JuniperPublishers-Academic Journal of Pediatrics Neonatology

Juniper Publishers - Journal of Pediatrics Abstract Tracheo-bronchial disruption is one of the less common injuries associated with blunt trauma chest in children. This injury can be life threatening. Failure to diagnose it early can lead to disastrous acute or delayed complications. This can be easily overlooked on initial evaluation in the emergency room (ER) as the focus of the attending physician is diverted to more obvious external injuries which may not be of much significance. Herewith we present a case of a 3 year old female child, who was admitted via our emergency room (ER) with a reported history of chest injury due to being run over by a rickshaw. She was conscious and presented with chest pain and respiratory distress. Physical examination revealed surgical emphysema, but no clinical rib fracture. X-ray chest postero-anterior view showed pneumothorax and pneumomediastinum. A chest drain was surgically placed on her right side and there was profuse bubbl

Juniper Publishers: Intra-Thyroidal Thymic Tissue May Display Radiolog... : Journal of Head Neck & Spine Surgery Abstract Introduction: Thyroid “incidentalomas” are increasing in frequency, thought main...

Juniper Publishers - Journal of Pediatrics Abstract Background: Birth weight is an important parameter and a determinant factor regarding perinatal morbidity and mortality. However in rural area of developing countries, weighing facility may not be available for all home deliveries, where an alternative parameter like foot length may be considered in place of birth weight. Objective: The present study was undertaken to find out the best simple anthropometric parameter for identifying low birth weight (LBW) babies. Study design: Hospital-based cross-sectional study. Participants: Newborn babies born in AVBRH hospital, Sawangi (Meghe), Wardha. Methods: All Consecutive full-term, Single ton, live born babies were included and anthropometric measurements carried out within 48 hours after birth. Results: Out of 520 newborn babies, there were 267 male and 253 female babies. Foot length (FL) attained the highest correlation with birth weight (r = 0.715) while mid

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

Juniper Publishers - Journal of Pediatrics Abstract Background: Bronchiolitis is a common cause of respiratory failure in children. Respiratory failure, in the PICU, is often managed with the utilization of arterial cannulas and frequent arterial blood gas sampling. Despite the common use of arterial blood sampling, it is unclear if these tests improve outcomes. Objective: To evaluate the frequency of blood draws for blood gas sampling and the duration of mechanical ventilation in children with respiratory failure with bronchiolitis in whom arterial cannel as were placed after initiation of mechanical ventilation.Setting: Children were recruited from a tertiary care children’s hospital. Design: Retrospective cohort study. Setting: TPICU at a tertiary care children’s hospital. Patients: 109 children between 0 to 2 years with a diagnosis of bronchiolitis requiring mechanical ventilation. Methods: A retrospective chart review was conducted on patients ages 0 to

Juniper Publishers - Journal of Pediatrics Abstract Objective: To determine the differences that exist in the growth indicators of primary school-aged children and to estimate the burden of disease attributed to anaemia, iron deficiency and lack of dietary diversity. Design: This cross-sectional study assessed growth status by determining anthropometric indicators and motor development. Information on dietary diversity and eating patterns was collected based on meals consumed at home and at school. Laboratory assays were conducted on venous blood samples to assess haemoglobin levels and body iron status. Setting: Children were recruited from a disadvantaged community in Kwazulu-Natal, South Africa. Subjects: A study population of 184 children aged six to eight years was enrolled. Results: The stunting prevalence was 8.3% for boys and 6.6% for girls. Stunted growth was significantly associated with prevalence of parasitic infection (17.7%) (p=0.01) and pre