Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.204
Rex F Ijah, Datonye Briggs, F. Aaron, A. Alabi, Nwizor M Nkadam, Boma Ibiba Douglas, H. Bell-Gam
{"title":"Surgery at extremes of age: Awareness, attitude, and reasons for patients’ disposition in a tertiary health institution in Port Harcourt, Nigeria","authors":"Rex F Ijah, Datonye Briggs, F. Aaron, A. Alabi, Nwizor M Nkadam, Boma Ibiba Douglas, H. Bell-Gam","doi":"10.33545/26643685.2023.v6.i2a.204","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.204","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122462071","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}
Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.206
A. V. Pathare
{"title":"Improving the support for older adults in India: A multi-faceted approach for a better future","authors":"A. V. Pathare","doi":"10.33545/26643685.2023.v6.i2a.206","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.206","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122242953","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}
Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.212
Sara Elsayed Ali Abozaid, Mai Rabie Elsheikh, M. Mabrouk, Maher Ahmed Abd El Hafez
{"title":"Urinary calcium creatinine ratio in breast fed and artificial fed healthy infants","authors":"Sara Elsayed Ali Abozaid, Mai Rabie Elsheikh, M. Mabrouk, Maher Ahmed Abd El Hafez","doi":"10.33545/26643685.2023.v6.i2a.212","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.212","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365013","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}
Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.211
Maram A El Hassab, Ahmed AbdelBasset, Abo Elezz, Hossam Hodeib, Yousef Fouad Yousef
In the current study, we aimed to elaborate the utility of platelet indices as biomarkers for predicting critical illness and mortality in critically ill children. Two main groups were included; group I (patient group): Two hundred (200) critically ill children, group II: Two hundred (200) healthy children with comparable age and sex, were enrolled as a control group. All subjects were evaluated clinically and by CBC including platelet indices (MPV, PDW, and PCT). Patient group I were evaluated with SOFA and PRISM scores and subjected to full lab and other radiological and invasive procedures as indicated. Among 200 critically ill patient 33% of them died and 67% survived and were discharged. Interestingly, It was found that Platelet count and PCT were significantly lower in patient group as compared to the control group with p-value (< 0.001). Moreover, the non survivors of patient group showed significantly lower platelet count and PCT values than the survivors in the same group with p-value (< 0.001). In contrast, MPV and PDW were found to be significantly higher in patient group as compared to the control group with p-value (< 0.001), while, the survivors of patient group showed significantly lower MPV and PDW with p-value (< 0.001) Worthy noting that PCT was inversely related to PRISM and SOFA score while, MPV and PDW were directly related to PRISM and SOFA score. PDW was the most sensitive parameter to discriminate between patient and control group with sensitivity 96% while, PCT was the most specific parameter with 99% specificity. In addition, PCT was the most sensitive parameter to predict mortality in patient group with sensitivity 86.57%. Finally, MPV and PDW were the most specific parameters to predict mortality in patient group with specificity 87.88%. In conclusion , this study proved that platelet count and platelet indices are valid predictors for assessment of critical illness and PICU mortality.
{"title":"Platelet indices as a predictor of mortality in critically ill children","authors":"Maram A El Hassab, Ahmed AbdelBasset, Abo Elezz, Hossam Hodeib, Yousef Fouad Yousef","doi":"10.33545/26643685.2023.v6.i2a.211","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.211","url":null,"abstract":"In the current study, we aimed to elaborate the utility of platelet indices as biomarkers for predicting critical illness and mortality in critically ill children. Two main groups were included; group I (patient group): Two hundred (200) critically ill children, group II: Two hundred (200) healthy children with comparable age and sex, were enrolled as a control group. All subjects were evaluated clinically and by CBC including platelet indices (MPV, PDW, and PCT). Patient group I were evaluated with SOFA and PRISM scores and subjected to full lab and other radiological and invasive procedures as indicated. Among 200 critically ill patient 33% of them died and 67% survived and were discharged. Interestingly, It was found that Platelet count and PCT were significantly lower in patient group as compared to the control group with p-value (< 0.001). Moreover, the non survivors of patient group showed significantly lower platelet count and PCT values than the survivors in the same group with p-value (< 0.001). In contrast, MPV and PDW were found to be significantly higher in patient group as compared to the control group with p-value (< 0.001), while, the survivors of patient group showed significantly lower MPV and PDW with p-value (< 0.001) Worthy noting that PCT was inversely related to PRISM and SOFA score while, MPV and PDW were directly related to PRISM and SOFA score. PDW was the most sensitive parameter to discriminate between patient and control group with sensitivity 96% while, PCT was the most specific parameter with 99% specificity. In addition, PCT was the most sensitive parameter to predict mortality in patient group with sensitivity 86.57%. Finally, MPV and PDW were the most specific parameters to predict mortality in patient group with specificity 87.88%. In conclusion , this study proved that platelet count and platelet indices are valid predictors for assessment of critical illness and PICU mortality.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365151","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}
Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.213
Dr. Ifra Rasool, Dr. Audil Mateen, Dr. Areeba Afeeh, Dr. Harshvardhan Sharma
{"title":"To study knowledge, attitude & practices in management of Diarrhea in mothers of children under 5 attending OPD in ASCOMS Hospital","authors":"Dr. Ifra Rasool, Dr. Audil Mateen, Dr. Areeba Afeeh, Dr. Harshvardhan Sharma","doi":"10.33545/26643685.2023.v6.i2a.213","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.213","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365570","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}
Pub Date : 2023-07-01DOI: 10.33545/26643685.2023.v6.i2a.205
Khalid K Al-Aaraji, Ribal Nabih Kasem, Ahmed Mohammed Ali Mohsen Alhusseini, Sundos Jaber Kuder, D. M. Hamza
{"title":"The efficacy of pulmonary surfactant factor administration in preterm infants with grades I and II respiratory distress syndrome","authors":"Khalid K Al-Aaraji, Ribal Nabih Kasem, Ahmed Mohammed Ali Mohsen Alhusseini, Sundos Jaber Kuder, D. M. Hamza","doi":"10.33545/26643685.2023.v6.i2a.205","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i2a.205","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132739596","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}
Pub Date : 2023-01-01DOI: 10.33545/26643685.2023.v6.i1a.198
Ismail Sangadji, A. Khatibi, Norshafarina Shari, Jaqualine Tham S, Cicillia Windiyaningsih
The traditional method of swaddling is done with the arms and legs straightened and wrapped tightly with the hips in an addiction position. When swaddling is properly done, infants show less awakening and longer sleep, better neuromuscular development, less physiological stress, better motor organization, and better self-regulation abilities. Improper swaddling can result in conditions that are detrimental for newborns, like SIDS, DDH, which cause stress. The early exposure of the neonates to stress results to residual symptoms in behavior and neurobiological disorders. This study aims to determine the effect of midline position compared to the traditional swaddling regarding physical and autonomics stress sign. The study population consisted of 194 newborns. The midline and traditionally swaddled were observed and recorded, physical and autonomic signs at birth, 10 minutes and 2 hours were documented. This study found that there is statistically significant difference between the groups in terms of cries at 10 minute and 2 hours and so with the heart rate and respiration rate at birth ( p <0,05), and a significant difference in oxygen saturation at 10 minutes and 2 hours ( p <0,05). Additionally, midline swaddling had a larger average decrease in heart rate and respiration rate, and increase in the oxygen saturation. Therefore, this study can deduce that, midline position swaddling has less stressful effect than the traditional position. The same research elsewhere in Indonesia will be costly. Future research would suggest for larger sample that may suggest a more accurate outcome.
{"title":"Midline swaddling and traditional swaddling position and their influence on physical and autonomic sign on newborn babies","authors":"Ismail Sangadji, A. Khatibi, Norshafarina Shari, Jaqualine Tham S, Cicillia Windiyaningsih","doi":"10.33545/26643685.2023.v6.i1a.198","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.198","url":null,"abstract":"The traditional method of swaddling is done with the arms and legs straightened and wrapped tightly with the hips in an addiction position. When swaddling is properly done, infants show less awakening and longer sleep, better neuromuscular development, less physiological stress, better motor organization, and better self-regulation abilities. Improper swaddling can result in conditions that are detrimental for newborns, like SIDS, DDH, which cause stress. The early exposure of the neonates to stress results to residual symptoms in behavior and neurobiological disorders. This study aims to determine the effect of midline position compared to the traditional swaddling regarding physical and autonomics stress sign. The study population consisted of 194 newborns. The midline and traditionally swaddled were observed and recorded, physical and autonomic signs at birth, 10 minutes and 2 hours were documented. This study found that there is statistically significant difference between the groups in terms of cries at 10 minute and 2 hours and so with the heart rate and respiration rate at birth ( p <0,05), and a significant difference in oxygen saturation at 10 minutes and 2 hours ( p <0,05). Additionally, midline swaddling had a larger average decrease in heart rate and respiration rate, and increase in the oxygen saturation. Therefore, this study can deduce that, midline position swaddling has less stressful effect than the traditional position. The same research elsewhere in Indonesia will be costly. Future research would suggest for larger sample that may suggest a more accurate outcome.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117162884","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}
Pub Date : 2023-01-01DOI: 10.33545/26643685.2023.v6.i1a.192
E. Turan, Mensure Turan, Gulbeyaz Baran
The aim of this study is to determine the effects of four different body positions applied to paediatric intubated patients on physiological variables and perfusion index.The sample of this study, which was conducted as a quasi-experimental study in a single group in a paediatric intensive care unit, consisted of 44 intubated and monitored patients. The patients were given supine, right-lateral, left-lateral and Semi Fowler positions at intervals of two hours, and each position’s measurements were evaluated separately. In the analysis of data, number, percentage, mean, standard deviation, ANOVA, and post-hoc (Tukey HSD) tests were used. Fifty per cent of the patients were under 1 year old, 56.8% were male, and the mean patient age was 20.61±21.72 months. Peripheral oxygen saturation, systolic blood pressure and perfusion index mean values in the supine and Semi Fowler positions given to the patient were found to be statistically significant (p
{"title":"The effects of different positions on physiological measurement and perfusion index in pediatric intubated patients","authors":"E. Turan, Mensure Turan, Gulbeyaz Baran","doi":"10.33545/26643685.2023.v6.i1a.192","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.192","url":null,"abstract":"The aim of this study is to determine the effects of four different body positions applied to paediatric intubated patients on physiological variables and perfusion index.The sample of this study, which was conducted as a quasi-experimental study in a single group in a paediatric intensive care unit, consisted of 44 intubated and monitored patients. The patients were given supine, right-lateral, left-lateral and Semi Fowler positions at intervals of two hours, and each position’s measurements were evaluated separately. In the analysis of data, number, percentage, mean, standard deviation, ANOVA, and post-hoc (Tukey HSD) tests were used. Fifty per cent of the patients were under 1 year old, 56.8% were male, and the mean patient age was 20.61±21.72 months. Peripheral oxygen saturation, systolic blood pressure and perfusion index mean values in the supine and Semi Fowler positions given to the patient were found to be statistically significant (p","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132635760","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}
Pub Date : 2023-01-01DOI: 10.33545/26643685.2023.v6.i1a.190
Dr. B Adithya Nikhileshwar, Dhaval Bhatt, Dr. Harshida Vagadoda, Dr. Yesha Prajapati
Introduction: Neonatal Seizure is defined as a paroxysmal involuntary disturbance of cerebral function. Neonatal seizures are a common problem. Common etiology of neonatal seizures is brain disorders, hypoxic-ischemic encephalopathy, central nervous system (CNS) infections, CNS bleeds, and structural anomalies of the brain or secondary to metabolic problems, for example, hypoglycemia, hyponatremia, and other electrolyte disturbances. Objective: To study Clinical and Biochemical abnormalities associated with neonatal seizures. Material and Methods: An observational study was conducted in ninety newborns with seizures admitted in neonatal intensive care unit (NICU). After taking a complete history and appropriate physical examination, blood sample was collected for detecting metabolic abnormalities before instituting specific therapy. Results: Total ninety neonates presented with seizures were enrolled in this study. Among them, male was 52 (57.78%), and female was 38 (42.22%). In present study, majority of neonates 30% had the onset of seizures within 24 hr. In ninety neonates, the number of neonates with subtle seizures was 62 (68.89%), tonic seizure was 11 (12.22%), and clonic was 10 (11.11%).In ninety neonates, hypoglycemia was reported in 32.22% of neonates, followed by birth asphyxia 25.56%, hypocalcemia in 24.44% neonates, hyponatremia in 13.33% of neonates, hypomagnesemia in 4.44% of neonates. Conclusion: Early identification and management of biochemical abnormalities are essential for satisfactory long-term outcome. The common metabolic causes for neonatal seizures in India include hypoglycemia, hypocalcemia, birth asphyxia, hyponatremia, and hypomagnesemia.
{"title":"Study of clinical and biochemical profile of neonatal seizures","authors":"Dr. B Adithya Nikhileshwar, Dhaval Bhatt, Dr. Harshida Vagadoda, Dr. Yesha Prajapati","doi":"10.33545/26643685.2023.v6.i1a.190","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.190","url":null,"abstract":"Introduction: Neonatal Seizure is defined as a paroxysmal involuntary disturbance of cerebral function. Neonatal seizures are a common problem. Common etiology of neonatal seizures is brain disorders, hypoxic-ischemic encephalopathy, central nervous system (CNS) infections, CNS bleeds, and structural anomalies of the brain or secondary to metabolic problems, for example, hypoglycemia, hyponatremia, and other electrolyte disturbances. Objective: To study Clinical and Biochemical abnormalities associated with neonatal seizures. Material and Methods: An observational study was conducted in ninety newborns with seizures admitted in neonatal intensive care unit (NICU). After taking a complete history and appropriate physical examination, blood sample was collected for detecting metabolic abnormalities before instituting specific therapy. Results: Total ninety neonates presented with seizures were enrolled in this study. Among them, male was 52 (57.78%), and female was 38 (42.22%). In present study, majority of neonates 30% had the onset of seizures within 24 hr. In ninety neonates, the number of neonates with subtle seizures was 62 (68.89%), tonic seizure was 11 (12.22%), and clonic was 10 (11.11%).In ninety neonates, hypoglycemia was reported in 32.22% of neonates, followed by birth asphyxia 25.56%, hypocalcemia in 24.44% neonates, hyponatremia in 13.33% of neonates, hypomagnesemia in 4.44% of neonates. Conclusion: Early identification and management of biochemical abnormalities are essential for satisfactory long-term outcome. The common metabolic causes for neonatal seizures in India include hypoglycemia, hypocalcemia, birth asphyxia, hyponatremia, and hypomagnesemia.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128761098","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}
Pub Date : 2023-01-01DOI: 10.33545/26643685.2023.v6.i1a.199
Zena Kareem Mohammed, Zuhair Mahdi Al Musawi, Ahmed Kareem Mohammed
{"title":"The utility of red blood cells distribution width in the diagnosis of iron deficiency anemia in children","authors":"Zena Kareem Mohammed, Zuhair Mahdi Al Musawi, Ahmed Kareem Mohammed","doi":"10.33545/26643685.2023.v6.i1a.199","DOIUrl":"https://doi.org/10.33545/26643685.2023.v6.i1a.199","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131510212","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}
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