Sri Lanka Journal of Child Health最新文献_第5页

Mediastinal lymphatic venous malformation mimicking thymic shadow in an Infant 模仿胸腺阴影的婴儿纵隔淋巴管静脉畸形

Sri Lanka Journal of Child Health Pub Date : 2024-03-05 DOI: 10.4038/sljch.v53i1.10562

Kaushalya Pussegoda, M. H. A. D. De Silva, H. M. W. Heshantha, W. D. V. Thilakarathna, T. P. M. Dissanayake, P. P. Rajawasam, Janath Liyanage, C. R. Kulatunge, N. Liyanarachchi

引用次数: 0

Do vitamin D levels affect forced expiratory flow 25-75 among children with asthma? 维生素 D 水平是否会影响哮喘儿童的用力呼气流量 25-75？

Sri Lanka Journal of Child Health Pub Date : 2024-03-05 DOI: 10.4038/sljch.v53i1.10706

Veena Anand, S. Joseph, I. Yadev

{"title":"Do vitamin D levels affect forced expiratory flow 25-75 among children with asthma?","authors":"Veena Anand, S. Joseph, I. Yadev","doi":"10.4038/sljch.v53i1.10706","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10706","url":null,"abstract":"Background: Previous reports of association between vitamin D levels and pulmonary function based on forced expiratory volume in one second (FEV1) and ratio of FEV1 to forced vital capacity (FEV1/FVC) gave mixed results. Forced expiratory flow 25-75 (FEF 25-75) is considered a sensitive parameter in children as it is effort independent.Objectives: To assess the correlation between serum vitamin D levels and pulmonary function parameters in children with asthma.Method: This cross-sectional analytic study was conducted at the paediatric respiratory clinic of a tertiary care referral hospital. Children aged 6-12 years, having asthma, on controllers with good compliance and under regular follow-up were enrolled.Results: Mean serum vitamin D level (16.8± 6.69ng/ml) was low and deficiency was seen in 36 (72%) children with asthma. Positive correlation (r=0.41) was seen between serum vitamin D levels and predicted FEF 25-75%. Univariate analysis between vitamin D and FEF 25-75 showed decreased vitamin D levels were associated with significantly low FEF 25-75 (p<0.001). In multivariate linear regression analysis after adjustment for age and sex, the relationship was direct and significant (R2=0.18, p<0.05) but for FEV1 the relationship was not significant (R2=-0.034, p=0.336).Conclusions: Vitamin D levels showed direct and significant relationship with FEF 25-75 outcome in children with asthma.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"17 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263625","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

Aetio-pathological profile of anaemic children belonging to upper socioeconomic society in a tertiary care hospital of North India 北印度一家三级医院中社会经济地位较高的贫血儿童的遗传病理学特征

Sri Lanka Journal of Child Health Pub Date : 2024-03-05 DOI: 10.4038/sljch.v53i1.10709

Anusha Reddy, Bindu T. Nair, Dasari Varun Kumar

{"title":"Aetio-pathological profile of anaemic children belonging to upper socioeconomic society in a tertiary care hospital of North India","authors":"Anusha Reddy, Bindu T. Nair, Dasari Varun Kumar","doi":"10.4038/sljch.v53i1.10709","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10709","url":null,"abstract":"Introduction: Anaemia is a major public health problem especially in the preschool age group. It is rampant even in children of upper and middle classes of the society.Objectives: To study the aetio-pathology of anaemia in children belonging to upper and upper middle socio-economic scale and to correlate it with their nutritional status. Method: It was a cross-sectional descriptive study on 165 preschool children aged 6-59 months who presented with pallor on clinical examination. They were advised to undergo a complete haemogram and further specific tests as required. Results: The most common cause of anaemia was nutritional, including iron deficiency (92%), combined iron and B12 deficiency (2%) and isolated B12 deficiency (0.6%). Thalassaemia was the next common cause (3%) followed by B-acute lymphoblastic leukaemia (1%) and microangiopathic haemolytic anaemia (0.6%). Maternal education and nutritional awareness had positive correlation with anaemia. Majority of children were normally nourished despite being anaemic, However, undernourished children were more severely anaemic. Conclusions: Nutritional anaemia is the commonest cause of anaemia even in children belonging to higher socio-economic classes.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264035","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

Antibiotic resistance pattern of Salmonella enterica typhi infection in paediatric population at a iertiary level hospital 一家三级医院儿科感染伤寒沙门氏菌的抗生素耐药性模式

Sri Lanka Journal of Child Health Pub Date : 2024-03-05 DOI: 10.4038/sljch.v53i1.10702

Dasari Varun Kumar, Bindu T. Nair, Anusha Reddy, Manisha Bandari

{"title":"Antibiotic resistance pattern of Salmonella enterica typhi infection in paediatric population at a iertiary level hospital","authors":"Dasari Varun Kumar, Bindu T. Nair, Anusha Reddy, Manisha Bandari","doi":"10.4038/sljch.v53i1.10702","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10702","url":null,"abstract":"Background: Enteric fever is an important public health condition in developing countries. Antibiotic resistance patterns in Salmonella enterica typhi (S. typhi) infections are constantly changing. Continual surveillance of resistance levels of S. typhi is critical for clinicians to update antibiotic options.Objectives: To evaluate the current trends in antibiotic sensitivity and resistance to S. typhi in children in developing countries.Method: A cross sectional observational study was carried out on 102 children aged 6 months to 5 years with culture positive S. typhi infection in a tertiary care hospital in North India. Antibiotic susceptibility information of S. typhi was collected and the pattern of antibiotic resistance was analysed.Results: S. typhi showed a sensitivity of 78.4% to ampicillin and 99% to trimethoprim+ sulfamethoxazole which were the previously used antibiotics. However, it showed 100% resistance to ciprofloxacin and nalidixic acid. Of the currently used first line IV antibiotics, there was a 88.4% sensitivity to ceftriaxone and a 98% sensitivity to meropenem.Conclusions: The study concluded that there is reemergence of antibiotic sensitivity of S. typhi to earlier first line drugs like ampicillin and trimethoprim– sulfamethoxazole.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264521","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 Legacy of late Professor Chandra Kumari Abeysekera: A lady like no other 已故钱德拉-库马里-阿贝塞克拉教授的遗产：独一无二的女士

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10800

B. J. C. Perera

引用次数: 0

First reported case of pentalogy of Cantrell in Sri Lanka 斯里兰卡首次报告的坎特雷尔五联症病例

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10596

A. P. H. Withana, D. Samarasinghe, I. R. Ragunathan, K. Singappuli, Y. Ubaithullah, Nishani Lucas

引用次数: 0

Phosphorus abnormalities in a paediatric intensive care unit in North India 印度北部一家儿科重症监护室的磷异常情况

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10619

Taruna Vijaywargiya, Satyajeet Maurya, Sitikant Mohapatra

{"title":"Phosphorus abnormalities in a paediatric intensive care unit in North India","authors":"Taruna Vijaywargiya, Satyajeet Maurya, Sitikant Mohapatra","doi":"10.4038/sljch.v52i4.10619","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10619","url":null,"abstract":"Introduction: Critical illness triggers severe acute phase response which is associated with several metabolic derangements. Serum phosphorus level abnormalities are common among them and go unnoticed in sick children.Objectives: To determine the prevalence of phosphorus abnormalities in sick children admitted to the paediatric intensive care unit (PICU) and its association with various clinical outcomes.Method: We conducted a prospective, non-interventional study at a PICU in North India. During an 18-month period we investigated the incidence of phosphorus abnormalities in patients admitted to the PICU on admission and followed the course at day 3 and day 7 during their stay.Results: The prevalence of phosphorus level abnormalities was 44.2% on admission to PICU; 34.9% patients had hypophosphataemia while 9.3% had hyperphosphataemia. Hypophosphataemia was significantly associated with severe malnutrition (p=0.041) while hyperphosphataemia was associated with organ failure (p=<0.001). Although the need for mechanical ventilation, duration of PICU stay and mortality were higher in hypophosphataemic patients and PRISM score was higher in hyperphosphataemic patients, these differences were not statistically significant. Changes in the baseline phosphorus levels after PICU stays of 3 days (p=0.346) and of 7 days (p=0.782) were not statistically significant.Conclusions: Phosphorus abnormalities were highly prevalent in ill children admitted in the PICU. Hypophosphatemia was more common and was significantly associated with severe malnutrition while hyperphosphatemia was significantly associated with organ failure.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"135 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598722","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

Hypopharyngeal foreign body impaction presenting late as acute onset torticollis due to retropharyngeal abscess formation in a child 儿童咽后脓肿形成导致的咽下异物嵌塞，晚期表现为急性发作的扭颈症

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10534

Arabi Sooreakumar, D. M. D. T. Dissanayake, Wasana Wijenayake, P. K. B. U. C. Bandara, K. Dayasiri, S. Mettananda

引用次数: 0

Concern regarding point of care laboratory testing in neonates 对新生儿护理点实验室检测的关注

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.9626

B. Joob, V. Wiwanitkit

引用次数: 0

Charcot-Marie-Tooth disease with co-occurrence of syringo-hydromyelia 同时伴有梅毒性脊髓灰质炎的夏科-玛丽-牙病

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10493

S. M. A. S. M. Samarasekara, A. J. Jayawardena, P. D. Rathnayaka, Chathuri Weerasinghe, P. D. P. Udayanga, S. K. V. P. Dissanayake

引用次数: 0