Academic journal of pediatric and neonatology最新文献_第6页

PICU Follow Up- The Impact of Missed School Following Critical Illness PICU随访-重病后缺课的影响

Academic journal of pediatric and neonatology Pub Date : 2019-01-04 DOI: 10.19080/ajpn.2019.07.555770

K. Kastner

引用次数: 1

Is It Necessary to Measure T4 In Screening of Congenital Hypothyroidism in Preterm Infants? 筛查早产儿先天性甲状腺功能减退症是否需要测量T4？

Academic journal of pediatric and neonatology Pub Date : 2018-11-30 DOI: 10.19080/ajpn.2018.07.555768

M. Fallahi

{"title":"Is It Necessary to Measure T4 In Screening of Congenital Hypothyroidism in Preterm Infants?","authors":"M. Fallahi","doi":"10.19080/ajpn.2018.07.555768","DOIUrl":"https://doi.org/10.19080/ajpn.2018.07.555768","url":null,"abstract":"Introduction: Immaturity of hypothalamus-pituitary-thyroid axis in preterm infants causes the low level of thyroxin hormone and hypothyroxinemia of prematurity (HOP). In our country, Iran TSH that is measured by filter paper is the only laboratory test for screening of hypothyroidism and the missing of the HOP is concerning. This research was done to evaluate the rate of HOP. Material and Methods: This prospective-descriptive study was conducted in 2017 in our hospital. In the participants included preterm infants with gestational age ≤34 weeks or birth weights ≤2000 grams, measurement of TSH and T4 were done by blood sampling instead of filter paper and the values of thyroid function tests were analyzed. Results: low levels of T4 were observed ( 14.2% related to HOP and 10.3% belonged to hypothyroidism).In comparisons the values of T4 in both of sampling: in 24 cases (11.8%) persistent hypothyroxinemia ,26(12.8%) delayed hypothyroxinemia and in 29(14.2%) transient forms of hypothyroxinemia were detected. Conclusion: Our research resulted that the rate of HOP is remarkable and measurement of T4 in the screening of preterm infants is recommended.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46664873","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 Prospective, Randomized, Double Blind Study to Evaluate and Compare the Efficacy of Lidocaine, Granisetron and Magnesium Sulphate Pre-Medication, along with Venous Occlusion, in Attenuating the Pain caused due to Propofol Injection 一项前瞻性、随机、双盲研究，旨在评估和比较利多卡因、格拉司琼和硫酸镁在用药前以及静脉闭塞术中减轻异丙酚注射引起的疼痛的疗效

Academic journal of pediatric and neonatology Pub Date : 2018-11-19 DOI: 10.19080/ajpn.2018.07.555767

Tantry Tariq Gani

引用次数: 0

Characterization of Infections Associated with Health Care in Pediatrics Bogotá 2017 与儿科保健相关的感染特征bogot<e:1> 2017

Academic journal of pediatric and neonatology Pub Date : 2018-10-15 DOI: 10.19080/ajpn.2018.07.555766

M. Mejía

引用次数: 0

Rate of Spontaneous Resolution of Idiopathic Ileocolic Intussusception 特发性肠绞痛肠套叠的自发消退率

Academic journal of pediatric and neonatology Pub Date : 2018-08-17 DOI: 10.19080/ajpn.2018.07.555763

Roben Ecz

引用次数: 3

Noma Neonatorum Caused by Acinetobacter Sepsis in a Premature Baby 早产儿不动杆菌败血症致新生儿诺玛病

Academic journal of pediatric and neonatology Pub Date : 2018-08-14 DOI: 10.19080/ajpn.2018.07.555762

Ş. Yılmaz

{"title":"Noma Neonatorum Caused by Acinetobacter Sepsis in a Premature Baby","authors":"Ş. Yılmaz","doi":"10.19080/ajpn.2018.07.555762","DOIUrl":"https://doi.org/10.19080/ajpn.2018.07.555762","url":null,"abstract":"We admitted a female twin delivered at 31weeks’ gestation in another hospital referred to our hospital. Apgar scores were 6-7-7 at 1-5-10mins, and the weight was 1260g. On examination, baby have mild respiratory distress, cardiac auscultation was normal, neonatal reflexes mildly depressed. Other systemic examinations were remarkable. The baby was stabilized with continuous positive airway pressure (CPAP) with PEEP 6 and was transferred to the neonatal intensive care unit (NICU). Compled blood cell (CBC), biochemistry analysis, C-reactive protein (CRP), procalsitonin, blood culture was taken, and the baby was treated empirically with ampicillin and gentamicin. Cranial ultrasound revealed grade 2 intraventricular hemorrhage. On day 6 she developed increasing respiratory distress and hypotension. A sepsis evaluation was performed including blood cultures, and a CBC had a hemoglobin of 16.1g/dl, platelets of 43,000mm3 and a white blood cell count of 33.860/l with 74.3% segmented neutrophils, 15.5% lymphocytes, 5.9% monocytes, 3.9% eosinophils. CRP elevated 205mg/L (normal range <5mg/L), and procalcitonin levels was 36.8ng/ml (normal range <0.05ng/ml). Treatment changed with vancomycin, meropenem, colisitine and liposomal amphotericin B. Pentoxifyline added her treatment. On day 8 a pustular rash appeared in the anal regions and the general condition of the patient has deteriorated. In addition, she developed severe hypotension necessitating pressor support with dopamine, dobutamine, epinephrine and norepinephrine. Blood culture result of multi drug resistant A. baumannii and antibiotic sensitivity test was performed which showed A. baumannii sensitive to only ciprofloxacin, tetracycline and colisitine. Based on the culture and sensitivity test ciprofloxacin added the treatment. Supportive treatments were added fresh frozen plasma, thrombocytes and erythrocytes product packets. Swabs were taken from the pharynx, the rectum, and both eyes and were found as a negative. On day 9 the perianal and genital region was also erythematous and edematous around the necrotic center (Figure 1).","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43344495","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

Level of Micronutrient [zinc] and its Association with Seizures in Children: A Case Control Study 儿童微量营养素[锌]水平及其与癫痫发作的关系：一项病例对照研究

Academic journal of pediatric and neonatology Pub Date : 2018-08-12 DOI: 10.19080/AJPN.2018.07.555765

J. Allam, Rajesh Kurmi, Roshan Ara, S Kumar

{"title":"Level of Micronutrient [zinc] and its Association with Seizures in Children: A Case Control Study","authors":"J. Allam, Rajesh Kurmi, Roshan Ara, S Kumar","doi":"10.19080/AJPN.2018.07.555765","DOIUrl":"https://doi.org/10.19080/AJPN.2018.07.555765","url":null,"abstract":"Objective: To determine the levels of serum zinc in children with febrile seizures when compared to children with fever without seizures and compare the levels of serum zinc in children with seizure due to CNS with febrile seizures and febrile children without seizures. Methods: This was an observational case control study. Total 150 children of age Group6-60 months were included in study. 2 ml of blood from venipuncture within 24 hours of contact of patient in both the groups. Estimation of serum zinc was done within 6 hours of collection. Results: Mean age of presentation in febrile seizures (GROUPA) was 22.14±15 months, 24.26±17.2 months in CNS infections (GROUPB) and 21.16±16.77 months control (GROUPC). Thus, most of the patients fall in age Group< 2 years. Males predominated in present study with male female ratio of 2.9:1. Mean serum zinc level in febrile seizure (case) was 37.31±17.68μgm/dl with lowest 14.3μgm/dl and highest 98μgm/dl and in CNS infections was 55.54±22.82μgm/dl was observed. Thus, febrile seizures cases n= 45(90%), CNS infections n=33(66%) has biochemical hypozincemia i.e. serum zinc less than 65μgm/dl. Conclusion: In febrile seizures and seizures due to CNS infection zinc deficiency could be a potential risk factor.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42363360","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: 3

Neonatal Microbiome- can we Interfere? 新生儿微生物群——我们能干预吗?

Academic journal of pediatric and neonatology Pub Date : 2018-07-19 DOI: 10.19080/ajpn.2018.07.555760

T. Nikolić

{"title":"Neonatal Microbiome- can we Interfere?","authors":"T. Nikolić","doi":"10.19080/ajpn.2018.07.555760","DOIUrl":"https://doi.org/10.19080/ajpn.2018.07.555760","url":null,"abstract":"There is increasing body of evidence that microbiome is a major factor determining our health. In growing infants, dysbiosis can lead susceptibility of infections (especially necrotic enterocolitis), colic and general digestive discomfort. Also, dysbiosis is implicated in lifelong health, by increasing the risk of a wide range of diseases and medical conditions including allergy, autoimmune diseases, cardiovascular and metabolic diseases, digestive disorders, even psychological disorders such as autism, anxiety and depression. Early infancy is an important window for establishing host-microbiome interactions. Intestinal colonization is initiated as early as during fetal life and continues during delivery and early infancy. Among the most important factors that influence early colonisation are the mode of delivery and the gestational age of the newborn. During early infancy, there is a range of other very important factors that are implicated in the development of gut microbiome, such as duration of breastfeeding, infections and antibiotic use, as well as several environmental factors (family size, cultural and geographical influences, early exposure to animals). Better understanding of factors dictating early colonization can point out some possibilities to interfere during that critical period and enable wellbeing throughout the entire life.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42886665","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

Successful Treatment of Two Children’s with Refractory Immune Thrombocytopenic Purpura with Eltrombopag Eltrombopag成功治疗2例儿童难治性免疫性血小板减少性紫癜

Academic journal of pediatric and neonatology Pub Date : 2018-07-10 DOI: 10.19080/ajpn.2018.07.555758

B. Yılmaz

引用次数: 0

Effect of Heat Killed Probiotic and Wheat Bran on Gastrointestinal Symptoms in Hemodialysis Children 热杀益生菌和麦麸对血液透析患儿胃肠症状的影响

Academic journal of pediatric and neonatology Pub Date : 2018-07-09 DOI: 10.19080/ajpn.2018.06.555757

D. Mohammed

引用次数: 0