Pub Date : 2019-11-25DOI: 10.31031/RPN.2019.04.000577
N. Alhojaili, A. Alzahrani, I. Kutbi, H. Almalik, S. Ali, M. Yosef
{"title":"Posterior Urethral Valve","authors":"N. Alhojaili, A. Alzahrani, I. Kutbi, H. Almalik, S. Ali, M. Yosef","doi":"10.31031/RPN.2019.04.000577","DOIUrl":"https://doi.org/10.31031/RPN.2019.04.000577","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114145618","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 : 2019-11-07DOI: 10.31031/rpn.2019.03.000575
Kathy T. T. Vu, You Jung Seo, B. Hussey-Gardner
{"title":"Parents and Early Childhood Professionals Want a Website on Torticollis","authors":"Kathy T. T. Vu, You Jung Seo, B. Hussey-Gardner","doi":"10.31031/rpn.2019.03.000575","DOIUrl":"https://doi.org/10.31031/rpn.2019.03.000575","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115695414","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 : 2019-10-21DOI: 10.31031/rpn.2019.03.000574
Chow Pc, Chen Rhs, Rocha Ba, Yam Nlh
Generalized cyanosis in newborn can be caused by many pathological conditions and cyanotic congenital heart disease represents one of the important causes. Differential cyanosis refers to the situation where upper limb saturation is higher than lower limb and it is well documented to be caused by persistent pulmonary hypertension in newborn (PPHN) [1] or patients with patent ductus arteriosus and Eisenmenger syndrome in adults [2-4]; Table 1. This has been also reported in a neonate with critical aortic stenosis, hypoplastic aortic arch, pulmonary hypertension and PDA [2]. Reversed differential cyanosis (RDC) refers to the situation when the oxygen saturation of upper limb is lower than that of lower limb, which was classically reported in neonates with transposition of great arteries (TGA) with pulmonary hypertension [2] or TGA with aortic arch obstruction or interruption [5-12]; Table 1. Other causes included supracardiac total anomalous pulmonary venous drainage (TAPVD) [13], isolated right subclavian artery [14], and infants on veno-arterial extracorporeal membrane oxygenation using right carotid artery for cannulation [15]. We herewith reported two cases of obstructed supracardiac TAPVD manifested reversed differential cyanosis.
{"title":"Reversed Differential Cyanosis in Two Neonates with Obstructed Supracardiac Total Anomalous Pulmonary Venous Drainage","authors":"Chow Pc, Chen Rhs, Rocha Ba, Yam Nlh","doi":"10.31031/rpn.2019.03.000574","DOIUrl":"https://doi.org/10.31031/rpn.2019.03.000574","url":null,"abstract":"Generalized cyanosis in newborn can be caused by many pathological conditions and cyanotic congenital heart disease represents one of the important causes. Differential cyanosis refers to the situation where upper limb saturation is higher than lower limb and it is well documented to be caused by persistent pulmonary hypertension in newborn (PPHN) [1] or patients with patent ductus arteriosus and Eisenmenger syndrome in adults [2-4]; Table 1. This has been also reported in a neonate with critical aortic stenosis, hypoplastic aortic arch, pulmonary hypertension and PDA [2]. Reversed differential cyanosis (RDC) refers to the situation when the oxygen saturation of upper limb is lower than that of lower limb, which was classically reported in neonates with transposition of great arteries (TGA) with pulmonary hypertension [2] or TGA with aortic arch obstruction or interruption [5-12]; Table 1. Other causes included supracardiac total anomalous pulmonary venous drainage (TAPVD) [13], isolated right subclavian artery [14], and infants on veno-arterial extracorporeal membrane oxygenation using right carotid artery for cannulation [15]. We herewith reported two cases of obstructed supracardiac TAPVD manifested reversed differential cyanosis.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127435516","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 : 2019-09-24DOI: 10.31031/RPN.2019.03.000572
E. Yılmaz, B. Yılmaz, D. Firat, Fatih Burak Kaner
Respiratory distress syndrome (RDS) is one of the most common diseases in premature newborns. RDS and related complications are a major cause of mortality and morbidity of premature infants [2]. RDS classically begins in the first 6 hours of life with tachypnea, dyspnea, intercostal retractions, grunting, nasal flaring, and cyanosis. It is a disease characterized by increased oxygen requirement in premature infants. Typical radiological findings accompanied by this clinical picture. There are many etiologic factors, the most important etiological factor is the gestation week. The frequency of RDS increases as gestational age decreases.
{"title":"The Relationship of Blood Prolactin, Cortisol and Thyroid Hormones in Prematural Newborns with Respiratory Distress Syndrome","authors":"E. Yılmaz, B. Yılmaz, D. Firat, Fatih Burak Kaner","doi":"10.31031/RPN.2019.03.000572","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000572","url":null,"abstract":"Respiratory distress syndrome (RDS) is one of the most common diseases in premature newborns. RDS and related complications are a major cause of mortality and morbidity of premature infants [2]. RDS classically begins in the first 6 hours of life with tachypnea, dyspnea, intercostal retractions, grunting, nasal flaring, and cyanosis. It is a disease characterized by increased oxygen requirement in premature infants. Typical radiological findings accompanied by this clinical picture. There are many etiologic factors, the most important etiological factor is the gestation week. The frequency of RDS increases as gestational age decreases.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134058873","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 : 2019-08-28DOI: 10.31031/RPN.2019.03.000571
Aida H. Al-Sadeeq
Malnutrition responsible for 45% of deaths among children younger than 5 years in lowand middle-income countries [1,2]. Many studies have reported the individual associations of stunting, wasting, and underweight with mortality [3], However, estimates of the effects of individual anthropometric indicators overlook the fact that multiple deficits may occur simultaneously, especially because all deficits are associated with poverty, poor dietary intake, and infectious diseases [4,5]. This study conducted describe the frequency of undernutrition and to evaluate which types of combined anthropometric deficits carry an increased risk of mortality.
{"title":"The Effect of Malnutrition on Mortality in Hospitalized Children","authors":"Aida H. Al-Sadeeq","doi":"10.31031/RPN.2019.03.000571","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000571","url":null,"abstract":"Malnutrition responsible for 45% of deaths among children younger than 5 years in lowand middle-income countries [1,2]. Many studies have reported the individual associations of stunting, wasting, and underweight with mortality [3], However, estimates of the effects of individual anthropometric indicators overlook the fact that multiple deficits may occur simultaneously, especially because all deficits are associated with poverty, poor dietary intake, and infectious diseases [4,5]. This study conducted describe the frequency of undernutrition and to evaluate which types of combined anthropometric deficits carry an increased risk of mortality.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"2006 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125827762","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 : 2019-08-19DOI: 10.31031/RPN.2019.03.000569
Manuel Vera González, R. Sanchez
{"title":"Two ways, one goal: To improve quality of life of people with Diabtes and their family","authors":"Manuel Vera González, R. Sanchez","doi":"10.31031/RPN.2019.03.000569","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000569","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121588607","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 : 2019-08-19DOI: 10.31031/rpn.2019.03.000570
S. Yuliarto
To date, sepsis has contributed significantly to the child mortality rate, which is around 8.9% in developed countries to 14.2% in developing countries [1-3]. The most common cause of death (23.1-34.6%) was refractory shock [2-4], of which most occured in the first 3 days [5]. An additional hour of persistent shock was associated with >2-fold increased odds of mortality [6]. This shows that early treatment of septic shock is one of the keys to reduce sepsis mortality.
{"title":"Restrictive Versus Liberal Fluid Bolus Therapy in Pediatric Septic Shock: Should It Be Debated","authors":"S. Yuliarto","doi":"10.31031/rpn.2019.03.000570","DOIUrl":"https://doi.org/10.31031/rpn.2019.03.000570","url":null,"abstract":"To date, sepsis has contributed significantly to the child mortality rate, which is around 8.9% in developed countries to 14.2% in developing countries [1-3]. The most common cause of death (23.1-34.6%) was refractory shock [2-4], of which most occured in the first 3 days [5]. An additional hour of persistent shock was associated with >2-fold increased odds of mortality [6]. This shows that early treatment of septic shock is one of the keys to reduce sepsis mortality.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133746600","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 : 2019-08-07DOI: 10.31031/RPN.2019.03.000568
V. Dandge
{"title":"Medical Education Vis-A-Vis National Medical Commission in India","authors":"V. Dandge","doi":"10.31031/RPN.2019.03.000568","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000568","url":null,"abstract":"","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130523031","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 : 2019-08-07DOI: 10.31031/RPN.2019.03.000567
Parveen Kumar, Y. Siddiqui, M. Jajoo
Case Report A 1-day-old neonate with birth weight 1.4kg, born at 36 weeks of gestation, presented to us with left gastroschisis. At presentation, baby was dehydrated and had matted bowel protruding from left abdominal wall defect (Figure 1). After initial resuscitation, baby was taken for emergency operation. She had multiple attempts for difficult intubation. On extending defect of gastroschisis in midline, it revealed nasogastric tube was in peritoneal cavity and there was total dissociation of stomach and oesophagus at gastro-oesophageal junction (GEJ) (Figure 2). There was no other perforation or atresia noted in bowel after warm saline wash and wrapping of matted bowel in warm saline soaked mops. A full thickness primary anastomosis was contemplated, and ventral hernia was created with skin cover as closure of rectus muscles lead to high abdominal pressure (18mmHg). Baby was shifted to neonatal intensive care unit (NICU) and was weaned off ventilator support after two days. The post-operative period was stormy in view of Acinetobacter sepsis and prolonged naos-gastric aspirates. We were able to start slowly infusion feeds and parental nutrition was tapered. Baby was discharged from NICU at one month of age and has been in follow up for one month with present weight of 2.76kg. Abstract A 1-day-old neonate with 1.4kg birth weight, with left sided gastroschisis, complicated by complete dissociation at gastro-oesophageal junction was managed by primary anastomosis and ventral hernia creation. The patient had prolonged post-operative hospital stay in view of sepsis and delayed tolerance of parenteral feeds and doing well in follow up.
{"title":"Left Gastroschisis Complicated by Dissociation at Gastro-Oesophageal Junction: A Rare Finding","authors":"Parveen Kumar, Y. Siddiqui, M. Jajoo","doi":"10.31031/RPN.2019.03.000567","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000567","url":null,"abstract":"Case Report A 1-day-old neonate with birth weight 1.4kg, born at 36 weeks of gestation, presented to us with left gastroschisis. At presentation, baby was dehydrated and had matted bowel protruding from left abdominal wall defect (Figure 1). After initial resuscitation, baby was taken for emergency operation. She had multiple attempts for difficult intubation. On extending defect of gastroschisis in midline, it revealed nasogastric tube was in peritoneal cavity and there was total dissociation of stomach and oesophagus at gastro-oesophageal junction (GEJ) (Figure 2). There was no other perforation or atresia noted in bowel after warm saline wash and wrapping of matted bowel in warm saline soaked mops. A full thickness primary anastomosis was contemplated, and ventral hernia was created with skin cover as closure of rectus muscles lead to high abdominal pressure (18mmHg). Baby was shifted to neonatal intensive care unit (NICU) and was weaned off ventilator support after two days. The post-operative period was stormy in view of Acinetobacter sepsis and prolonged naos-gastric aspirates. We were able to start slowly infusion feeds and parental nutrition was tapered. Baby was discharged from NICU at one month of age and has been in follow up for one month with present weight of 2.76kg. Abstract A 1-day-old neonate with 1.4kg birth weight, with left sided gastroschisis, complicated by complete dissociation at gastro-oesophageal junction was managed by primary anastomosis and ventral hernia creation. The patient had prolonged post-operative hospital stay in view of sepsis and delayed tolerance of parenteral feeds and doing well in follow up.","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123537563","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 : 2019-07-03DOI: 10.31031/RPN.2019.03.000566
S. Hasnain, A. A. Frayh
The scientific and clinical investigations, on both prevalence of allergies and asthma and their possible causative factors in Saudi Arabia, have continued since 1989. Primarily, being a desert country, western scientists and physicians did not believe the existence of a high prevalence of asthma and allergic rhinitis in Saudi Arabia, considering it as a non-specific bronchial hyper reactivity rather than an IgE mediated allergic response to local/regional allergens. In the late 80’s, we started our investigation on prevalence of asthma with an internationally designed questionnaire led by Professor JD Wilson, that time Professor of Clinical Immunology at King Saud University, Riyadh, Saudi Arabia. At the same time, we started indoor and outdoor aeroallergens monitoring program to evaluate the presence and role of various allergens presents in the environment. Our earlier findings were published [115], followed by many other investigators in the country. We continued our investigation and compared the prevalence data from 9 cities which showed an increasing pattern of asthma and allergic rhinitis nationally (Figure 1).
{"title":"A 30 Years Treatise of Allergies and Asthma in Saudi Arabia (1989-2019)","authors":"S. Hasnain, A. A. Frayh","doi":"10.31031/RPN.2019.03.000566","DOIUrl":"https://doi.org/10.31031/RPN.2019.03.000566","url":null,"abstract":"The scientific and clinical investigations, on both prevalence of allergies and asthma and their possible causative factors in Saudi Arabia, have continued since 1989. Primarily, being a desert country, western scientists and physicians did not believe the existence of a high prevalence of asthma and allergic rhinitis in Saudi Arabia, considering it as a non-specific bronchial hyper reactivity rather than an IgE mediated allergic response to local/regional allergens. In the late 80’s, we started our investigation on prevalence of asthma with an internationally designed questionnaire led by Professor JD Wilson, that time Professor of Clinical Immunology at King Saud University, Riyadh, Saudi Arabia. At the same time, we started indoor and outdoor aeroallergens monitoring program to evaluate the presence and role of various allergens presents in the environment. Our earlier findings were published [115], followed by many other investigators in the country. We continued our investigation and compared the prevalence data from 9 cities which showed an increasing pattern of asthma and allergic rhinitis nationally (Figure 1).","PeriodicalId":153075,"journal":{"name":"Research in Pediatrics & Neonatology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132550433","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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