ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-12-01DOI: 10.5402/2011/651749
V Bonetti, C M F Mangia, J M F Zuza, M O Barcelos, M M S Fonseca, S P Nery, J T A Carvalhaes, M C Andrade
{"title":"Hemolytic-Uremic Syndrome in Uberlândia, MG, Brazil.","authors":"V Bonetti, C M F Mangia, J M F Zuza, M O Barcelos, M M S Fonseca, S P Nery, J T A Carvalhaes, M C Andrade","doi":"10.5402/2011/651749","DOIUrl":"10.5402/2011/651749","url":null,"abstract":"<p><p>Purpose. To analyze the epidemiological, clinical, and laboratory characteristics of hemolytic-uremic syndrome (HUS) in Uberlandia, MG, Brazil. Methods. A historical cohort study was performed encompassing a ten-year period from January 1994 to January 2004 in the Department of Pediatric Nephrology at a full-service hospital; demographic factors, triggering factors, time of hospitalization, supportive therapy, and disease progression were analyzed. Results. Twenty-seven children aged 5 to 99 months (median age of 14 months) were studied; 70.4% were male. Of the 27 patients, 77.8% were from urban areas and 18.5% were from rural areas. Eight of the patients (29.6%) were reported to drink raw milk, and clinical diarrhea was reported in 81.5% of cases. The most common signs and symptoms were fever and vomiting (85.1%), anuria (63.0%), seizure (33.0%), cardiac involvement (11.0%), and acute pulmonary edema (7.4%). Dialysis was performed on 20 patients (74%). The mean hospital stay was 24 days (range: 13 to 36 days). While monitoring the patients, 2 died (7.4%), 3 developed chronic kidney disease (11.0%), and 21 (77.8%) developed hypertension. Conclusion. Our results emphasize the possibility of diagnosing HUS as a cause of renal failure in childhood in both typical (postdiarrheal) and atypical forms and suggest that an investigation of the etiological agent should be made whenever possible.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"651749"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-04-05DOI: 10.5402/2011/219287
Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Roya Oboodi, Mahmood Haghighat
{"title":"The comparative study of the effectiveness of cimetidine, ranitidine, famotidine, and omeprazole in treatment of children with dyspepsia.","authors":"Seyed Mohsen Dehghani, Mohammad Hadi Imanieh, Roya Oboodi, Mahmood Haghighat","doi":"10.5402/2011/219287","DOIUrl":"https://doi.org/10.5402/2011/219287","url":null,"abstract":"<p><p>Background. Functional dyspepsia is a common chronic disorder with non specific upper abdominal pain or discomfort. Different approaches with anti-secretory, spasmolytic, prokinetic and anti-inflammatory effects and most preferably reduction of visceral hypersensitivity seem logical. In this study, we compared the effectiveness of the four most drugs used for treatment of dyspepsia in children. Methods. 169 patients between 2 to 16 years old that 47.3% was male and 52.7% was female were enrolled in this clinical trial study by the diagnosis of functional dyspepsia. Then for each patient one of the drugs; Omeprazole, Famotidine, Ranitidine or Cimetidine was administered, for a period of 4 weeks. Patients were followed after 2 and 6 weeks from the beginning of the treatment. Results. The distribution of drugs between these patients were including; 21.9% with Cimetidine, 21.3% with Famotidine, 30.8% with Omeperazole and 26% with Ranitidine that the proportion of patients with all symptoms relief were: 21.6% for Cimetidine, 44.4% for Famotidine, 53.8% for Omeprazole and 43.2% for Cimetidine (P = .024). In followups within 2 and 6 weeks after beginning medical therapy, no side effects due to drugs were seen. Conclusion. If a cure is defined as all symptoms relief after a period of 4 weeks treatment, our findings showed that Omeperazole are superior to Ranitidine, Famotidine, and Cimetidine for management of functional dyspepsia.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"219287"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/219287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30506336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-09-25DOI: 10.5402/2011/273938
Donald P Oswald, Joann N Bodurtha, Janet H Willis, Donna L Gilles, Lillian M Christon, Paula L Ogston, Susan M Tlusty
{"title":"Disparities in the Clinical Encounter: Virginia's African American Children with Special Health Care Needs.","authors":"Donald P Oswald, Joann N Bodurtha, Janet H Willis, Donna L Gilles, Lillian M Christon, Paula L Ogston, Susan M Tlusty","doi":"10.5402/2011/273938","DOIUrl":"https://doi.org/10.5402/2011/273938","url":null,"abstract":"<p><p>This study analyzed Virginia data from the most recent National Survey of Children with Special Health Care Needs. Logistic regression models were run for six Maternal and Child Health Bureau core outcomes and included demographics, child characteristics, health care providers, and health care access variables as predictors. Race/ethnicity disparities were judged to be present if the race/ethnicity variable was a significant predictor in the final model. Examining the components of disparate outcomes, African American children were found to be less likely than their white counterparts to have a usual source for sick and preventive care and to have a personal doctor or nurse. Their parents were less likely to say that doctors spent enough time, listened carefully, were sensitive to values and customs, and made them feel like a partner. These findings emphasize the need to examine health care disparities at a state level in order to guide efforts at remediation.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"273938"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To explore the experiences of women on reasons in initiating and maintaining breastfeeding in urban area of karachi, pakistan: an exploratory study.","authors":"Zahra Shaheen Premani, Zohra Kurji, Yasmin Mithani","doi":"10.5402/2011/514323","DOIUrl":"https://doi.org/10.5402/2011/514323","url":null,"abstract":"<p><p>This is an exploratory study that explores the experiences of lactating women in initiating, continuing, or discontinuing breastfeeding in an urban area of Karachi, Pakistan. Objectives. To explore the experiences of lactating women and to understand their support and hindering mechanisms in initiating and maintaining breastfeeding. Methods. This is an exploratory design assisting in exploring the participant's experiences of initiating and maintaining breastfeeding to better understand their world. Purposive sampling was used, and data was analyzed through manual thematic analysis. Results. The data revealed that mother's knowledge, sociocultural environment, breastfeeding decision, and self- and professional support acted as driving forces for the participants. However, sociocultural environment, physiological changes, time management, and being a housewife to breastfeed their children were all challenges and barriers that the participants thought hindered their breastfeeding initiation and maintenance. Conclusion. Breastfeeding is a natural but taxing phenomenon, and breastfeeding mothers experience supporting and hindering factors in initiating and maintaining breastfeeding.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"514323"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/514323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-04-05DOI: 10.5402/2011/365712
V Moeeni, A S Day
{"title":"Impact of Inflammatory Bowel Disease upon Growth in Children and Adolescents.","authors":"V Moeeni, A S Day","doi":"10.5402/2011/365712","DOIUrl":"10.5402/2011/365712","url":null,"abstract":"<p><p>The inflammatory bowel diseases (IBDs) are chronic inflammatory processes affecting the gastrointestinal tract. When diagnosed in childhood and adolescence, IBD almost always impacts adversely upon the nutritional state of the patient. Weight loss and impaired linear growth may be present at diagnosis or subsequently. Further potential nutritional consequences in childhood IBD include malnutrition, anaemia, osteopaenia, and delayed puberty. Understanding the nutritional aspects of IBD is paramount in growing children, especially those entering and advancing through puberty. This paper focuses upon the nutritional impacts of IBD in children and adolescents.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"365712"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-08-03DOI: 10.5402/2011/678070
Adel Ismail, Tariq O Abbas, Fawziya Al-Khalaf
{"title":"Needle in a haystack-parathyroid gland in a 10-day old infant: a case report and literature review.","authors":"Adel Ismail, Tariq O Abbas, Fawziya Al-Khalaf","doi":"10.5402/2011/678070","DOIUrl":"https://doi.org/10.5402/2011/678070","url":null,"abstract":"<p><p>Neonatal severe primary hyperparathyroidism (NSPHT) is a rare autosomal recessive disorder of calcium homeostasis. It presents shortly after birth and is characterized by striking hyperparathyroidism, marked hypercalcemia, and hyperparathyroid bone disease. It is caused by mutations of the calcium-sensing receptor (CASR), the ionized calcium sensor for the parathyroid cells, the parafollicular thyroid C cells, and the kidney epithelium, as well as cells in bone and intestine. Without early intervention, which frequently requires surgical removal of the hyperplastic parathyroids, the patients often succumb to complications of hypercalcemia and respiratory failure. Finding the parathyroid gland in small neonates is not an easy task. Here we report on a patient with neonatal hyperparathyroidism who was treated by total parathyroidectomy and discuss the various ways of helping to find the parathyroid glands during surgery at this young age.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"678070"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/678070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-10-25DOI: 10.5402/2011/709653
Ashraf Tashakori, Razieh Afkandeh
{"title":"Prevalence of ADHD Symptoms amonge Male Preschoolers Based on Different Informants in Ahvas City of Iran.","authors":"Ashraf Tashakori, Razieh Afkandeh","doi":"10.5402/2011/709653","DOIUrl":"https://doi.org/10.5402/2011/709653","url":null,"abstract":"<p><p>Background. This cross-sectional study evaluated rate of reported ADHD symptoms among male preschoolers in Ahvaz by different informants and rate of their agreement. Method. One hundred ninety-two 5-6-year old boys from nine kindergartens in Ahvaz were selected. Teacher and parents' Conners ADHD rating scales were used. Findings. For 133 children, questionnaires were returned. Prevalence of children with positive questionnaire was 24.06%, with only parent questionnaire was 4.51%, with only teacher questionnaire was 17.29%, and with both informants was 2.25%. Teacher-parent agreement was low (P = 0.0001). Conclusions. ADHD symptoms are frequently reported by informants and may be more reported by teachers than parents and teacher-parent agreement may be low. Interview with different informants and observation of child behavior are needed for documentation of diagnosis.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"709653"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2010-12-29DOI: 10.5402/2011/182964
Paulina Cybulska, Andy Ni, Carolina Jimenez-Rivera
{"title":"Viral hepatitis: retrospective review in a canadian pediatric hospital.","authors":"Paulina Cybulska, Andy Ni, Carolina Jimenez-Rivera","doi":"10.5402/2011/182964","DOIUrl":"https://doi.org/10.5402/2011/182964","url":null,"abstract":"<p><p>Introduction. Clinical presentation of viral hepatitis ranges from mild symptoms to fulminant hepatitis. Our aim is to describe clinical presentation and outcomes of children with viral hepatitis from the Eastern Ontario/Western Quebec regions of Canada. Methods. Retrospective chart review of children diagnosed with viral hepatitis at our institution from January 1, 1998, to December 31, 2007. Results. There were 261 charts reviewed, only 64 had a confirmed viral etiology: 34 (53%) hepatitis B (HBV), 16 (25%) hepatitis C (HCV), 4 (6.3%) hepatitis A (HAV), 7 (11%) cytomegalovirus (CMV), and 3 (4.7%) Epstein-Barr virus (EBV). Children with HBV presented at a mean age of 6.4 ± 4.6 years. Spontaneous seroconversion (appearance of HBVeAb and loss of HBVeAg) occurred in 21/34 (61.7%). Children with acute hepatitis (HAV, CMV, and EBV) presented with mild abdominal pain, jaundice, and fevers. Overall outcome was excellent. Conclusion. Acute and chronic hepatitis in children has a benign course; moreover, HBV spontaneous seroconversion is common in pediatric patients.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"182964"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/182964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30556937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-12-08DOI: 10.5402/2011/258640
Ruth Wolf
{"title":"How pediatricians can deal with children who have been sexually abused by family members.","authors":"Ruth Wolf","doi":"10.5402/2011/258640","DOIUrl":"https://doi.org/10.5402/2011/258640","url":null,"abstract":"<p><p>The present paper discusses children who have been the victims of sexual abuse in their own family. It focuses on the special role of pediatricians and medical staff in identifying such children and providing them with initial assistance by reporting the situation to the authorities. The first part of the paper surveys the short- and long-term effects of childhood sexual abuse, including the physical and emotional impact of sexual exploitation and severe neglect. This section discusses the symptoms shown by abused children, and how they express and deal with their trauma. It is extremely important for pediatricians to be sensitive to the possibility of patients being abused at home, as this is an area still largely regarded as a societal taboo. Also included in this section a discussion of the effects that are manifested when the victim has grown to adulthood, such as personality disorders. The second part of the paper deals with how pediatricians must act when they encounter such a situation in which they suspect sexual abuse in the family. They should strive to identify the problem and bring it to the attention of the authorities. Discovery of the problem is the most vital part of the path to the victim's recovery. The paper also discusses the aspect of treatment, advising doctors who encounter this problem on ways of dealing with it.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"258640"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN pediatricsPub Date : 2011-01-01Epub Date: 2011-03-29DOI: 10.5402/2011/453271
Steven M Zangan, David K Yousefzadeh
{"title":"Salt losing obstructive uropathy with paradoxically low urinary sodium concentration: salt entrapment in an obstructed ectopic ureterocele.","authors":"Steven M Zangan, David K Yousefzadeh","doi":"10.5402/2011/453271","DOIUrl":"https://doi.org/10.5402/2011/453271","url":null,"abstract":"<p><p>A 6-month-old hyponatremic female with failure to thrive had low urinary sodium concentration. Renal sonography revealed a duplex left collecting system with obstruction of the upper moiety as a blind-ended ectopic ureterocele extending to the bladder base. The echogenicity of the urine within the upper pole system was greater than the bladder contents. We believed that low urinary sodium concentration represented a false negative test and the salt loss by the obstructed left kidney was entrapped in the upper pole collecting system. Prior to ureterocele repair, intraoperative bladder and ureterocele aspirates revealed discordant sodium concentration supporting the sonographic conclusion.</p>","PeriodicalId":73521,"journal":{"name":"ISRN pediatrics","volume":"2011 ","pages":"453271"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/453271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30505259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}