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Caring for a Child with Suspected Sexual Abuse-Juniper Publishers

Juniper Publishers - Journal of Pediatrics Opinion Working in a pediatric setting is both challenging and rewarding experience. To effectively care for the pediatric patients and their families, it is vital for the pediatric nurses to demonstrate critical thinking skills, problem-solving abilities, cultural sensitivity, practical wisdom and sound clinical judgment. Caring for children with suspected sexual abuse requires sound knowledge (clinical and legal), moral decision making, therapeutic communication skills, clinical competencies, and collaborative approach to tackle the challenges posed by these difficult cases in a healthcare setting [ 1 - 3 ]. During my clinical experience at a pediatric setting, caring for a young girl with suspected sexual abuse was both challenging and rewarding experience. Besides abiding by the nursing process, I considered health promotive, curative and rehabilitative aspects to restore health and well-being of the child and family.
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Tympanometry in Neonates- A Comparative Study-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract Objective: Impairment to hearing during childhood may lead to delay in the speech and language skills, making the communication process more difficult. Early identification and rehabilitation can benefit the children. It is necessary to test the hearing using accurate test procedures. Thus, aim of the study was to compare the use of probe tones (226Hz and 1000Hz probe tone) in tympanometry while testing the neonates for hearing before getting discharged from hospital setup. Method: An inclusion - exclusion criteria was applied in selection of 60 neonates (1-17days). Hearing screening with comparison of 226Hz and 1000Hz probe tone in tympanometry was carried out using a comparative study design. Pressure ranging from + 200 to -400 daPa and a pressure change rate of 600/200 daPa per second was used for testing. Intensity of probe tone was adjusted at 85 dB SPL. Comparison was made for type of tympanogram, ear ca
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Outcome of 'CDC Kerala' Early Stimulation Model on Neurodevelopment of Late Preterm Infants-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract There is increasing evidence that late preterm babies (Gestational Age 34-0/7wks to 36-0/6 wks) are at increased risk of short term developmental morbidities as compared to term counterparts. Cochrane review had shown that early intervention programs for late preterm infants have a positive influence on motor and cognitive development on short-medium term. Early intervention programs like NIDCAP (Newborn Individualized Developmental Care & Assessment Program), IHDA (Infant Health & Development Program) are best evaluated. Parent based studies have shown positive influence on neurodevelopment outcome. Present study assesses the outcome of parent based early stimulation model on neurodevelopment of late preterm infants by corrected age of 12months. Keywords: Late preterm babies; Neurodevelopment outcome; Early stimulation; Parent based intervention; Developmental screening tools; Developmental assessme
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Congenital Prepubic Sinus (Type 2 Stephens Variant of Epispadiac Dorsal Urethral Duplication): An Uncommon Anomaly-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract Variants of congenital prepubic sinus have been reported rarely, and because the anatomic features often differ from each other, a consensus concerning the embryology and classification was not achieved yet. Various names including congenital prepubic sinus, sub pubic fistula, prepubic dermoid sinus, and suprapubic dermoid sinus, were used to identify these lesions, and, among the classifications available, none seems to clearly describe this entity. We present a 2-year old boy with a case of epispadiac variant of urethral duplication in which the duplicated urethra presented as a prepubic sinus. We report this uncommon anomaly and review the scattered published reports to improve the global understanding of this uncommon congenital lesion. Keywords: Urethral duplication; Epispadias; Congenital prepubic sinus; Sinus tract Introduction Congenital prepubic sinus (CPS) is a rare
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Intervention Strategies for Successful Breast Feeding: Randomized Clinical Trial-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract Breastfeeding is one of the most natural and beneficial acts a mother can do for her child. There are many possible nipple problems that breastfeeding mothers may encounter. The 7mm nipple length might be a possible screening indicator that would signal the clinician to provide more intensive breastfeeding monitoring (puapornpong, 2013). Objectives: Comparison of selected nursing interventions like manual technique, rubber band and syringe method on successful breastfeeding pattern among the antenatal mothers. Methodology: Randomized clinical trial study was conducted among 90 women having nipple problem, 30 in each group i.e., group I(manual technique), group II (rubber band) and group III (syringe method) in the selected government maternity hospital, Pondicherry, India. Samples were selected by simple random sampling. The outcome of study was evaluated by Descriptive and Inferential statistics. Results:
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Potential Protective Effect of Sickle Cell Gene Allele on HIV Infection-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Short Communication Both Sickle Cell Disease and HIV Infection have overlapping worldwide distributions, with Africa being the epicenter for these two conditions ( Figure 1 & 2 ) [ 1 , 2 ]. Sickle Cell Disease is a genetic condition affecting chromosome 11 in which homozygous recessive individuals will have significant negative consequences secondary to sickling phenomenon of their red blood cells, while those that are heterozygous have a survival advantage based on a well-described resistance to malaria [ 3 ]. The Human Immunodeficiency Virus takes advantage of surface proteins on white cells, resulting in lytic destruction and consequent CD4+ lymphopenia and immunosuppression [ 4 ]. Both diseases have significant morbidity and mortality, with limited treatment options. Nevertheless, observations in our pediatric HIV program in Newark, NJ, one of the first epicenters for Perinatal HIV Infection (PHIV), suggested
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