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Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies 母亲主导的早产儿基本护理包对早产儿母亲焦虑水平的影响
Pub Date : 2020-11-16 DOI: 10.31031/RPN.2020.05.000604
Jayanthi P
Background: The birth of a baby prior to the expected date of its arrival to this world is associated with the emotions, feelings of anxiety, fear over danger, infrequent access and interaction with the infant during the period of hospitalization in the Neonatal Intensive Care Unit. Aim and objective: The objective of the study was to assess the effectiveness of a Mother Steered Essential Preemies Care Bundle on the level of anxiety among mothers of preemies. Methodology: A quantitative research approach with quasi-experimental study was adopted. Atotal of 240 mothers of preemies (120 each in the experimental and control group) participated in the study. Non-probability purposive sampling technique was used to select the subjects. Data was collected using Modified Perinatal Anxiety Screening Scale. Result: Comparison of the level of anxiety based on the statistics revealed that the ‘t’ value for anxiety in the experimental group was 10.83. This has shown a very high statistical significance at p≤0.001. Conclusion: The Mother Steered Essential Preemies Care Bundle was effective in significantly reducing the anxiety of mothers of preemies.
背景:在新生儿重症监护病房住院期间,在预产期之前出生的婴儿与情绪、焦虑感、对危险的恐惧、不经常接触和与婴儿互动有关。目的和目的:本研究的目的是评估母亲指导的基本早产儿护理包对早产儿母亲焦虑水平的有效性。方法:采用准实验研究的定量研究方法。共有240名早产儿母亲(实验组和对照组各120名)参加了这项研究。采用非概率有目的抽样技术选择研究对象。数据采用改良围产期焦虑筛查量表收集。结果:经统计学比较,实验组焦虑的t值为10.83。这显示了p≤0.001的非常高的统计显著性。结论:母亲主导的早产儿基本护理包能显著降低早产儿母亲的焦虑情绪。
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引用次数: 0
Medulloblastoma : A Common Pediatric Malignancy 髓母细胞瘤:一种常见的儿科恶性肿瘤
Pub Date : 2020-11-09 DOI: 10.31031/RPN.2020.05.000603
B. Saberi
Medulloblastoma arises from the fourth ventricle’s roof of the brain. It is the most common primitive neuroectodermal tumor and is one of the most common pediatric malignancies. It’s male to female ratio is about two to one. Arising from the forth ventricle’s roof, causes tumor to develop hydrocephalus. Complete resection of the tumor in case of presence of the brainstem invasions is impossible. At the time of diagnosis, investigation for metastasis should be done since about ten to thirty-five percent of the cases have shown some degrees of metastasis once they have been diagnosed [1-4]. Medulloblastoma comprises about fifteen to twenty percent of the intracranial tumors in the pediatric groups. The first decade of life is the peak time for medulloblastoma appearance.
髓母细胞瘤起源于大脑第四脑室顶部。它是最常见的原始神经外胚层肿瘤,是最常见的儿童恶性肿瘤之一。男女比例大约是2:1。起源于第四脑室顶部,导致肿瘤发展为脑积水。在脑干侵犯的情况下,完全切除肿瘤是不可能的。在诊断时,应检查是否有转移,因为大约10%至35%的病例在确诊后会出现一定程度的转移[1-4]。髓母细胞瘤占儿科颅内肿瘤的15%到20%。生命的前十年是成神经管细胞瘤出现的高峰期。
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引用次数: 0
Infant Health and Care: An Urban Perspective 婴儿健康和护理:城市视角
Pub Date : 2020-11-03 DOI: 10.31031/RPN.2020.05.000602
N. Choudhary
Nearly 90 percent of the projected urban population increase is concentrated in Africa and Asia [1]regions that harbour majority of world’ malnourished children today. Approximately one in three undernourished children now live in urban settings and in 13 countries urban stunting rates are above 30% [2]. Broad evidences exemplify that malnutrition in urban areas is a growing reality [3], though there is a dearth of studies in this regard. In terms of infant nutrition, we have far little evidences. In a relatively early work using Demographic and Health Survey (DHS) data for 43 countries [4-6] showed that in Latin American and Caribbean countries young children in big cities have stunted growth while in Asian countries children in large cities did not reflect a remarkable advantage over those in small cities or rural areas. However, in a recent study on 26 countries’ data, [7] found that the large urban areas of developing countries have lower infant mortality and malnutrition levels. While this could be average picture for urban areas, infant health and nutrition among the urban poor is likely as big a challenge as among the rural counterparts. This can be explained in terms of growing inequality and disparity in urban areas[8-10], due to which a considerable population segment perpetuates on the periphery amidst overall prosperous urban landscape.
在预计的城市人口增长中,近90%集中在非洲和亚洲[1]地区,这些地区目前拥有世界上大多数营养不良儿童。现在,大约三分之一的营养不良儿童生活在城市环境中,13个国家的城市发育迟缓率超过30%[2]。广泛的证据表明,城市地区的营养不良是一个日益严重的现实[3],尽管这方面的研究还很缺乏。在婴儿营养方面,我们几乎没有证据。在一项相对较早的工作中,使用了43个国家的人口与健康调查(DHS)数据[4-6],结果表明,在拉丁美洲和加勒比国家,大城市的幼儿发育迟缓,而在亚洲国家,大城市的儿童与小城市或农村地区的儿童相比,并没有表现出显著的优势。然而,最近一项针对26个国家数据的研究[7]发现,发展中国家的大城市地区婴儿死亡率和营养不良水平较低。虽然这可能是城市地区的平均情况,但城市贫困人口的婴儿保健和营养问题可能与农村贫困人口一样严峻。这可以用城市地区日益增长的不平等和差距来解释[8-10],因此,在整体繁荣的城市景观中,相当一部分人口长期居住在边缘地区。
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引用次数: 0
Rehabilitation of Post-COVID GBS Patient: Acute Care and Functional Recovery 肺炎后GBS患者的康复:急性护理和功能恢复
Pub Date : 2020-11-02 DOI: 10.31031/RPN.2020.05.000607
Ramanandi Vh
chest pneumonia. Further diagnostic workup performed 4 weeks after the neurologic onset, with nerve conduction studies showed reduced or absent compound muscle action potentials (CMAPs) and sensory nerve action (SNAPs) potentials in the lower limbs, absent F wave response in Abstract Guillain-Barré syndrome (GBS) is an inflammatory polyradiculoneuropathy associated with numerous viral infections. Since corona virus disease-2019 (COVID-19) outbreak in January 2020, several pieces of evidence suggested an association between the spectrum of GBS and severe acute respiratory syndrome coronavirus-2 (SARSCoV-2). As physiotherapy plays an important role in rehabilitation of GBS patient as well as COVID-19 cases, the rehabilitation from acute and post-acute phase up to and including functional recovery depends majorly on physiotherapy interventions. This case report discusses the medical and physiotherapy management of such patient briefly and describes the process from acute care to functional recovery.
胸部肺炎。在神经系统发病4周后进行进一步的诊断检查,神经传导研究显示下肢复合肌肉动作电位(CMAPs)和感觉神经动作电位(SNAPs)下降或缺失,F波反应缺失。摘要:格林-巴勒综合征(GBS)是一种与多种病毒感染相关的炎症性多神经根神经病变。自2020年1月爆发2019冠状病毒病(COVID-19)以来,一些证据表明,GBS的频谱与严重急性呼吸综合征冠状病毒-2 (SARSCoV-2)之间存在关联。由于物理治疗在GBS患者和COVID-19病例的康复中发挥着重要作用,从急性期和急性期后到包括功能恢复在内的康复主要依赖于物理治疗干预。本病例报告简要讨论了此类患者的医学和物理治疗管理,并描述了从急性护理到功能恢复的过程。
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引用次数: 1
Prenatal Diagnosis of Suprarenal Neuroblastoma and Follow-Up After Early Surgical Treatment: Case Report andLiterature Review 肾上神经母细胞瘤的产前诊断及早期手术治疗后的随访:病例报告及文献复习
Pub Date : 2020-10-23 DOI: 10.31031/RPN.2020.05.000601
P. J. Aurelus
Introduction : Neuroblastoma is relatively rare. The aim of this study was to evaluate the outcome with special focus on postoperative follow-up of a newborn with left prenatal cystic mass that evolved into lesion of mixed echogenicity with cystic and solid components. Case Presentation: Ultrasound examination at 39 weeks of gestation revealed oligohydramnios and a cystic mass with the inability to evaluate the left fetal kidneys. Subsequently, the mother underwent an abdominal cesarean delivery of a healthy boy of 3.4kg. Physical examination was normal other than a large mass was palpable on upper pole of the left kidney. Postnatal ultrasound examination showed a predominantly solid suprarenal mass deforming the upper pole of the left kidney.The scan demonstrated alteration of kidney structure and displacement of the spleen and intestinal structures. The patient was admitted to an abdominal exploration with the most probable diagnosis at this stage of a cystic neuroblastoma or an adrenal hematoma as main differential diagnosis. Results: The duration of the procedure was 240 minutes. The postoperative hospital recovery period was 20 days. No intraoperative or postoperative complications occurred. He had ultrasound control every 2 months with good report, the last control of marker tumor was normal and at 14 months after the procedure he continues with a favorable outcome. Conclusions: The outcome of this patient was satisfactory the early detection although prenatal ultrasound and the early surgical treatment may diminish the risk of liver metastasis and chemotherapy treatment.
神经母细胞瘤比较罕见。本研究的目的是评估结果,特别关注新生儿左产前囊性肿块的术后随访,该肿块演变为具有囊性和实性成分的混合回声病变。病例介绍:妊娠39周超声检查发现羊水过少和囊性肿块,无法评估左胎肾。随后,这位母亲接受了腹部剖宫产,生下了一名3.4公斤的健康男孩。体格检查正常,但左肾上极可见大肿块。出生后的超声检查显示一个主要的实性肾上肿块,使左肾上极变形。扫描显示肾脏结构改变,脾脏和肠道结构移位。病人接受腹部检查,在这个阶段最有可能的诊断是囊性神经母细胞瘤或肾上腺血肿作为主要的鉴别诊断。结果:手术时间240分钟。术后住院恢复期20天。无术中、术后并发症发生。每2个月进行一次超声检查,报告良好,最后一次检查标记性肿瘤正常,术后14个月继续检查,结果良好。结论:尽管产前超声检查和早期手术治疗可以降低肝转移和化疗的风险,但该患者的预后较好。
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引用次数: 0
Acute Lung Inflammation: The Crisis of Etiotropic Treatment and The Logic of Its Solutions 急性肺部炎症:致病因治疗的危机及其解决的逻辑
Pub Date : 2020-09-08 DOI: 10.31031/rpn.2020.04.000599
Klepikov I
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引用次数: 0
Otitis Media. Inflammation or Infection? 中耳炎。炎症还是感染?
Pub Date : 2020-08-13 DOI: 10.31031/rpn.2020.04.000598
F. Yurochko
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引用次数: 0
How to Protect Children from Covid-19 Pandemic? 如何保护儿童免受Covid-19大流行的影响?
Pub Date : 2020-08-13 DOI: 10.31031/rpn.2020.04.000597
J. P.
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引用次数: 0
Acute Abdomen as a Presentation of Covid 19 in Children: Our Early Experience 急性腹部作为Covid - 19儿童的表现:我们的早期经验
Pub Date : 2020-07-31 DOI: 10.31031/rpn.2020.04.000596
Samiullah Hasan
Background: COVID-19 is currently a public health emergency around the world. Increasingly more people are being identified with this deadly viral disease. Though children experience a milder disease course, severe and life threatening disease has also been reported. An atypical presentation may delay the diagnosis, isolation, and treatment. The aim of this study was to share our experience of atypical presentation of COVID-19 cases as acute abdomen in children. Method: We retrospectively reviewed data of all children diagnosed to have COVID 19 in our department between April to June 2020. Epidemiological & clinical data of children presented with acute abdomen were retrieved and placed in Microsoft Excel 2016. The data were then analyzed and literature reviewed. Result: Total 32 children were diagnosed to have COVID 19 during this period. Six children among them presented with features of acute abdomen, without any respiratory symptom. The diagnostic workout for acute abdomen did not match clinical diagnosis rather RT PCR of nasopharyngeal swab was positive for SARS CoV 2. Four of them were female and 2 were male. Age range was 3 years 10 months to 14 years. Only one patient had radiological evidence of lung injury. All of them improved clinically within 4 days and were discharged from the hospital with advice for home isolation. Conclusion: The clinical course of COVID 19 is yet to understand completely. A high index of suspicion is required for early diagnosis of children with atypical presentation to reduce further transmission of the disease and to avoid serious complications. .
背景:COVID-19目前是全球范围内的突发公共卫生事件。越来越多的人被确认患有这种致命的病毒性疾病。虽然儿童的病程较轻,但也有严重和危及生命的疾病的报道。不典型的表现可能延误诊断、隔离和治疗。本研究的目的是分享我们在COVID-19病例中不典型表现为儿童急腹症的经验。方法:回顾性分析2020年4月至6月在我科诊断为COVID - 19的所有儿童的资料。检索急腹症患儿的流行病学及临床资料,并将其保存在Microsoft Excel 2016中。然后对数据进行分析和文献回顾。结果:本组共有32例患儿被诊断为新冠肺炎。其中6例患儿表现为急腹症,无呼吸道症状。急腹症诊断方案与临床诊断不符,鼻咽拭子RT - PCR检测SARS冠状病毒阳性。其中4人是女性,2人是男性。年龄范围3岁10个月至14岁。只有一名患者有肺损伤的放射学证据。4 d内均临床好转,出院后建议居家隔离。结论:新冠肺炎的临床病程尚不完全清楚。对非典型症状儿童的早期诊断需要高度的怀疑,以减少疾病的进一步传播并避免严重的并发症。
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引用次数: 1
A Novel Procedure for the Removal of Supernumerary or Accessory Tragus on Neonates 新生儿多余或副耳屏切除的新方法
Pub Date : 2020-06-25 DOI: 10.31031/rpn.2020.04.000593
Roig Jc
The majority of supernumerary or accessory tragus in humans are noted soon after birth, and are generally benign isolated lesions not associated with other genetic abnormalities. When present, these lesions are typically managed by the primary care provider, but occasionally the caretakers opt to refer the patient to a surgeon to have the lesion resected surgically as an outpatient. This practice may place an unnecessary financial burden on the patient’s family, and may pose added difficulty due to the availability of the subspecialist. The current literature lacks other practical and effective methods for dealing with these lesions despite the incidence of up to 1.5% of the population [1]. Traditionally, however, these lesions are managed by pediatricians or the PCP by placing a suture ligature at its base so that the distal portion of the tragus will fall off after the ischemic necrosis has occurred [2]. This approach is the current standard of care, and is the method being taught at most pediatric training programs. When successful, this process can take days if not weeks to run its course. Another approach may be to refer these patients to a Plastic Surgeon or a Pediatric Surgeon for care which may be to have the lesions managed by means of application of surgical clips [3] at their base thus achieving a similar effect as a ligature. Alternatively, the lesions can be permanently surgically excised later when the patient is older. At the University of Florida we have been successfully excising these lesions when devoid of cartilage prior to the patient’s discharge using the Digiclamp® device. We report 7 lesions which were permanently removed using this method; the clamp was placed at their base flush with the skin, and the accessory tragus was excised. This novel minimally invasive procedure does not require suturing, and has proven to be safe and poses minimal risk to the patient when performed correctly. All of these excisions took place prior to the patient’s discharge and uniformly required only minimal care thereafter. Among the advantages of utilizing this procedure are: the time needed to perform the procedure is brief, on average requires only 10 minutes or less to perform; the procedure has consistently been well tolerated by all of the patients; and although all of the excisions took place in the patient’s center of birth prior to their discharge, it can easily be performed in the outpatient setting since it requires minimal time, equipment, and is relatively simple to perform.
大多数人类耳屏赘生或副耳屏在出生后不久就被发现,通常是良性的孤立病变,与其他遗传异常无关。当出现病变时,这些病变通常由初级保健提供者处理,但偶尔护理人员会选择将患者转介给外科医生,作为门诊患者进行手术切除病变。这种做法可能会给患者家庭带来不必要的经济负担,并且由于专科医生的可用性可能会带来额外的困难。目前文献缺乏其他实用有效的方法来处理这些病变,尽管发病率高达1.5%的人群[1]。然而,传统上,这些病变是由儿科医生或PCP通过在其底部放置缝合线来处理的,以便在缺血性坏死发生后耳屏的远端部分脱落[2]。这种方法是目前的护理标准,也是大多数儿科培训项目所教授的方法。如果成功,这个过程可能需要几天甚至几周的时间来完成。另一种方法可能是将这些患者转介给整形外科医生或儿科外科医生进行护理,这可能是通过在其底部应用手术夹[3]来管理病变,从而达到与结扎类似的效果。或者,当患者年老时,病变可以通过手术永久切除。在佛罗里达大学,我们已经成功地在患者出院前使用Digiclamp®设备切除了这些没有软骨的病变。我们报告了使用这种方法永久切除的7个病变;钳放置在与皮肤齐平的底部,切除副耳屏。这种新颖的微创手术不需要缝合,并且已被证明是安全的,并且在正确操作时对患者的风险最小。所有这些手术都是在病人出院前进行的,并且在出院后都只需要很少的护理。使用该程序的优点是:执行程序所需的时间很短,平均只需要10分钟或更少的时间来执行;所有患者对该手术的耐受性一直很好;虽然所有的切除手术都是在病人出院前的出生中心进行的,但它可以很容易地在门诊环境中进行,因为它需要最少的时间和设备,而且操作相对简单。
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引用次数: 0
期刊
Research in Pediatrics & Neonatology
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