of atopic dermatitis among Libyan asthmatic children. Methods: This is an observational cohort study on asthmatic Libyan children who were treated and followed up at Tripoli children hospital in Tripoli, Libya. It carried out on 300 children suffering from asthma admitted from pediatric outpatient department as well as from emergency department and asthma clinic over a period of 24 months; from December 2017 to December 2019. The parents were asked to complete a questionnaire to collect the needed information after their consent being taken. To assure the accuracy and consistency of the methodology (sampling procedure, measurements, and a collection of the data), a standardized protocol was prepared. Data were entered in SPSS statistical package and consequently were analyzed and presented as descriptive statistics. Results: The prevalence of atopic dermatitis among asthmatic Libyan children was 16.7% in our study. The results showed significant relationship between address and prevalence of atopic dermatitis. Conclusion. Further studies are required to address the ethnicity, environmental factors, skin type and others attributed to this problem and we recommend all pediatricians to look for AD in asthmatic children and treat it accordingly arabic 7 English 56
Hisham Alrabty, Munera Addala(5-2020)