Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine最新文献_第2页

Nutritional screening among paediatric indigenous population in Malaysia: a pilot study 马来西亚土著儿童营养筛查:一项试点研究

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0015

Grace Ong Hui Yan, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah, Prepageran Narayanan

{"title":"Nutritional screening among paediatric indigenous population in Malaysia: a pilot study","authors":"Grace Ong Hui Yan, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah, Prepageran Narayanan","doi":"10.15557/pimr.2023.0015","DOIUrl":"https://doi.org/10.15557/pimr.2023.0015","url":null,"abstract":"Introduction: Undernutrition is a serious health problem in developing countries. The prevalence of undernutrition is deemed higher among the indigenous community in many developing countries, owing to their relatively lower socioeconomic status, lack of healthcare awareness and essential needs, as well as poor sanitation facilities. We aimed to assess the nutritional status among children within a single indigenous community in Kampung Gabai, Malaysia. Materials and methods: We conducted a pilot study on the nutritional status of the paediatric population of the Orang Asli community in Kampung Gabai by assessingtheir anthropometric indices during a medical camp, as this community had never been assessed before. Anthropometric indices were based on heights, mid-upper arm circumferences and head circumferences of 21 children aged between 2 to 14 years. Additionally, skin evaluation and otoscopic examinations were performed in the same setting. Results: The prevalence of stunting was 38.1% among the children in Kampung Gabai. The height-for-age Z score distribution of the children skewed slightly to the left in comparison to the World Health Organization standard. The midupper-arm circumferences and the head circumferences of children who were less than 5 years old were within the normal range. The children generally had normal otoscopic and skin findings. Conclusion: This preliminary study concluded that the prevalence of stunting is high among indigenous children in a single community in Malaysia.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087448","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

Severe hypothyroidism as the cause of rhabdomyolysis and acute kidney injury – a case report 严重甲状腺功能减退导致横纹肌溶解和急性肾损伤1例

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0019

Adam Rytel, Katarzyna Morawiec, Monika Kukawska-Rytel, Elżbieta Głuch, Stanisław Niemczyk

引用次数: 0

Epiglottic mass mimicking laryngeal carcinoma: a red herring 会厌肿块模拟喉癌:转移注意力

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0022

Jeeven Velayutham, Jeyasakthy Saniasiaya

引用次数: 0

Congenital hypertrophy and lymphedema of the right upper limb in a child 儿童右上肢先天性肥大和淋巴水肿

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0020

Jose Maria Pereira de Godoy, Ana Carolina Pereira de Godoy

引用次数: 0

The impact of childhood febrile urinary tract infection on urinary tract dilation in ultrasonography 小儿热性尿路感染对超声检查尿路扩张的影响

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0016

Magdalena Okarska-Napierała, Katarzyna Karpierz, Przemysław Bombiński, Piotr Majcher, Adam Waszkowski, Ernest Piotr Kuchar

{"title":"The impact of childhood febrile urinary tract infection on urinary tract dilation in ultrasonography","authors":"Magdalena Okarska-Napierała, Katarzyna Karpierz, Przemysław Bombiński, Piotr Majcher, Adam Waszkowski, Ernest Piotr Kuchar","doi":"10.15557/pimr.2023.0016","DOIUrl":"https://doi.org/10.15557/pimr.2023.0016","url":null,"abstract":"Introduction and objective: Febrile urinary tract infection in a child may be the first manifestation of congenital anomalies of the kidneys and the urinary tract. Renal and bladder ultrasonography remains the first-line imaging modality in children with urinary tract infections. Urinary tract dilation found on ultrasonography prompts further invasive diagnosis; however, when performed in the acute phase of infection, it may potentially reveal misleading findings. Our study investigated whether acute urinary tract infection is associated with urinary tract dilatation and kidney oedema on ultrasonography. Materials and methods: We included 62 children up to 3 years of age with the first episode of febrile urinary tract infection in this prospective cohort study. We performed three ultrasonography examinations in each child: on the first day of the treatment, as well as two and four weeks after treatment onset. We scanned 124 kidneys. Results: The number of kidneys with urinary tract dilation has not significantly changed in consecutive ultrasound examinations. However, both renal length and width increased in the acute phase of urinary tract infection, correlating with symptom duration and C-reactive protein levels, and then subsided within 2–4 weeks. Conclusions: Febrile urinary tract infection does not significantly affect the results of renal and bladder ultrasonography for congenital anomalies of the kidneys and the urinary tract in children up to 3 years old. Kidneys are often involved in children with febrile urinary tract infections. Repeated ultrasound scans before further, more invasive diagnosis are recommended.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087452","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

Dysbiosis and allergy as a background of chronic rhinosinusitis in preschool children 学龄前儿童慢性鼻窦炎的生态失调和过敏背景

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0011

Katarzyna Molińska, Paweł Majak

{"title":"Dysbiosis and allergy as a background of chronic rhinosinusitis in preschool children","authors":"Katarzyna Molińska, Paweł Majak","doi":"10.15557/pimr.2023.0011","DOIUrl":"https://doi.org/10.15557/pimr.2023.0011","url":null,"abstract":"Allergic diseases and chronic inflammatory diseases of the respiratory system, such as asthma or chronic rhinosinusitis, continue to pose a real challenge to modern medicine. The causes of the growing problem generated by these diseases is thought to be in the interaction of genes and the environment. In the light of current knowledge, it seems that the environmentally dependent interaction between the airway microbiota ecosystem and the epithelium is able to shape the functions of the local immune system, producing a number of molecular and clinical consequences. In this paper, an attempt was made to describe the role of microbiota composition disorders (dysbiosis) of the upper respiratory tract and allergies in the development of chronić rhinosinusitis in children. The research results obtained in a Polish cohort of young children diagnosed with chronic rhinosinusitis with or without concomitant asthma are summarised. Some of the children presented with features of secondary dysbiosis, which was associated with sensitisation to house dust mite allergens. It was noted that frequent courses of antibiotic therapy correlated with microbiota dysfunction, reducing biodiversity. It was also observed that patients suffering from asthma had specific dysbiosis in the upper respiratory tract. It is characterised by an altered proportion between the main types of bacteria and is expressed by a reduced Patescibacteria/Actinobacteria ratio, constituting an independent factor of asthma in the study group, similar to atopy and reduced perception of the sweet taste. An attempt was also made to identify possible therapeutic and prophylactic interventions to treat and prevent dysbiosis in children suffering from chronic rhinosinusitis.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135087445","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

Congenital torticollis in an infant 婴儿先天性斜颈

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0023

Priyantha Pang, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah

引用次数: 0

House dust mite allergy may increase the severity of chronic rhinosinusitis in preschool and early school-age children 屋尘螨过敏可增加学龄前和学龄早期儿童慢性鼻窦炎的严重程度

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0013

Katarzyna Molińska, Marta Latek, Paweł Majak

{"title":"House dust mite allergy may increase the severity of chronic rhinosinusitis in preschool and early school-age children","authors":"Katarzyna Molińska, Marta Latek, Paweł Majak","doi":"10.15557/pimr.2023.0013","DOIUrl":"https://doi.org/10.15557/pimr.2023.0013","url":null,"abstract":"Introduction and objective: Chronic rhinosinusitis is often diagnosed in the paediatric population. The pathogenesis of the condition is a complex and not fully understood process involving disorders of the immune system, allergies, and environmental and social aspects. The study aimed to determine the clinical, immunological, and microbiological factors influencing the clinical course of chronic rhinosinusitis in preschool and early school-age children. Materials and methods: This cross-sectional study included one hundred and eleven children aged 4–8 years, with chronic rhinosinusitis diagnosed by otolaryngologists. The following procedures were performed in each patient: a standardised SN-5 (Sinus and Nasal Quality of Life Survey) questionnaire, a questionnaire evaluating the applied treatment, skin prick tests with inhaled allergens, and nasopharyngeal swab for microbiome analysis. Results: The univariate regression analysis found that children who had previously attended nursery, children who were allergic to perennial allergens and house dust mites, and children with atopy, demonstrated more severe symptoms of chronic rhinosinusitis (SN-5 >3.6 pts). The multivariate model confirmed that the only independent factor for a more severe course of chronic rhinosinusitis (odds ratio, OR = 4.1; 95% confidence interval, 95% CI: 1.4–11.9; p = 0.007) was the children’s allergy to house dust mites. Conclusions: House dust mite allergy may increase the severity of chronic rhinosinusitis in young children, which justifies an attempt to implement additional recommendations for the treatment of allergic inflammation.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088596","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

Congenital ureteral valve as a diagnostically challenging congenital ureteral defect 先天性输尿管瓣膜作为先天性输尿管缺损的诊断挑战

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-08-28 DOI: 10.15557/pimr.2023.0018

Joanna Cybulska, Beata Jurkiewicz, Joanna Samotyjek

引用次数: 0

Influenza complications among patients attending family practitioner practice 参加家庭医生执业的病人的流感并发症

IF 3.6

Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine Pub Date : 2023-06-30 DOI: 10.15557/pimr.2023.0006

Aneta Elżbieta Rzepka, A. Mania

{"title":"Influenza complications among patients attending family practitioner practice","authors":"Aneta Elżbieta Rzepka, A. Mania","doi":"10.15557/pimr.2023.0006","DOIUrl":"https://doi.org/10.15557/pimr.2023.0006","url":null,"abstract":"Introduction: Influenza is an acute viral disease of the respiratory system. Its course can be complicated, particularly in seniors, young children or patients with chronic conditions. Common complications include pneumonia, exacerbation of chronic diseases, heart muscle involvement, and neurologic disorders. This paper analyses the frequency and factors contributing to the development of influenza complications in primary healthcare patients. Materials and methods: The study enrolled a total of 631 adult patients who visited a family physician complaining of respiratory tract infections from January 2019 to April 2020 in the Family Doctor’s Clinic in Gostyń, Greater Poland Province. Of them, 90 patients were diagnosed with influenza. The data sources included patient interviews, physical examinations, results of additional tests, and the patients’ medical files. The diagnosis of influenza was based on the accepted clinical criteria, i.e. a sudden onset of fever + ≥1 clinical symptom in the respiratory system + ≥1 general systemic symptom, lasting <72 hours and confirmed with an Actim Influenza A&B test (Medix Biochemica). Results: Complications of influenza were noted in 13 patients (14%), compared to 77 uncomplicated cases. Four patients required hospital admission. The diagnosed complications included secondary bacterial infection of the lower respiratory tract (61%), exacerbation of chronic diseases (31%), and myocarditis (8%). In logistic regression analysis, asphyxia, wheezing, and crackles were linked to a higher risk of complicated influenza. Conclusions: Complicated influenza occurs significantly more often in patients with multiple comorbidities, including obesity, thyroid diseases, and liver diseases. Clinical symptoms related to the risk of complications include asphyxia, wheezing, and crackles.","PeriodicalId":42380,"journal":{"name":"Pediatria i Medycyna Rodzinna-Paediatrics and Family Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46481899","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