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Effective breast feeding techniques and associated factors among lactating mothers: a community-based cross-sectional study in Dugda district, central Ethiopia 哺乳期母亲的有效母乳喂养技巧及相关因素:埃塞俄比亚中部 Dugda 地区的一项社区横断面研究
Pub Date : 2024-02-12 DOI: 10.15406/jpnc.2024.14.00538
Befekadu Tesfaye Oyato, Beyene Golo Gutema, Mulugeta Feyisa, Tariku Regea, Adugna Alemu, Husen Zakir Abasimel, Andualem Gezahagn, Ifa Dereje, Hawi Abayneh, Henok Abebayehu Delelegn
Background: Breastfeeding technique is defined as the positioning of the mother and baby, the baby's attachment to the breast, and suckling during nursing, all of which are crucial for successful breastfeeding. Appropriate and longer breastfeeding practices have numerous benefits for both mothers and babies. Moreover, ineffective breastfeeding techniques are a cause of death for thousands of newborns every year. In Ethiopia, the practice of effective breastfeeding techniques remained low. Therefore, this study aimed to assess the practice of effective breastfeeding techniques and associated factors among breastfeeding mother-infant pairs in Dugda district, Central Ethiopia, 2023. Methods: A community-based cross-sectional study was conducted from June 20 to August 20, 2023, in Dugda district on a total of 620 breastfeeding mother-infant pairs who were selected using a multistage sampling technique. Ethical clearance and approval were secured from the Ethical Review Board of Salale University with reference number SLU-IRB/53/23. The WHO's breastfeeding observational checklist and a face-to-face interview were used to collect the data. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Results: The prevalence of effective breastfeeding techniques in this study was 43.4% (95% CI: 39.1%, 47.4%). Having antenatal care follow-up (AOR: 2.24; 95% CI: 1.21, 4.14), having prior information about breast feeding techniques (AOR: 5.78; 95% CI: 3.95, 8.46), being multipara (AOR: 2.21; 95% CI: 1.47, 3.33), and having educational levels of primary education (AOR: 2.42; 95% CI: 1.44, 4.06) and secondary education and above (AOR: 2.85; 95% CI: 1.73, 4.69) were significantly associated with effective breastfeeding techniques. Conclusion: The prevalence of effective breastfeeding techniques in the study area was relatively low. Therefore, empowering women in education, promoting utilisation of ANC follow-up and disseminating information about breastfeeding techniques could be the key implication for effective breastfeeding techniques. Special emphasis should be given to primipara mothers because they are new for nursing their infants.
背景:母乳喂养技巧是指母亲和婴儿的姿势、婴儿对乳房的依恋以及哺乳时的吸吮,所有这些都是成功母乳喂养的关键。适当和较长时间的母乳喂养对母亲和婴儿都有很多好处。此外,无效的母乳喂养技术是每年导致数千名新生儿死亡的原因之一。在埃塞俄比亚,有效母乳喂养技术的使用率仍然很低。因此,本研究旨在评估 2023 年埃塞俄比亚中部 Dugda 地区母乳喂养母婴对的有效母乳喂养技术实践及相关因素。研究方法于 2023 年 6 月 20 日至 8 月 20 日在 Dugda 地区开展了一项基于社区的横断面研究,采用多阶段抽样技术共选取了 620 对母乳喂养的母婴。该研究获得了萨拉雷大学伦理审查委员会的伦理许可和批准,编号为 SLU-IRB/53/23。收集数据时使用了世界卫生组织的母乳喂养观察核对表和面对面访谈。采用双变量和多变量二元逻辑回归分析。使用调整后的几率和 95% CI 来确定是否存在显著关联。采用双变量和多变量二元逻辑回归分析。采用调整后的几率和 95% CI 来确定是否存在显著关联。结果本研究中有效母乳喂养技术的流行率为 43.4%(95% CI:39.1%,47.4%)。产前护理随访(AOR:2.24;95% CI:1.21,4.14)、事先了解母乳喂养技巧(AOR:5.78;95% CI:3.95,8.46)、多产妇(AOR:2.21;95% CI:1.47,3.33)、受教育程度为小学(AOR:2.42;95% CI:1.44,4.06)和中学及以上(AOR:2.85;95% CI:1.73,4.69)与有效的母乳喂养技巧显著相关。结论在研究地区,有效母乳喂养技术的普及率相对较低。因此,增强妇女的教育能力、促进产前检查随访的利用以及传播有关母乳喂养技巧的信息,可能是有效母乳喂养技巧的关键所在。应特别重视初产妇,因为她们是哺育婴儿的新手。
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引用次数: 0
Surgical repair of a ventral penile fracture: a case report 阴茎腹侧骨折的手术修复:病例报告
Pub Date : 2024-01-23 DOI: 10.15406/jpnc.2024.14.00537
Youssef Kadouri, Jihad Lakssir, Zakaria Sahnoun, Ahmed Ibrahimi, Hachem El Sayegh, Yassine Nouini
Ventral fracture of the penis, although rare, is a medical emergency requiring immediate attention. This injury usually results from direct trauma to the erect penis and can lead to serious complications if not treated promptly. Initially, it requires an attentive clinical assessment and habitually, it is completed with ultrasound to characterize more the fracture and help with the surgical approach. Through this case report, we will present a case about a delicate localization of the fracture, and we will discuss the causes, symptoms, diagnosis and treatment options for this condition.
阴茎腹侧骨折虽然罕见,但却是一种需要立即处理的急症。这种损伤通常是由于勃起的阴茎受到直接创伤造成的,如果不及时治疗,可能会导致严重的并发症。最初,需要进行仔细的临床评估,并习惯性地通过超声波检查来进一步确定骨折的特征,并帮助确定手术方法。通过本病例报告,我们将介绍一例骨折的精细定位病例,并讨论该病症的原因、症状、诊断和治疗方案。
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引用次数: 0
Self-esteem: A study on the relationship between self-esteem and factors affecting student life 自尊自尊与影响学生生活的因素之间的关系研究
Pub Date : 2024-01-18 DOI: 10.15406/jpnc.2024.14.00536
Dr. Swati Y Bhave, Meghana Pradeep, Jill Mota, Dr.Shailaja Mane, Dr. Latika Bhalla, Dr. Prashant Karia
Objective: 1) To assess self-esteem scores in college students. 2) To study the effects of various variables on self-esteem scores. Method: In this study by AACCI, the Rosenberg Self-Esteem Scale (RSES) scale was used (n = 354; age range: 17-21 yrs.; M= 18.63 yrs., SD = 1.06 yrs) self-esteem and its relationship with age, sibling status, academic course, engagement in extracurricular activities, self-perceived internet and social media usage and dependence, substance use, and self-perception of control over one’s life in an all-women’s college in North India. The data were analysed using t-tests and one-way ANOVAs. Results: Majority (76.27%) of the group has low scores (10-24), a minority (23.73%) have moderate scores (25-35) and no (0%) participants have high scores (36-40). Low RSES scores were seen in those participating in interschool/college competitions (n=77, 28.52%) (M = 23.922, SD = 1.403) vs those who did not (n=193, 71.48%) (M = 23.378, SD = 1.383), {t (268) = 2.905, p = 0.002}. Participants who engaged in interschool/ college sports competitions (n=15, 17.86%) (M = 26.333, SD = 0.617) had significantly higher moderate scores vs those who did (n=69, 82.14%) (M = 26.855, SD = 1.061), {t (82) = 1.833, p = 0.035.} Significantly lower scores were seen in participants using social media (n=255, 94.44%) (M = 23.596, SD = 1.368) as compared to participants who did not (n=15, 5.56%) (M = 22.467, SD = 1.685), {t (268) = 3.066, p = 0.001}. Other demographic variables had no statistically significant effects (p >0.05). Conclusion: Participation in extracurricular activities improved self-esteem in students. Social media usage significantly impacted self-esteem negatively. Most participants had low to moderate self-esteem scores. None had high scores. AACCI recommended a session of Life Skill Education with special emphasis on self-esteem.
目标: 1) 评估大学生的自尊得分。2) 研究各种变量对自尊得分的影响。研究方法在这项由 AACCI 开展的研究中,使用了罗森伯格自尊量表(RSES)量表(n = 354;年龄范围:17-21 岁;M= 18.63 岁,SD = 1.06 岁)来评估北印度一所全女子大学中大学生的自尊及其与年龄、兄弟姐妹状况、学业课程、课外活动参与度、自我感觉的互联网和社交媒体使用情况和依赖性、药物使用情况以及自我感觉的生活控制能力之间的关系。采用 t 检验和单因素方差分析对数据进行了分析。研究结果大部分参与者(76.27%)得分较低(10-24 分),少数参与者(23.73%)得分中等(25-35 分),没有参与者(0%)得分较高(36-40 分)。参加校际/高校竞赛的学生(人数=77,占 28.52%)(M = 23.922,SD = 1.403)与未参加校际/高校竞赛的学生(人数=193,占 71.48%)(M = 23.378,SD = 1.383)相比,RSES 分数较低,{t (268) = 2.905,p = 0.002}。参加校内/高校体育竞赛的参与者(n=15,17.86%)(M=26.333,SD=0.617)与参加校内/高校体育竞赛的参与者(n=69,82.14%)(M=26.855,SD=1.061)相比,中度得分明显更高,{t(82)=1.833,p=0.035.}。使用社交媒体的参与者(n=255,94.44%)(M=23.596,SD=1.368)的得分明显低于未使用社交媒体的参与者(n=15,5.56%)(M=22.467,SD=1.685),{t(268)=3.066,p=0.001}。其他人口统计学变量没有显著影响(P>0.05)。结论参加课外活动提高了学生的自尊。社交媒体的使用对自尊有明显的负面影响。大多数参与者的自尊得分处于中低水平。没有人获得高分。AACCI 建议开展生活技能教育,特别强调自尊。
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引用次数: 0
Effectiveness and safety of AROMAFORCE® junior cough syrup in pediatric patients with acute upper respiratory conditions AROMAFORCE®初级止咳糖浆对急性上呼吸道疾病儿科患者的有效性和安全性
Pub Date : 2024-01-17 DOI: 10.15406/jpnc.2024.14.00535
Eva Pacheco, Cynthia Crespo, Alexandra Mascret, Amparo Fernández, Cristina Álvarez, Nuria Freixenet, Carme Valls, Abdesselam Zhiri
Aim: The purpose of this study was to evaluate the effectiveness and safety of Aromaforce® Junior Cough Syrup (AJCS) in treating acute upper respiratory tract infection-related coughs in children, and it served as a post-marketing clinical follow-up. Methods: Prospective, multicenter, open-label, controlled clinical investigation conducted under normal conditions of use to evaluate the antitussive effectiveness of a mucilage-based syrup in pediatric patients (aged 2 to 12 years) as compared to increased hydration measures (control group), with a 1-week follow-up. Likert severity scores were used to evaluate coughs and related symptom severity. Results: The results demonstrate that AJCS effectively reduces cough severity, including daytime and night-time cough, and the number of times the child was woken up, particularly within the first three days, surpassing the effectiveness of hydration measures. The results of the degree of satisfaction with AJCS show that the majority of physicians and parents had positive feedback. Furthermore, the safety analysis confirms the syrup's non-toxic nature in children. However, the initial differences in baseline characteristics between the study and control groups, with the study group exhibiting higher combined cough scores, limit the strength of the evidence. Conclusions: This study provides further evidence supporting the efficacy and safety of AJCS in the treatment of cough associated with acute upper respiratory tract infections in children. Further randomized studies may provide further evidence of the efficacy and safety of AJCS.
目的:本研究旨在评估 Aromaforce® 小儿止咳糖浆(AJCS)治疗儿童急性上呼吸道感染相关咳嗽的有效性和安全性,并作为上市后的临床随访。研究方法在正常使用条件下进行的前瞻性、多中心、开放标签、对照临床研究,评估以粘液为基础的糖浆对儿童患者(2 至 12 岁)的止咳效果,与增加水合措施(对照组)进行比较,并进行为期 1 周的随访。采用李克特严重程度评分来评估咳嗽和相关症状的严重程度。结果:结果表明,AJCS 有效降低了咳嗽的严重程度,包括白天和夜间咳嗽,以及患儿被唤醒的次数,尤其是在头三天内,超过了水合措施的效果。对 AJCS 的满意度结果显示,大多数医生和家长都给予了积极评价。此外,安全性分析证实糖浆对儿童无毒。然而,研究组和对照组在基线特征上的初始差异(研究组的咳嗽综合评分更高)限制了证据的强度。结论:这项研究提供了进一步的证据,证明了 AJCS 在治疗儿童急性上呼吸道感染引起的咳嗽方面的有效性和安全性。进一步的随机研究可为 AJCS 的疗效和安全性提供更多证据。
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引用次数: 0
Intraosseous access in the management of paediatric emergencies: a report from Gabriel Toure hospital  加布里埃尔-图雷医院在处理儿科急症时的骨内通路报告
Pub Date : 2024-01-15 DOI: 10.15406/jpnc.2024.14.00534
T. F, M. B, Sacko K, Maiga D, Coulibaly Y A, Traoré K, D. M, Toure D, K. D, Sidibé Ln, Diall H, C. O, Togo P, Cissé Me, Doumbia Ak, Simaga T, D. Aa, Dicko-Traoré F, Togo B, Sylla M
When access to peripheral veins is delayed or impossible, intraosseous access must be rapidly considered. The aim of our study was to determine the epidemiological, clinical and therapeutic characteristics of children who have benefited from intraosseous access, as well as the practical details of its implementation. Materials and methods: It was a prospective study, on the assessment of aspects of intraosseous access in the management of pediatric emergencies. Children under 15 years of age who received this procedure were included. The study was performed over a 14-month period from March 2018 to April 2019 at the pediatric emergencies of Gabriel Touré hospital. Results: Twenty-two patients were included. The sex ratio was 2.14. The mean age was 9 months (2 months-36 months). Dehydration complicated by shock represented 45.5% of treated diseases. All intraosseous access points were placed in the proximal tibia. Manual insertion was used in all cases. The most frequent early complication was deperfusion (13.6%). Difficulty with peripheral venous access was the main indication (77.3%). The procedure was performed by a physician in 91% of cases, with a success rate of 86.4%. Vascular filling was the most common treatment used by this route, accounting for 82% of cases. Conclusion: Intraosseous device insertion has saved children in life-threatening emergencies. The main factors limiting the insertion of the intraosseous device in our study were high cost of devices and lack of appropriate training about veins access in case of pediatric emergencies.
当外周静脉通路被延迟或无法进行时,必须迅速考虑进行骨内通路。我们的研究旨在确定从骨内通路获益的患儿的流行病学、临床和治疗特征,以及实施骨内通路的实际细节。材料和方法:这是一项前瞻性研究,旨在评估在儿科急症治疗中使用骨内通路的各个方面。研究对象包括接受该手术的 15 岁以下儿童。研究于2018年3月至2019年4月在加布里埃尔-图雷医院儿科急诊室进行,为期14个月。研究结果共纳入 22 名患者。性别比为 2.14。平均年龄为9个月(2个月-36个月)。脱水并发休克占治疗疾病的45.5%。所有骨内穿刺点均位于胫骨近端。所有病例均采用人工插入。最常见的早期并发症是血流灌注减少(13.6%)。外周静脉通路困难是主要原因(77.3%)。91%的病例由医生实施手术,成功率为86.4%。血管充盈是最常用的治疗方法,占 82%。结论在危及生命的紧急情况下,插入骨内装置挽救了儿童的生命。在我们的研究中,限制插入鞘内装置的主要因素是装置价格昂贵,以及缺乏有关儿科急诊情况下静脉通路的适当培训。
{"title":"Intraosseous access in the management of paediatric emergencies: a report from Gabriel Toure hospital ","authors":"T. F, M. B, Sacko K, Maiga D, Coulibaly Y A, Traoré K, D. M, Toure D, K. D, Sidibé Ln, Diall H, C. O, Togo P, Cissé Me, Doumbia Ak, Simaga T, D. Aa, Dicko-Traoré F, Togo B, Sylla M","doi":"10.15406/jpnc.2024.14.00534","DOIUrl":"https://doi.org/10.15406/jpnc.2024.14.00534","url":null,"abstract":"When access to peripheral veins is delayed or impossible, intraosseous access must be rapidly considered. The aim of our study was to determine the epidemiological, clinical and therapeutic characteristics of children who have benefited from intraosseous access, as well as the practical details of its implementation. Materials and methods: It was a prospective study, on the assessment of aspects of intraosseous access in the management of pediatric emergencies. Children under 15 years of age who received this procedure were included. The study was performed over a 14-month period from March 2018 to April 2019 at the pediatric emergencies of Gabriel Touré hospital. Results: Twenty-two patients were included. The sex ratio was 2.14. The mean age was 9 months (2 months-36 months). Dehydration complicated by shock represented 45.5% of treated diseases. All intraosseous access points were placed in the proximal tibia. Manual insertion was used in all cases. The most frequent early complication was deperfusion (13.6%). Difficulty with peripheral venous access was the main indication (77.3%). The procedure was performed by a physician in 91% of cases, with a success rate of 86.4%. Vascular filling was the most common treatment used by this route, accounting for 82% of cases. Conclusion: Intraosseous device insertion has saved children in life-threatening emergencies. The main factors limiting the insertion of the intraosseous device in our study were high cost of devices and lack of appropriate training about veins access in case of pediatric emergencies.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140507378","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 evaluation of the risk factors and utility of GutCheckNEC scoring system to predict necrotizing enterocolitis in preterm newborns, in a tertiary care centre in North India 在北印度的一家三级护理中心对预测早产新生儿坏死性小肠结肠炎的风险因素和 GutCheckNEC 评分系统的实用性进行前瞻性评估
Pub Date : 2023-12-12 DOI: 10.15406/jpnc.2023.13.00529
Dr. Bijaylaxmi Behera, Dr. Nisha Menan
Background: Necrotizing enterocolitis (NEC) is a serious gastrointestinal disease of neonate with high fatality. GutCheckNEC scoring system can be used in predicting NEC and decrease NEC rate. Aims: To assess risk factors and use scoring system GutCheckNEC in predicting necrotising enterocolitis. Methods: A prospective observational study with preterms, birth weight <1500grams was done. Risk factor assessment was done using GutCheckNEC and serial scorings were done. Descriptive analyses of the various risk factors assessed were done. Results: 51 babies included, with gestational age 24 to 35 weeks (Median (IQR) 30+2 (27+2, 31+6), birth weight 500 to 1500 grams (Median (IQR) – 1105 (893, 1300). 9 NEC cases, 6(11.5%) confirmed NEC and 2(22%) were surgical NEC. Absence of ANS, HsPDA and late onset sepsis were risk factors. The median (IQR) scoring at 72 hrs., 86 hrs., 7 days, 14days, 21days and 28 days were 34 (31, 38), 34 (30, 39), 34 (26, 43), 31 (23, 35), 35 (23, 38), 35 (30, 40). The median risk for developing NEC was high (33-36) on all days except day 14, when it was moderate (20-32). The sensitivity and specificity for a cut off >32 at 86hours was 85.7% and 48.5% (PPV – 26.1%, NPV – 94%) for medical NEC and 100% and 44.7% (PPV – 8.7%, NPV – 100%) respectively for surgical NEC. Conclusion: Hence we conclude that GUTCHECK can help in early prediction of NEC and prevention of NEC.
背景:坏死性小肠结肠炎(NEC坏死性小肠结肠炎(NEC)是一种严重的新生儿胃肠道疾病,死亡率很高。GutCheckNEC 评分系统可用于预测 NEC 并降低 NEC 发生率。目的:评估风险因素并使用 GutCheckNEC 评分系统预测坏死性小肠结肠炎。方法:前瞻性观察研究:对早产儿进行前瞻性观察研究,出生体重 32(86 小时)的内科 NEC 分别为 85.7% 和 48.5%(PPV - 26.1%,NPV - 94%),外科 NEC 分别为 100% 和 44.7%(PPV - 8.7%,NPV - 100%)。结论因此,我们认为 GUTCHECK 有助于早期预测 NEC 和预防 NEC。
{"title":"A prospective evaluation of the risk factors and utility of GutCheckNEC scoring system to predict necrotizing enterocolitis in preterm newborns, in a tertiary care centre in North India","authors":"Dr. Bijaylaxmi Behera, Dr. Nisha Menan","doi":"10.15406/jpnc.2023.13.00529","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00529","url":null,"abstract":"Background: Necrotizing enterocolitis (NEC) is a serious gastrointestinal disease of neonate with high fatality. GutCheckNEC scoring system can be used in predicting NEC and decrease NEC rate. Aims: To assess risk factors and use scoring system GutCheckNEC in predicting necrotising enterocolitis. Methods: A prospective observational study with preterms, birth weight <1500grams was done. Risk factor assessment was done using GutCheckNEC and serial scorings were done. Descriptive analyses of the various risk factors assessed were done. Results: 51 babies included, with gestational age 24 to 35 weeks (Median (IQR) 30+2 (27+2, 31+6), birth weight 500 to 1500 grams (Median (IQR) – 1105 (893, 1300). 9 NEC cases, 6(11.5%) confirmed NEC and 2(22%) were surgical NEC. Absence of ANS, HsPDA and late onset sepsis were risk factors. The median (IQR) scoring at 72 hrs., 86 hrs., 7 days, 14days, 21days and 28 days were 34 (31, 38), 34 (30, 39), 34 (26, 43), 31 (23, 35), 35 (23, 38), 35 (30, 40). The median risk for developing NEC was high (33-36) on all days except day 14, when it was moderate (20-32). The sensitivity and specificity for a cut off >32 at 86hours was 85.7% and 48.5% (PPV – 26.1%, NPV – 94%) for medical NEC and 100% and 44.7% (PPV – 8.7%, NPV – 100%) respectively for surgical NEC. Conclusion: Hence we conclude that GUTCHECK can help in early prediction of NEC and prevention of NEC.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"18 4S3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008600","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
Reshaping the head: cranial remodeling orthoses (cranial helmet) in infants: a review 重塑头部:婴儿颅骨重塑矫形器(头盔):综述
Pub Date : 2023-12-06 DOI: 10.15406/jpnc.2023.13.00527
Dr. Swagatika Mishra, Dr. Swarup Kumar Dash
Positional skull deformity (P.D.) is a frequent occurrence in neonates and infants, and most of them go unnoticed for lack of awareness. Severe deformity may lead to physical facial deformity and long-term neurological issues. Early detection and timely management are the keys to managing the condition. The evolution of newer digital technology like three-dimensional (3D) scanners improved the diagnosis accuracy and treatment process. Early initiation of physical therapy along with Cranial Remodeling Orthosis (Cranial Helmet) has shown to be effective in treating P.D. and preventing the development of complications.
头盖骨位置畸形(Positional skull畸形,P.D.)是新生儿和婴幼儿的常见病,但大多因缺乏意识而被忽视。严重的畸形可能导致物理面部畸形和长期的神经问题。早期发现和及时治疗是控制病情的关键。三维(3D)扫描仪等较新的数字技术的发展提高了诊断的准确性和治疗过程。早期物理治疗和颅骨重塑矫形术(颅骨头盔)已被证明对治疗pd和预防并发症的发展是有效的。
{"title":"Reshaping the head: cranial remodeling orthoses (cranial helmet) in infants: a review","authors":"Dr. Swagatika Mishra, Dr. Swarup Kumar Dash","doi":"10.15406/jpnc.2023.13.00527","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00527","url":null,"abstract":"Positional skull deformity (P.D.) is a frequent occurrence in neonates and infants, and most of them go unnoticed for lack of awareness. Severe deformity may lead to physical facial deformity and long-term neurological issues. Early detection and timely management are the keys to managing the condition. The evolution of newer digital technology like three-dimensional (3D) scanners improved the diagnosis accuracy and treatment process. Early initiation of physical therapy along with Cranial Remodeling Orthosis (Cranial Helmet) has shown to be effective in treating P.D. and preventing the development of complications.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"8 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597374","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
Perforated Meckel´s diverticulum in large omphalocele: a case report 大脐带中的梅克尔憩室穿孔:一份病例报告
Pub Date : 2023-12-05 DOI: 10.15406/jpnc.2023.13.00526
Sergio Velasco-Villanueva, Ana K Trejo-Olguín
Omphalocele is a midline abdominal wall defect that can be associated with other abnormalities. In this case report, we present a case of a newborn male with a perforated Meckel's diverticulum adherent within an omphalocele and intestinal malrotation; a very few cases of the coexistence of Omphalocele and Meckel's diverticulum have been described, so we highlight the multidisciplinary management. Consent to publish the case report was not obtained. This report does not contain any personal information that could lead to the identification of the patient. Since this is a case report we didn’t use any statistical tool. The validity and reliability of this case due to its detailed clinical account, citation of existing literature, and adherence to established medical knowledge.
脐膨出是腹壁中线缺损,可合并其他异常。在这个病例报告中,我们提出了一个新生儿的情况下,穿孔的梅克尔憩室附着在脐膨出和肠道旋转不良;很少有脐膨出和梅克尔憩室共存的病例被描述,因此我们强调多学科管理。未获得发表该病例报告的同意。本报告不包含任何可能导致识别患者身份的个人信息。由于这是一份病例报告,我们没有使用任何统计工具。由于其详细的临床描述,引用现有文献,并坚持既定的医学知识,本病例的有效性和可靠性。
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引用次数: 0
First case report of partial craniofacial duplication in a Lebanese patient and its functional implications 首例黎巴嫩患者颅颌面部分重复及其功能影响报告
Pub Date : 2023-12-04 DOI: 10.15406/jpnc.2023.13.00525
Tonia Harb, Pia Kiwan, Carla Hanna, R. Sacy
Craniofacial duplication, a rare congenital anomaly, presents an intricate spectrum of clinical manifestations that can profoundly impact an individual's quality of life. This case report explores the unique presentation of partial craniofacial duplication in a Lebanese patient and sheds light on the associated functional implications. Our patient presented at day of life zero with atypical craniofacial features, including duplication of nasal structures, oral structures including the tongue and the hard palate, and fontanels. Comprehensive clinical and radiological assessments were conducted to ascertain the extent of the craniofacial involvement. The diagnostic workup revealed partial duplication. The baby is still alive with no signs of respiratory distress. The functional implications extend beyond the physical presentation, highlighting the importance of a multidisciplinary healthcare approach to address the complex needs of individuals with craniofacial anomalies. This case contributes to the limited literature on craniofacial duplications and underscores the need for continued research and specialized care in managing such rare and intricate congenital conditions.
颅面重复是一种罕见的先天性畸形,其临床表现错综复杂,会对患者的生活质量产生深远影响。本病例报告探讨了一名黎巴嫩患者部分颅面重复的独特表现,并揭示了相关的功能影响。我们的患者在出生后第零天出现非典型颅面特征,包括鼻腔结构、口腔结构(包括舌头和硬腭)以及囟门的重复。为了确定颅面部受累的程度,医生对其进行了全面的临床和放射学评估。诊断结果显示,该颅骨部分重复。婴儿仍然活着,没有呼吸窘迫的迹象。该病例的功能影响超出了其身体表现,突出了多学科医疗保健方法对满足颅面畸形患者复杂需求的重要性。本病例为有限的颅面重复文献做出了贡献,并强调了在处理此类罕见而复杂的先天性疾病时继续研究和专业护理的必要性。
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引用次数: 0
Improved outcomes after the introduction of donor breast milk 引入供体母乳后,疗效得到改善
Pub Date : 2023-12-01 DOI: 10.15406/jpnc.2023.13.00524
Somia Shaheen, Faiza Javed, Germaine Neh, Hadia Asif, Kiran Bhat
Premature infants are at considerable risk of increased morbidity and mortality. They have a higher risk of learning disabilities, cerebral palsy, sensory deficits, respiratory illnesses, and gastrointestinal illnesses.1,2 Providing mother's own milk to the preterm infant has nutritional, gastrointestinal, immunological, developmental, and psychological benefits. Breastfed preterm infants have a lower rate of ear infections, respiratory infections, or infection‐related events. They have lower rates of gastrointestinal infections, necrotizing enterocolitis, and mortality. When milk from the mother is not available, human donor milk is an important option, because it maintains many of its health benefits. This article shines light on the improved outcomes of premature infants after the introduction of donor breast milk and also discusses the multiple challenges faced by a level three NICU of a tertiary care hospital during the implementation of Donor Breast Milk program.
早产儿发病率和死亡率增加的风险相当大。他们患学习障碍、脑瘫、感觉缺陷、呼吸系统疾病和胃肠道疾病的风险更高。1,2用母乳喂养早产儿对营养、胃肠、免疫、发育和心理都有好处。母乳喂养的早产儿发生耳部感染、呼吸道感染或感染相关事件的几率较低。他们的胃肠道感染、坏死性小肠结肠炎和死亡率较低。当无法获得母亲的乳汁时,人类捐赠的乳汁是一个重要的选择,因为它保留了许多健康益处。本文阐述了采用母乳供体后早产儿预后的改善,并讨论了某三级医院三级新生儿重症监护室在实施母乳供体方案时面临的多重挑战。
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引用次数: 0
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Journal of Pediatrics &amp; Neonatal Care
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