Pediatria Medica e Chirurgica最新文献_第6页

Role of urinary NGAL and microalbuminuria in the detection of subclinical acute kidney injury in pediatric intensive care unit and diabetic children. 尿NGAL和微量白蛋白尿在儿科重症监护病房和糖尿病儿童亚临床急性肾损伤检测中的作用。

Pediatria Medica e Chirurgica Pub Date : 2022-07-15 DOI: 10.4081/pmc.2022.285

Sally K I Ishak, Fayrouz El Aguizy, Eman H Elsebaie, Meray R L Youssef, Mohamed M Ismail, Fatma H Abdelraouf, Heba A Abdel Ghaffar, Nermine M Riad

{"title":"Role of urinary NGAL and microalbuminuria in the detection of subclinical acute kidney injury in pediatric intensive care unit and diabetic children.","authors":"Sally K I Ishak, Fayrouz El Aguizy, Eman H Elsebaie, Meray R L Youssef, Mohamed M Ismail, Fatma H Abdelraouf, Heba A Abdel Ghaffar, Nermine M Riad","doi":"10.4081/pmc.2022.285","DOIUrl":"https://doi.org/10.4081/pmc.2022.285","url":null,"abstract":"Subclinical Acute Kidney Injury (AKI) describes patients who did not fulfill the classical criteria for AKI diagnosis but showed elevated levels of new biomarkers reflecting tubular injury. One of these biomarkers is Neutrophil Gelatinase-Associated Lipocalin (NGAL). The aim of this study is to investigate the role of urinary NGAL and microalbuminuria as non-invasive biomarkers in the detection of subclinical AKI. Analysis of urinary NGAL and microalbuminuria in 91 subjects [30 pediatric intensive care unit (PICU) patients, 31 diabetic patients and 30 healthy controls] recruited from Cairo University Pediatric Hospital was done. Our study revealed that urinary NGAL was significantly higher in the PICU group followed by the diabetic group and lowest in the controls group (p=0.022). A positive correlation was found between urinary NGAL and microalbuminuria in the PICU group (Rvalue= 0.585, p-value=0.001). In diabetic group, a positive correlation was found between urinary NGAL and fasting blood glucose, 2 hours post prandial and HbA1C (R-value=0.421; pvalue= 0.021; R-value=0.426; p-value=0.019; R-value=0.438; pvalue= 0.018 respectively). Urinary NGAL may be a potential biomarker to detect subclinical AKI before actual functional renal damage leading to early intervention and reduction of mortality.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40507886","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

Achilles tendon surgery in clubfoot: Are long term sequelae predictable? 内翻足的跟腱手术:长期后遗症可预测吗?

Pediatria Medica e Chirurgica Pub Date : 2022-05-03 DOI: 10.4081/pmc.2022.280

L. Pedrotti, B. Bertani, G. Tuvo, R. Mora, L. Marin, Federica De Rosa

{"title":"Achilles tendon surgery in clubfoot: Are long term sequelae predictable?","authors":"L. Pedrotti, B. Bertani, G. Tuvo, R. Mora, L. Marin, Federica De Rosa","doi":"10.4081/pmc.2022.280","DOIUrl":"https://doi.org/10.4081/pmc.2022.280","url":null,"abstract":"Congenital Clubfoot (CCF) treatment involves a surgical procedure on the Achilles tendon most of the time, i.e. tenotomy or, in selected cases, Z-plasty lengthening. Many authors have studied the outcomes of Achilles tenotomy, describing complete clinical and ultrasound tendon fibers integrity restoration 3-6 weeks after surgery. Nevertheless, little is known about the mechanical properties of the operated tendon. Recently, cases of subcutaneous rupture of the Achilles tendon have been described in adolescents who practiced sports and who had undergone Achilles tenotomy for congenital clubfoot in childhood. Authors report two cases of atraumatic Achilles tendon injury (subcutaneous rupture and intratendinous ossification) in adult patients who had been treated for congenital clubfoot in childhood. In both cases, no causes determining the injury were identified; in the medical history there was a Z-plasty lengthening of the Achilles tendon, performed within the first year of life, which could be considered a predisposing factor. The usefulness of long-term monitoring of patients treated for CCF with surgical procedures on the Achilles tendon is therefore hypothesized, in order to promptly identify by symptoms, clinical pictures and ultrasound criteria, tendon suffering that may predispose subcutaneous rupture.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74464534","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

Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial. 直肠前庭瘘:哪种手术入路合适?一项随机对照试验。

Pediatria Medica e Chirurgica Pub Date : 2022-04-08 DOI: 10.4081/pmc.2022.278

S. Abdelmohsen, M. Osman, H. Mostafa, M. Fathy, I. Ibrahim, M. Mostafa, A. Eltayeb, Osama Abdullah Abdul Raheem

{"title":"Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial.","authors":"S. Abdelmohsen, M. Osman, H. Mostafa, M. Fathy, I. Ibrahim, M. Mostafa, A. Eltayeb, Osama Abdullah Abdul Raheem","doi":"10.4081/pmc.2022.278","DOIUrl":"https://doi.org/10.4081/pmc.2022.278","url":null,"abstract":"The management of a vestibular fistula is a challenge for pediatric surgeons. We compared four different operative techniques in terms of postoperative complications, continence, and cosmetic appearance. This prospective, randomized, comparative study included female children with rectovestibular fistulae who were selected from patients with Anorectal Malformations (ARMs) treated between January 2016 and July 2020. The patients were randomly divided into four groups based on the operative technique: Trans-Sphincter Anorectoplasty (TSARP), Posterior Sagittal Anorectoplasty (PSARP), Classic Anterior Sagittal Anorectoplasty (ASARP), and modified ASARP. The incidence of vestibular fistulae among all patients with ARMs was 13.4%. The total number of patients with vestibular fistula was 112, including eighty-four (75%) with rectovestibular fistulae and twenty-eight (25%) with anovestibular fistulae. Associated congenital anomalies were found in nineteen (22.6%) patients. The percentage of parents satisfied with the cosmetic appearance and continence of their children was the highest after TSARP. PSARP had the lowest incidence regarding vaginal wall injuries. TSARP is the best operative technique for handling rectovestibular fistulae and is suitable for infants and children. In the TSARP technique, the external sphincter muscle can be preserved following complete dissection of the rectum without the need for a midline skin incision. A midline skin incision is required in the modified ASARP technique.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73357929","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

Surgical management of large scalp infantile hemangioma in 30-month-old infant. 30月龄婴幼儿大头皮血管瘤的外科治疗。

Pediatria Medica e Chirurgica Pub Date : 2022-03-21 DOI: 10.4081/pmc.2022.279

Cosimo Bleve, Maria Luisa Conighi, Enrico Valerio, Mario Cutrone, Giuseppe Iannucci, Alessandro Segna, Salvatore Fabio Chiarenza

引用次数: 2

Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review. 儿科患者微创毛毛窦疾病(PSD)治疗:叙述性回顾。

Pediatria Medica e Chirurgica Pub Date : 2022-03-15 DOI: 10.4081/pmc.2022.281

M. Cerulo, Assunta Turco, C. Esposito

引用次数: 2

Lichen sclerosus in pediatric age: A new disease or unknown pathology? Experience of single centre and state of art in literature. 儿童期硬化苔藓:一种新疾病还是未知病理?单一中心的经验与文学艺术的境界。

Pediatria Medica e Chirurgica Pub Date : 2022-03-01 DOI: 10.4081/pmc.2022.275

R. Angotti, G. Fusi, Elena Coradello, C. Miracco, F. Ferrara, M. Sica, A. Taddei, G. Vasta, M. Messina, F. Molinaro

{"title":"Lichen sclerosus in pediatric age: A new disease or unknown pathology? Experience of single centre and state of art in literature.","authors":"R. Angotti, G. Fusi, Elena Coradello, C. Miracco, F. Ferrara, M. Sica, A. Taddei, G. Vasta, M. Messina, F. Molinaro","doi":"10.4081/pmc.2022.275","DOIUrl":"https://doi.org/10.4081/pmc.2022.275","url":null,"abstract":"Lichen Sclerosus (LS) is a chronic inflammatory skin disease with unknown etiology. In pediatric age the main disease \"lichenlinked\" is the phimosis in male. This is a retrospective study that reports the experience of our clinic and review of the literature. We included all patients affected by pathological phimosis, treated by circumcision between January 2015 and May 2020, older than 6 years old and with an histopathological diagnosis of lichen sclerosus. The aim was to identify prognostic factors based on histological report to plan the clinical management of patients. Statistical analysis was done. We included 207 patients. The mean age of children was 9,78 years (5-18 years, DS±3.29). Based on the histological features we divided patients in 2 groups: early lesions (70/207, 34%) and advanced (137/207, 66%). In term of complications lichen linked we considered meatal stenosis that needed of urethral dilatations. We included 7 patients (7/207, 3,4%). We report P value Statistical Significance in many aspects. An early diagnosis of LS and surgical treatment of foreskin are essential to prevent early and late complications in children. The size of sample is a limit of the study but results encourage our management.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"240 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72539229","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: 2

Staghorn stone in megapolycalicosis in a child: Still the case for open surgery? Case report. 儿童多钙血症合并鹿角石:仍需开腹手术吗?病例报告。

Pediatria Medica e Chirurgica Pub Date : 2022-02-02 DOI: 10.4081/pmc.2022.229

A. Marte

引用次数: 0

Caecal duplication, a case report. 盲肠复制，一份病例报告。

Pediatria Medica e Chirurgica Pub Date : 2021-10-21 DOI: 10.4081/pmc.2021.246

Michele Corroppolo, Elisa Pani, Maria Teresa Bortolami, Hamid Reza Sadri, Fabio Beretta, Clara Revetria, Giosuè Mazzero, Enrico Ciardini

引用次数: 0

Thoracoscopic excision of asymptomatic antenatally diagnosed mediastinal bronchogenic cysts: A case report. 胸腔镜切除无症状产前诊断纵隔支气管囊肿1例。

Pediatria Medica e Chirurgica Pub Date : 2021-06-16 DOI: 10.4081/pmc.2021.239

Elisa Cerchia, Carmine Noviello, Giovanni Torino, Edoardo Bindi, Francesca Mariscoli, Giovanni Cobellis

引用次数: 0

Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia. 右侧卧位可改善5岁以下肺炎患儿的血氧饱和度和呼吸频率。

Pediatria Medica e Chirurgica Pub Date : 2021-05-20 DOI: 10.4081/pmc.2021.262

Novita Agustina, Nani Nurhaeni, Happy Hayati

{"title":"Right lateral position can improving oxygen saturation and respiratory rate on under-five children with pneumonia.","authors":"Novita Agustina, Nani Nurhaeni, Happy Hayati","doi":"10.4081/pmc.2021.262","DOIUrl":"https://doi.org/10.4081/pmc.2021.262","url":null,"abstract":"Pediatric patients with pneumonia experience respiratory distress in the form of shortness of breath and rapid breathing, which affects oxygen saturation. Oxygen saturation and respiratory rate can be increased by providing the right lateral position. Fulfillment of oxygen will affect the healing of children and can reduce the length of stay in hospital. The purpose of this study was to identify the effect of right lateral positioning on oxygen saturation and respiratory rate in under-five children with pneumonia. The study design was a quasi-experimental pre-posttest with control group design. Respondents were 32 infants with pneumonia, (right lateral=16 and control group=16), selected by consecutive sampling. Univariate and bivariate analyzes were performed. There was a significant difference in oxygen saturation before and after right lateral position (p-value=0.000) and there was a significant difference in the respiratory rate before and after right lateral position (p-value=0.000). The results can be used to improve health services by promoting the right lateral position as a selftreatment intervention for increasing oxygen saturation and stabilizing respiratory rate in infants with pneumonia.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"43 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462957","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: 1