Pediatrics - Science topic

Social workers in pediatric oncology provide emotional and psychological support to patients and families. They navigate the healthcare system, advocate for patient needs, and coordinate resources. Psychosocial assessments help tailor care plans to individual needs. Collaboration with multidisciplinary teams ensures comprehensive care. They also facilitate discharge planning and educate families on available resources.

Yes. I am a worker in the field of genetics. Presently doing on a project "molecular and genetic profiling of Tharu and Santhal tribes" sanctioned by Department of Science and Technology, Government of India, New Delhi. I am agree to review the papers of related (genetics) field. Thx

The 5-year free-survival rate for children with Pre-B-cell Acute Lymphoblastic Leukemia (ALL) is approximately 90%. This means that about 90% of children diagnosed with this type of leukemia are free of the disease five years after treatment. It's important to note that survival rates can vary based on several factors, including age at diagnosis, initial white blood cell count, and specific genetic features of the leukemia cells.

Prognostic Factors:

Treatment Options:

Postural control in pediatric physical therapy is the ability of children to maintain balance and stability of the body, both at rest and in movement. It is essential for motor activities such as sitting, walking and moving. Physical therapists work on strengthening muscles, improving coordination, and developing sensory integration, especially in children with developmental delays or conditions such as cerebral palsy. The goal is to improve postural control to facilitate independence and participation in daily activities.

Here are several key research gaps in pediatric heart failure management:

Addressing these research gaps is essential to improve the understanding, management, and outcomes of pediatric heart failure, ultimately leading to better care tailored specifically to the needs of children.

@Laharika Katamoni Thank you so much for your helpful answer. I started working and yes I found that 5 or 6 ml blood can be the least amount to draw in order to get around 100,000 or a little bit more Cd8 positive cells

As a (retired) paediatric radiologist I don't have large experience in paediatric gynaecology.

What I can say about neonates is this. To study the anatomy you may need contrast application via urethra or vagina. Be aware of the fact that the vagina in neonates is relatively large. The portio can be seen bulging inwards the vaginal wall. You can see the introitus to the uterus as well.

Volver a la normalidad superando la pandemia nos abre los ojos para ver que el mundo está interconectado y que lo que hace cualquiera en otra parte puede influir en la salud de los demás. Los niños están muy expuestos a todos estos hechos y hay que cuidarlos con más atención que nunca. Gracias Alicia por tu Cuestión. Saludos.

read this you may find the solutions and try the help from icrp official help communit.

In the context of malnourished pediatric patients, anthropometric measurements like weight-for-age, height-for-age, and weight-for-height are frequently employed. The WHO growth standards offer mean (M) and standard deviation (SD) values for weight, height, or weight-for-height in each age and sex group. The Z-score is calculated using the formula: Z = (X−M)/SD, where M represents the mean for the child's specific age and sex group. Z scores between -2 and +2 are considered normal.

You know there are some important factors we have to keep in our mild before planning a research proposal like rate / frequency of a disease, availability of investigation support, duration of study period and budget also. Like doing a RCT has a strong research value but requires time and fund on other hand doing observational ( acutely less to distinct as research) requires less supports for example : outcome and complications during indication phase or outcome of febrile neutropenia or act on other possible complications like frequency of hyperglycemia or coagulopathy or hyperglycemia or hypertension or nutritional status; even doing study on genetic records like pattern of cytogenetis or TPMT analysis in comparison of 6MP/ MTX dosing.

Mostly genetic in origion

Helpful for learning

I'm sorry, but as a Paediatric Radiologist this field doesn't fit into my expertise.

There are so many indices for gingival health assessment like Plaque index, gingival index and calculas indices

Dear Maureen:

I think the idea is interesting and will contribute to our knowledge once developed. You should first make a general review of the existing literature on the subject, and then design a prospective study to validate the hypothesis. It would be interesting to investigate the existing tools to evaluate the work environment and the workers' subjective perception of it (validated questionnaires, etc...) and to define very well the control(s) group (another pediatric hospitalization service?). There are many relevant variables, such as the professional level (junior vs senior), the years dedicated to pediatric oncology, if the work is developed exclusively in that area or the care load. I encourage you with the project.

Do enema to evacuate the complete faecal matter for better visualization of colon

Dear Petra Marsico ,

Thank you for your help.

Please have a look at this useful link.

based on the given information, it is possible that the patient is experiencing a form of paroxysmal nocturnal dyspnea (PND), which is characterized by sudden episodes of difficulty breathing at night. This condition is often associated with heart failure or other cardiac conditions. The bearhug-like rib pain may be related to the effort required to breathe during these episodes. The patient's technique of taking short-burst inhalations may have helped to increase oxygen saturation and alleviate his symptoms. However, it is important that the patient receives a medical evaluation to determine the underlying cause of his symptoms and to receive appropriate treatment.

Alicia Susana Cuevas Agree. And the academia is lacking large-scale corpus and benchmark collected from pediatricians. We don't know if ChatGPT has domain specific knowledge.

Ok, I am ready contribute in review of article

Gallbladder stones in children are usually treated conservatively, in cystic fibrosis general anesthesia propose a risk of chest infection which can be severe/fatal, so I wouldn't propose cholecystectomy unless pain is intractable or development of complications as pancreatitis

As tea, milk, soup.

I have no personal expeience, but low dose acetylsalycil acid and propranolol treatmnets are frequelty used and both can be effective a proportion of patients.

Diabetic ketoacidosis (DKA) is linked to lower IQ scores in children with type 1 diabetes.

Hi! These references might be of your interest

Hunt J, Zwicker JG, Godecke E, Raynor A. Awareness and knowledge of developmental coordination disorder: A survey of caregivers, teachers, allied health professionals and medical professionals in Australia. Child Care Health Dev 2021; 47 (2): [174–183]. Disponible en: https://doi.org/10.1111/cch.12824

Smith M, Banwell HA, Ward E, Williams CM. Determining the clinical knowledge and practice of Australian podiatrists on children with developmental coordination disorder: a cross-sectional survey. J Foot Ankle Res. 2019; 12 (42). Disponible en: https://doi.org/10.1186/s13047-019-0353-y

Gaines R, Missiuna C, Egan M, McLean J. Educational outreach and collaborative care enhances physician’s perceived knowledge about Developmental Coordination Disorder. BMC Health Serv Res. 2008; 8: [21]. Disponible en: https://doi.org/10.1186/1472-6963-8-21

Camden C, Rivard L, Pollock N, Missiuna C. Knowledge to practice in developmental coordination disorder: Impact of an evidence-based online module on physical therapists’ self-reported knowledge, skills, and practice. Phys Occup Ther Pediatr. 2015; 35 (2): [195–210]. Disponible en: https://doi.org/10.3109/01942638.2015.1012318

Dr. Alok Kumar Bharti , I was not aware of this. Thank you for your answer!

yes , in deed , infantile obesity is very difficult to manage especially those which attributed to genetic cause

Please help with KIDCOPE TOOL please

All fat soluble vitamins are affected , they are vitamins (A,D,E, and K), so the answer is vitamin A.

Please see the following attached document.

google search

I suggest you search the standard tools in new articles in this area

Polysomnography can be used to perform accurate diagnosis regarding the presence and severity of apnea in children. However, the other aids mentioned above such as tonsil size, behaviour issues, noctural enuresis, etc. can help to screen the patients.

Using transanastomotic tube during esophageal atresia repair is a routine in our center, we can start early feeding via the tube

Also check https://link.springer.com/article/10.1007/s13318-020-00630-8

may be helpful

I'm not sure it will stop the decline, but it will reduce the evolution if we start hydroxicarbamide and enalapril -

This is an important issue.

sorry I haven't.

indian journal of medical and paediatric oncology

Also, see the RG links below.

Convert years to months. Average the ages in months. The average can be converted back to Yrs, months.

My practice is till 5 years of age, all the cases undergo primary posterior capsulotomy with anterior vitrectomy. After 5 years of age, for co-operative child, I do YAG capsulotomy at 6 weeks post op.

But when the follow-up is an issue, we should perform PPC with AV at the primary surgery itself in children.

Also see the link below.

Kindly check https://www.cdc.gov/nchs/data/nhds/9circumcision/2007circ9_regionracetrend.pdf

Covid19 seems to interfere with innate immune response inflammatory cascade. Therefore all diseases with a chronic inflammatory pattern especially with an increase of innate inflammatory cytokines such as IL 6 IL 8 MCP 1 IL1 alpha TNF alpha are prone to develop endothelial inflammation and precipitate in thrombosis and tissue destruction (interstitial pneumonitis). I would like to ask colleagues interested in innate inflammation if it would be useful the evaluation of inammatory cytokines to predict further complications if covid positive?

Thanks for discussion

Equally, dear Dr. Hossein

The PedsQL modules for pediatric oncology were designed to measure health-related quality of life dimensions specifically tailored for pediatric patients with cancer.

You can examine this article:

no.. i did nt..

In my workplace, radiology department in children's hospital, all staff wear a clear face visor with a Disney/cartoon character attached at the top (above your head) which is laminated and therefore wipeable with disinfectant. We have some masks with the clear panel over the mouth, used for people who lipread, these are also better for children to see your smile.

With a full covered face mask where staff have to use more eye expression it is actually a bit more exhausting keeping up the happy smiley face more !

We have in-house made cloth face masks (folded type) made in bright colourful material, given to patients and guardians (who can wear them) as they enter the hospital, so everyone has the same, they can bring their own face covering, of course.

It is a shame that most of our little toys have been removed from use (the big toys are constantly disinfected) and the usual nice things we have going on are currently on hold, eg: musicians, story tellers, magicians, balloon sculptors, visiting celebs etc

We have a 500 bedded COVID hospital. Let me know any thing can done from my side. Odisha, INDIA

Composition of Terramycin, containing Oxytetracycline is

Ampules10 ml Vial Multidose100 mg/2 ml250 mg/2 ml50 mg/ml 10 ml (5 β† 2 ml Doses)oxytetracycline50 mg125 mg50 mglidocaine2.0%2.0%2.0%magnesium chloride hexahydrate2.5%6.0%2.5%sodium formaldehyde sulfoxylate0.5%0.5%0.3%α-monothioglycerol

On the other hand,

https://www.rxlist.com/terramycin-drug.htm#description

this link shows TETRACYCLINE 3% MEANS 30mg in 1grm.

Therefore an Injection vial containing 50mg/ml , if half of its is added with 1 gram of petrolium gelly like Vaseline will make 2.5% tetracycline ointment.

AAPM- American Association of Physics in Medicine.

You can find for free all their reports in their Website.

You can also be a member. I strongly recommend

Best regards

Any relevant studies (RCT) reporting the same ?

Very rarely. It occurs more in other patologies associeted to m-TOR pathway disruption such as Cowden disesase.

Children with urinary schistosomiasis can have a symptoms of haematuria (blood in urine). The fibrosis of the gallbladder and ureter are diagnosed in advance cases. Children with shistosomiasis can cause them to have anemia and stunting. Other clinical presentation and symptomatology includes in renal and urological involvement are dysuria, suprapubic dyscomfort, calcification, obstruction with consecutive ureteric and renal involvement (nephrotic syndrome [edema, proteinuria, arterial hypertension], megaureter, hydronephrosis, bacterial pyelonephritis, renal colic, membranoproliferative glomerulonephritis) Knopp, S et al, (2013) Diagnosis and treatment of schistosomiasis in children in the era of intensified control. For the diagnosis, according to WHO children with S. Haematobium almost always have microscopic blood in their urine which can easily be detected by reagent strips. School age children are at highest risk of infection with Schistosoma worms. The preventive measure to control the morbity among this age group is facilitated by chemotheraphy, often through the education sector. The treatment that is being administered to this is praziquantel it is an active drug against all human schistosomas species, this drug is widely use because it is safe, orally active, absorbs promptly and has a rapid onset of action. A dose pole has been developed for the treatment of children that is based on their height rather than weight (Knopp, S et al., 2013. Diagnosis and treatment of schistosomiasis in children in the era of intensified control).

References:

In the paediatric age group, one needs a high index of suspicion. Here in the tropics, diagnosis is almost entirely based on clinical judgement as laboratory yields are low.

Clinical trials without evidence may breed drug resistance but has been the saving grace for some children in resource poor settings in which we practise.

The key criteria for confirmation of NCS were

acute narrowing of the LRV and large acceleration of blood flow at the

aortomesenteric portion with proximal distention on diagnostic imaging.

Computed tomography (CT) and doppler ultrasound (DUS) were performed to

make a comprehensive assessment of the angle between the AA and SMA,

LRV anteroposterior diameter ratio (hilar to aortomesenteric), and

hemodynamic characteristics.@

Hi Silke

It is known that potassium results from serum are 0.1 - 0.2 mmol/l higher than plasma results with differences of up to 0.9 mmoL.

Neonates 3.9 - 5.9 ; Lactants 4.0 - 5.3 ; Children 3.5 - 4.7 ; Adolescents and Adults 3.5- 5.1 Reference: Hyman D, Kplan NM, Tjhe difference between serum and plasma potassium. N. Engl. J. Med. 1985:313:642. And there is a Nomogram for Stimating Potasium Deficit in Plasma Levels, from ScribnerWashington University School of Medicine. 1960

Alteraciones Electroliticas en Pediatria by Luis Velasquez Jones 1991 Hosp. Inf. Mexico

One reference in Spanish https://es.scribd.com/document/346008782/Apoyo-ventilatorio-no-invasivo-CPAP-de-burbuja-pdf

Congratulation sir

Dear Randell,

You sys review data depend on the research questions you try to answer. Check this out:

The Influence of Music on the Surgical Task Performance

We take prolene stay sutures after making incision over trachea,making sure not to take out rings of trachea and make it more collapsable.

Please see the following RG links.

It is important to note that the

failure of one device increases the possibility of failure of the next one, for example, in an obese patient with

positive predictors of difficulty for intubation, has a higher incidence of difficulty for ventilation

(including ventilation through a supraglottic device); likewise, percutaneous access to VA can be

very complicated.

Fortunately, we can exchange between these

access to the VA when one of them fails, being able to be

used interchangeably as a rescue for oxygenation

of the patient.

British Journal of Anaesthesia, 117 (S1): i20–i27 (2016) doi: 10.1093/bja/aew175

Yes, that was the paper I initially cited in the first question. With this, I can assume that a n=400 will provide 80% power and an alpha=0.05 as shown on table 4. Thank you for your invaluable advice.

Please see the following RG link and PDF attachment.

Please see the following links

https://www.amazon.com/Building-Type-Basics-Healthcare-Facilities/dp/0470135417

https://www.amazon.com/Planning-Designing-Healthcare-Facilities-Evidence-Based/dp/1138032263

Best Regards Evangelia Chrysikou

https://uichildrens.org/health-library/continuous-infusions-picu-chart can be used to complement an observational trial on this Rx.

Welcome dr Hani.Temsah

What type of collaborative research you are looking for?

I have an important research about depression in secondary school students.

Ayele - You can get the best PhD dessertation tittle on the issues of nursing, public health, nutrition or health informatics, pediatric problems and so on by following certain steps: 1) Write down a list of topics that you are interested in and choose a topic that you are most interested in, 2) Narrow your topic to something manageable and talk to potential supervisors, friends, fellow scholars, colleagues etc, 3) Define the problem - a well defined problem is research half done and make your title concise, simple and clear, 4) Do a brief survey of literature to know how much work has already been done and what are the gaps in knowledge, 5) Choose a title which highlight the purpose of the study, which can often include its context, outcomes, and important aspects of the research strategy adopted.

Amit Kumar Shrivastava dear your question needs a bit explanation dear. I am also working in pediatric medicine, and there were hundred of patients belong to diagnosis of URTI or LRTI, but the region is too big, if you could point out some explanation. thanks

Following answers....

Yes it is: https://www.medicines.org.uk/emc/product/146/smpc

Although there are several off-label indications, it's approved for cystic fibrosis in kids.