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Background: Central venous catheters (CVC) are associated with substantial morbidity and mortality among patients undergoing haemodialysis (HD), yet they are frequently used as the primary vascular access for many patients on HD. The goal of this study was to determine the prevalence and variation in CVC use across centres in the Irish health system. Methods: Data from the National Kidney Disease Clinical Patient Management System (KDCPMS) was used to determine CVC use and patterns across centres. Data on demographic characteristics, primary cause of end-stage kidney disease (ESKD), comorbid conditions, laboratory values and centre affiliation were extracted for adult HD patients (n = 1, 196) who were on dialysis for at least three months up to end of December 2016. Correlates of CVC use were explored using multivariable logistic regression. Results: Overall prevalence of CVC use was 54% and varied significantly across clinical sites from 43% to 73%, P < 0.001. In multivariate analysis, the likelihood of CVC use was lower with increasing dialysis vintage, OR 0.40 (0.26-0.60) for 4 years vs 1 year vintage, rising serum albumin, OR 0.73 (0.59-0.90) per 5 g/L), and with cystic disease as a cause of ESKD, OR 0.38 (95% CI 0.21-0.6). In contrast, catheter use was greater for women than men, OR 1.77 (1.34-2.34) and for 2 out of 10 regional dialysis centres, OR 1.98 (1.02-3.84) and OR 2.86 (1.67-4.90) respectively compared to referent group). Conclusions: Catheters are the predominant type of vascular access in patients undergoing HD in the Irish health system. Substantial centre variation exists which is not explained by patient-level characteristics.

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Sudden infant death syndrome (SIDS) is a phenomenon of unknown cause among infants between 1 month and 1 year of age". Methodology: descriptive design conducted through September 2018 to the end of March 2019, mothers attended health centers in Al-Hilla City,who consists of (120 meters). Data were collected through using SIDS_QA-508 after doing some adjustment on the questionnaire, The questions that used in collecting data were checked out for any mistake or error and scrutinized, Data of the 120 participant's were entered and analyzedby means of the statistical package for social sciences (SPSS) .The results indicated that the children age (65.0%) was less one year aged, (41.7%) mother's educational attainment with primary school. (94.2%) with pre-term pregnancy, (74.2%) were married, (77.5%) from the population present their satisfaction concerning monthly income and (55.0%) had health problems through their pregnancy. Most mothershave low knowledge regarding abrupt baby death, which correlated for mother's age, sources of knowledge as weak correlation. Recommendations: Hospital staff should instruct parents who, in turn, must emphasize to secondary caregivers that the baby must always be placed to sleep on the back and never on the tummy, since prone sleep increases the risk of SIDS.