Juniper Publishers: Technological Challenge of Agriculture in Climate ...

Juniper Publishers: Technological Challenge of Agriculture in Climate ...: AGRICULTURAL RESEARCH & TECHNOLOGY: OPEN ACCESS JOURNAL - JUNIPER PUBLISHERS Abstract Climate change has a strong impact on...

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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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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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Extrapyramidal Side Effects of Metoclopramide in a Child-A Case Report-Juniper Publishers

Juniper Publishers - Journal of Pediatrics Abstract Metoclopramide is antiemetic, antinauseant and gastric prokynetic. European medicines agency (EMA) in July 2013 has officially recommended a very restricted use of metoclopramide in children, because of serious and common neurological side effects. A 3 years old boy was admitted to our pediatric department due to altered consciousness, nausea, vomiting and dehydration. Day before he recived a one oral and one intravenous dose of Reglan (metoclopramide). Immidiately after admission he developed dramatic neurological symtoms with face and extremity muscles spasms, trismus, ophistotonus and extreme agitation. Neurological symptoms were present for about 3 hours, with periodically withdrawal and worsening. He received only symptomatic therapy and after 6 hours child was fully recovered and without complaints. Despite repeated warnings about the possible neurological side effects, metoclopramide continues to be used in...
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