Journal of Pediatric Pulmonology最新文献

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Journal of Pediatric Pulmonology Pub Date : 2023-11-01 DOI: 10.4103/jopp.jopp_57_23

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Journal of Pediatric Pulmonology Pub Date : 2023-11-01 DOI: 10.4103/jopp.jopp_58_23

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Inhaled corticosteroids in croup: Time to go local? 组内吸入糖皮质激素:是时候局部治疗了?

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_14_22

K. Kumar, Meenu Singh

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Human adenovirus respiratory infections in the pediatric population – Why it's so special? 儿童人群中的人类腺病毒呼吸道感染-为什么如此特殊?

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_12_23

R. Das, K. Gulla

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Bronchoscopic findings of the suspected congenital upper airway anomalies 疑似先天性上气道异常的支气管镜检查结果

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_19_22

J. Bhat, Z. Tramboo, B. Charoo, I. Qazi, Shihab Zahoor

{"title":"Bronchoscopic findings of the suspected congenital upper airway anomalies","authors":"J. Bhat, Z. Tramboo, B. Charoo, I. Qazi, Shihab Zahoor","doi":"10.4103/jopp.jopp_19_22","DOIUrl":"https://doi.org/10.4103/jopp.jopp_19_22","url":null,"abstract":"Objective: The objective of this study was to study the flexible bronchoscopic findings in children with suspected upper airway anomalies. Design: This study was a cross-sectional study. Setting: This study was conducted at the pediatric department of the tertiary care hospital. Participants: Children of both genders from 3 days to 310 days of age were enrolled in the study. Intervention: All studied patients underwent flexible bronchoscopy. Outcome Measure: The endpoint was to document the presence and type of upper airway abnormality and any associated lower airway abnormality. Results: A total of 58 patients of both genders were enrolled in the study. Of these, 31 were boys and 27 were girls. Median (interquartile range) age of the study population was 53 (26–100) days. The most common presenting symptom was stridor and the most common sign was a tracheal tug. The most common abnormality was congenital laryngomalacia (39.7%), followed by subglottic stenosis (17.2%), laryngeal web (6.8%), supraglottic cyst (3.4%), vocal cord palsy (3.4%), laryngeal cleft (3.4%), and subglottic hemangioma (3.4%). Concomitant lower airway abnormality was found in 8 (22%) patients. The most common abnormality was tracheomalacia (75%). Conclusion: We found that stridor is the most common symptom of congenital airway malformation. Laryngomalacia is the most common congenital upper airway malformation. Around half of the patients with abnormal bronchoscopy had anomalies other than laryngomalacia. About one-third of patients with laryngomalacia can have associated tracheomalacia.","PeriodicalId":264544,"journal":{"name":"Journal of Pediatric Pulmonology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121384229","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}

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Right-sided congenital diaphragmatic hernia masquerading as complicated pneumonia in a young child 幼儿右侧先天性膈疝伪装成复杂肺炎

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_2_23

Nikhil Rajvanshi, Kirtikumar J. Rathod, T. Yadav, J. Goyal, Prawin Kumar

{"title":"Right-sided congenital diaphragmatic hernia masquerading as complicated pneumonia in a young child","authors":"Nikhil Rajvanshi, Kirtikumar J. Rathod, T. Yadav, J. Goyal, Prawin Kumar","doi":"10.4103/jopp.jopp_2_23","DOIUrl":"https://doi.org/10.4103/jopp.jopp_2_23","url":null,"abstract":"Congenital diaphragmatic hernia (CDH) is a rare congenital anomaly that is more common on the left side. The right-sided CDH is less common and often missed. Here, we report an infant with right-sided CDH manifesting as complicated pneumonia. A 4-month-old girl presented with fever and fast breathing for the past 4 weeks. It was associated with chest retraction and nonbilious vomiting. On examination, the child had tachypnea, decreased air entry in the right mammary, inframammary, infra-axillary, and infrascapular regions, and fine crepitation was heard in the same areas. Other systemic examinations were normal. Chest X-ray showed heterogeneous opacities with cystic lesions in the right middle and lower lobe. Contrast-enhanced computed tomography thorax revealed a right posterolateral diaphragmatic defect containing the small bowel and right colon. The defect was successfully repaired with thoracoscopic surgery. A possibility of right-sided CDH should be kept in a child with complicated or persistent pneumonia on the right side, especially when associated with vomiting and having a poor response to adequate therapy.","PeriodicalId":264544,"journal":{"name":"Journal of Pediatric Pulmonology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125607995","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}

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Trends in health equity and access among children with otitis media in India: A systematic review 印度中耳炎儿童卫生公平和可及性趋势:系统回顾

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_23_22

Ragini Bhatia, Meenu Singh, Pranita Pradhan

{"title":"Trends in health equity and access among children with otitis media in India: A systematic review","authors":"Ragini Bhatia, Meenu Singh, Pranita Pradhan","doi":"10.4103/jopp.jopp_23_22","DOIUrl":"https://doi.org/10.4103/jopp.jopp_23_22","url":null,"abstract":"Background: Impact of inequities in childhood can be seen across the life course. India has substantial geographical inequalities in health outcomes. Ear diseases such as otitis media (OM) are associated with social determinants and its equity paradigm needs to be explored. In India, despite improvements in access to health care, inequalities are prevalent in the society that hinders the optimum delivery of health care. Methodology: We conducted literature search in online databases MEDLINE through PubMed, Ovid Medline, Embase, and Scopus. The articles were screened and reviewed to include 9 articles to discuss the Cochrane acronym, PROGRESS-Plus to identify characteristics to stratify health opportunities and outcomes. Results: After conducting the systematic review, it was found that the socioeconomic status, place of residence, age, and education of the mother played a vital role in the prevalence of OM in children in India. The living standards of parents and awareness about the disease also affected the presence of the disease in the community. Conclusion: This review throws light on the inequities in India and the predisposing factors which are responsible for the occurrence of OM in children. Pediatric and child health organizations, pediatricians, and child health professionals should be aware of the impact of social determinants of health on children. The public sector should ensure that clinical services are affordable and accessible to all children and families within the constraints of their country's health services.","PeriodicalId":264544,"journal":{"name":"Journal of Pediatric Pulmonology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126059152","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}

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Distal intestinal obstruction syndrome as a presenting manifestation of cystic fibrosis in an infant 远端肠梗阻综合征是婴儿囊性纤维化的主要表现

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_18_22

L. Hema, A. Jadhav, B. Sureka, Prawin Kumar, J. Goyal

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Community-acquired pneumonia in children: Revisited 儿童社区获得性肺炎:再访

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_8_23

N. Subramanya

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Clinical profile of children with suspected sleep-disordered breathing and their polysomnographic findings at a tertiary-care center in Bengaluru, India 印度班加罗尔一家三级保健中心疑似睡眠呼吸障碍儿童的临床分析及其多导睡眠图结果

Journal of Pediatric Pulmonology Pub Date : 2022-07-01 DOI: 10.4103/jopp.jopp_1_23

I. Kinimi, Supriya S Shinde, Ramya Babu, Madhuri Maganthi, Shivkumar Shamrao, Ashwath Ram, J. Kare, A. Mathew

{"title":"Clinical profile of children with suspected sleep-disordered breathing and their polysomnographic findings at a tertiary-care center in Bengaluru, India","authors":"I. Kinimi, Supriya S Shinde, Ramya Babu, Madhuri Maganthi, Shivkumar Shamrao, Ashwath Ram, J. Kare, A. Mathew","doi":"10.4103/jopp.jopp_1_23","DOIUrl":"https://doi.org/10.4103/jopp.jopp_1_23","url":null,"abstract":"Background and Objective: Obtaining sleep studies in children with suspected sleep-disordered breathing (SDB) can affect management decisions, and they should be discussed with families with a focus on patient-centered decision-making. Our objective was to report the findings of polysomnography (PSG) in children with suspected SDB along with their clinical profile. Materials and Methods: This retrospective study was conducted in a tertiary care teaching hospital in South India over a 4-year period. Children of <18 years of age were included. Details about each patient including demographics, date of the study, indications, and treatment history were obtained. Results: A total of 133 pediatric sleep studies were analyzed. The male-to-female ratio was 1.86:1. The median age of the study group was done was 6.2 years (range: 2 months–17.2 years). Majority of the children were ≥10 years of age. Neuromuscular disease (NMD) was the most common reason for referral for a PSG, the most common NMD being spinal muscular atrophy followed by Duchenne muscular dystrophy. PSG study was normal in 5 children and severe obstructive sleep apnea was found in 55 children. Of 92 children with moderate-to-severe SDB patterns, 88 children were started on spontaneous-timed mode bilevel positive airway pressure. Two children were on invasive ventilation through tracheostomy tube, and one child was on supplementary oxygen. Conclusions: Children with SDB especially when diagnosed with a NMD should be referred to specialized centers for sleep studies so as to help guide and optimize patient management leading to increased patient satisfaction and quality of life.","PeriodicalId":264544,"journal":{"name":"Journal of Pediatric Pulmonology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127899433","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}

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