Biomedical subjects
Publications and source records attributed to N A Mounla.
The article analyzes the causes of pediatric mortality. One thousand deaths secondary to medical diseases and conditions that occurred at the American University of Beirut Medical Center during 8 years are reviewed. Many deaths could have been avoided. Recommendations are made.
In an attempt to define the incidence of congenital abnormalities of the kidney and urogenital system in Lebanon, 37,500 consecutive hospital records of newborn infant delivered at the American University of Beirut Medical Center from 1975 to 1985 were reviewed. The study revealed 6.32 abnormalities per 1000 newborns. These figures are lower than those reported in the literature, because of the very small number of autopsies performed in this country. A prospective, cooperative study by major nurseries in the country, performing fetal ultrasonography on every at-risk pregnancy, and the performance of more autopsies are needed to come out with more accurate figures on the incidence of these abnormalities in Lebanon. Early detection of congenital abnormalities of the kidney and urinary tract is of vital importance to institute early treatment to decrease the occurrence of end-stage renal disease.
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Special Care Units are becoming much in demand. However not every hospital can afford them. In this article financial aspects of a specific service for special care, that is inhalation therapy for sick neonates are analyzed. The study is carried out at the Neonatal Intensive Care Unit at the American University of Beirut--Medical Center. Out of 1000 consecutive deliveries, 32 neonates (3.2%) required some form of inhalation therapy. Expenses and entries are computed. Inference is made that this number (1000 deliveries per year) may be sufficient to generate enough entries to cover for expenses to hire specialized personnel.
Neonatal respiratory disorders constitute a large share of admissions to the Neonatal Intensive Care Nursery. All pulmonary diseases are encountered. Exact definitions are necessary not only for management but also for classification and comparison with other centers. Out of 100 newly delivered infants, 3 will present pulmonary signs that require special care. Out of the 3, one neonate will die. It is hoped that morbidity figures be reduced and survival rates increased.
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