فرح صادق عبد الموسوي

Background: hepatic hemangiomas, primarily affecting adults in their fourth and fifth decades, are common benign mesenchymal hepatic tumors. The management of giant hepatic hemangiomas, defined variably as greater than 4 cm to 10 cm in diameter, is a clinical challenge due to their potential size and associated symptoms. This study compares two minimally invasive treatment methods: trans-catheter arterial bleomycin chemoembolization (TACE) and ultrasound and fluoroscopy-guided transhepatic bleomycin sclerotherapy (PLIB), in the treatment of giant hepatic hemangiomas. Methods: this prospective cohort study was conducted in Baghdad, Iraq, involved 20 patients with giant hepatic hemangioma. The study assessed the efficacy of TACE and PLIB by comparing tumor size reduction, symptom improvement, changes in radiological features, laboratory parameters, and treatment-related complications. Results: the study observed no significant age difference between the two groups. Post treatment CT scans revealed different enhancement patterns between TACE and PLIB, with TACE showing more uniform ischemic effects and PLIB demonstrating a variety of enhancement patterns. Both treatments effectively reduced the size of the hemangiomas, with PLIB showing a greater reduction in mass volume than TACE. Conclusion: both TACE and PLIB are effective in reducing the size of giant hepatic heman giomas, with initial results favoring PLIB for greater volume reduction. Further studies with larger samples and longer follow-up are needed to confirm these findings and establish long-term safety and efficacy profiles for these treatments. Key words: giant hepatic hemangioma, trans-catheter arterial bleomycin chemo embolization (TACE), Percutaneous Transhepatic Bleomycin Sclerotherapy (PLIB)

Objective: "The current study aims to assess the proportion of newborns that sleep well and investigates the awareness and comprehension of SIDS and its associated risk factors among mothers of infants in Al Najaf Provence". Methodology: In order to accomplish the study's goals, a descriptive cross-sectional study was used throughout. The study took place between November 2021 and February 2022. a Non-Probability (Purposive Sample) of 100 moms who arrived with infants (under 1 year old) at the Hospital for Maternity and Children and the primary healthcare facilities in Al-Najaf Provence. Results: The study's findings revealed that (49%) of newborns were found to be sleeping on their sides, (37%) were found to be dozing off, and (14%) were found to be sleeping on their prone backs. Participants as a whole (60%) stated that (40%) child doctors were the main information source they used to learn about SIDS. Conclusion: In our study, women had limited understanding about sudden infant death syndrome, and a substantial percentage of them were unaware that smoking exposure during pregnancy and after delivery had been linked to an elevated risk of SIDS. In our study, a large percentage of moms were unaware that giving their babies pacifiers while they slept reduced the risk of SIDS.

Healthy behavior is defined as the stage of management and maintenance of health, regardless of the currents state of health. Healthy behavior after the onset of the disease is very important because it can reduce the risk of recurrence, reduce the severity of the disease, improve function and prolong life. The aim of this study was to assess the pattern of healthy behavior and related factor among patient with chronic disease (DM, HT) in al-Najaf city and to find the relationships between socio demographic characteristics and healthy behaviors of patient with chronic disease(DM, HT). A descriptive design, cross-sectional study was adopted to achieve the research objective. the study started from 1st March 2021to 20 June 2021. A non-probability sampling technique (purposive sample )of (54)people with chronic disease selsected from PHC centers from northern (Al-Jawad, Al-Askari2, and Al-Karama) and from southern care sector (Al-Ansar, Al-Adala, and 15 shaaban ) in Al-Najaf city which represent (25%) of total centers in Al-Najaf city. in al-najaf city. Relevant scale was used for measurement of "healthy behavior of people with chronic disease" the scale composed of 2 main parts Sociodemographic Characteristics of people with chronic disease (DM, HT),and Healthy Behaviors part. and used the (frequency and percentage), Statistical mean and standard deviation as descriptive analysis and P.V to find the significances of relationships between socio-demographic characteristics and health behavior of patient with chronic disease. The results of the study revealed that there is a moderate level of healthy behavior in each of the diseases of the system diabetes and hypertension disease, the study recommend to Organizing awareness sessions for chronic patients about the importance of maintaining and adhering to improved health behaviors, Financial support for patients with chronic disease, The health authorities adopt interest in developing a health culture among members of the community, not only for patients, Rehabilitation of psychologists in order to deal well with this people and provide them with sufficient information and In order to educate the patient about the need to maintain his physical health and its impact on his mental health, and Building indicative programs to modify health behavior in chronic patients.

A non-probability (Convenience) sample of (100) adolescent patients with major, were included in the present study. The data were collected through the utilization of the developed questionnaire which consists 4 parts: Demographic characteristics, Information regarding Thalassemia, Information regarding Deferoxamine, self injection of Deferoxamine (practice). The study was carried out at A-Zahraa Teach Ling Hospital in AL-Najaf City, 1/12/2018 – 1/4/2019, to assess Knowledge and practice of self administration about injection of Deferoxamine among adolescent thalassemia patients in al-Najef city and to find out the association between Sociodemographic characteristics and Knowledge and practice of self administration about injection of Deferoxamine. The present study findings designated that a. age group (16-18) years more frequency in this study. Most study sample in rural area, and secondary school. The overall assessment of studied domains is intermediate. The study indicates that there is a significant association between demographic data and practice except (gender, occupation of mother, type and number of family, residency). The study indicates that there is a significant association between demographic data and knowledge except gender. The researcher recommends Confirming on thalassemia teenager to have appropriate information about injection of Deferoxamine and major thalassemia care to avoid health problems during life of patient. Educational programs should be emphasized to adolescent thalassemia teenager for increasing their knowledge and interest about injection of Deferoxamine. Further studies should be conduction with a larger sample (national level) including both rural and urban populations.

الخلاصة السعي للسلوك الصحي يرتبط بأنواع مختلفة من المحددات في عموم العالم. في العراق توجد دراسات قليلة حول النفايات الطبية المتعلقة بالسلوك الصحي بدرجة عالية من التعرض لحوادث و الامراض المعدية. كان الهدف من هذه الدراسة هو تحليل انماط السلوكيات البحث عن الصحة و العوامل المرتبطة بها و لمعرفة العلاقة بين الخصائص الاجتماعية و الديموغرافية و هذه العوامل لمنظفي النفايات الطبية في المستشفيات العامة في مدينة النجف الاشرف. اجريت دراسة وصفية ( مقطعية) من 7 اكتوبر الى 27 اغسطس 2020. استخدمت تقنية احتمالية لأخذ العينات ( عينة طبقات غير متناسبة) ل (166) عامل تنظيف النفايات الطبية ممن يعمل في مدينة الصدر الطبية، مستشفى الزهراء التعليمي، مستشفى الحكيم العام، و مستشفى الفرات الاوسط في مدينة النجف. يشمل الاستبيان خمسة اجزاء، جزء المعلومات الاجتماعية الديموغرافية و اربعة اجزاء لمحددات السلوك الصحي ( السلامة المهنية، نمط الحياة، النشط البدني، و الحالة الصحية التي تسبب الاجهاد لدى العامل). استخدمت ( التكرار، النسبة المئوية، المتوسط الحسابي، و الانحراف المعياري) كتحاليل وصفية. و اختبار ANOVA,T لمعرفة الفرق بين المتغيرات. استنتجت الدراسة ان محددات السعي للسلوك الصحي فيما يتعلق بالسلامة المهنية و نمط الحياة و الحلات الصحية التي تسبب الاجهاد (الجسدية و النفسية) معتدل اما فيما يتعلق بالنشط البدني ضعيف. توصي الدراسة بإجراء ورش عمل مستمرة تحفز منظفي النفايات الطبية نحو سلوك البحث عن الرعاية الصحية، توفير السلامة في مكان العمل و برنامج تدريبي لزيادة تدابير السلامة فيما يتعلق بالتعامل مع النفايات، يجب على ادارة المستشفى خلق بيئة التي تسمح لمنظفي النفايات الطبية في المشاركة بفحوصات دورية مثل اختبار الامراض المعدية. توفير معدات الحماية الشخصية الهامة و تشجيع منظفي النفايات الطبية للتطعيم و طلب العلاج عند المعاناة من مرض او اصابة.