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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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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Atypical Presentation of Choledochal Cyst Type IV-A in a Hispanic Girl: A case report-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract A type IV-A choledochal cyst is the second most common type of this rare congenital entity that is characterized by multiple dilatations of the intrahepatic and extrahepatic biliary tract. The most common clinical findings of this entity is abdominal pain, palpable right upper quadrant mass and jaundice. However, there are other clinical presentations that differ from the classical presentation that can delay the adequate management of the choledochal cyst. The optimal treatment is total surgical excision along with a hepaticoduodenostomy or hepaticojejunostomy. We present a case of a 22 month old female with an unusual presentation of a choledochal cyst. Introduction Choledochal cysts are rare congenital entities characterized by single or multiple dilatations of the intra and/or extrahepatic biliary tree [1]. Its incidence in Asian population is 1:1000, but in western populations is 1:100000 to 1:15000...
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