Research in Pediatrics & Neonatology最新文献

{"title":"Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies","authors":"Jayanthi P","doi":"10.31031/RPN.2020.05.000604","DOIUrl":"https://doi.org/10.31031/RPN.2020.05.000604","url":null,"abstract":"Background: The birth of a baby prior to the expected date of its arrival to this world is associated with the emotions, feelings of anxiety, fear over danger, infrequent access and interaction with the infant during the period of hospitalization in the Neonatal Intensive Care Unit. Aim and objective: The objective of the study was to assess the effectiveness of a Mother Steered Essential Preemies Care Bundle on the level of anxiety among mothers of preemies. Methodology: A quantitative research approach with quasi-experimental study was adopted. Atotal of 240 mothers of preemies (120 each in the experimental and control group) participated in the study. Non-probability purposive sampling technique was used to select the subjects. Data was collected using Modified Perinatal Anxiety Screening Scale. Result: Comparison of the level of anxiety based on the statistics revealed that the ‘t’ value for anxiety in the experimental group was 10.83. This has shown a very high statistical significance at p≤0.001. Conclusion: The Mother Steered Essential Preemies Care Bundle was effective in significantly reducing the anxiety of mothers of preemies.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127174225","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}

{"title":"Medulloblastoma : A Common Pediatric Malignancy","authors":"B. Saberi","doi":"10.31031/RPN.2020.05.000603","DOIUrl":"https://doi.org/10.31031/RPN.2020.05.000603","url":null,"abstract":"Medulloblastoma arises from the fourth ventricle’s roof of the brain. It is the most common primitive neuroectodermal tumor and is one of the most common pediatric malignancies. It’s male to female ratio is about two to one. Arising from the forth ventricle’s roof, causes tumor to develop hydrocephalus. Complete resection of the tumor in case of presence of the brainstem invasions is impossible. At the time of diagnosis, investigation for metastasis should be done since about ten to thirty-five percent of the cases have shown some degrees of metastasis once they have been diagnosed [1-4]. Medulloblastoma comprises about fifteen to twenty percent of the intracranial tumors in the pediatric groups. The first decade of life is the peak time for medulloblastoma appearance.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122669307","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}

{"title":"Infant Health and Care: An Urban Perspective","authors":"N. Choudhary","doi":"10.31031/RPN.2020.05.000602","DOIUrl":"https://doi.org/10.31031/RPN.2020.05.000602","url":null,"abstract":"Nearly 90 percent of the projected urban population increase is concentrated in Africa and Asia [1]regions that harbour majority of world’ malnourished children today. Approximately one in three undernourished children now live in urban settings and in 13 countries urban stunting rates are above 30% [2]. Broad evidences exemplify that malnutrition in urban areas is a growing reality [3], though there is a dearth of studies in this regard. In terms of infant nutrition, we have far little evidences. In a relatively early work using Demographic and Health Survey (DHS) data for 43 countries [4-6] showed that in Latin American and Caribbean countries young children in big cities have stunted growth while in Asian countries children in large cities did not reflect a remarkable advantage over those in small cities or rural areas. However, in a recent study on 26 countries’ data, [7] found that the large urban areas of developing countries have lower infant mortality and malnutrition levels. While this could be average picture for urban areas, infant health and nutrition among the urban poor is likely as big a challenge as among the rural counterparts. This can be explained in terms of growing inequality and disparity in urban areas[8-10], due to which a considerable population segment perpetuates on the periphery amidst overall prosperous urban landscape.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115380047","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}

{"title":"Rehabilitation of Post-COVID GBS Patient: Acute Care and Functional Recovery","authors":"Ramanandi Vh","doi":"10.31031/RPN.2020.05.000607","DOIUrl":"https://doi.org/10.31031/RPN.2020.05.000607","url":null,"abstract":"chest pneumonia. Further diagnostic workup performed 4 weeks after the neurologic onset, with nerve conduction studies showed reduced or absent compound muscle action potentials (CMAPs) and sensory nerve action (SNAPs) potentials in the lower limbs, absent F wave response in Abstract Guillain-Barré syndrome (GBS) is an inflammatory polyradiculoneuropathy associated with numerous viral infections. Since corona virus disease-2019 (COVID-19) outbreak in January 2020, several pieces of evidence suggested an association between the spectrum of GBS and severe acute respiratory syndrome coronavirus-2 (SARSCoV-2). As physiotherapy plays an important role in rehabilitation of GBS patient as well as COVID-19 cases, the rehabilitation from acute and post-acute phase up to and including functional recovery depends majorly on physiotherapy interventions. This case report discusses the medical and physiotherapy management of such patient briefly and describes the process from acute care to functional recovery.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130599999","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}

{"title":"Prenatal Diagnosis of Suprarenal Neuroblastoma and Follow-Up After Early Surgical Treatment: Case Report andLiterature Review","authors":"P. J. Aurelus","doi":"10.31031/RPN.2020.05.000601","DOIUrl":"https://doi.org/10.31031/RPN.2020.05.000601","url":null,"abstract":"Introduction : Neuroblastoma is relatively rare. The aim of this study was to evaluate the outcome with special focus on postoperative follow-up of a newborn with left prenatal cystic mass that evolved into lesion of mixed echogenicity with cystic and solid components. Case Presentation: Ultrasound examination at 39 weeks of gestation revealed oligohydramnios and a cystic mass with the inability to evaluate the left fetal kidneys. Subsequently, the mother underwent an abdominal cesarean delivery of a healthy boy of 3.4kg. Physical examination was normal other than a large mass was palpable on upper pole of the left kidney. Postnatal ultrasound examination showed a predominantly solid suprarenal mass deforming the upper pole of the left kidney.The scan demonstrated alteration of kidney structure and displacement of the spleen and intestinal structures. The patient was admitted to an abdominal exploration with the most probable diagnosis at this stage of a cystic neuroblastoma or an adrenal hematoma as main differential diagnosis. Results: The duration of the procedure was 240 minutes. The postoperative hospital recovery period was 20 days. No intraoperative or postoperative complications occurred. He had ultrasound control every 2 months with good report, the last control of marker tumor was normal and at 14 months after the procedure he continues with a favorable outcome. Conclusions: The outcome of this patient was satisfactory the early detection although prenatal ultrasound and the early surgical treatment may diminish the risk of liver metastasis and chemotherapy treatment.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130245824","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}

{"title":"Acute Lung Inflammation: The Crisis of Etiotropic Treatment and The Logic of Its Solutions","authors":"Klepikov I","doi":"10.31031/rpn.2020.04.000599","DOIUrl":"https://doi.org/10.31031/rpn.2020.04.000599","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131352799","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}

{"title":"Otitis Media. Inflammation or Infection?","authors":"F. Yurochko","doi":"10.31031/rpn.2020.04.000598","DOIUrl":"https://doi.org/10.31031/rpn.2020.04.000598","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126548676","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}

{"title":"How to Protect Children from Covid-19 Pandemic?","authors":"J. P.","doi":"10.31031/rpn.2020.04.000597","DOIUrl":"https://doi.org/10.31031/rpn.2020.04.000597","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129427156","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}

{"title":"Acute Abdomen as a Presentation of Covid 19 in Children: Our Early Experience","authors":"Samiullah Hasan","doi":"10.31031/rpn.2020.04.000596","DOIUrl":"https://doi.org/10.31031/rpn.2020.04.000596","url":null,"abstract":"Background: COVID-19 is currently a public health emergency around the world. Increasingly more people are being identified with this deadly viral disease. Though children experience a milder disease course, severe and life threatening disease has also been reported. An atypical presentation may delay the diagnosis, isolation, and treatment. The aim of this study was to share our experience of atypical presentation of COVID-19 cases as acute abdomen in children. Method: We retrospectively reviewed data of all children diagnosed to have COVID 19 in our department between April to June 2020. Epidemiological & clinical data of children presented with acute abdomen were retrieved and placed in Microsoft Excel 2016. The data were then analyzed and literature reviewed. Result: Total 32 children were diagnosed to have COVID 19 during this period. Six children among them presented with features of acute abdomen, without any respiratory symptom. The diagnostic workout for acute abdomen did not match clinical diagnosis rather RT PCR of nasopharyngeal swab was positive for SARS CoV 2. Four of them were female and 2 were male. Age range was 3 years 10 months to 14 years. Only one patient had radiological evidence of lung injury. All of them improved clinically within 4 days and were discharged from the hospital with advice for home isolation. Conclusion: The clinical course of COVID 19 is yet to understand completely. A high index of suspicion is required for early diagnosis of children with atypical presentation to reduce further transmission of the disease and to avoid serious complications. .","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125629599","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}

{"title":"A Novel Procedure for the Removal of Supernumerary or Accessory Tragus on Neonates","authors":"Roig Jc","doi":"10.31031/rpn.2020.04.000593","DOIUrl":"https://doi.org/10.31031/rpn.2020.04.000593","url":null,"abstract":"The majority of supernumerary or accessory tragus in humans are noted soon after birth, and are generally benign isolated lesions not associated with other genetic abnormalities. When present, these lesions are typically managed by the primary care provider, but occasionally the caretakers opt to refer the patient to a surgeon to have the lesion resected surgically as an outpatient. This practice may place an unnecessary financial burden on the patient’s family, and may pose added difficulty due to the availability of the subspecialist. The current literature lacks other practical and effective methods for dealing with these lesions despite the incidence of up to 1.5% of the population [1]. Traditionally, however, these lesions are managed by pediatricians or the PCP by placing a suture ligature at its base so that the distal portion of the tragus will fall off after the ischemic necrosis has occurred [2]. This approach is the current standard of care, and is the method being taught at most pediatric training programs. When successful, this process can take days if not weeks to run its course. Another approach may be to refer these patients to a Plastic Surgeon or a Pediatric Surgeon for care which may be to have the lesions managed by means of application of surgical clips [3] at their base thus achieving a similar effect as a ligature. Alternatively, the lesions can be permanently surgically excised later when the patient is older. At the University of Florida we have been successfully excising these lesions when devoid of cartilage prior to the patient’s discharge using the Digiclamp® device. We report 7 lesions which were permanently removed using this method; the clamp was placed at their base flush with the skin, and the accessory tragus was excised. This novel minimally invasive procedure does not require suturing, and has proven to be safe and poses minimal risk to the patient when performed correctly. All of these excisions took place prior to the patient’s discharge and uniformly required only minimal care thereafter. Among the advantages of utilizing this procedure are: the time needed to perform the procedure is brief, on average requires only 10 minutes or less to perform; the procedure has consistently been well tolerated by all of the patients; and although all of the excisions took place in the patient’s center of birth prior to their discharge, it can easily be performed in the outpatient setting since it requires minimal time, equipment, and is relatively simple to perform.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123302271","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}