000			02819cam a2200337 a 4500
003			EG-GiCUC
005			20250223031813.0
008			170926s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2016.Am.N
100	0		_aAmira Mohammed Mahmoud
245	1	0	_aNutritional assessment and management in infants with acyanotic congenital heart disease with increased pulmonary blood flow / _cAmira Mohammed Mahmoud ; Supervised Nehal Mohammed Elkoofy , Aya Mohammed Fattouh
246	1	5	_aالتقييم و العلاج الغذائى للأطفال الرضع المصابين بأمراض القلب الغير مسببة للزرقة مع زيادة تدفق الدم الرئوى
260			_aCairo : _bAmira Mohammed Mahmoud , _c2016
300			_a128 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground and objective: Children with congenital heart disease (CHD) are prone to malnutrition. We aimed to assess the nutritional status of infants with CHD and evaluate the role of nutritional counseling. Methods: A cohort study included 50 patients with acyanotic CHD causing increased pulmonary blood flow consecutively enrolled from the cardiology clinic in Cairo university children hospital. The patients were subjected to clinical evaluation, nutritional assessment with detailed nutritional history, anthropometric measurements and subjective global assessment (SGA) score and complete blood count, serum albumin and total protein assessment. Degree of failure to thrive (FTT) was assessed and nutritional counselling was offered to those patients; followed up for 3 months then re-evaluated. Results: Mean age was (8.6±4.8 months) with male: female ratio 1:1. The overall prevalence of malnutrition was 62%. Fourteen patients had mild FTT and 17 patients had severe FTT (47.1% with mild heart failure HF) and 47.1% had moderate or severe HF). All patients with moderate to severe HF had severe FTT and 80% of those with mild HF had severe FTT. Anemia was present in 96% of the patients. Patients with moderate or severe FTT had more severe degree of HF (p value< 0.001), more complications (p value< 0.001), more frequent hospital admission (p value< 0.001) and less optimum breast feeding p value< 0.001
530			_aIssued also as CD
653		4	_aAcyanotic congenital heart disease
653		4	_aInfants
653		4	_aNutritional counseling
700	0		_aAya Mohammed Fattouh , _eSupervisor
700	0		_aNehal Mohammed Elkoofy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c62553 _d62553