Pediatrics & therapeutics : current research最新文献

{"title":"Iatrogenic Vascular Injury: Arteriovenous Fistula in NICU Neonates","authors":"Keon-Kuk Kim, S. Choi, J. Kang, YoungSoon Chun, Y. Chung, H. Park, Jun Hyoub Lee, Y. Park, Young Hoon Kim","doi":"10.4172/2161-0665.1000346","DOIUrl":"https://doi.org/10.4172/2161-0665.1000346","url":null,"abstract":"Purpose: Invasive treatments have increased the risks of iatrogenic vascular injuries in neonates. Acute complications, such as thrombosis, rupture and pseudoaneurysm, require accurate diagnosis and prompt correction. In arteriovenous fistulas (AVFs) identified in time, some resolve spontaneously whereas others progress and cause major problems; potential growth disturbances and limb discrepancies. The paper is to evaluate the timing of surgery based on considerations of operation risk and expected clinical course in AVF neonates.Methods: We reviewed the charts of 2776 neonates admitted to the neonatal intensive care unit of the Department of Pediatrics of GMC over the 7-year period (Jan 2010-2017).Results: Eight (4 males, 4 females) had vascular lesions (0.29%). Mean gestational age was 196.4 days (range, 179-218 days), mean birth weight 985 g (range, 690-1340 g), mean gestational age at operation 352 days (range, 95-679 days), mean weight at operation 1825 g (range, 1230-2700 g), and mean time between diagnosis of fistula and operation 308 days (range, 41-646 days). Definite limb size discrepancy on simple radiographs was identified in 3 patients operated upon more than 1 year after being diagnosed with AVF. In 2 neonates aged between 6 months and 1 year, leg edema was evident and resolved postoperatively. In 3 neonates with simultaneous fistulas in both thighs, surgical correction was preferred for ipsilateral lesions with intense bruit on auscultation. Contralateral small fistulas resolved spontaneously in these 3 neonates within 6 months of initial AVF diagnosis.Conclusion: Early surgery should not be considered mandatory in all AVF neonates, based on considerations of long-term sequelae, the potential for iatrogenic injury to normal vascular structures and the wide-spectrum of clinical courses. Modulation of operative timing within the 6 months following diagnosis is reasonable as it does not increase risks of permanent impairment or sequela and can avoid unnecessary surgery.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"8 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477590","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":"Repurposing common Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) could potentially reverse intrinsic drug resistance in superbugs","authors":"pFahad Alsufayanp","doi":"10.4172/2161-0665-C11-080","DOIUrl":"https://doi.org/10.4172/2161-0665-C11-080","url":null,"abstract":"","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"08 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70488487","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":"Effectiveness of Behaviour Modification Strategies in School Going Children for Specific Classroom Behaviour","authors":"Ashu Sharma, Mandar Malawade, S. Shrikhande","doi":"10.4172/2161-0665.1000347","DOIUrl":"https://doi.org/10.4172/2161-0665.1000347","url":null,"abstract":"Background: It has been seen that normal children have some behavioural problems that may affect their academic performance, despite of having no disability. The prevalence of such behaviour problems in children is alarmingly high. The number of affected children and adolescents is still staggering. Specially, in set ups where, there are very less number of teachers available for students, who are unable to pay attention on these behavioural issues of children. Thus, these problems are been overlooked, which in long run can create difficulties in shaping the future of the children. Hence, there is a need to pay attention by helping the children with the behavioural problems. There are some studies which show that behaviour therapy works to change problematic behaviours in children. Thus these strategies will help the children to change their specific behavioural problems and adapt to the social environment more efficiently.Methodology: 78 participants were examined for the study. Their particular problematic behaviours were selected and the interventions for them were set. Intervention was given for a period of 8 weeks, twice per week and the session lasted for a period of 40-45 minutes. Daily assessment was taken on time sampling and frequency recording forms. Behaviour Modification was applied.Results: Baseline data of Time sampling and frequency recording was collected and recorded on the first day before starting the intervention then at fourth week and then at eighth week. The results for the study were analysed through comparison of the results at baseline, fourth week and eighth week readings. The percentage increase or decrease in the behaviours was recorded according to the time sampling and frequency recordingConclusion: Behaviour Modification Strategies are effective technique to reduce problem behaviours shown by students in the classroom.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"15 2 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477630","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":"Parent Satisfaction of Occupational Therapy Interventions for Pediatrics","authors":"Caitlin M Moll, Meghan N Billick, K. Valdes","doi":"10.4172/2161-0665.1000340","DOIUrl":"https://doi.org/10.4172/2161-0665.1000340","url":null,"abstract":"Purpose: This review seeks to identify the tools used to determine parent satisfaction with OT interventions for a variety of pediatric conditions. The purpose of this review was to explore whether the research on the effectiveness of OT interventions for children has addressed the important concept of parent satisfaction. There is limited OT research that evaluates parent satisfaction in pediatrics. Greater parent satisfaction with OT services results in better treatment adherence for pediatric care.Design: A scoping review.Methods: Five studies met the inclusion criteria. In total, there were 139 participants within the five studies that were examined. Five studies explored parent satisfaction as an outcome measure of OT interventions for pediatric populations. Assessment methods and findings were extracted from the selected studies. Information regarding the assessment tools used to determine parent satisfaction was extracted. Also extracted were the results of the satisfaction assessments used by the studies.Results: The study designs included four qualitative studies and one randomized control trial. Tools used to measure parent satisfaction, included the MPOC-20, MPOC-56, COPM, GAS and the CSQ. Best practice for OT's include, facilitating goal setting with clients and communicating efficiently with parents, allowing them to ask questions for comprehension of the clinical aspects, explaining the child's procedures and providing follow up time to discuss improvements or setbacks.Conclusion: The studies reviewed suggest there may be value in understanding parent consideration and working as a cohesive, interdisciplinary team for the overall benefit of a child.Discussion: To provide optimal holistic care to pediatric patients, cooperation with the parents can be an asset to the therapeutic process. Parents can be OTs advocates regarding health care for their children.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"8 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477500","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":"Survival Status and Predictors of Neonatal Mortality among Neonates Who were Admitted in Neonatal Intensive Care Unit at Arba Minch General Hospital, Southern Ethiopia","authors":"Samuel Dessu, Feleke Gebremeskel, G. Alemu, Busera Seman","doi":"10.4172/2161-0665.1000352","DOIUrl":"https://doi.org/10.4172/2161-0665.1000352","url":null,"abstract":"Background: Neonatal mortality is the death of new-born occurring within the 28th day of life. Almost 2/3rd of infant deaths occur in the 1st month of life, among these, more than 2/3rd dies in their 1st week and among those also, 2/3rd dies in their 1st 24 hours. The objective of this study was to assess the survival status and predictors of Neonatal mortality among Neonates admitted in the Neonatal intensive care unit of Arba Minch General Hospital, Southern Ethiopia.Method: A retrospective cohort study was conducted among 332 selected Neonates who were admitted in Neonatal intensive care unit at Arba Minch General Hospital. Data were collected from randomly selected charts using computer-generated random numbers. Data were entered into Epi-info version 3.5.1 and exported to SPSS V 23 for analysis. The Kaplan Meier survival curve together with log-rank test was fitted to test the survival time. Statistically, significance was declared at p-value 12 hours before delivery (AHR:2.6; 95% CI: 1.28, 5.34), Mother who gave birth order 2-4 (AHR:2.5; 95% CI:1.21, 5.34), Mothers who have birth order >5 (AHR: 7.1; 95% CI:3.54, 14.42) and neonates who have 5th minute APGAR score 12 hours, Birth order and APGAR score were the independent predictors of Neonatal mortality.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"08 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477966","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":"Nutritional Assessment Practices among Health Care Workers at the Pediatric Emergency Unit at Kenyatta National Hospital","authors":"Nelly T Ndiema, J. Mutai, D. Makworo","doi":"10.4172/2161-0665.1000348","DOIUrl":"https://doi.org/10.4172/2161-0665.1000348","url":null,"abstract":"","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"08 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477179","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":"Acute Uncomplicated Appendicitis and Umbilical Hernia in Children: Open Umbilical Appendectomy an Alternative to the Laparoscopic Approach","authors":"Tembely Samba, D. Silvia, Dieth Atafy Gaudens","doi":"10.4172/2161-0665.1000351","DOIUrl":"https://doi.org/10.4172/2161-0665.1000351","url":null,"abstract":"Introduction: Due to the lack of popularization of laparoscopy in our context, we performed umbilical appendectomies, when the diagnosis of acute appendicitis was done on patients presenting an umbilical hernia. The aim of our study was to describe this umbilical approach and to report treatment outcomes in comparison with laparoscopic appendectomy in the literature.Patients and method: This was a prospective and analytical study taking place over 18 months. The study took place in two private hospitals in Abidjan (Cote d’Ivoire). Studied parameters were: the size of the umbilical hernia collar, the localization of the appendix, the duration of the intervention, the food recovery, the hospital stay, and the postoperative complications.Results: Mean collar size was 24.2 ± 16.9 mm [extreme 5-65 mm]. The appendix was in the iliac position in (n=57; 80.2%) patients. Umbilical appendectomy (UA) was performed in all patients. All patients had an umbilical hernia cure. The mean duration of the procedure was 46 ± 9.7 minutes [range 34-72 minutes]. Food recovery occurred on day one postoperative in (n=68, 95%). Mean hospital stay was 2 ± 0.2 days [range 1-3 days].Conclusion: Umbilical appendectomy has many advantages. It could thus be an alternative to laparoscopy in our context.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"08 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477908","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":"Early Use of Vojta Therapy in Children with Postural Asymmetry, at Risk of Hip Dysplasia","authors":"Artur Polczyk","doi":"10.4172/2161-0665.1000339","DOIUrl":"https://doi.org/10.4172/2161-0665.1000339","url":null,"abstract":"Hip dislocation occurs in 1.5% of new-born babies. Symptoms of dysplastic hip are often connected with infant’s asymmetrical body posture, psychomotor delay and muscular tone dysfunction. Orthopedic supplies improve the positioning of the femur head in acetabulum but do not solve or even make worse the asymmetry, support functions and muscle tonus problems. This study presents 3 different cases of patients with such symptoms which has the Vaclav Vojta neurophysiological stimulation as based or supplemental treatment. The results are supported by ultrasonographic studies and evaluation of the spontaneous motility of the child in subsequent weeks of treatment. The use of the Vojta method is a helpful complement to the treatment of dislocated, unstable and dysplastic hips.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"8 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70477423","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":"Growth faltering: Role of insulin like growth factors","authors":"pSangita Yadavp","doi":"10.4172/2161-0665-C9-074","DOIUrl":"https://doi.org/10.4172/2161-0665-C9-074","url":null,"abstract":"","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"08 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70488672","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":"Comparison of Patient Outcome Measures between a Traditional Teaching Hospitalist Service and a Non-Teaching Hospitalist Service at an Academic Children's Hospital.","authors":"Tony R Tarchichi,&nbsp;Jessica Garrison,&nbsp;Kwonho Jeong,&nbsp;Anthony Fabio","doi":"10.4172/2161-0665.1000336","DOIUrl":"https://doi.org/10.4172/2161-0665.1000336","url":null,"abstract":"<p><strong>Background and objectives: </strong>Inpatient pediatric care is increasingly provided by pediatric hospitalists. This, in addition to changes in resident duty hour restrictions, has led to the creation of new models of care for inpatient pediatric patients. The objective of this study was to compare traditional outcome measures between a pediatric hospitalist-only service and a more traditional academic service in which care was provided by pediatric hospitalists, residents, and medical students. Attending physicians on the hospitalist-only service had an average of 1.7 years of post-residency experience compared to an average 16 years of experience for those working on the traditional academic service.</p><p><strong>Methods: </strong>This retrospective cohort study (hospitalist-only v. teaching service) used electronic medical records data of patients (n=1,059) admitted to a quaternary care, academic, children's hospital in Pittsburgh Pennsylvania with diagnoses of bronchiolitis, viral syndrome, and gastroenteritis from July 2011 to June 2014. Primary outcome measures included length of stay, hospital costs, and readmission rates.</p><p><strong>Results: </strong>Patients with a diagnosis of bronchiolitis admitted to the hospitalist-only service had a significantly higher severity-of-illness-score than those admitted to the teaching service. A decreased length of stay and lower hospital costs were seen for patients admitted to the hospitalist-only service; however, these differences did not reach a level of statistical significance.</p><p><strong>Conclusion: </strong>There were no statistically significant differences in the outcome measures of patients with common pediatric illnesses admitted to a hospitalist-only versus a teaching hospitalist service. The model of a hospitalist-only service staffed by recent residency graduates may provide an efficient and effective model of care as patients admitted to this service had similar outcome measures to those patients cared for by more-experienced attending physicians.</p>","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0665.1000336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35754495","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}