Pub Date : 2018-07-18DOI: 10.15406/jpnc.2018.08.00332
Sabrina C Burn, M. Burn, P. Burn
of class III obesity was 9.9%.2 More concerning is the finding that among women giving birth in 2014, 24.8% were reported as obese and 25.6% as overweight.3 This unfortunate trend is further illustrated by the Centers for Disease Control and Prevention (CDC) who reported that obesity among women of childbearing age (18-44 years) increased by almost 30% over the last decade, from 21.7% in 2006 to 27.5 % in 2016.4 Despite the fact that most recently the prevalence of obesity seems to have stabilized in the overall population, the prevalence of class II and class III obesity in reproductive aged women is still on the rise.5 In short, pre-pregnancy BMI outside the normal range are now at an all time high in reproductive aged women and raise considerable individual and public health concerns.
{"title":"Maternal obesity and its association with neonatal morbidity","authors":"Sabrina C Burn, M. Burn, P. Burn","doi":"10.15406/jpnc.2018.08.00332","DOIUrl":"https://doi.org/10.15406/jpnc.2018.08.00332","url":null,"abstract":"of class III obesity was 9.9%.2 More concerning is the finding that among women giving birth in 2014, 24.8% were reported as obese and 25.6% as overweight.3 This unfortunate trend is further illustrated by the Centers for Disease Control and Prevention (CDC) who reported that obesity among women of childbearing age (18-44 years) increased by almost 30% over the last decade, from 21.7% in 2006 to 27.5 % in 2016.4 Despite the fact that most recently the prevalence of obesity seems to have stabilized in the overall population, the prevalence of class II and class III obesity in reproductive aged women is still on the rise.5 In short, pre-pregnancy BMI outside the normal range are now at an all time high in reproductive aged women and raise considerable individual and public health concerns.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41687643","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 : 2018-07-17DOI: 10.15406/JPNC.2018.08.00331
Yun Ju Lim
{"title":"Management of intractable supraventricular tachycardia unresponsive to primary therapy with Verapamil in a neonatal case","authors":"Yun Ju Lim","doi":"10.15406/JPNC.2018.08.00331","DOIUrl":"https://doi.org/10.15406/JPNC.2018.08.00331","url":null,"abstract":"","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47285674","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 : 2018-07-16DOI: 10.15406/jpnc.2018.08.00330
Holly Sims, Guillermo Godoy
Bronchopulmonary dysplasia (BPD) is a form of chronic lung disease (CLD) that is a major sequel of respiratory distress syndrome (RDS) associated with significant neonatal mortality and long-term morbidity in survivors. The incidence is highest in babies born at less than 28 weeks of gestational who have severe respiratory distress at birth, particularly in those who require respiratory support with oxygen and positive-pressure ventilation for more than two weeks after birth.1 Despite the high prevalence of BPD among the increasingly immature population of infants surviving preterm birth, no drugs for prevention have been licensed.2 Persistent lung inflammation is the most likely mediator of lung injury contributing to the development of BPD.1 The role of corticosteroids as anti-inflammatory agents has been extensively studied and proven to be efficacious in the management of neonatal respiratory disorders, although use is associated with many short and long-term side effects.1 Research has proven that prenatal steroids are an inexpensive, safe and highly effective way of enhancing neonatal survival, reducing morbidity, decreasing the incidence and severity of RDS, and decreasing the incidence of intra ventricular hemorrhage and necrotizing enterocolit is in babies born prematurely.2 Although postnatal steroids are recognized to reduce rates of BPD, usage has been more controversial due to uncertainty regarding safety.2–7 In the late 1990s, reports on long-term outcomes showed early postnatal systemic dexamethasone treatment was associated with an increased risk of abnormal neurological
{"title":"Rescue therapy with betamethasone in preterm infants (day of life>14) at high risk for bronchopulmonary dysplasia to assist weaning from ventilator support: a case series","authors":"Holly Sims, Guillermo Godoy","doi":"10.15406/jpnc.2018.08.00330","DOIUrl":"https://doi.org/10.15406/jpnc.2018.08.00330","url":null,"abstract":"Bronchopulmonary dysplasia (BPD) is a form of chronic lung disease (CLD) that is a major sequel of respiratory distress syndrome (RDS) associated with significant neonatal mortality and long-term morbidity in survivors. The incidence is highest in babies born at less than 28 weeks of gestational who have severe respiratory distress at birth, particularly in those who require respiratory support with oxygen and positive-pressure ventilation for more than two weeks after birth.1 Despite the high prevalence of BPD among the increasingly immature population of infants surviving preterm birth, no drugs for prevention have been licensed.2 Persistent lung inflammation is the most likely mediator of lung injury contributing to the development of BPD.1 The role of corticosteroids as anti-inflammatory agents has been extensively studied and proven to be efficacious in the management of neonatal respiratory disorders, although use is associated with many short and long-term side effects.1 Research has proven that prenatal steroids are an inexpensive, safe and highly effective way of enhancing neonatal survival, reducing morbidity, decreasing the incidence and severity of RDS, and decreasing the incidence of intra ventricular hemorrhage and necrotizing enterocolit is in babies born prematurely.2 Although postnatal steroids are recognized to reduce rates of BPD, usage has been more controversial due to uncertainty regarding safety.2–7 In the late 1990s, reports on long-term outcomes showed early postnatal systemic dexamethasone treatment was associated with an increased risk of abnormal neurological","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43153827","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 : 2018-07-10DOI: 10.15406/jpnc.2018.08.00329
Askerov Arsen Askerovich
{"title":"New methods of improving the quality of medical services","authors":"Askerov Arsen Askerovich","doi":"10.15406/jpnc.2018.08.00329","DOIUrl":"https://doi.org/10.15406/jpnc.2018.08.00329","url":null,"abstract":"","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43502988","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 : 2018-06-28DOI: 10.15406/jpnc.2018.08.00328
Awadh Salem Al-Majrafi, Naela Khalifa Al Kalbani, Farida Ambusaidi
Intra-thoracic arteriovenous malformations are uncommon. As the most reported localizations of AVM are the head (vein of Galen malformation), the abdomen (infantile hepatic hemangioma), the neck and extremities.1 Arterio venous malformation divided into congenital and acquired. The congenital forms are even more uncommon and patients present with variable symptoms that make the diagnosis more challenging.2,3 A congenital Aortocaval fistula from subclavian artery to the superior vena cava (SVC) may represent a subclass of this condition.
{"title":"Rare congenital fistula connection between right subclavian artery and superior vena cava presenting in neonate with congestive cardiac failure","authors":"Awadh Salem Al-Majrafi, Naela Khalifa Al Kalbani, Farida Ambusaidi","doi":"10.15406/jpnc.2018.08.00328","DOIUrl":"https://doi.org/10.15406/jpnc.2018.08.00328","url":null,"abstract":"Intra-thoracic arteriovenous malformations are uncommon. As the most reported localizations of AVM are the head (vein of Galen malformation), the abdomen (infantile hepatic hemangioma), the neck and extremities.1 Arterio venous malformation divided into congenital and acquired. The congenital forms are even more uncommon and patients present with variable symptoms that make the diagnosis more challenging.2,3 A congenital Aortocaval fistula from subclavian artery to the superior vena cava (SVC) may represent a subclass of this condition.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41245360","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 : 2018-06-26DOI: 10.15406/jpnc.2018.08.00327
K. M. N. Ferdous, Samiullah Hasan, K. Kabir, Abd Aziz, M. K. Islam
Cryptorchidism or undescended testis is one of the most common genitourinary disorders in young boys, where the testis can’t be reached at the bottom of the scrotum.1 3-5% of full termand1845%ofpre-termnewborn boys are born with either unilateral or bilateral undecided testes. The prevalence drops to1-2% by three months of age and 0.8% will still have cryptorchidism attend of 1 years.2-4 Smolko et al.,5 reported that 20% of undescended testes are clinicallynonpalpable.5 The non palpable testis can be non-present, atrophic, or have a failure to descend and be found in ahighscrotal, inguinal, orintra-abdominal location. Most of the literatures report that approximately 20–40%ofnon-palpabletestesareintraabdominalinlocation.6 Localization of the Nonpalpable testis is a significant problem in pediatric age group. The diagnostic methods are Ultra sonography, CT scan, MRI and laparoscopy have been used to locate non palpable testis.7 In a case with Nonpalpable testis, the classical approach was in guinal exploration, if testis found then orchiopexy. If testis cannot be found, then the procedure is preceded with open abdominal exploration.8 But, unplanned groin exploration may be detrimental to the outcome of surgery and sometime fruitless.9 Use of laparoscopy was firstly recommended by Cortesietal in1976 to locate non palpableundescended testes and laparoscopic orchidopexy was firstly performed by Jordan et al., in 1992.8 Nowadays, laparoscopic procedure is a gold standard in the management of patients with a Nonpalpable testis for localization and to plan subsequent surgical management in many centers.10 Wide screen behereour institutional experience with laparoscopic management of Nonpalpable testes in children over the last 5years.
{"title":"Laparoscopic management of nonpalpable testis: 5 years’ experience at Dhaka Shishu (Children) Hospital","authors":"K. M. N. Ferdous, Samiullah Hasan, K. Kabir, Abd Aziz, M. K. Islam","doi":"10.15406/jpnc.2018.08.00327","DOIUrl":"https://doi.org/10.15406/jpnc.2018.08.00327","url":null,"abstract":"Cryptorchidism or undescended testis is one of the most common genitourinary disorders in young boys, where the testis can’t be reached at the bottom of the scrotum.1 3-5% of full termand1845%ofpre-termnewborn boys are born with either unilateral or bilateral undecided testes. The prevalence drops to1-2% by three months of age and 0.8% will still have cryptorchidism attend of 1 years.2-4 Smolko et al.,5 reported that 20% of undescended testes are clinicallynonpalpable.5 The non palpable testis can be non-present, atrophic, or have a failure to descend and be found in ahighscrotal, inguinal, orintra-abdominal location. Most of the literatures report that approximately 20–40%ofnon-palpabletestesareintraabdominalinlocation.6 Localization of the Nonpalpable testis is a significant problem in pediatric age group. The diagnostic methods are Ultra sonography, CT scan, MRI and laparoscopy have been used to locate non palpable testis.7 In a case with Nonpalpable testis, the classical approach was in guinal exploration, if testis found then orchiopexy. If testis cannot be found, then the procedure is preceded with open abdominal exploration.8 But, unplanned groin exploration may be detrimental to the outcome of surgery and sometime fruitless.9 Use of laparoscopy was firstly recommended by Cortesietal in1976 to locate non palpableundescended testes and laparoscopic orchidopexy was firstly performed by Jordan et al., in 1992.8 Nowadays, laparoscopic procedure is a gold standard in the management of patients with a Nonpalpable testis for localization and to plan subsequent surgical management in many centers.10 Wide screen behereour institutional experience with laparoscopic management of Nonpalpable testes in children over the last 5years.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47412900","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 : 2018-06-08DOI: 10.15406/JPNC.2018.08.00325
A. Nassiri
During the blood meal in the exposed areas of human body, female sand flies injects promastigotes in their infective stage into the skin; The parasites are captured by phagocytes in dermal tissue, initially by short-lived neutrophils (the first leukocyte recruited to the bite site that subsequently enter into apoptosis) and subsequently also by macrophages. In addition to phagocytized parasites, macrophages also phagocytize infected apoptotic neutrophils. Inside the macrophages, promastigotes establish an intracellular residence and transform into aflagellate amastigotes, where they multiply, and are released upon cell lysis, when too many amastigotes are present in the phagolysosome, resulting in reinfection of other cells. The cycle is completed when other sandfly ingest infected phagocytes during the blood meal. Inside the vectors, amastigotes are converted into promastigotes in hindgut/midgut. At this site, parasites proliferate and differentiate into infective promastigotes and migrate to the salivary glands of the sand fly and perpetuate its life cycle.
{"title":"Cutaneous leishmaniasis in Moroccan children: about 12 cases","authors":"A. Nassiri","doi":"10.15406/JPNC.2018.08.00325","DOIUrl":"https://doi.org/10.15406/JPNC.2018.08.00325","url":null,"abstract":"During the blood meal in the exposed areas of human body, female sand flies injects promastigotes in their infective stage into the skin; The parasites are captured by phagocytes in dermal tissue, initially by short-lived neutrophils (the first leukocyte recruited to the bite site that subsequently enter into apoptosis) and subsequently also by macrophages. In addition to phagocytized parasites, macrophages also phagocytize infected apoptotic neutrophils. Inside the macrophages, promastigotes establish an intracellular residence and transform into aflagellate amastigotes, where they multiply, and are released upon cell lysis, when too many amastigotes are present in the phagolysosome, resulting in reinfection of other cells. The cycle is completed when other sandfly ingest infected phagocytes during the blood meal. Inside the vectors, amastigotes are converted into promastigotes in hindgut/midgut. At this site, parasites proliferate and differentiate into infective promastigotes and migrate to the salivary glands of the sand fly and perpetuate its life cycle.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41961166","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 : 2018-06-07DOI: 10.15406/JPNC.2018.08.00324
J. R. García, Waldemar Baldomir, Misladys Rodriguez, F. Dickinson
Despite the advances in antibiotic therapy and vaccines as well as the availability of sophisticated intensive care reached in the past century and the ongoing, community acquired Bacterial Meningitis (CABM) remains a serious threat to global health due to its high rates of morbidity and mortality (especially in infants),1 the serious permanent sequels in survivors2 as well as the variability in causative bacteria.3 Three species, Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenzae (Hi) are responsible for most cases of CABM occurring beyond the neonatal period, causing more than 80% of cases worldwide.4 Haemophilus influenza (Hi)is an important human pathogen that causes severe infections including meningitis, sepsis, bacteremia, pneumonia, sinusitis, epiglottitis and otitis mostly affecting young children.5 In the pre-vaccine era, H. influenzaeserotype b(Hib) was a leading cause of CABM, epiglottitis, and pneumonia, primarily in children under 5 years.6 Hib conjugate vaccines were introduced initially in the late 1980s for children aged 12 months or older, and later in the early 1990s for infants younger than 6 months old. Near elimination of Hib disease in children has occurred in countries that implemented pediatric Hib immunization programs.7 In Cuba Hib vaccination was introduced in 1999, decreasing the overall incidence of Hib meningitis from 1.3/105 population in 1998 to 0.6/105 population in 1999 (53.4% reduction), with the greatest proportion in infants (70.5 %).8 After this intervention public health authorities decided to continue routine Hib vaccination through the National Immunization Program.9 The aim of this study was to describe the main features of Hi meningitis in infants and young children, as well as to analyze the effects of continuing and massive vaccination on infant’s morbidity and mortality in the Cuban context.
{"title":"Haemophilus influenzae meningitis in Cuban children: a nineteen years follow up","authors":"J. R. García, Waldemar Baldomir, Misladys Rodriguez, F. Dickinson","doi":"10.15406/JPNC.2018.08.00324","DOIUrl":"https://doi.org/10.15406/JPNC.2018.08.00324","url":null,"abstract":"Despite the advances in antibiotic therapy and vaccines as well as the availability of sophisticated intensive care reached in the past century and the ongoing, community acquired Bacterial Meningitis (CABM) remains a serious threat to global health due to its high rates of morbidity and mortality (especially in infants),1 the serious permanent sequels in survivors2 as well as the variability in causative bacteria.3 Three species, Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenzae (Hi) are responsible for most cases of CABM occurring beyond the neonatal period, causing more than 80% of cases worldwide.4 Haemophilus influenza (Hi)is an important human pathogen that causes severe infections including meningitis, sepsis, bacteremia, pneumonia, sinusitis, epiglottitis and otitis mostly affecting young children.5 In the pre-vaccine era, H. influenzaeserotype b(Hib) was a leading cause of CABM, epiglottitis, and pneumonia, primarily in children under 5 years.6 Hib conjugate vaccines were introduced initially in the late 1980s for children aged 12 months or older, and later in the early 1990s for infants younger than 6 months old. Near elimination of Hib disease in children has occurred in countries that implemented pediatric Hib immunization programs.7 In Cuba Hib vaccination was introduced in 1999, decreasing the overall incidence of Hib meningitis from 1.3/105 population in 1998 to 0.6/105 population in 1999 (53.4% reduction), with the greatest proportion in infants (70.5 %).8 After this intervention public health authorities decided to continue routine Hib vaccination through the National Immunization Program.9 The aim of this study was to describe the main features of Hi meningitis in infants and young children, as well as to analyze the effects of continuing and massive vaccination on infant’s morbidity and mortality in the Cuban context.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42306532","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 : 2018-06-05DOI: 10.15406/JPNC.2018.08.00326
K. Sullivan, D. Croitoru, Samuel Casella, T. Hartman, W. Edwards
Gastroschisis is a congenital abdominal wall defect with extrusion of the abdominal contents through a defect typically just to the right of the umbilicus. Gastroschisis has been associated with multiple risk factors but its pathogenesis remains unknown. There are theories that it is due to a vascular insult, with known associations of young maternal age, cigarette smoking, and illicit drug use.1,2 The incidence of gastroschisis is ~5 per 10,000 live births, and may be increasing.3 Left-sided gastroschisis is even rarer with only 18 reports found in our review of the literature. Septo-optic dysplasia (SOD) is a heterogeneous clinical disorder characterized by a combination of optic nerve hypoplasia, pituitary hormone abnormalities and midline brain defects. The incidence of SOD is not certain, but reported to likely be ~1 per 10,000 livebirths.4 These two seemingly unrelated congenital anomalies have several features in common. While the incidence of most congenital anomalies is directly correlated with maternal age, both of these anomalies are more common in younger mothers.1,5–7 They are also both postulated to be related to an insult around the 6th week of gestation.1,5–7 Co-occurrence of gastroschisis and septo-optic dysplasia has been reported 4 times, with the gastroschisis on the left side in one case. We present a second case of both left-sided gastroschisis and septo-optic dysplasia occurring in an infant girl.
{"title":"A case report of an infant with both left-sided gastroschisis and septo-optic dysplasia and literature review: possible shared etiology?","authors":"K. Sullivan, D. Croitoru, Samuel Casella, T. Hartman, W. Edwards","doi":"10.15406/JPNC.2018.08.00326","DOIUrl":"https://doi.org/10.15406/JPNC.2018.08.00326","url":null,"abstract":"Gastroschisis is a congenital abdominal wall defect with extrusion of the abdominal contents through a defect typically just to the right of the umbilicus. Gastroschisis has been associated with multiple risk factors but its pathogenesis remains unknown. There are theories that it is due to a vascular insult, with known associations of young maternal age, cigarette smoking, and illicit drug use.1,2 The incidence of gastroschisis is ~5 per 10,000 live births, and may be increasing.3 Left-sided gastroschisis is even rarer with only 18 reports found in our review of the literature. Septo-optic dysplasia (SOD) is a heterogeneous clinical disorder characterized by a combination of optic nerve hypoplasia, pituitary hormone abnormalities and midline brain defects. The incidence of SOD is not certain, but reported to likely be ~1 per 10,000 livebirths.4 These two seemingly unrelated congenital anomalies have several features in common. While the incidence of most congenital anomalies is directly correlated with maternal age, both of these anomalies are more common in younger mothers.1,5–7 They are also both postulated to be related to an insult around the 6th week of gestation.1,5–7 Co-occurrence of gastroschisis and septo-optic dysplasia has been reported 4 times, with the gastroschisis on the left side in one case. We present a second case of both left-sided gastroschisis and septo-optic dysplasia occurring in an infant girl.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45967235","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 : 2018-05-25DOI: 10.15406/JPNC.2018.08.00322
J. Pick, Rachel Watson, Ian Lee, Brian Lee, A. Gearhart, A. Batra
Telemedicine is the delivery of health-related services and information via telecommunications technologies.1,2 The two primary modes of telemedicine practice are “store and forward” and “realtime” videoconferencing.3,4 In store-and-forward, tele health digital images, video, and audio recordings are captured and “stored” on the client computer or mobile device. At a later time, “stored” data is transmitted securely (“forwarded”) and studied by relevant specialists who then responds with their opinion and recommendations.1,4 Prior studies have demonstrated how this method increases patient access to tertiary care centers by overcoming geographical barriers.5 There are currently several applications of telemedicine within the field of pediatric cardiology focused on discriminating between pathologic and benign murmurs and arrhythmias in children.6,7 Studies have estimated that 80% of children will develop a murmur in their lifetime and less than 1% of these murmurs being pathologic.8 Several electronic stethoscopes can accurately detect the difference between a benign and pathologic murmur with great sensitivity and specificity (95%, 96%, respectively), but the feasibility of it in practice remains in question.8,9 However, it is unknown if general practitioners would be willing to use this new form of communication. In this feasibility study, we investigate the agreeability of general practitioners to use the technology as well as its convenience for the general practitioners.
{"title":"The feasibility of telemedicine in pediatric cardiology","authors":"J. Pick, Rachel Watson, Ian Lee, Brian Lee, A. Gearhart, A. Batra","doi":"10.15406/JPNC.2018.08.00322","DOIUrl":"https://doi.org/10.15406/JPNC.2018.08.00322","url":null,"abstract":"Telemedicine is the delivery of health-related services and information via telecommunications technologies.1,2 The two primary modes of telemedicine practice are “store and forward” and “realtime” videoconferencing.3,4 In store-and-forward, tele health digital images, video, and audio recordings are captured and “stored” on the client computer or mobile device. At a later time, “stored” data is transmitted securely (“forwarded”) and studied by relevant specialists who then responds with their opinion and recommendations.1,4 Prior studies have demonstrated how this method increases patient access to tertiary care centers by overcoming geographical barriers.5 There are currently several applications of telemedicine within the field of pediatric cardiology focused on discriminating between pathologic and benign murmurs and arrhythmias in children.6,7 Studies have estimated that 80% of children will develop a murmur in their lifetime and less than 1% of these murmurs being pathologic.8 Several electronic stethoscopes can accurately detect the difference between a benign and pathologic murmur with great sensitivity and specificity (95%, 96%, respectively), but the feasibility of it in practice remains in question.8,9 However, it is unknown if general practitioners would be willing to use this new form of communication. In this feasibility study, we investigate the agreeability of general practitioners to use the technology as well as its convenience for the general practitioners.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49198564","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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