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Comparison Of Measurements Of Body Temperature With Four Thermometers In A Children Health Care Setting. Comparison Of Thermometers. 儿童卫生保健机构四种体温计测量体温的比较。温度计的比较。
Pub Date : 2010-12-31 DOI: 10.5580/191b
Nicolás Padilla- Raygoza, R. D. Guerrero, Patricia Alejandra Garcia Valenzuela, M. A. Hernández
Introduction. Body temperature is measure in all setting of primary health care. There are some thermometers for use, but the results of their measurements are controversial.Patients and methods. We made measurements of body temperature with cutaneous, ear, digital axillary and mercurial axillary in 100 children under 18 years old that attended a private ambulatory pediatric health care; they were rest 15 minutes and then we made the measurements, two times for one researcher and another time for a different research. The time between measurements were 15 minutes. We calculated validity and repeatability in cutaneous, ear and digital axillary thermometers compared with mercurial axillary; we obtained r Pearson and regression lineal equation. We calculated Kappa for the agreement intra-researcher and inter-researchers.Results. Sensitivity was low (<70%) for cutaneous and ear thermometers, but it was high for digital axillary. Predictive positive value was high for digital axillary thermometry compared with mercurial axillary (>90%). r de Pearson was excellent (>0.90) between digital axillary and mercurial with regression lineal equation significative (p<.05). Kappa was higher, o89 y 0.90 for digital axillary and mercurial axillary thermometry. Conclusion. In our sample, digital axillary thermometer measured the body temperature more similar that mercurial axillary thermometer.
介绍。在初级卫生保健的所有环境中都要测量体温。有一些温度计可供使用,但它们的测量结果是有争议的。患者和方法。我们测量了100名18岁以下儿童的皮肤、耳、指腋窝和汞腋窝的体温,这些儿童在私立儿科门诊就诊;他们休息了15分钟,然后我们做了测量,一个研究人员做了两次,另一个研究做了一次。测量间隔时间为15分钟。我们计算了皮肤体温计、耳体温计和数字腋窝体温计与水银腋窝体温计的有效性和重复性;得到r - Pearson和回归线性方程。我们计算了研究人员内部和研究人员之间的协议Kappa。灵敏度低(90%)。r de Pearson在数字腋窝和水银之间的差异极好(>0.90),回归线性方程显著(p< 0.05)。数字腋窝测温和水银腋窝测温Kappa值更高,分别为0.89和0.90。结论。在我们的样本中,数字腋下体温计测量的体温与水银腋下体温计更接近。
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引用次数: 4
A new cause of ambiguous genitalia: Multiple malformation Syndrome related to an unbalanced translocation 不明生殖器的新原因:与不平衡易位相关的多重畸形综合征
Pub Date : 2010-01-01 DOI: 10.5580/105d
L. Pavone, M. Caruso, A. Pira, P. Pavone, O. Palumbo, M. Carella, T. Mattina
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引用次数: 2
Vascular Malformations Of The Oral Cavity In Children And Young Adolescents – Insights Into Their Pathogenesis. 儿童和青少年的口腔血管畸形-了解其发病机制。
Pub Date : 2009-12-31 DOI: 10.5580/1746
D. Shetty, H. Rai, P. Rastogi, Abikshyeet Panda, N. Ahuja
Vascular anomalies are congenital errors in vasculogenesis. They comprise of vascular tumors (hemangiomas) and vascular malformations (venous malformations, arteriovenous malformations, lymphatic malformations). Lymphatic malformations or lymphangiomas are uncommon congenital malformations of the lymphatic vessels filled with a clear protein rich fluid containing few lymph rich cells. Large lymphangioma extending into tissue spaces of the neck is reffered to as cystic hygroma. Advancements in the knowledge of pathogenesis of such vascular malformations is continuously changing their treatment protocols. Early recognition is of utmost importance for initiation of proper treatment, and avoiding serious complications. Lymphangiomas are further subclassified microscopically into capillary, cavernous, cystic and lymphangioendothelioma depending upon its histopathological features. Haemangiolymphangioma is a variant of lymphangioma showing vascular component. Herewith, we present a case of vascular malformation diagnosed as haemangiolymphangima, histopathologically in a 5 year old girl. On the contrary, it is argued that instead of being a congenital malformation, lymphangioma is a true neoplasm resulting from transformed lymphatic endothelial cells and/ or stromal cells.
血管异常是血管发生的先天性错误。它们包括血管肿瘤(血管瘤)和血管畸形(静脉畸形、动静脉畸形、淋巴畸形)。淋巴管畸形或淋巴管瘤是罕见的先天性淋巴管畸形,淋巴管充满富含蛋白质的透明液体,其中含有少量富含淋巴细胞。扩大到颈部组织间隙的大淋巴管瘤被称为囊性水瘤。这些血管畸形的发病机制的知识的进步不断改变着它们的治疗方案。早期识别对于开始适当治疗和避免严重并发症至关重要。根据其组织病理学特征,淋巴管瘤在显微镜下可进一步细分为毛细血管、海绵状、囊性和淋巴管内皮瘤。血管淋巴管瘤是淋巴管瘤的一种变体,具有血管成分。在此,我们报告一例5岁女孩的血管畸形,病理诊断为血管淋巴瘤。相反,有人认为淋巴管瘤不是先天性畸形,而是淋巴管内皮细胞和/或基质细胞转化的真正肿瘤。
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引用次数: 4
Analysis of clinical course in term patients with early and delayed umbilical cord clamping after birth 出生后早期和延迟脐带夹断足月患者的临床过程分析
Pub Date : 2009-12-31 DOI: 10.5580/2977
A. Gutiérrez, Rosannah M Velasquez, Mónica Guadalupe Tinajero Iriarte
BackgroundThe optimal time of cord clamping has been a subject of heated discussion. It has been reported that placental transfusion occurs primarily at 10 seconds after delivery, therefore immediate cord clamping may deprive the newborn of blood. Material and methodsTwo hundred term newborns born over a two-month period were divided into two groups: group A with immediate cord clamping and group B with clamping at 10 seconds after birth.ResultsAt least one morbidity event was recorded in 35% of patients in group A and in 8% of patients in group B.DiscussionThe time of delay was based on reports that 5% of circulating volume can be transfused at 10 seconds after birth without risk. Morbidity was higher in the group with immediate cord clamping than in the delayed clamping group.ConclusionsDelayed cord clamping is a safe procedure with beneficial effects for the newborn.
脐带的最佳夹紧时间一直是热议的话题。据报道,胎盘输血主要发生在分娩后10秒,因此立即夹住脐带可能会剥夺新生儿的血液。材料与方法将200例2个月以上足月新生儿分为两组:a组立即脐带夹紧,B组出生后10秒脐带夹紧。结果A组35%的患者和b组8%的患者至少发生一次发病事件。讨论延迟时间是基于出生后10秒可输血5%循环容量而无风险的报道。即刻脐带夹紧组的发病率高于延迟脐带夹紧组。结论延迟脐带夹紧术是一种安全、有益的新生儿手术。
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引用次数: 4
Idiopathic Ileo-Ileal Intussusception In Older Children: A Case Report And Brief Literature Review 大龄儿童特发性回肠-回肠肠套叠1例报告及简要文献复习
Pub Date : 2009-12-31 DOI: 10.5580/8ee
S. A. El-Gasim, H. Balamoun, H. Benziger
Small bowel intussusceptions are much less common than the ileocolic type. The unusual age group and variable presentation contribute to the frequent delay in diagnosis with increased morbidity and mortality. Majority of cases of isolated ileoileal intussusception are associated with a pathological lead point. Idiopathic ileoileal intussusceptions are rare, especially in older children. To our knowledge, this is the first reported case of antegrade ileoileal intussusception in older school-age children without an apparent predisposing cause.
小肠肠套叠比回结肠型要少见得多。不同寻常的年龄组和不同的表现导致诊断经常延迟,发病率和死亡率增加。大多数孤立性回肠肠套叠的病例都有一个病理导点。特发性回肠肠套叠是罕见的,特别是在年龄较大的儿童。据我们所知,这是第一例无明显诱因的大龄儿童回肠肠套叠逆行性病例。
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引用次数: 1
A Newborn with Petechiae and Bruising 新生儿有瘀点和瘀伤
Pub Date : 2009-12-31 DOI: 10.5580/2529
L. Nesbitt, D. Waxman, Julie L. Cruz, Zenaida Reyes-Taucher, A. Sharathkumar
We report the case of a 29-year-old Causcasian woman (G5P0) who delivered a full-term female infant. Fetal growth and development were normal throughout gestation. The pregnancy was complicated by 3rd trimester preeclampsia, requiring induction of labor at 40 weeks gestation. Diagnosis of neonatal alloimmune thrombocytopenia (NAIT or NATP) or feto-maternal alloimmune thrombocytopenia (FMAIT or FMAITP) was made and is discussed in this article.
我们报告一例29岁高加索妇女(G5P0)谁分娩足月女婴。妊娠期间胎儿生长发育正常。妊娠晚期伴有先兆子痫,需要在妊娠40周引产。新生儿同种免疫性血小板减少症(NAIT或NATP)或胎母同种免疫性血小板减少症(FMAIT或FMAITP)的诊断已被提出并在本文中讨论。
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引用次数: 1
Chlamydia trachomatis Pneumonia in the Early Neonatal Period 新生儿早期沙眼衣原体肺炎
Pub Date : 2009-12-31 DOI: 10.5580/2635
J. Reyna-Figueroa, J. Ibarra, M. Almaguer, S. Medina
Background: Classically, Chlamydia trachomatis (Ct) pneumonia is recognised 4 to 11 weeks after birth. However, some reports have described the early presentation associated with a respiratory signology, basically before 8 days of life. Objective: To describe in cases series the clinical behaviour, the characteristics of the laboratory examinations and the radiological alterations presented in nine patients less than 8 days with a positive culture for Ct during January 2005 through December 2007. Methods Ct was identified through culture of bronchial aspirates, using a sterile Dacron swab which was maintained in 0.2 mL of 2SP transport media (Sacarose phosphate pH 7.2, supplemented with 10% fetal calf serum and antibiotics). McCoy cells in culture were inoculated with this media. Identification of Ct was made by direct immunofluorescence using specific anti-Chlamydia monoclonal antibodies, and by Polymerase Chain Reaction (PCR). Results: Taquypnea, pulmonary reticulonodular infiltrate and eosinophilia were the most frequent clinical signs. No other microorganism was identified. Treatment with chlarithromycin was effective in all cases.Conclusions This study support the early pulmonary infection by Chlamydia trachomatis as an illness, which must be suspected and researched in the neonatal, above all in premature neonates, with clinical symptoms of respiratory distress, without data of systemic inflammatory response and with radiographic alterations.
背景:沙眼衣原体肺炎通常在出生后4 - 11周被诊断出来。然而,一些报告描述了与呼吸体征相关的早期表现,基本上是在8天之前。目的:描述2005年1月至2007年12月期间9例Ct培养阳性患者在8天内出现的临床行为、实验室检查特征和影像学改变。方法用无菌涤纶拭子培养支气管抽吸液,用0.2 mL 2SP运输培养基(磷酸糖糖pH 7.2,添加10%胎牛血清和抗生素)培养Ct。用该培养基接种培养的McCoy细胞。采用特异性衣原体单克隆抗体和聚合酶链反应(PCR)直接免疫荧光法对Ct进行鉴定。结果:呼吸困难、肺网状结节浸润和嗜酸性粒细胞增多是最常见的临床症状。未发现其他微生物。克拉霉素治疗对所有病例均有效。结论本研究支持沙眼衣原体早期肺部感染是一种疾病,必须在新生儿,特别是早产儿中怀疑和研究,临床症状为呼吸窘迫,没有全身炎症反应的资料,影像学改变。
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引用次数: 1
A very rare case report of late presentation of Moya moya syndrome in a child with history of tubercular meningitis 一个非常罕见的病例报告晚提出莫亚莫亚综合征的儿童结核性脑膜炎的历史
Pub Date : 2009-12-31 DOI: 10.5580/3a2
K. Umesh, K. Shilpa
Moya Moya is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible occlusion of main blood vessels to the brain as they enter into the skull. The occlusive process stimulates the development of an extensive network of enlarged basal, transcortical and transdural collateral vessels The blockage tends to cause strokes or seizures. The process of narrowing of cerebral vessels seems to be a reaction of brain blood vessels to a wide variety of external stimuli, injuries or genetic defects.We present a case of progressive vasculopathy in a 10 year old girl with history of tubercular meningitis in the infancy and which is being rarely described in pediatric population in which tubercular meningitis is still very much common in this part of world.
莫亚病是一种罕见的特发性进行性血管闭塞性疾病,其特征是进入颅骨的通往大脑的主要血管不可逆转地闭塞。闭塞过程刺激基底、经皮质和经硬膜侧支血管扩大的广泛网络的发展,阻塞容易引起中风或癫痫发作。脑血管狭窄的过程似乎是脑血管对各种外部刺激、损伤或遗传缺陷的反应。我们提出了一例进行性血管病变的10岁女孩与结核性脑膜炎的历史,在婴儿期,这是很少被描述在儿童人口中结核性脑膜炎仍然是非常常见的在这个部分的世界。
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引用次数: 0
A Research Proposal Evaluating the Effectiveness of the Brain Score and Craniosacral Fascial Therapy for Neonates 新生儿脑评分与颅骶筋膜治疗效果评价研究方案
Pub Date : 2009-12-31 DOI: 10.5580/12a0
Carol E. Newell, M. Newell, B. Gillespie
This research proposal investigates the utility of the Brain Score and craniosacral fascial therapy for newborns. We will use sound research methodology to measure the Brain Score’s reproducibility and reliability in assessing neonatal neurophysiology and the effectiveness of craniosacral fascial therapy on newborns and mothers-to-be to significantly decrease the incidence of many chronic pediatric diseases. The primary hypothesis states that fetal and birth trauma may cause tissue tightness, impair neurophysiology, and sow the seeds of chronic illness in children. As the genes imprint physical traits at conception, untreated trauma may also stamp newborns with chronic conditions for life. Because clinical experience has shown craniosacral fascial therapy to be effective for children, toddlers, and infants with these chronic conditions, the most logical step through inductive reasoning is to propose research methods to investigate the practice of the Brain Score and craniosacral fascial therapy for neonates. If the Brain Score proves to be a reproducible and reliable test, it will alert professionals to at-risk newborns and indicate craniosacral fascial therapy to improve neurophysiology. We intend to prove the primary hypothesis by showing that newborn treatment to mitigate nine months of fetal and birth trauma significantly decreases the incidence of fifteen common diseases in children. The secondary hypothesis states that mothers may pass trauma through their own craniosacral fascial strain patterns on to their newborns during the fetal and birth period to eventually cause pediatric illness. We intend to prove that preventative craniosacral fascial therapy for mothers-to-be has a significantly positive effect on neonatal neurophysiology, thus decreasing the incidence of future pediatric disease.
本研究计划探讨脑评分和颅骶筋膜治疗在新生儿中的应用。我们将使用完善的研究方法来衡量脑评分在评估新生儿神经生理学和颅骶筋膜治疗对新生儿和准妈妈的有效性方面的可重复性和可靠性,以显著降低许多慢性儿科疾病的发病率。主要假设认为胎儿和分娩创伤可能导致组织紧绷,损害神经生理,并播下儿童慢性疾病的种子。由于基因在受孕时就会留下身体特征的印记,未经治疗的创伤也可能给新生儿留下终身慢性疾病的印记。由于临床经验表明颅骶筋膜疗法对患有这些慢性疾病的儿童、幼儿和婴儿是有效的,因此通过归纳推理,最合乎逻辑的步骤是提出研究方法来调查脑评分和颅骶筋膜疗法对新生儿的实践。如果大脑评分被证明是一个可重复且可靠的测试,它将提醒专业人员注意高危新生儿,并提示颅骶筋膜治疗以改善神经生理学。我们打算通过新生儿治疗来证明最初的假设,以减轻9个月的胎儿和分娩创伤,显著降低儿童15种常见疾病的发病率。第二种假说认为,母亲可能在胎儿和分娩期间将创伤通过自己的颅骶筋膜张力模式传递给新生儿,最终导致儿科疾病。我们打算证明预防性颅骶筋膜治疗对新生儿神经生理有显著的积极作用,从而降低未来儿科疾病的发病率。
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引用次数: 0
Sickle cell disease status among school adolescents and their tribal community in South Gujarat 南古吉拉特邦学校青少年及其部落社区的镰状细胞病状况
Pub Date : 2009-12-31 DOI: 10.5580/20c8
Bipin Vasava, Rajesh K. Chudasama, Naresh R Godara, R. Srivastava
Objectives: to create awareness, to screen samples of school adolescents and then to reach their community through them by doing surveillance for sickle cell disease. Design: Field based cross-sectional study. Settings: St Xavier`s high school and Vanraj high school of Umarpada taluka of Surat district. Subjects: School adolescents, their parents and friends. Method: After taking permission from school authority, blood samples of 948 school adolescents were taken for DTT test and then for electrophoresis. Blood samples of motivated parents and friends of those adolescents found positive for DTT was taken in subsequent visit and results were communicated to them. Results: Blood samples of 948 school adolescents, out of 1081 were tested for DTT test. It was positive in 242 samples, giving a prevalence of 25.5% for sickle cell disease. On subjecting the positive blood samples to electrophoresis, the proportion of sickle cell trait and sickle cell disease was found to be 92% and 8% respectively. Then electrophoresis was done in 64 parents and friends, 24 (37.5%) of them were found positive of which, 14 (58%) were having sickle cell trait and 10 (42%) having sickle cell disease. Conclusion: approaching community can be possible through school adolescents for conduction of surveillance of sickle cell anemia
目标:提高认识,筛选学校青少年样本,然后通过他们监测镰状细胞病,向他们的社区宣传。设计:基于实地的横断面研究。背景:苏拉特地区Umarpada taluka的圣泽维尔高中和Vanraj高中。研究对象:在校青少年、他们的父母和朋友。方法:经校方同意,抽取948名在校青少年血样进行DTT检测和电泳。这些青少年的父母和朋友在随后的访问中采集了DTT阳性的血液样本,并将结果告知他们。结果:对1081名在校生中的948人进行了DTT检测。242个样本呈阳性,说明镰状细胞病的患病率为25.5%。对阳性血样进行电泳,发现镰状细胞性状和镰状细胞病的比例分别为92%和8%。对64名父母和朋友进行电泳,其中阳性24人(37.5%),有镰状细胞性状14人(58%),有镰状细胞病10人(42%)。结论:通过学校青少年开展镰状细胞性贫血的社区监测是可行的
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引用次数: 4
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The Internet journal of pediatrics and neonatology
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