Endoscopic Ear Surgery Juniper Publishers

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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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Approach to Management of Congenital Hypothyroidism-Juniper Publishers

Juniper Publishers - Journal of Pediatrics Abstract Congenital hypothyroidism (CH) is the commonest cause of preventable developmental delay with an incidence of 1/3500-4500 newborns. The incidence of symptomatic cases has decreased dramatically in the developed countries with the advent of newborn screening. However, much work still needs to be done in the developing world in improving awareness and devising newborn screening strategies etc. In this article, we discuss the diagnosis and management of congenital hypothyroidism. Keywords: Red blood cell transfusion; Malondialdehyde; Ferritin; Preterm Abbreviations: CH: Congenital Hypothyroidism; DHG: Dyshormonogenesis; TSH: Thyroid Stimulating Hormone; T4: Thyroxine; TBG: Thyroid Binding Globulin; TS: Thyroid Scintigraphy; TRB-Ab: Thyroid Receptor Blocking Antibody; Introduction Congenital hypothyroidism (CH) is the commonest cause of preventable developmental delay with an i...
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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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