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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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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The Role of Surgical Ligation of Patent Ductus Arteriosus in Very Preterm Infants: A Mini Review and Case Report-Juniper Publishers

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Juniper Publishers - Journal of Pediatrics Abstract Patent ductus arteriosus (PDA) in the very low birth weight premature newborn (VLBWPN) is currently treated with medical therapy or by surgical ligation. The objective of this mini-review and brief case report is to highlight the potential side effects of medical therapy (indomethacin or ibuprofen) including bronchopulmonary dysplasia (BPD), necrotizing enterocolitis (NEC), intraventricular hemorrhage (IVH), bowel perforation, pulmonary edema and bleeding, retinopathy, thrombocytopenia, and decrease in renal function and present an example of a patient frequently encountered in the neonatal intensive care unit that dramatically improved with prompt surgical intervention. Secondary objective is to support a more proactive approach toward early surgical ligation and highlight factors in VLBWPN who might be at the greatest risk and might benefit from earlier intervention. Currently PDA ligation is generally performed...
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