International Journal of Paediatrics and Geriatrics最新文献

Surgery at extremes of age: Awareness, attitude, and reasons for patients’ disposition in a tertiary health institution in Port Harcourt, Nigeria 极端年龄的外科手术:尼日利亚哈科特港一家三级卫生机构对患者处置的认识、态度和原因

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.204

Rex F Ijah, Datonye Briggs, F. Aaron, A. Alabi, Nwizor M Nkadam, Boma Ibiba Douglas, H. Bell-Gam

引用次数: 0

Improving the support for older adults in India: A multi-faceted approach for a better future 改善对印度老年人的支持:面向更美好未来的多方面方法

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.206

A. V. Pathare

引用次数: 0

Urinary calcium creatinine ratio in breast fed and artificial fed healthy infants 母乳喂养和人工喂养健康婴儿的尿钙肌酐比值

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.212

Sara Elsayed Ali Abozaid, Mai Rabie Elsheikh, M. Mabrouk, Maher Ahmed Abd El Hafez

引用次数: 0

Platelet indices as a predictor of mortality in critically ill children 预测重症儿童死亡率的血小板指数

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.211

Maram A El Hassab, Ahmed AbdelBasset, Abo Elezz, Hossam Hodeib, Yousef Fouad Yousef

{"title":"Platelet indices as a predictor of mortality in critically ill children","authors":"Maram A El Hassab, Ahmed AbdelBasset, Abo Elezz, Hossam Hodeib, Yousef Fouad Yousef","doi":"10.33545/26643685.2023.v6.i2a.211","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.211","url":null,"abstract":"In the current study, we aimed to elaborate the utility of platelet indices as biomarkers for predicting critical illness and mortality in critically ill children. Two main groups were included; group I (patient group): Two hundred (200) critically ill children, group II: Two hundred (200) healthy children with comparable age and sex, were enrolled as a control group. All subjects were evaluated clinically and by CBC including platelet indices (MPV, PDW, and PCT). Patient group I were evaluated with SOFA and PRISM scores and subjected to full lab and other radiological and invasive procedures as indicated. Among 200 critically ill patient 33% of them died and 67% survived and were discharged. Interestingly, It was found that Platelet count and PCT were significantly lower in patient group as compared to the control group with p-value (< 0.001). Moreover, the non survivors of patient group showed significantly lower platelet count and PCT values than the survivors in the same group with p-value (< 0.001). In contrast, MPV and PDW were found to be significantly higher in patient group as compared to the control group with p-value (< 0.001), while, the survivors of patient group showed significantly lower MPV and PDW with p-value (< 0.001) Worthy noting that PCT was inversely related to PRISM and SOFA score while, MPV and PDW were directly related to PRISM and SOFA score. PDW was the most sensitive parameter to discriminate between patient and control group with sensitivity 96% while, PCT was the most specific parameter with 99% specificity. In addition, PCT was the most sensitive parameter to predict mortality in patient group with sensitivity 86.57%. Finally, MPV and PDW were the most specific parameters to predict mortality in patient group with specificity 87.88%. In conclusion , this study proved that platelet count and platelet indices are valid predictors for assessment of critical illness and PICU mortality.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To study knowledge, attitude & practices in management of Diarrhea in mothers of children under 5 attending OPD in ASCOMS Hospital 研究在 ASCOMS 医院门诊部就诊的 5 岁以下儿童的母亲在处理腹泻方面的知识、态度和做法

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.213

Dr. Ifra Rasool, Dr. Audil Mateen, Dr. Areeba Afeeh, Dr. Harshvardhan Sharma

引用次数: 0

The efficacy of pulmonary surfactant factor administration in preterm infants with grades I and II respiratory distress syndrome 肺表面活性因子给药对I级和II级呼吸窘迫综合征早产儿的疗效观察

International Journal of Paediatrics and Geriatrics Pub Date : 2023-07-01 DOI: 10.33545/26643685.2023.v6.i2a.205

Khalid K Al-Aaraji, Ribal Nabih Kasem, Ahmed Mohammed Ali Mohsen Alhusseini, Sundos Jaber Kuder, D. M. Hamza

引用次数: 0

Midline swaddling and traditional swaddling position and their influence on physical and autonomic sign on newborn babies 中线襁褓和传统襁褓姿势及其对新生儿身体和自主神经体征的影响

International Journal of Paediatrics and Geriatrics Pub Date : 2023-01-01 DOI: 10.33545/26643685.2023.v6.i1a.198

Ismail Sangadji, A. Khatibi, Norshafarina Shari, Jaqualine Tham S, Cicillia Windiyaningsih

{"title":"Midline swaddling and traditional swaddling position and their influence on physical and autonomic sign on newborn babies","authors":"Ismail Sangadji, A. Khatibi, Norshafarina Shari, Jaqualine Tham S, Cicillia Windiyaningsih","doi":"10.33545/26643685.2023.v6.i1a.198","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.198","url":null,"abstract":"The traditional method of swaddling is done with the arms and legs straightened and wrapped tightly with the hips in an addiction position. When swaddling is properly done, infants show less awakening and longer sleep, better neuromuscular development, less physiological stress, better motor organization, and better self-regulation abilities. Improper swaddling can result in conditions that are detrimental for newborns, like SIDS, DDH, which cause stress. The early exposure of the neonates to stress results to residual symptoms in behavior and neurobiological disorders. This study aims to determine the effect of midline position compared to the traditional swaddling regarding physical and autonomics stress sign. The study population consisted of 194 newborns. The midline and traditionally swaddled were observed and recorded, physical and autonomic signs at birth, 10 minutes and 2 hours were documented. This study found that there is statistically significant difference between the groups in terms of cries at 10 minute and 2 hours and so with the heart rate and respiration rate at birth ( p <0,05), and a significant difference in oxygen saturation at 10 minutes and 2 hours ( p <0,05). Additionally, midline swaddling had a larger average decrease in heart rate and respiration rate, and increase in the oxygen saturation. Therefore, this study can deduce that, midline position swaddling has less stressful effect than the traditional position. The same research elsewhere in Indonesia will be costly. Future research would suggest for larger sample that may suggest a more accurate outcome.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117162884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effects of different positions on physiological measurement and perfusion index in pediatric intubated patients 不同体位对小儿插管患者生理指标及灌注指标的影响

International Journal of Paediatrics and Geriatrics Pub Date : 2023-01-01 DOI: 10.33545/26643685.2023.v6.i1a.192

E. Turan, Mensure Turan, Gulbeyaz Baran

引用次数: 0

Study of clinical and biochemical profile of neonatal seizures 新生儿癫痫发作的临床及生化特征研究

International Journal of Paediatrics and Geriatrics Pub Date : 2023-01-01 DOI: 10.33545/26643685.2023.v6.i1a.190

Dr. B Adithya Nikhileshwar, Dhaval Bhatt, Dr. Harshida Vagadoda, Dr. Yesha Prajapati

{"title":"Study of clinical and biochemical profile of neonatal seizures","authors":"Dr. B Adithya Nikhileshwar, Dhaval Bhatt, Dr. Harshida Vagadoda, Dr. Yesha Prajapati","doi":"10.33545/26643685.2023.v6.i1a.190","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.190","url":null,"abstract":"Introduction: Neonatal Seizure is defined as a paroxysmal involuntary disturbance of cerebral function. Neonatal seizures are a common problem. Common etiology of neonatal seizures is brain disorders, hypoxic-ischemic encephalopathy, central nervous system (CNS) infections, CNS bleeds, and structural anomalies of the brain or secondary to metabolic problems, for example, hypoglycemia, hyponatremia, and other electrolyte disturbances. Objective: To study Clinical and Biochemical abnormalities associated with neonatal seizures. Material and Methods: An observational study was conducted in ninety newborns with seizures admitted in neonatal intensive care unit (NICU). After taking a complete history and appropriate physical examination, blood sample was collected for detecting metabolic abnormalities before instituting specific therapy. Results: Total ninety neonates presented with seizures were enrolled in this study. Among them, male was 52 (57.78%), and female was 38 (42.22%). In present study, majority of neonates 30% had the onset of seizures within 24 hr. In ninety neonates, the number of neonates with subtle seizures was 62 (68.89%), tonic seizure was 11 (12.22%), and clonic was 10 (11.11%).In ninety neonates, hypoglycemia was reported in 32.22% of neonates, followed by birth asphyxia 25.56%, hypocalcemia in 24.44% neonates, hyponatremia in 13.33% of neonates, hypomagnesemia in 4.44% of neonates. Conclusion: Early identification and management of biochemical abnormalities are essential for satisfactory long-term outcome. The common metabolic causes for neonatal seizures in India include hypoglycemia, hypocalcemia, birth asphyxia, hyponatremia, and hypomagnesemia.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128761098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The utility of red blood cells distribution width in the diagnosis of iron deficiency anemia in children 红细胞分布宽度在儿童缺铁性贫血诊断中的应用

International Journal of Paediatrics and Geriatrics Pub Date : 2023-01-01 DOI: 10.33545/26643685.2023.v6.i1a.199

Zena Kareem Mohammed, Zuhair Mahdi Al Musawi, Ahmed Kareem Mohammed

引用次数: 0