Journal of Nepal Paediatric Society最新文献_第7页

Neonate with Retroperitoneal Mature Cystic Teratoma – A Case Report 新生儿腹膜后成熟囊性畸胎瘤1例

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.38113

Jayateertha Joshi, Owais Ahmed Mushtaq, Sayashi Roy, Suchetha S. Rao

引用次数: 0

Efficacy of Hyoscine Butylbromide Versus Drotaverine in Relieving Acute Nonspecific Abdominal Pain in Children- A Non - Randomized Trial 丁溴海莨菪碱与氯他弗林缓解儿童急性非特异性腹痛的疗效——一项非随机试验

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.39773

Pradip Kumar Paudel, S. Basnet, Merina Shreshtha

{"title":"Efficacy of Hyoscine Butylbromide Versus Drotaverine in Relieving Acute Nonspecific Abdominal Pain in Children- A Non - Randomized Trial","authors":"Pradip Kumar Paudel, S. Basnet, Merina Shreshtha","doi":"10.3126/jnps.v42i1.39773","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.39773","url":null,"abstract":"Introduction: Acute abdominal pain is a very common complaint for children presenting to the emergency department (ED). The purpose of this study was to compare efficacy of hyoscine and drotaverine for relieving acute nonspecific abdominal pain in children presenting to ED.\u0000Methods: Total of 52 children aged six years to 16 years were enrolled in a non-randomized trial at Paediatric ED of TUTH from Dec 2017 to June 2018, and randomly allocated to drotaverine or hyoscine groups; 26 in each group. Face pain score-revised tool was used to measure the efficacy of the drug. The primary outcome was to measure the reduction of face pain score (Self-reported) by at least 2 / 10 at 60 minutes after ingestion of study intervention. Other outcomes were requirement of rescue analgesia and adverse effects of drugs.\u0000Results: A total of 20 (77%) in hyoscine and 21 (81%) in drotaverine group responded to oral medication at the end of 60 minutes of oral administration and the difference was not statistically significant (p=0.808). Vomiting was only adverse event present in five (19%) in drotaverine and two (8%) in hyoscine groups, respectively.\u0000 Conclusions: In this single center randomized controlled trial, both hyoscine and drotaverine were found to be equally efficacious for relieving acute non-specific abdominal pain in children.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44325040","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

Anaemia In Preschool Children:its Correlation With Pica 学龄前儿童贫血与异食癖的相关性

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.41453

Sukhdeep Kaur, Kunwar Pal Singh

{"title":"Anaemia In Preschool Children:its Correlation With Pica","authors":"Sukhdeep Kaur, Kunwar Pal Singh","doi":"10.3126/jnps.v42i1.41453","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.41453","url":null,"abstract":"Introduction: According to the third National Family Health Survey, 79% of Indian children are anaemic. Pica is characterized by the persistent ingestion of non-nutritive substances such as plaster, charcoal, chalk, and earth for at least one month in a manner that is inappropriate for their developmental level. We investigated the correlation between pica behaviour and anaemia in preschool children.\u0000Methods: In total, 103 children of ages six to 48 months attending the OPD were randomly included in this study for six months; they presented with clinical features of anaemia. Complete blood count and peripheral blood film examination were carried out. The children were assessed clinically for signs and symptoms of anaemia. History of ingestion of clay, sand, chalk, wall paints etc was asked from the parents.\u0000Results: Most of the children (90.3%) had microcytic hypochromic anaemia with a mean haemoglobin value of 8.82 g / dl. The mean age was 18 months, and boys slightly outnumbered girls. In total, 57.3% of children had a positive history of pica, and all of them were found to be anaemic. However, no significant statistical correlation was observed between anaemia and history of pica.\u0000Conclusions: All children with history of pica were anaemic and the most common type of anaemia was microcytic hypochromic. Although no significant statistical correlation was observed between and history of pica, it is very important for the clinicians to be cautious of this common condition and evaluate for anaemia","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47273024","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

Knowledge and Perception Regarding Adolescent Sexual and Reproductive Health Services among Adolescents attending a Tertiary Level Hospital 在三级医院就诊的青少年对青少年性健康和生殖健康服务的了解和认识

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.42662

Shreejana Singh, Saras Sharma, Bimal Tandukar, P. Silwal, M. Sharma

{"title":"Knowledge and Perception Regarding Adolescent Sexual and Reproductive Health Services among Adolescents attending a Tertiary Level Hospital","authors":"Shreejana Singh, Saras Sharma, Bimal Tandukar, P. Silwal, M. Sharma","doi":"10.3126/jnps.v42i1.42662","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.42662","url":null,"abstract":"Introduction: Adolescence is the transitional phase of growth and development between childhood and adulthood with ages ranging from 10 to 19 years. Adolescent sexual and reproductive health (ASRH) services are the centers where adolescents can get access to their queries regarding health of both physical as well as psychological aspect. The objective of the study was to find out the knowledge and perception regarding ASRH services among adolescents attending a tertiary level hospital.\u0000 Methods: A descriptive study was carried out among 112 adolescents attending adolescent clinic using a pretested structured interview schedule. Non probability purposive sampling technique was used. The data were analyzed using SPSS version 16 through descriptive statistical method and Inferential statistical methods.\u0000Results: The study revealed majority (58.0%) of respondents had moderate level of knowledge regarding ASRH (Mean value 68.89 ± 14.59 S. D). Respondent’s had high perception towards programmatic domain. Almost all (97.3%) of the respondents had positive perception towards ASRH services. There was no statistical significance between the level of knowledge and perception, level of knowledge and sociodemographic variables at 95% confidence level.\u0000Conclusions: The study concludes that adolescents have moderate level of knowledge regarding ASRH. Adolescents have an overall positive perception towards the ASRH services but they have negative perception towards the facility of ASRH services in comparison to programmatic domain.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45837208","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

Clinico-radiological Profile and Outcome of Children with Viral Pneumonia admitted to Paediatric Intensive Care Unit in the pre COVID 19 period 2019冠状病毒病之前入住儿科重症监护室的病毒性肺炎儿童的临床放射学特征和结果

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.38454

Shrikiran Aroor, Suneel C Mundkur, Sandeep Kumar

{"title":"Clinico-radiological Profile and Outcome of Children with Viral Pneumonia admitted to Paediatric Intensive Care Unit in the pre COVID 19 period","authors":"Shrikiran Aroor, Suneel C Mundkur, Sandeep Kumar","doi":"10.3126/jnps.v42i1.38454","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.38454","url":null,"abstract":"Introduction: Viruses are common etiological agents of severe acute respiratory illness in under five children. Very few studies are available considering the profile of children with viral pneumonia admitted to paediatric intensive care unit (PICU) in our setting. Hence this study was done to describe the clinico- radiological profile and outcome of children diagnosed with viral pneumonia admitted to PICU.\u0000Methods: This was a retrospective descriptive study done in the PICU of a tertiary care hospital in South India. The presenting clinical features, blood parameters, chest radiography findings, course during the hospital stay and outcome of children with viral pneumonia (RT- PCR Positive) admitted to PICU were studied.\u0000Results: The aetiological profile of 28 children included - Influenza virus - 14 cases, Respiratory Syncytial Virus - 6 cases, Adeno virus - 4 cases, Human Boca virus - 2 cases, Human Rhino Virus - 1 case and Human metapneumo Virus - 1 case. Majority of children (50%) presented with severe respiratory distress. Predominant radiological picture included bilateral interstitial infiltrates followed by patchy alveolar consolidation. Eight children required mechanical ventilation. Complications included septic shock and MODS (n = 5), pneumothorax (n = 2), myocarditis (n = 2), pleural effusion (n = 1), ventilator associated pneumonia (n = 2) and pulmonary artery hypertension (n = 2). Mortality was observed in seven (25%) children. SpO2 / FiO2 ratio < 300, shock at admission, neutrophil leucocyte ratio > 2 and hypoalbuminemia were found to be significant predictors of mortality.\u0000Conclusions: Malnutrition and iron deficiency analmia were the common risk factors. Patchy alveolar consolidation is also a common radiological finding along with interstitial infiltrates. Hypoalbuminemia was a common finding among non-survivors.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47206312","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

Empyema Thoracis in children: A Five-Year Analysis from a Tertiary Care Center in Eastern Nepal 尼泊尔东部一家三级护理中心对儿童胸积脓的五年分析

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.41183

Rimjhim Sonowal, Ashok Kumar V

{"title":"Empyema Thoracis in children: A Five-Year Analysis from a Tertiary Care Center in Eastern Nepal","authors":"Rimjhim Sonowal, Ashok Kumar V","doi":"10.3126/jnps.v42i1.41183","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.41183","url":null,"abstract":"Introduction: Complicated community-acquired pneumonia resulting in empyema thoracis remains the largest single cause of morbidity and mortality worldwide in children. This study was carried out to evaluate the clinical profile, associated complications and outcome of empyema thoracis in children.\u0000Methods: A retrospective study was conducted in the Department of Paediatrics at a tertiary care center in Eastern Nepal. A total of 106 children were managed with the diagnosis of complicated pneumonia with effusion or empyema thoracis from March 2017 to February 2021 (Five years). Only those patients who had clinico-radiological evidence of pleural effusion or empyema thoracis and received treatment with or without intercostal chest tube drainage (ICD) as the initial procedure were enrolled in the study. Besides supportive treatments and antibiotics; streptokinase was instilled intrapleurally in all the patients for three days. Patients who did not respond underwent VATS / decortication.\u0000Results: Majority of the children (60.19%) were below five years of age and were males (73.58%). Majority (55.67%) had a right-sided pleural effusion and fever was the predominant symptom (55.66%) at presentation. The pleural fluid culture was sterile in more than half (55.66%) of the patients with Staphylococcus aureus grown in 33.96%. The three most common complications were subcutaneous emphysema, thickened pleura, and pyo-pneumothorax. The success rate of medical management was 83.96% and the mortality was low (2.84%).\u0000Conclusions: The success rate of conservative management with antimicrobial therapy, intercostal drainage and fibrinolytics in this study was high (83.96%) with no major adverse effects of fibrinolytic therapy in empyema thoracis.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45627476","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

Acetaminophen induced Stevens Johnson syndrome - Toxic Epidermal Necrolysis Overlap Syndrome: A rare Adverse Reaction 对乙酰氨基酚诱导的史蒂文斯约翰逊综合征-中毒性表皮坏死松解重叠综合征:一种罕见的不良反应

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.39225

S. Kavthekar, K. Amith, Anil Bapurao Kurane, Yoganand J Phulari

引用次数: 0

Anxiety and Depression and their Predictors among School Adolescents of Kathmandu, Nepal 尼泊尔加德满都中小学生的焦虑、抑郁及其预测因素

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.38310

S. Bajracharya, S. Shakya, Liza Nagarkoti, Rita Kumari Ban, K. Regmi

{"title":"Anxiety and Depression and their Predictors among School Adolescents of Kathmandu, Nepal","authors":"S. Bajracharya, S. Shakya, Liza Nagarkoti, Rita Kumari Ban, K. Regmi","doi":"10.3126/jnps.v42i1.38310","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.38310","url":null,"abstract":"Introduction: Adolescence is a vulnerable period in which different physical, psychological and behavioral changes occur contributing to mental health issues. Depression and anxiety occur more commonly than would be expected by chance in children and adolescents. Undetected and untreated mental disorders can impair one’s ability to perform at school or work place, cope with daily life activities and can lead to severe mental disorders and related consequences. The aim of this study was to assess the levels of anxiety and depression and their predictors among the adolescents of Kathmandu, Nepal. \u0000Methods: A cross-sectional study was conducted in different higher secondary schools of Kathmandu. Cluster random sampling method was used to select 482 students of Grade XI and XII. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI)-II were used to assess the levels of anxiety and depression.\u0000Results: Among 482 students, 230 (47.7%) were females and 252 (52.3%) were males with mean age of 17.25 (± 1.01) years. Majority (38.6%) had minimal anxiety and 11.6% had severe anxiety. On the other side, 45.9% had no depression and 16.4% had severe depression. Grade, sex, health problem, use of gadget and academic performance are found to be the predictors of anxiety, while, the predictors of depression are age, sex, health problem and academic performance.\u0000Conclusions: Anxiety and depression are found prevalent among the adolescents, which need to be explored and addressed immediately through appropriate measures. Psychological counseling and support services should be available to vulnerable students.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48811993","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

Role of Sildenafil in Severe COVID-19 Pneumonia in Infancy - A Case Series 西地那非在婴幼儿重症COVID-19肺炎中的作用——一个病例系列

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.41095

J. Muduli, M. Mitra, A. Banerjee, A. Paul

{"title":"Role of Sildenafil in Severe COVID-19 Pneumonia in Infancy - A Case Series","authors":"J. Muduli, M. Mitra, A. Banerjee, A. Paul","doi":"10.3126/jnps.v42i1.41095","DOIUrl":"https://doi.org/10.3126/jnps.v42i1.41095","url":null,"abstract":"SARS-CoV-2 virus primarily affects the respiratory system, although other organ systems are also involved. Though pulmonary arterial hypertension (PAH) has been described in as a sequela of COVID pneumonia in adults, only a coincidental association between pre-existing PAH and SARS-CoV-2 infection in children has been reported. To our knowledge, severe COVID pneumoniacausing PAH in children, especially in infancy has not been reported yet. With the meteoric spread of the pandemic and rapid development of newer mutated variants, the timely discovery of new drugs is near impossible. The idea of repurposing existing drugs to treat COVID-19 is an attractive strategy, especially if they are already approved (for other indications) and have wellestablished safety profiles. Sildenafil specifically targets pulmonary vasodilation, endothelial function, and vascular remodelling. It hence has emerged as an effective first - line oral therapeutic agent for patients with symptomatic PAH in all age groups. We present a case series of four cases where Sildenafil has been repurposed for the treatment of PAH associated with severe COVID-19 pneumonia in infancy.","PeriodicalId":39140,"journal":{"name":"Journal of Nepal Paediatric Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48744330","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

Lumbosacral Edema as an Unusual Presentation of Henoch-Schönlein purpura: A Case Report and Literature Review 腰骶水肿是Henoch-Schönlein紫癜的一个不寻常的表现:一个病例报告和文献复习

Journal of Nepal Paediatric Society Pub Date : 2022-11-27 DOI: 10.3126/jnps.v42i1.39409

J. Yeom, J. Seo, H. Youn

引用次数: 0