International Journal of Contemporary Pediatrics最新文献_第2页

Septic arthritis following mumps in a case of steroid dependent nephrotic syndrome: a case report 一例类固醇依赖性肾病综合征患者因流行性腮腺炎引发的化脓性关节炎：病例报告

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240352

Karan J. Bhoomraddi, Vaishnavi G. Koshatwar, P. Inamdar, Rajesh Rai, R. Naulakha

引用次数: 0

A study of level of procalcitonin as marker of early onset sepsis in neonates 将降钙素原水平作为新生儿早期败血症标志物的研究

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240344

Arpita K. Patel, Jigar P. Anadkat, Nirali J. Mehta

{"title":"A study of level of procalcitonin as marker of early onset sepsis in neonates","authors":"Arpita K. Patel, Jigar P. Anadkat, Nirali J. Mehta","doi":"10.18203/2349-3291.ijcp20240344","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240344","url":null,"abstract":"Background: Neonatal sepsis is one of the commonest causes of morbidity and mortality. It is one of the four leading causes of morbidity and mortality in India. The purpose of this study was to evaluate the levels of procalcitonin as a rapid diagnostic test, to identify those with infection as soon as possible, and to classify them into definitive, clinical, or no sepsis. The rise in Procalcitonin levels in the neonate with sepsis is very rapid. Hence, it can be used for the diagnosis of early onset neonatal sepsis. Objectives were to estimate the concentration of Procalcitonin for diagnosis of early onset neonatal sepsis and to compare the Procalcitonin levels amongst 3 categories of neonatal sepsis (definite, clinical and no sepsis).\u0000Methods: This is a hospital based analytical prospective study.\u0000Results: 104 babies with early onset sepsis were included in the study from the NICU in tertiary health care center. Procalcitonin is positive in 69 (66.35%) and negative in 35 (33.65%). Out of the total 69 neonates with Procalcitonin positive, 42 (60.8%) neonates are preterm and 27 (39.1%) are term neonates. Out of the total 35 neonates with Procalcitonin negative, 24 (68.5%) neonates are preterm and 11 (31.4%) are term neonates. There was no sepsis observed in 57 (54.8%) of cases, clinical sepsis was observed in 34 (32.6%) of cases and definite sepsis was observed in 13 (12.5%). The mean value of level of Procalcitonin in different categories of sepsis as determined from the data is 3.27 ng/ml in cases of No sepsis, 11.79 ng/ml in cases of clinical sepsis and 17.2 ng/ml in cases of definitive sepsis.\u0000Conclusions: Procalcitonin has good sensitivity and hence can detect most cases of neonatal sepsis and good negative predictive value. Procalcitonin contributes more significantly to the diagnosis of newborn septicemia when paired with additional testing and helps in identifying the categories of sepsis in neonates.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438837","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

Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study 口腔保健专业人员对注意力缺陷多动障碍儿童口腔保健的看法：横断面问卷调查研究

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240345

Sanika Karmarkar, S. Hugar, Chandrashekhar M. Badakar, Niraj S. Gokhale, Bhuvanesh N. Bhusari, Krishna S Kadam

{"title":"Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study","authors":"Sanika Karmarkar, S. Hugar, Chandrashekhar M. Badakar, Niraj S. Gokhale, Bhuvanesh N. Bhusari, Krishna S Kadam","doi":"10.18203/2349-3291.ijcp20240345","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240345","url":null,"abstract":"Background: Attention deficit hyperactivity disorder is one of the most common psychiatric disorders that affects both children and adults and is characterized by inattention, hyperactivity, and impulsivity. Around 9% of worlds’ child population and 20% of India’s is affected by ADHD. A child with ADHD can often have neglected or poor oral hygiene. Attending to the dental treatment of such children can be a challenging task for dentists. The aim of the study was to assess the knowledge, attitude, and practices of oral health care towards children with ADHD among oral health professionals.\u0000Methods: The study was carried out among 151 oral health professionals using a validated questionnaire. The results were tabulated in an excel sheet and analysed using SPSS software version 22.0.\u0000Results: It was found that among the participants, 71.52% had knowledge scores below the mean knowledge score, while 74.83% had attitude scores below the mean and likewise, 53.64% had practice scores below the mean practice scores. A positive correlation was found between knowledge, attitude, and practice by Karl Pearson’s correlation coefficient with a highly statistically significant p value of 0.0001 (p<0.05). This signified low knowledge correlated with less positive attitude leading to poor practices.\u0000Conclusions: Majority of the participating professionals perceive that their training did not prepare them well to treat ADHD affected children. However, practice levels were better among those with more years of experience.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440810","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

LATCH score: a tool for identification and correction of breastfeeding problems in a tertiary care hospital of North Karnataka LATCH 评分：北卡纳塔克邦一家三级护理医院用于识别和纠正母乳喂养问题的工具

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240343

Keerti Halgar, Roopa B. Mangshetty, Apurva A. B.

{"title":"LATCH score: a tool for identification and correction of breastfeeding problems in a tertiary care hospital of North Karnataka","authors":"Keerti Halgar, Roopa B. Mangshetty, Apurva A. B.","doi":"10.18203/2349-3291.ijcp20240343","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240343","url":null,"abstract":"Background: Breastfeeding, a vital childhood intervention, faces challenges despite being a natural process. Factors such as maternal confidence, latching issues, breast pain, perceived milk insufficiency, and inadequate encouragement contribute to early discontinuation. Assessing breastfeeding in postpartum mothers prior to discharge is important for successful breastfeeding. The LATCH charting system designed by Jensen et al was used to assess the score. Objectives were to determine early breastfeeding problems using LATCH score and to study the impact of breastfeeding supportive measures on LATCH score.\u0000Methods: Hospital-based prospective observational study was conducted among 100 mothers who delivered in hospitals attached to Mahadevappa Rampure Medical College, Kalaburagi. The LATCH score was assessed twice, first within 24 hrs after birth and second 48 hrs after intervention.\u0000Results: Good LATCH score was found among the rural mothers, multiparous mothers and those who had a normal vaginal delivery. After providing breastfeeding support, a majority (81%) of the mothers transitioned from poor or moderate to a good LATCH score group. The overall mean LATCH score increased from 5.83±1.64 to 9.31±1.5 following intervention. Improvement was seen in all the individual components of LATCH.\u0000Conclusions: This LATCH assessment tool can identify mothers and infants who are at risk of early breastfeeding cessation and serve as a guide to initiate appropriate intervention.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441785","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

A mysterious hematochezia in an adolescent boy: atypical presentation of childhood systemic lupus erythematosus 一名青春期男孩的神秘血尿：儿童系统性红斑狼疮的非典型表现

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240353

Abhik Paul, Sandeep Ghosh, Saherin Jesmin, Sananda Pati

{"title":"A mysterious hematochezia in an adolescent boy: atypical presentation of childhood systemic lupus erythematosus","authors":"Abhik Paul, Sandeep Ghosh, Saherin Jesmin, Sananda Pati","doi":"10.18203/2349-3291.ijcp20240353","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240353","url":null,"abstract":"Thrombosis is a well-known entity in presence of antiphospholipid antibody (APLA) associated with systemic lupus erythematosus (SLE) as a hematological complication. Bleeding manifestations instead of thrombosis is hardly found in literature in presence of APLA seromarkers in SLE. Since these can range from minor bleeding like epistaxis to major life-threatening intracranial bleeding, early diagnosis and prompt treatment is essential to manage such condition. We report a 12 years old boy with no significant past history presented with hematochezia and epistaxis along with pallor requiring blood transfusion. Hematological investigations were normal except for elevated PT, aPTT and INR. Common causes of coagulopathy were ruled out. Upon suspecting systemic diseases, the investigations were carried out which revealed ANA 4+ along with high titre of dsDNA, low C3 and C4 complement and positive anti-β2 glycoprotein, anticardiolipin antibody and lupus anticoagulant. Diagnosis of SLE was made according to ACR-EULAR criteria with no renal involvement. Immunological basis was considered for coagulopathy in this child. He was started on oral prednisolone, hydroxychloroquine and methotrexate. He is now under close monitoring of the coagulation profile for titration of steroid dose. We want to create awareness about the uncommon hematological manifestation of SLE presenting as bleeding diathesis instead of thrombosis through this case report and that can be life threatening too if not treated promptly. A high index of suspicion and careful follow-up may help in preventing adverse outcome of the disease.\u0000 ","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439841","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

Excessive maternal iced-tea intake-reversible cause of premature ductus arteriosus constriction 产妇摄入过量冰茶--动脉导管早闭的可逆原因

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240350

Vilma Lopes, Joana Pinho, Beatriz Vieira, M. A. Rangel, Ana Carriço, António Vinhas

引用次数: 0

Comparative evaluation of novel tooth brushing with reminder therapy with conventional brushing techniques in children 新型刷牙提醒疗法与传统儿童刷牙技术的比较评估

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240342

S. S., J. Setty, Srikanth K. V., Smrithi Srinivasan, Ajith Kumar Haridasan, I. Srinivasan

{"title":"Comparative evaluation of novel tooth brushing with reminder therapy with conventional brushing techniques in children","authors":"S. S., J. Setty, Srikanth K. V., Smrithi Srinivasan, Ajith Kumar Haridasan, I. Srinivasan","doi":"10.18203/2349-3291.ijcp20240342","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240342","url":null,"abstract":"Background: Dental caries and periodontal diseases are the most prevalent oral diseases in the children. Dental plaque is the main contributing agent for these oral diseases. Tooth brushing is considered to be one of the most efficient ways of maintaining the oral hygiene. Often, it is noted that certain areas of oral cavity and surfaces of the teeth are brushed more, while the other areas are neglected. With this background, we have designed a novel technique of tooth brushing with reminder therapy.\u0000Methods: Oral examination of 180 children aged between 6-12 years was done and Oral Hygiene Index Simplified, Turesky-Gilmore-Glickman modification of Quigley-Hein Plaque Index, Modified Gingival Index were recorded. The children were randomly divided into three groups; Control group; Tooth brushing using Fones technique; Tooth brushing along with a reminder therapy (dantharaag: the tooth tune). Each group was taught their respective techniques and follow up was done at 15 and 45 days interval and all the indices were recorded. The data, thus collected was tabulated and subjected to analysis.\u0000Results: The results showed a reduction in the scores of OHI-S, TMQH and MGI in all the three groups during follow up visits. However, this difference was statistically significantly between the groups where, Group 2 was better than Group 1 and Group 3 was better than Group 1 and 2 by 45 days.\u0000Conclusions: In conclusion, Dantharaag: the tooth tune was readily accepted by children and showed better results in plaque reduction and oral hygiene improvement.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438082","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

Change in the trend of diet and lifestyle patterns among Indian children during COVID-19 confinement: a cross-sectional study COVID-19 禁闭期间印度儿童饮食和生活方式趋势的变化：一项横断面研究

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240348

Padma Yangdol, N. Kalra, R. Tyagi, A. Khatri, Deepak Khandelwal, Tavisha Goyal

{"title":"Change in the trend of diet and lifestyle patterns among Indian children during COVID-19 confinement: a cross-sectional study","authors":"Padma Yangdol, N. Kalra, R. Tyagi, A. Khatri, Deepak Khandelwal, Tavisha Goyal","doi":"10.18203/2349-3291.ijcp20240348","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240348","url":null,"abstract":"Background: To assess the change in the trend of diet and lifestyle behaviours during the COVID-19 pandemic in children and their association with various COVID-19-related consequences.\u0000Methods: A cross-sectional study that employed a structured 22-item questionnaire through teledentistry to 1500 children who previously visited the dental department of a tertiary hospital in Delhi. The dietary habits lifestyle changes (DHLC-COVID19) questionnaire, which was customized and validated for the study, and their COVID-19 related consequences were administered.\u0000Results: A statistically significant decreased intake of certain types of foods, high-carbohydrate snacks with a lower trend in snacking frequency was observed in children during COVID-19. The study investigated the association of variation of food intake in children i.e., ‘no consumption’ and ‘decreased consumption’ in relation to family members who lost their job during COVID-19 and depicted significant relation w.r.t families who got infected, lost their life during COVID-19. Determinants of these perceived changes were examined in multivariable regression models, Chi-square test and Mc Nemar test. Moreover, a significant change in lifestyle behaviours was also observed in children during COVID-19. The comparison of weight assessment during COVID-19 and performing/ engaging in physical activity during the period depicted that there was a statistically significant difference in proportion (p<0.05).\u0000Conclusions: This study provides evidence of the detrimental effects of COVID-19 be taken into consideration when developing and implementing public health policies to protect children's health both during and after the pandemic, especially among vulnerable youngsters on the social spectrum.","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441282","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

An interesting case of dengue masquerading a splenic brucellosis 一例有趣的伪装成脾脏布鲁氏菌病的登革热病例

International Journal of Contemporary Pediatrics Pub Date : 2024-02-22 DOI: 10.18203/2349-3291.ijcp20240355

Nimisha Sharma, Ryan Maclean D. Souza

引用次数: 0

Pleural effusion in a pediatric ward: clinical feature, etiology and outcome 儿科病房的胸腔积液：临床特征、病因和结果

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240085

Mohammad Ahad Adnan, M. D. Hossain, M. R. Haque, Tania Islam, Ifthakhar Ahmed, Uttam Kumar Datta

{"title":"Pleural effusion in a pediatric ward: clinical feature, etiology and outcome","authors":"Mohammad Ahad Adnan, M. D. Hossain, M. R. Haque, Tania Islam, Ifthakhar Ahmed, Uttam Kumar Datta","doi":"10.18203/2349-3291.ijcp20240085","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240085","url":null,"abstract":"Background: Pleural effusion is a common respiratory complication in children. We aimed to document clinical feature, etiology, biochemical parameters and outcome of the admitted children with pleural effusion.\u0000Methods: This cross-sectional study was conducted from January 2022 to June 2023 at pediatric ward of ICMH. All children from 6 months to 14 years presented with clinical features suggestive of pleural effusion and later supported by radiology and ultrasonography of chest either at presentation or owing to other systemic illness were enrolled. Children aged below 6 months, associated chronic illness and parental denial of giving consent were excluded. In indicated cases pleural fluid was tapped and sent to laboratory for physical, biochemical examination, staining, culture, GeneXpert, LDH and ADA assay. \u0000Results: Out of 43 children, 19 underwent pleural tap and rest were managed conservatively. Most of the children were in between 2 to 6 years. There were 22 male and 21 female. Unilateral effusion was found in 25 children and 18 children developed bilateral effusion. All the children had documented fever. Other symptoms were cough, respiratory distress, chest pain, weight loss, abdominal pain, jaundice and blood mixed sputum. Physical signs correlated classical effusion features. The etiologies included DF, TB, para-pneumonic effusion, empyema, nephrotic syndrome, malignancy, acute viral hepatitis, heart failure and acute pancreatitis. There was no mortality and long-term complication in non-malignant cases.\u0000Conclusions: DF outnumbered other causes of pleural effusion in recent times owing to recent Dengue outbreak. Tubercular effusion was leading cause among cases undergoing pleural tap. ","PeriodicalId":507602,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140495829","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