{"title":"Management of Aplastic Anaemia in a 15-year Old Boy with Down Syndrome in a Low Resource Setting","authors":"Tallal Hussain","doi":"10.33552/gjpnc.2019.01.000518","DOIUrl":"https://doi.org/10.33552/gjpnc.2019.01.000518","url":null,"abstract":"We present a case report of idiopathic aplastic anaemia (AA) in a 15-year old Sudanese boy with Down syndrome (47XY, 21+ in all metaphases). AA is rare in Down syndrome with 10 cases published in the literature. The patient presented with a history of mouth mucosal bleeding, pallor and fever. His full blood count (FBC) showed pancytopenia and a bone marrow biopsy confirmed the finding of a hypocellular bone marrow. A diagnosis of AA in this child with Down syndrome was made based on the presentation and investigations. Other differentials were considered and excluded. He was treated with regular packed red blood cell and platelet transfusions because of the lack of facilities for bone marrow transplant (BMT). He was started on Deferasirox (Exjade) for high serum ferritin. He passed away four weeks after starting Exjade with severe sepsis. The rationale for reporting this case is to highlight AA in the differential diagnosis of anemia in a child with Down’s syndrome and to describe the restricted options available in a resource-poor setting. It also highlights the possible role of Deferasirox (Exjade) for treatment of pancytopenia in AA.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44130082","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}
{"title":"Investigating A Child with Failure to Thrive, How Vigilante We Should Be?","authors":"Amar Al-Shibli, AmAbdulla Al Amri","doi":"10.33552/GJPNC.2019.01.000517","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000517","url":null,"abstract":"It is essential to determine if FTT truly is present by using the appropriate growth centile charts and make sure that the child growth parameters are going within the same centile overtime. Some children may require special charts or considerations when using the standard charts like those with chromosomal abnormalities or those with special consideration include children who are chronically immobilized, such as those who have severe neuromotor disabilities.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45695791","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}
{"title":"Quality of Movement and Spontaneous Use of The Affected Upper Limb In 8-Year-Old Infantile Hemiplegia After Applying Mirror Therapy. Case Series","authors":"R. Carrión","doi":"10.33552/GJPNC.2019.01.000516","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000516","url":null,"abstract":"Introduction: Children with hemiplegia is a type of Cerebral Palsy where the function of the upper limb is disturbed, with limitation of function in it. The affected hand common characteristics are slowness, abnormal muscle tone, decreased strength and coordination difficulties. And to these problems are often added sensitivity alterations and mirror movements. One of the main problems of hemiplegia is the alteration of bimanual manipulation Based on the concept of mirror neurons, Mirror Therapy (MT) is applied to increase the affected upper limb function. Objective: To assess the increase in the quality of movement and spontaneous use of the affected upper limb in congenital infantile hemiplegia with 8 years old after applying a Mirror Therapy protocol. Materials and Methods: 4 children (8 years old) diagnosed with right congenital infantile hemiplegia are recruited to execute a Mirror Therapy protocol for 5 weeks, 15 minutes per day. Two measurements are carried out for the variables of quality of movement and spontaneous use of the affected upper limb. Results: Increased 5% for spontaneous use assessed with the Shriners Hospital Upper Extremity Evaluation, Shuee Evaluation and 6.5% for the quality of movement measured through the Quality of Upper Extremity Skills Test, Quest scale, produced by a higher score in the final situation of the dissociated movements (increase 11%). Conclusion: Mirror Therapy performed in a time of 15 minutes per day for 5 weeks of treatment would allow improvements in spontaneous use and the quality of movement of the affected upper limb in children diagnosed with congenital infantile hemiplegia with an age of 8 years old.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42061839","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}
{"title":"Assessment of Spontaneous Use and Experience of Use of The Affected Upper Limb in 6-Year-Old Infantile Hemiplegia After Applying Combined Intensive Therapy. Case Series","authors":"R. Carrión","doi":"10.33552/GJPNC.2019.01.000515","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000515","url":null,"abstract":"Introduction: Children with hemiplegia do not use the affected upper limb. This disuse of the upper limb is known as “Disregard development.” Therefore, therapy should create the opportunity, experience and environment in which a child can learn to use the affected member. Being the modified Constraint Induced Movement Therapy (mCIMT) and the Bimanual Intensive Therapy carried out at home. Objective: To assess the increase in spontaneous use of the affected upper limb in congenital hemiplegia childhood 6-10 years with low hand performance after applying a combined intensive therapy protocol. Method: 3 children (6 years old) diagnosed with congenital infantile hemiplegia are recruited to execute a 100-hour combined intensive therapy protocol. 3 measurements are carried out for the variables of spontaneous use and the experience of use of the upper limb. Results: Increased spontaneous use of 24 AHA units, measured with the Assisting Hand Assessment (AHA) scale after the end of the protocol and for the experience of use of the upper limb, measured by Children’s HandUse Experience Questionnaire (CHEQ) increases of 11.67 activities executed with both hands. Conclusion: Children with congenital infantile hemiplegia with low hand performance could obtain a greater increase in spontaneous use executing a protocol of combined intensive therapy.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48436348","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}
{"title":"Spanish-Language Cross-Cultural Validation of the Bimanual Fine Motor Function Classification System, BFMF 2","authors":"R. Carrión","doi":"10.33552/GJPNC.2019.01.000513","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000513","url":null,"abstract":"","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48374958","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}
{"title":"‘’ZINC ‘’ The Friendly and Forgotten Micronutrient","authors":"K. Yaqob","doi":"10.33552/GJPNC.2019.01.000512","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000512","url":null,"abstract":"A syndrome called Zinc Deficiency Dwarfism was first described in a group of children in the Middle East with low level of zinc in their hair, poor appetite, diminished taste acuity, hypogonadism, and short stature [1]. In developing countries, zinc supplementation can reduce morbidity and mortality among children from diarrhea and pneumonia, and zinc can enhance growth [1]. Prevalence of zinc deficiency is highly noticed in populations with high rates of stunting. Other contributing factors that can lead to zinc deficiency include inadequate zinc intake in complementary feeding or general diet, sever infection, lack of zinc in total parenteral nutrition and in premature infants fed human milk without fortification [1].","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48506566","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}
{"title":"Is it Time to Begin Prenatal/Neonatal Screening for Autism Risk?","authors":"S. Crawford","doi":"10.33552/GJPNC.2019.01.000514","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000514","url":null,"abstract":"Epidemiological data showing an alarming increase in the incidence of autism in North America, Europe and many other parts of the world are no longer news. Fortunately, these distressing statistics have prompted new research on the causes of autism and the implementation of community programs that offer early diagnosis and intervention tools. Yet another critical approach, that may not get the attention it deserves, is autism prevention. The ability to mitigate autism risk factors based on an understanding of the cause and effect basis of this disorder would have the potential to dramatically impact its incidence. Ultimately, this is the only way in which the rising statistical tide of autism incidence can be thwarted.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48825718","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}
{"title":"Malnutrition in Developing Countries, From Undernutrition to Obesity!","authors":"A. Shibli, Haydar Jawad Al Rufaye","doi":"10.33552/GJPNC.2019.01.000511","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000511","url":null,"abstract":"","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46056000","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}
{"title":"Congenital CMV Infection and Brain Pseudocysts","authors":"G. Mohanram, G. Aaron","doi":"10.33552/GJPNC.2019.01.000510","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000510","url":null,"abstract":"Cytomegalovirus is the commonest cause of congenital infection worldwide causing serious disease in newborns resulting in lifelong neurological impairment. It is the leading infectious cause of hearing loss in children. It causes brain injury due to direct cytopathic effects causing neuronal lysis and indirectly due to immune mediated damage and hypoxic brain damage secondary to placental insufficiency. It affects all cell types, but it shows neurotropism and has a predilection for neural stem cells and progenitor cells. It is estimated to affect 1000 babies every year in UK and has enormous economic impact. It is estimated to cost the United Kingdom 750 million pounds every year. CMV can also cause miscarriage, still birth, preterm birth and it is implicated in sensorineural hearing loss, cerebral palsy, epilepsy, autism spectrum disorder etc.","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47609018","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}
P. Ramachandran, S. Tseng, Kenneth E. Mah, Jonathan W. Byrnes
{"title":"Stress Cardiomyopathy Due to Status Epilepticus After Fontan Procedure","authors":"P. Ramachandran, S. Tseng, Kenneth E. Mah, Jonathan W. Byrnes","doi":"10.33552/GJPNC.2019.01.000509","DOIUrl":"https://doi.org/10.33552/GJPNC.2019.01.000509","url":null,"abstract":"Preeti Ramachandran1, Stephanie Y Tseng2,3, Kenneth E Mah2,3 and Jonathan W Byrnes2,3,4* 1Division of Pediatric Cardiology, Department of Pediatrics, Kentucky Children’s Hospital, University of Kentucky, Kentucky 2Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, USA 3The Heart Institute, Division of Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, USA 4Department of Pediatrics, University of Alabama Birmingham, Birmingham, USA","PeriodicalId":87261,"journal":{"name":"Global journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46052610","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}