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Journal of Clinical Pediatrics and Neonatology
ISSN: 2767-3995
Volume 4, Issue 1, p1-40
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
A community-based cross-sectional study of neonatal hypothermia and its associated factors among neonates in Shebadino woreda, Sidama region, South Ethiopia
The necessity of a warm environment for the care of low-birth-weight newborns was first recognized in the early 1900s [1]. In 1992, the World Health Organization (WHO) developed the guideline for the prevention and management of hypothermia. It is defined as a drop in a newborn's body temperature below 36.5°C (97.7°F) before the age of 28 days.
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p1-13 | DOI: 10.46439/pediatrics.4.023
Compassion fatigue: The trojan horse in nursing
Nurses are leaving the profession at an alarming rate [1]. Like soldiers on the battlefield, many nurses post pandemic are left alive but injured, with a catalogue of emotional experiences to wrestle with. Using Stamm’s [2] breakdown, Compassion fatigue (CF) can be understood as the combination burnout and secondary trauma.
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p14-15 | DOI: 10.46439/pediatrics.4.025
Withstanding the COVID19 pandemic - A tertiary children’s hospital’s commitment to equitable care
Acute appendicitis is one of the most common surgical procedures performed among pediatric patients in the United States [1]. The pathophysiology of the disease begins with luminal obstruction of the appendix, leading to venous congestion, with eventual arterial inflow obstruction, and finally luminal rupture, resulting in spillage of enteric contents into the abdominal cavity.
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p16-21 | DOI: 10.46439/pediatrics.4.026
Evaluation of chronic pediatric diarrhea: use of newer imaging tools – a more practical approach
Diarrhea in children has a worldwide prevalence and it is estimated that more than 5 million children succumb to the disease worldwide and is the fifth largest cause of mortality in third-world countries [1]. An operative definition of diarrhea as proposed by the World Health Organization refers to the passage of three or more loose or liquid stools per day or more frequently than is normal for the individual based on the duration of symptoms it can be classified as acute –i.e. less than 14 days duration and chronic if more than three weeks duration [2].
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p22-24 | DOI: 10.46439/pediatrics.4.027
Plastic compounds and liver diseases in pediatrics: Navigating the hazards
Recent research underscores the risk posed by plastic compounds to pediatric liver health. These compounds can permeate the maternal-fetal-child barrier through the placenta and breastfeeding, exposing fetus/child to potential harm during crucial developmental stages [1,2].
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p25-27 | DOI: 10.46439/pediatrics.4.028
Prenatal phenotype-genotype discordance allows for earlier identification of disorders of sexual development
Disorders of sexual development (DSD) are a spectrum of conditions characterized by abnormal chromosomal, gonadal or phenotypic sex, leading to atypical development of the urogenital tract [1]. Recently, Snipes et al. presented a case of a 46 XY DSD patient whose condition was caused by a rare genetic mutation, identified by a workup initiated after discovering a discrepancy between the genetic sex on the Non-Invasive Prenatal Testing (NIPT) and the phenotypic sex on the 20-week ultrasound (US) [2].
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p28-31 | DOI: 10.46439/pediatrics.4.029
Our experience in providing anesthesia during surgical interventions for necrotizing enterocolitis
Necrotizing enterocolitis (NEC) is one of the most common serious acquired diseases of the gastrointestinal tract, both in full-term and premature infants. Studies show that the incidence of NEC among newborns is 2.4 per 1000 children. It was found that NEC in premature newborns occurs 12 times more often than in full-term patients [1].
J Clin Pediatr Neonatol, 2024, Volume 4, Issue 1, p32-40 | DOI: 10.46439/pediatrics.4.030
The effect of preoperative in-person education on the pain severity of patients undergoing coronary artery bypass graft (CABG) surgery
Pain is one of the most common symptoms experienced by patients undergoing coronary artery bypass graft (CABG) surgery. Adequate pain management is critical to the well-being and overall recovery of these patients. This study aimed to evaluate the effect of preoperative in-person pain education on the pain severity experienced by patients undergoing CABG surgery in Rajaie Cardiovascular, Medical and Research Center in Tehran in 2022. In this quasi-experimental study, 72 patients undergoing coronary artery bypass surgery were selected and randomly divided into intervention (n=36) and control (n=36) groups.
Lung ultrasound: a new standard for diagnosis of ventilator associated pneumonia?
As the soft tissue- air interface is virtually impenetrable to ultrasound, its utility for evaluating lung pathologies was historically thought to be unfeasible [1]. However, the observation of different artifacts and novel research into their interpretations has helped transform this dogma and develop lung ultrasound as a valuable diagnostic tool in pulmonary diseases.
Focused ultrasound: Innovation in use for neurologic conditions
Focused ultrasound has emerged as a key tool for neurologic disorders. In this focused review, we discuss the utility in disrupting the blood brain barrier to maximize treatment. This can facilitate creating direct coagulative lesions and aid in the administration of chemotherapy. Furthermore, it can facilitate neuromodulation when used in pulse sequencing.
COVID-19 and burnout of physicians redeployed to emergency care
The COVID-19 pandemic of 2020-2023 significantly affected emergency medical care. Physicians who regularly saw their patients by appointment were redeployed to emergency care, increasing their reported burnout. Understanding how the burnout of specialists increased from this redeployment during COVID-19 is relevant to finding ways to reduce redeployment burnout in these appointment-based physicians when preparing for future pandemics.
Planned procedures and covid-19 pandemic: Does recovery plan, a matter of urgency?
The COVID-19 pandemic brought many challenges to each sector of life. The most affected are the health in general and elective services in specific. The postponement of planned surgical procedures is one of the elective services that not only increased the waiting time in the short-term but will strain the healthcare services in the long-run
Enhanced recovery after thoracic surgery (ERATS): A current review
Enhanced recovery after surgery (ERAS) is a comprehensive care protocol that incorporates evidence-based practices to achieve the most optimal postoperative outcomes, safe on-time discharge, and surgical cost efficiency. ERAS protocols have been adapted for specialty-specific needs and implemented by a variety of surgical disciplines including thoracic surgery.
Clay eating in pregnancy in French Guiana: How does one understand the practices and act for prevention?
Geophagy is described in most countries of the world as a practice observed in pregnant women. In industrialized countries, it results from migrant populations who carry with them their cultural habits and practices. This is the case in France and more particularly in Guiana, an overseas territory. Originally used to treat the ills of pregnancy, it is today considered to be dangerous for the woman and her unborn child.
Relevance of a simulation model to microvascular surgery for military surgical residents
Microsurgical training is an asset for deployed military orthopaedic surgeons who frequently treat hand or nerve injuries in the field.
Nurse educators should use pedagogies of kindness and hope to teach nursing students’ compassion
The study by Younas and Maddigan [1] Proposing a policy framework for nursing education for fostering compassion in nursing students: A critical review, focused on the cultivation of the quality of compassion in nursing students. While these authors conducted a credible literature review that led to a conclusion that nurse educators should use a range of approaches to teaching students’ compassion, they did not articulate what those approaches could be.
Goals for pediatric inpatient pain management: Best care everywhere
Acute pain is defined as an unpleasant sensory and emotional experience associated with, or resembling actual or potential tissue damage as a result of a surgical procedure, physical trauma, or as a consequence of a medical condition [1]. The prevalence of moderate-severe pain, defined as pain which significantly interferes with daily living activities, ranges between 27% and 66% in hospitalized pediatric patients and remains inconsistent even in those institutions with excellent resources and good reputations [2,3].
Pediatric convulsive status epilepticus: Is levetiracetam another arrow in the quiver?
Pediatric convulsive status epilepticus is a neurological emergency requiring termination in a time critical fashion, if permanent brain damage or death are to be avoided. Levetiracetam has been suggested as a potential second line agent for benzodiazepine refractory seizures. This review will examine the evidence for levetiracetam’s efficacy and safety in the management of pediatric convulsive status epilepticus.
Molecular signatures of aggressive pediatric liver cancer
Liver masses account for 5 to 6% of pediatric cancer, which includes hepatoblastoma (HBL) along with rare cases of hepatocellular carcinoma (HCC). The most dangerous form of pediatric liver cancer is aggressive HBL, which can be characterized by chemo-resistance and multiple nodules or metastases at diagnosis, all correlating with worse clinical prognosis. Despite intensive studies and a significant improvement in overall outcomes, very little is known about the key molecular pathways which determine the aggressiveness of pediatric liver cancer.
Healthcare professionals’ awareness and knowledge of COVID-19 and radiation safety
Background: lack of knowledge and awareness of COVID-19 and radiation safety among healthcare professionals will adversely affect their health and the patients’ safety due to unnecessary radiation exposure and rapid spread of COVID-19. The purpose of this study is to evaluate the knowledge and the awareness of both domains; COVID-19 and radiation awareness in one survey study.
Anesthetic considerations for previously COVID-19 positive patients: design and rapid implementation of a perioperative surgical home (PSH) program
The COVID-19 pandemic presents unprecedented challenges for anesthesia professionals and their surgical patients. Beyond managing infection risk, positive COVID-19 surgical patients add additional challenges to their perioperative care, where its perioperative risk are superimposed onto an already baseline anesthesia risk in real-time with an unknown and unpredictable fashion.
Enteral feeding of preterm neonates: A review
Optimum nutrition is the key for growth and neurodevelopment of the vulnerable preterm neonates, yet immaturity of the gut and risk of necrotizing enterocolitis in this subgroup of neonates create hesitancy regarding aggressive feeding. Feeding practices in the preterm babies are heterogeneous across various neonatal intensive care units. Many neonatal units still differ in terms of feeding intervals, volume of feed initiation and slow versus fast advancement of feeds.
Evidence-based nursing in bachelor assignments - A mini review
The mini-review is an update of the original article: Do bachelor assignments in Danish midwifery- and nursing educations reflect evidence-based practice? A document study [1]. We will summarize the findings from the original article, add an analysis of 140 recent bachelor assignments and present the result of a new search of literature to see recent developments in the field. Our aim is to see if the bachelor assignments present evidence-based nursing.
Opsoclonus myoclonus syndrome and hyper IgM syndrome in the pediatric patient: A nonimmunosuppressive approach
Opsoclonus myoclonus syndrome (OMS), also known as Kinsbourne Syndrome, is a rare disorder affecting the central nervous system. It presents clinically with ataxia, diffuse or focal muscle spasms, and rapid, irregular eye movements.
COVID-19 and the Liver: Uncovering the Hidden Culprit behind Liver Injury
The effects of COVID-19 have been of increasing interest in all fields of medicine after the pandemic, especially considering the important impact and incidence of patients infected with coronavirus. Numerous studies have reported the vast clinical implications related to permanent organ and tissue damage after infection and long COVID.
Auditory system and COVID-19
The COVID-19 pandemic that emerged in 2020 may affect the peripheral and central auditory system. According to studies in the literature, symptoms affecting the vestibulocochlear system such as sudden hearing loss, tinnitus, and vestibular neuritis are seen in individuals with COVID -19.
A case of trigeminal neuralgia after COVID-19
The trigeminal nerve is one of twelve pairs of cranial nerves that attach to the brain. The name “trigeminal” literally means three twins and refers to the fact that the fifth cranial nerve has three major divisions: the ophthalmic (V1), the maxillary (V2), and the mandibular (V3) [1]. The trigeminal nerve is the major sensory nerve of the face and is the nerve of the first branchial arch.