American Journal of Pediatrics

Volume 8, Issue 4, December 2022

  • Clinical Profile of Non-traumatic Acute Abdominal Surgeries in the Pediatric Patients: A Philippine Regional Experience

    Johann Paulo Suico Guzman

    Issue: Volume 8, Issue 4, December 2022
    Pages: 196-200
    Received: Aug. 27, 2022
    Accepted: Sep. 22, 2022
    Published: Oct. 11, 2022
    DOI: 10.11648/j.ajp.20220804.11
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    Abstract: This 5-year study on pediatric (< 18 years old) non-traumatic abdominal surgeries establishes local demographic and clinical profiles, and correlates these factors for risk of complicated appendicitis (rupture, abscess or phlegmon formation). Patient data on clinico-demographic profiles, type of surgery, and indications for surgery were collected. Chi-Square was done to determine risk of complicated appendicitis in terms age and sex. A total 826 cases were included. The mean age of males was 11.08 years and 12.53 years for females (male:female ratio 1.51). Majority of the cases were acute appendicitis (677 cases or 84.5%). Appendicitis cases were categorically divided into two: uncomplicated (suppurative or congestive) and complicated. Ratio of uncomplicated to complicated is 1.23. The rest of the cases were intestinal obstruction, congenital, intestinal perforation, intestinal bleeding and biliary problems. Most congenital surgeries were for infants (< 2 years), while acquired cases were noted in older patients. No reported infantile appendicitis. The risk of complicated appendicitis during childhood was significantly higher compared to adolescence (OR 1.69, [95% CI 1.17-2.47], p- 0.005) and males have a higher risk compared to females. (OR 2.01 [95% CI 1.47-2.75], p- ... Show More
  • A Rare Case of Non Classic Congenital Adrenal Hyperplasia with Systemic Lupus Erythematosus in a 14-year-old Girl

    Maria Angela Yustina Fernandez, I Made Arimbawa, I Made Darma Yuda, Ketut Dewi Kumara Wati

    Issue: Volume 8, Issue 4, December 2022
    Pages: 201-206
    Received: Aug. 23, 2022
    Accepted: Sep. 07, 2022
    Published: Oct. 18, 2022
    DOI: 10.11648/j.ajp.20220804.12
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    Abstract: Introduction: Congenital Adrenal Hyperplasia (CAH) is classified into salt-wasting (SW), simple virilising (SV) CAH and Non Classic Congenital Adrenal Hyperplasia (NC-CAH). This disease can present with autoimmunity disorders but very little has been reported. We reported a girl with NC-CAH who presented with a life-threatening condition. She was r... Show More
  • Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years

    Ni Luh Ayu Sumbia Indriani, Made Sukmawati, I Wayan Dharma Artana, I Made Kardana, Putu Junara Putra, Putu Mas Vina Paramita Cempaka

    Issue: Volume 8, Issue 4, December 2022
    Pages: 207-212
    Received: Sep. 09, 2022
    Accepted: Oct. 08, 2022
    Published: Oct. 18, 2022
    DOI: 10.11648/j.ajp.20220804.13
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    Abstract: Introduction: The first month of life is the most vulnerable period for child survival, with 2.4 million newborns dying in 2020. Neonatal audit is important to support quality improvement in neonatal unit. This study is to comprehend factors that influence neonatal morbidity and mortality in neonatology unit Prof. Dr. I Goesti Ngoerah Gde Ngoerah H... Show More
  • Risk Factor Associated with Retinopathy of Prematurity in Denpasar Tertiary Hospital

    Dewa Ayu Angga Rainingsih, Made Sukmawati, I Made Kardana, I Wayan Dharma Artana, Putu Junara Putra, Putu Mas Vina Paramitha Cempaka

    Issue: Volume 8, Issue 4, December 2022
    Pages: 213-217
    Received: Sep. 12, 2022
    Accepted: Oct. 08, 2022
    Published: Oct. 18, 2022
    DOI: 10.11648/j.ajp.20220804.14
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    Abstract: Introduction: Retinopathy of prematurity (ROP) is an eye condition that affects the blood vessels of the retina in preterm infants. For the majority of children, retinopathy of prematurity occurs in a mild to moderate form and spontaneously regresses; however, more severe types of ROP can result in blindness in one or both eyes. Retinopathy of prem... Show More
  • Risk Factors of Respiratory Distress Syndrome in Premature Infants at Prof Dr. I. G. N. G Ngoerah Hospital, Denpasar, Bali

    Maria Angela Yustina Fernandez, I Made Sukmawati, I Made Kardana, I Wayan Dharma Artana, Putu Junara Putra, Putu Mas Vina Paramitha Cempaka

    Issue: Volume 8, Issue 4, December 2022
    Pages: 218-224
    Received: Sep. 21, 2022
    Accepted: Oct. 08, 2022
    Published: Oct. 18, 2022
    DOI: 10.11648/j.ajp.20220804.15
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    Abstract: Introduction: Respiratory distress syndrome (RDS) previously known as hyaline membrane disease (HMD), is one of the most common respiratory disorders in preterm neonates, appearing in the first few hours or immediately after delivery. The lack of pulmonary surfactant caused by immaturity of the lung is the etiology of RDS. Risk factors of RDS inclu... Show More
  • A Rare Case of Zellweger Syndrome Associated with Neonatal Ischemic Stroke

    Suzi Mansour, Rayanne Mahfouz, Sandy Rabah, Suzanne Borrhomee

    Issue: Volume 8, Issue 4, December 2022
    Pages: 225-228
    Received: Jul. 25, 2022
    Accepted: Aug. 11, 2022
    Published: Oct. 21, 2022
    DOI: 10.11648/j.ajp.20220804.16
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    Abstract: The Zellweger disorders (ZSDs) is a prototype of the peroxisome biosynthesis disorders described as a cerebro-hepato-renal syndrome. It is an autosomal recessive systemic disorder characterized clinically by severe neurologic dysfunction such as profound hypotonia, weakness, neonatal seizures, craniofacial abnormalities, and liver dysfunction. Bioc... Show More
  • The Functional Gastrointestinal Disorders in Infancy and the Fundamental Role of Probiotics: A Review on the Pathophysiology, Current Research and Future Therapy

    Ajmery Sultana Chowdhury, Farhana Afroze, Parisa Marjan, Amina Akter, Gule Tajkia, Soma Halder, Urmi Rahman

    Issue: Volume 8, Issue 4, December 2022
    Pages: 229-238
    Received: Aug. 13, 2022
    Accepted: Sep. 28, 2022
    Published: Nov. 10, 2022
    DOI: 10.11648/j.ajp.20220804.17
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    Abstract: Probiotics are the live microorganisms that they provide health benefits when consumed, generally by improving or restoring the gut flora. Now a day, the general public, researchers, International organization like WHO/FAO, pharmaceutical companies and food industries are becoming more interested in probiotics. According to the growth of, products,... Show More
  • Red Cell Distribution Width (RDW) - An Early Predictor of Persistent Pulmonary Hypertension of Newborn (PPHN): A Comparative Study in Dhaka, Bangladesh

    Nargis Ara Begum, Sharmin Afroze, Abrar Wahab, Runa Laila, Shahnaz Parvin Siddiqua, Nurun Nahar Begum, Sabrina Khondoker Nila

    Issue: Volume 8, Issue 4, December 2022
    Pages: 239-243
    Received: Oct. 08, 2022
    Accepted: Oct. 29, 2022
    Published: Nov. 10, 2022
    DOI: 10.11648/j.ajp.20220804.18
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    Abstract: Objective: Early diagnosis of Persistent pulmonary hypertension of newborn is a challenge in developing countries. This study aimed to observe the association of Red Cell Distribution Width (RDW) in this critical condition of neonates. Method: This retrospective study was performed in Neonatology department of United Hospital Limited, Dhaka, over 5... Show More
  • Interpretation of Discordant Results in Maternal/Newborn Dyad Drug Screening

    Norah Alghamdi, Tonya Robinson, Cierra Sharp, Saeed Jortani

    Issue: Volume 8, Issue 4, December 2022
    Pages: 244-251
    Received: Oct. 14, 2022
    Accepted: Nov. 04, 2022
    Published: Nov. 16, 2022
    DOI: 10.11648/j.ajp.20220804.19
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    Abstract: Background: Identification of in utero illicit drug exposure has paramount importance in medical care and well-being of the newborn. Newborn drug screening has traditionally been performed on meconium; however, umbilical cord tissue has gained popularity as an alternative specimen. We present six cases of newborn drug testing results from different... Show More
  • Prematurity Combined with Parental Risk Factors Increase the Number of Intestinal Perforations: A Case Control Study

    Melanie Kapapa, Janina Hahne, Alexandre Serra

    Issue: Volume 8, Issue 4, December 2022
    Pages: 252-257
    Received: Sep. 27, 2022
    Accepted: Oct. 25, 2022
    Published: Nov. 23, 2022
    DOI: 10.11648/j.ajp.20220804.20
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    Abstract: Background: Survival in preterm infants is strongly related to the occurrence of necrotizing enterocolitis (NEC) with intestinal perforation (NECp) compared to preterm with a focal intestinal perforation (FIP). Objective: The aim of this study was to elicit potential parental risk factors through a detailed maternal medical history and a comprehens... Show More
  • Digoxin Toxicity in a 9 Year Old Girl: A Case Report

    Nneka Chioma Okoronkwo, Cecil Levy

    Issue: Volume 8, Issue 4, December 2022
    Pages: 258-262
    Received: Sep. 23, 2022
    Accepted: Nov. 21, 2022
    Published: Nov. 29, 2022
    DOI: 10.11648/j.ajp.20220804.21
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    Abstract: Digoxin toxicity is still a possibility in any child on the medication. Therefore, a higher index of suspicion, with regular serum level estimations and possible dose readjustment should be considered in every child using the drug. Digoxin is no longer commonly used in the treatment of non-anaemic heart failure in children due to its toxicity. It i... Show More
  • The Association Between Gestational Weight Gain with Birth Weight at Tanjung Public Health Center

    Dewa Ayu Viennita Verdyanti Suria, I Gusti Lanang Sidiartha, Putu Tarita Susanti

    Issue: Volume 8, Issue 4, December 2022
    Pages: 263-266
    Received: Oct. 31, 2022
    Accepted: Nov. 16, 2022
    Published: Nov. 29, 2022
    DOI: 10.11648/j.ajp.20220804.22
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    Abstract: Background: West Nusa Tenggara have 3.7% cases of neonates with low birthweight from 98,165 life birth and 7.3% was at Tanjung City. Gestational weight gain and birth weight may relate and there are many factors that influence them indirectly. Many low birthweights delivered by maternal with low nutrition status that undetected and untreated in pre... Show More
  • Renal Vein Thrombosis in Extremly Low Birth Weight Preterm Neonate & Utility of Bed Side Renal Doppler in NICU

    Prakash C. Vaghela, Chirag Gabani, Hiral D. Mangukiya, Jatin Rajyaguru

    Issue: Volume 8, Issue 4, December 2022
    Pages: 267-270
    Received: Jun. 28, 2022
    Accepted: Sep. 01, 2022
    Published: Dec. 15, 2022
    DOI: 10.11648/j.ajp.20220804.23
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    Abstract: Renal vein thrombosis (RVT) is though common form of thromboembolism in neonates yet uncommon in extremely low birth weight pre-term neonates. Neonatal thromboembolism is more commonly associated with central venous catheter but we present a case report of an extremely low birth weight preterm with left side RVT which was not associated with centra... Show More
  • Association Between Prolonged Maternal Smokeless Tobacco Use and Low Birth Weight Baby in a Tertiary Level Hospital

    Mohammad Monir Hossain, Salma Begum, Faruk Ahmed, Mohsin Uddin Ahmed, Mohammad Salim Mridha, Mohammad Ashraful Islam

    Issue: Volume 8, Issue 4, December 2022
    Pages: 271-275
    Received: Sep. 06, 2022
    Accepted: Nov. 28, 2022
    Published: Dec. 27, 2022
    DOI: 10.11648/j.ajp.20220804.24
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    Abstract: Introduction: Low birth weight and preterm birth are significant predictors of morbidity and mortality in newborns and infants. For more than 40 years, it has been known that babies born to smoking mothers weigh less than babies born to nonsmoking mothers. Preterm birth is also increased by smoking during pregnancy. There is evidence that using smo... Show More
  • Topical Nitroglycerine Treatment for Sustaining Umbilical Arterial Catheter While Resolving Peripheral Ischemia: A Case Report

    Sarah Gil, Kamela Loo, Indira Chandrasekar

    Issue: Volume 8, Issue 4, December 2022
    Pages: 276-279
    Received: Nov. 17, 2022
    Accepted: Dec. 08, 2022
    Published: Dec. 27, 2022
    DOI: 10.11648/j.ajp.20220804.25
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    Abstract: Presence of umbilical arterial catheters in extremely low birth weight infants is critical for their management including minimal handling in first few days of life. However, one of the associated risks of indwelling umbilical arterial line is occasional development of peripheral ischemia. In most cases, it invariably leads to discontinuation of th... Show More