Background:-T1DM is the most common endocrine-metabolic disorder of childhood and adolescence, with important consequences for physical and emotional development. Individuals with T1DM confront serious lifestyle alterations that include an absolute daily requirement for exogenous insulin, the need to monitor their own glucose level, and the need to pay attention to dietary intake.Objective:-to assess the main factors and patient characters associated with uncontrolled T1DM that should be aware by Iraqi's Pediatricians.Patient and method:-A cross sectional analytical study had been conducted on children and adolescents with type1 DM visiting the diabetic clinic in Al-Nasiriya Diabetes and endocrine specialized center (south of Iraq), from 1st of June 2016 to the end of May 2017. The patients selected to be as uncontrolled status ( fair and poor control) according to their HbA1C level results. Demographic factors, disease-related characteristics, checking of blood glucose, dietary control, type, dose and regime of insulin injection and other related aspect, and anthropometric measures were included.Result: -Two hundred and one( 201) type 1 diabetic patients selected to be uncontrolled status with mean age of( 9.530 year ±3.2526),with no significant difference in sex. Majority of them were with poor control status (71.1%), and 28.9% were with fair control status. The residence, mother education, dietary control, regular follow up and regular checking of blood glucose level, syringe use, insulin injection technique, lipodystrophy at injection sites, and person who give the insulin were the main independent factors that had a significant statistical association with the control status in this study, while multi-variant analysis revealed that dietary control, person who are
Cutaneous cautery is a form of traditional medicine practiced in many countries. It was mentioned in the books of many ancient, pre-, and post-Islamic scholars. Patients may resort to traditional medicine (cauterization in particular) for many reasons. This study aims is to acquire more knowledge about the cautery practices and the reasons for practicing cautery in children together with other implications from adverse events of the cautery. This is a cross-sectional study in which 133 children were enrolled (77 males and 56 females with age ranged from 0.5 to 108 months) who had been admitted to Bint Al-Huda Maternity and Childhood Teaching Hospital in Nasiriya city, Thi-Qar Governorate, Southern Iraq, from December 1, 2019 to end of July 2020). The study found that >80% of cauterized children were below 1 year, (53.4%) of rural residency. Parents of the cauterized children were mainly of illiterate and primary education constituting the highest percentage (91.6%) of cauterized children were of low per capita monthly income. The grandmothers were advisors in more than half of the cauterized children, a vast majority of the advisors were either illiterate or had primary education, The person performing the cautery was a traditional healer (95.5%). Cauterization was done mostly in the head and abdomen, and a vast majority of it was done by a lighted cotton-tipped application (97%). The number of cauterization points ranged from 2 to 25 with a mean of 8.8 cautery marks. Approximately 59% of patients did not improve or worsened, whereas 30%Traditional cauterization among children in Bint Al-Huda Hospital e41
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