Sudanese journal of paediatrics最新文献_第2页

Spinal dural arteriovenous fistula in a child: a rare presentation. 小儿硬脊膜动静脉瘘：罕见的表现。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1748905758

Mesha L Martinez, Philippe Gailloud

引用次数: 0

Premature monozygotic twins with congenital diaphragmatic hernia: a case report. 早产同卵双胞胎合并先天性膈疝1例。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1746615665

Muhammet Zahit Koyuncu, Ayşegül Aşkın, Hüseyin Altunhan, Nuriye Emiroğlu, Canan Kocaoğlu

{"title":"Premature monozygotic twins with congenital diaphragmatic hernia: a case report.","authors":"Muhammet Zahit Koyuncu, Ayşegül Aşkın, Hüseyin Altunhan, Nuriye Emiroğlu, Canan Kocaoğlu","doi":"10.24911/SJP.106-1746615665","DOIUrl":"10.24911/SJP.106-1746615665","url":null,"abstract":"Congenital diaphragmatic hernia (CDH) is a severe developmental anomaly with variable clinical outcomes, influenced by factors such as liver herniation, pulmonary hypertension and associated anomalies. While familial clustering of CDH has been described, its occurrence in monozygotic twins remains rare. We report the case of premature monozygotic female twins diagnosed prenatally with left-sided CDH, delivered at 30 weeks and 1 day of gestation due to maternal haemolysis, elevated liver enzyme levels and low platelet levels syndrome. Both infants required immediate intubation and surgical correction. Twin A had no liver herniation or pulmonary hypertension and was discharged on day 66 with a relatively uncomplicated course, despite an episode of ileus that resolved conservatively. In contrast, Twin B presented with liver herniation, persistent pulmonary hypertension of the newborn (PPHN), and a haemodynamically significant patent ductus arteriosus (PDA). Despite PDA ligation, pulmonary pressures remained elevated, and cardiac catheterisation revealed left pulmonary artery stenosis. Twin B also experienced reherniation of abdominal organs, necessitating a second diaphragmatic repair, and was discharged after 224 days with home oxygen therapy. This report illustrates the divergent clinical trajectories of genetically identical infants with CDH and highlights liver herniation, PPHN and vascular anomalies as key prognostic factors. It underscores the importance of early prenatal diagnosis, individualized perinatal management and the potential need for genetic evaluation in twin CDH cases.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981929","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}

引用次数: 0

Gradual painless angulation of forearm in a young boy. 小男孩前臂逐渐无痛成角。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1743136777

Gokull Perumalsamy, Sarala Premkumar, Mahesh Janarthanan

引用次数: 0

A challenging diagnosis in a Down syndrome child presenting with hemiparesis: atlantoaxial subluxation. 一个具有挑战性的诊断唐氏综合症儿童呈现偏瘫：寰枢半脱位。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1736272418

Talha Ustuntas, Saliha Yavuz Eravcı, Burcu Calıskan, Ahmet S Guven, Huseyin Caksen

{"title":"A challenging diagnosis in a Down syndrome child presenting with hemiparesis: atlantoaxial subluxation.","authors":"Talha Ustuntas, Saliha Yavuz Eravcı, Burcu Calıskan, Ahmet S Guven, Huseyin Caksen","doi":"10.24911/SJP.106-1736272418","DOIUrl":"10.24911/SJP.106-1736272418","url":null,"abstract":"Atlantoaxial subluxation (AAS), while uncommon in the general population, occurs more frequently in children with Down syndrome (DS). This association is attributed to the presence of connective tissue laxity, which affects approximately 15%-20% of individuals with DS. A 12-year-old female patient with known classical DS presented to a healthcare institution with complaints of vomiting and inability to walk. Physical examination revealed moderate to severe intellectual disability and limited verbal communication. Facial features included DS characteristics such as low-set ears and a flattened nasal bridge. Neurologic examination demonstrated weakness in the left upper and lower limbs (1-2/5 on muscle strength testing), increased deep tendon reflexes on the left side, and an extensor plantar response (Babinski sign). Neuroimaging studies revealed no cranial abnormalities. Brain MRI, however, demonstrated an increased atlantoaxial joint distance (10 mm) on the sagittal image, suggestive of AAS. Additionally, the MRI showed anterior compression of the odontoid process on the spinal cord, indicating potential for spinal cord compression. While cerebrovascular events are the most common cause of hemiparesis, health professionals should keep in mind AAS as a potential culprit in patients with DS with limited communication and cognitive abilities. In such cases, prompt investigation and evaluation are essential, as early surgical intervention can significantly improve outcomes and prevent permanent neurological damage. This case highlights the importance of considering the specific needs and challenges faced by patients with DS in the diagnostic and therapeutic process.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735974","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}

引用次数: 0

Knowledge and attitude regarding breastfeeding among antenatal mothers. 产前母亲对母乳喂养的知识和态度。

Sudanese journal of paediatrics Pub Date : 2025-01-01 DOI: 10.24911/SJP.106-1738522449

Ekansh Rathoria, Richa Rathoria, Utkarsh Bansal, Anjana Agarwal

{"title":"Knowledge and attitude regarding breastfeeding among antenatal mothers.","authors":"Ekansh Rathoria, Richa Rathoria, Utkarsh Bansal, Anjana Agarwal","doi":"10.24911/SJP.106-1738522449","DOIUrl":"10.24911/SJP.106-1738522449","url":null,"abstract":"Breastfeeding knowledge and attitude are absolutely necessary for antenatal mothers. This study aimed to assess antenatal mothers' breastfeeding knowledge and attitudes and their association with sociodemographic characteristics. This cross-sectional study was done among antenatal mothers using semi-structured interviewer-administered questionnaire. Twenty-four knowledge-related questions scored one mark for each correct response and zero for incorrect. Scores achieved between 17-24, 9-16, and 0-8 were grouped as adequate, average, and inadequate knowledge, respectively. For assessing attitude, on the Iowa Infant Feeding Attitudes Scale, 17 questions were graded on a 5-point Likert scale ranging from 1 to 5. Scores achieved between 70-85, 49-69, and 17-48 were grouped as positive about breastfeeding, neutral, and positive about formula feeding, respectively. Descriptive statistics and chi-square tests were used to analyze data. The p-value = 0.040). Breastfeeding knowledge was inadequate in more than one-third of the expectant women which signifies the importance of scaling up the counseling about the advantages and management of breastfeeding.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"25 1","pages":"24-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981858","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}

引用次数: 0

Establishing the Saudi pediatric and youth diabetes registry: initial data and challenges. 建立沙特儿童和青少年糖尿病登记册：初始数据和挑战。

Sudanese journal of paediatrics Pub Date : 2024-01-01 DOI: 10.24911/SJP.106-106-1715756287

Mohammed Al Dubayee, Fahad Al Juraibah, Haifa Alfaraidi, Suliman Alghnam, Raed Aldahash, Najya Attia, Adnan Al Shaikh, Abdelhadi Habeb, Aida Al Jabri, Abdullah Al Zaben, Mohsen Al Atawi, Angham Al Mutair, Muhammed Alamri, Omar Aldibasi, Ibrahim Al Alwan, Amir Babiker

{"title":"Establishing the Saudi pediatric and youth diabetes registry: initial data and challenges.","authors":"Mohammed Al Dubayee, Fahad Al Juraibah, Haifa Alfaraidi, Suliman Alghnam, Raed Aldahash, Najya Attia, Adnan Al Shaikh, Abdelhadi Habeb, Aida Al Jabri, Abdullah Al Zaben, Mohsen Al Atawi, Angham Al Mutair, Muhammed Alamri, Omar Aldibasi, Ibrahim Al Alwan, Amir Babiker","doi":"10.24911/SJP.106-106-1715756287","DOIUrl":"10.24911/SJP.106-106-1715756287","url":null,"abstract":"The Saudi National Diabetes Registry focuses mainly on adult patients. In 2020, the National Guard Health Authority (NGHA) launched the Saudi Pediatric and Youth Diabetes Registry (SPYDR), for children and adolescents with diabetes. This report is about the first data and the challenges we faced during SPYDR initiation. Patients were identified from the electronic medical records of the Saudi NGHA hospitals using the International Classification of Disease (ICD-10). A trained coordinator verified the diagnosis and entered patients' details into the registry and a random sample was validated by experienced endocrinologists. The data were analyzed according to patients' demography, diabetes subtypes, duration, control, and complications. The challenges faced by the team were identified and addressed. At the time of manuscript submission, 2,344 individuals were enrolled. Their mean age at diagnosis was 9.08 (±4.27) years and 1,136 (48.46%) were females. Of these, 91.3% have type 1 (T1D), and 6.4% have type 2 diabetes (T2D). The mean HbA1c was 10.45% (±2.36) and duration of diabetes was 5.31 (±3.05) years. The main challenges included the COVID-19 pandemic, data validation, and centers' participation. However, within 12 months of initiation enrolled subjects matched the expected number. Despite the challenges, the first step of SPYDR was achieved. The initial data confirmed that T1D is the most common form of childhood diabetes, and the frequency of T2D is comparable to regional and international data. SPYDR provides the infrastructure for data sharing and collaborative research with the enrollment of patients from other Saudi healthcare institutes.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"24 1","pages":"10-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478109","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}

引用次数: 0

Rare manifestations of sarcoidosis in a young boy. 一名小男孩肉样瘤病的罕见表现。

Sudanese journal of paediatrics Pub Date : 2024-01-01 DOI: 10.24911/SJP.106-1681705847

Sarah Nalliannan, Shyamala Jayamoorthy, Mahesh Janarthanan

引用次数: 0

Neonatal pseudo-hypoaldosteronism type 1 with a novel NR3C2 gene variant. 新生儿假性低醛固酮增多症1型伴新型NR3C2基因变异

Sudanese journal of paediatrics Pub Date : 2024-01-01 DOI: 10.24911/SJP.106-1671202254

Zakaria Barsoum

引用次数: 0

Non-compaction cardiomyopathy and visceral leishmaniasis: uncommon combination with therapeutic challenges in a resource limited-setting. 非压实性心肌病和内脏利什曼病：在资源有限的情况下罕见的联合治疗挑战。

Sudanese journal of paediatrics Pub Date : 2024-01-01 DOI: 10.24911/SJP.106-1613306345

Faiza Salman Mahmmoud Mohammed

引用次数: 0

Linear growth and neurobehavioural outcome in preterm neonates (<34 weeks) at term corrected gestational age: a prospective observational study. 足月校正胎龄早产儿（<34周）的线性生长和神经行为结局：一项前瞻性观察研究

Sudanese journal of paediatrics Pub Date : 2024-01-01 DOI: 10.24911/SJP.106-1726049982

Mahmood Dhahir Al-Mendalawi

引用次数: 0