Juniper Publishers: Intra-Thyroidal Thymic Tissue May Display Radiolog...

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...

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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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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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