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Bangladesh journal of child health : a journal of ... 13건

  1. [해외논문]   Childhood Obesity; Effects and Prevention  

    Rahman, Md Habibur
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 74 - 76 , 2018 , 0257-3490 ,

    초록

    Abstract not availableBangladesh J Child Health 2017; VOL 41 (2) :74-76

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  2. [해외논문]   Bacteriological Profile of Urinary Tract Infection in Children of a Tertiary Care Hospital  

    Nazme, Nure Ishrat , Amin, Abdullah Al , Jalil, Farhana , Sultana, Jesmin , Fatema, Nurun Nahar
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 77 - 83 , 2018 , 0257-3490 ,

    초록

    Background: Urinary tract infection (UTI) is an important cause of morbidity and mortality in the paediatric age group. The spectrum of etiologic agents causing UTI and their antimicrobial resistance pattern has been continuously changing over the years. It varies among geographical locations, hospitals and also in different age groups.Objective: The aim of this study was to find out the causative agents of UTI and their antibiotic sensitivity pattern in paediatric patients in CMH, Dhaka.Methodology: This is an observational cross sectional study. A total of 180 children aged 0 months to 15 years attending pediatric outpatient department or admitted in Department of Paediatrics CMH, Dhaka with suspected UTI were subjected for urine routine and microscopic examination between June 2015 to May 2016. Those having pyuria (n=120) were then sent for urine culture and sensitivity to the laboratory of Armed Forces Institute of Pathology (AFIP). Patients having significant growth of organism were enrolled as cases of confirmed UTI. After enrollment, relevant information such as age, sex, sociodemographic profile was obtained and recorded in case record form.Result: In the present study, urine routine microscopy was done in all 180 cases of suspected UTI. Among all urine analysis 67% had significant pyuria (n=120). Of the 120 cases with pyuria, 58 cases were having culture positive accounting 48.3% of the total sample studied. Occurrence of urinary tract infections was highest in the age group below 5 year (62.5%). UTI was more prevalent in girls (63.3%) with male to female ratio 1:1.7. E. coli was the commonest isolate (62.1%) followed by Enterococcus (19.2%) and Klebsiella (10.2%). E. coli was found to be most sensitive to Ciprofloxacin, Nitrofurantoin, Amikacin, and Levofloxacin in descending order. There was a generally high level of resistance of isolates to Cotrimoxazole, Amoxycillin, Aminoglycosides, Azythromycin and the Cephalosporins like Cefuroxime, Ceftazidime, Cefixime and Ceftriaxone compared to Ciprofloxacin, Nitrofurantoin and Levofloxacin.Conclusion: Based on our findings, Ciprofloxacin, Levofloxacin and Nitrofurantoin are appropriate for initial empirical therapy for UTI among Bangladeshi children.Bangladesh J Child Health 2017; VOL 41 (2) :77-83

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  3. [해외논문]   Comparative Study of Early Versus Delayed Enteral Feeding in Development of Necrotizing Enterocolitis for Preterm Small for Date Babies  

    Biswas, Piya , Singha, Jugindra , Hoque, Mujibul , Hossain, Md Monir , Ali, Manajjir
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 84 - 91 , 2018 , 0257-3490 ,

    초록

    Background: Growth-restricted preterm infants are at increased risk of developing necrotizing enterocolitis (NEC) and initiation of enteral feeding is frequently delayed, even though delayed enteral feeding could diminish the functional adaptation of the gastrointestinal tract and result in feeding intolerance later.Objectives: To evaluate the development of necrotizing enterocolitis of early and delayed enteral feeding in preterm small for date babies (weighing 1000-1499 grams).Materials and Methods: This was a consecutive sampling technique, conducted in the Department of Paediatrics Sylhet MAG Osmani Medical College Hospital during the period from July 2012 to June 2014. One hundred and forty neonates with preterm small for date babies were selected according to inclusion and exclusion criteria. Inclusion criteria were baby born preterm ( 0.05], death [10 (16.7%) vs 11 (16.9%); p>0.05], oral feeding not established [1 (1.7%) vs 2 (3.1%); p>0.05], referred to paediatric surgery [4 (6.7%) vs 5 (7.7%); p>0.05] did not differ significantly between early and late feeding group. Causes of death were sepsis in 3 (30.0%), recurrent apnoea in 4 (40.0%)] and hypothermia in 3 (30.0%) in early feeding group; while causes of death were sepsis in 5 (45.5%), recurrent apnoea in 4 (36.4%)] and hypothermia in 2 (18.1%) neonates in late feeding group (p=0.861,p=0.881,p=0.781 respectively).Conclusion: Findings of this consecutive sampling technique concludes that early enteral feeding with breast milk does not increase the incidence of NEC, sepsis and death.Bangladesh J Child Health 2017; VOL 41 (2) :84-91

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  4. [해외논문]   Effect of Fluid Supplementation on the Duration of Phototherapy  

    Morshed, Jesmeen , Shahidullah, Mohammod , Motanabbi, Mahbub , Dey, Sanjoy Kumer
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 92 - 95 , 2018 , 0257-3490 ,

    초록

    Background: Hyperbilirubinemia or jaundice is a common condition found in neonates. If intervention is not initiated in case of gradually increasing hyperbilirubinemia may progress to develop kernicterus. Subclinical dehydration (Serum osmolality >290 mosm/kg) due to evaporative losses and poor intake of breast milk can lead to an increased incidence and exaggeration of jaundice in newborns leading to longer duration of phototherapy. Adequate hydration and good urine output improve the efficacy of phototherapy.Objective: To evaluate the effect of fluid supplementation on the duration of phototherapy.Methods: This was a randomized controlled trial conducted in NICU of BSMMU, Dhaka, Bangladesh. Sixty-four term neonates with severe nonhemolytic hyperbilirubinemia (TSB >18 mg/dl to

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  5. [해외논문]   Pulmonary Manifestations in Paediatric Rheumatic Diseases (PRDs): Experience in Tertiary Care Hospital  

    Islam, Mohammad Imnul , Gomes, Kalayan Benjamin , Haque, Mujammel , Islam, Mohammed Mahbubul , Talukder, Manik Kumar , Rahman, Shahana
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 96 - 100 , 2018 , 0257-3490 ,

    초록

    Background: There are several forms of pulmonary manifestations in Paediatric Rheumatic Diseases (PRDs), not only by the disease itself, but also by infections and toxicity of medications used for treatment.Objectives: To evaluate the pulmonary manifestations and to identify their pattern in PRDs including Systemic Lupus Erythematosus (SLE), Juvenile Idiopathic Arthritis (JIA), Systemic Sclerosis (SSc), Juvenile Dermatomyositis (JDM) and Polyarteritis Nodosa (PAN) patients.Methods: It was a cross-sectional analytical study. PRDs with pulmonary problems who attended the Paediatric Rheumatololgy follow up clinic of BSMMU from January 2010 to December 2014 were enrolled in this study. All patients having PRDS with pulmonary symptoms were investigated by chest x-ray. High regulation CT scan of Chest (HRCT) and pulmonary function tests (PFTs) were done in some of the feasible cases.Results: Total 20 cases were identified as paediatric rheumatic diseases with pulmonary manifestations. Out of them 8 patients were diagnosed as SLE, 6 patients as SSc, 4 patients as JIA, and 2 patients as JDM and PAN respectively. Mean age of the patients were 8.5 years. Fever (86.8%), prolonged cough (65%), dyspnoea (29%) and chest pain (3%) were the common pulmonary features. Pneumonitis (35%), pleural effusion (29.3%), consolidation (23.5%) were important radiological findings. Chest CT were done in 5 patients and features of brochiectasis (75%), thickening (25%), pleural effusion (50%) and pneumonitis (50%) were found. The higher rate of pulmonary involvement was found in Ssc (100%). Spirometric analysis were done in only 7 patients and found restrictive pattern of defect and most of them were SSc.Conclusion: Pulmonary manifestations in PRDs were not uncommon. SLE, JIA and SSc were the predominant PRDs who had pulmonary manifestations obsevered in this study. So timely intervention of this issue could minimize morbidity and mortality of these diseases in the long run.Bangladesh J Child Health 2017; VOL 41 (2) :96-100

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  6. [해외논문]   Effect of Oral Erythropoietin in Prevention of Anemia of Prematurity  

    Alam, Md Jamshed , Khan, Md Kamrul Ahsan , Nahar, Nazmun , Dey, Sanjoy Kumer , Mannan, Md A , Shahidullah, Mohammod
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 101 - 109 , 2018 , 0257-3490 ,

    초록

    Introduction: Anemia of prematurity (AOP) is a common problem of very low birth weight babies. Blood transfusion is a necessity when it occurs in moderate to severe form putting the child in to the risk of transfusion related complications. Erythropoietin, a potent stimulator of hemopoesis is available in breast milk in good amount and absorbed intact under physiologic condition. In this background oral recombinant human erythropoietin (rhEPO) can be a useful alternative to its subcutaneous administration in prevention of AOP.Objective: To evaluate the efficacy of oral rhEPO in the prevention of AOP in very low birth weight (VLBW) neonates.Methods: This randomized controlled study conducted in the NICU of BSMMU over one year. Total 60 preterm (

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  7. [해외논문]   Congenital Hypothyroidism - An Update  

    Chowdhury, Farzana Rahman , Rahman, AKM Matiur , Rahman, Urmi
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 110 - 116 , 2018 , 0257-3490 ,

    초록

    Hypothyroidism is a common disorder of the endocrine system in which the thyroid gland does not produce enough thyroid hormone. The most cases of congenital hypothyroidism (CH) is from thyroid dysgenesis. The worldwide incidence CH is 1:3000- 4000 live births and prevalence rate of CH in Bangladesh is 0.9%. The thyroid gland is the first endocrine structure in fetus. Triiodothyronine (T3) and thyroxine (T4) appear by 12 weeks of gestation. CH is classified into permanent and transient. Permanent CH requires life-long treatment. Common symptoms of CH are feeding difficulty, prolonged jaundice, lethargy, constipation and not growing well. Newborn with CH will have puffy face, wide posterior fontanelle, wide open sutures and later on umbilical hernia, coarse facies, macroglossia and cold or mottled skin are common signs. Measurement of T4 and TSH as newborn screening are appropriate approach with interpretation of T4 below 10th centile or TSH above 90th centile or absolute cut-offs such as T4 20mu/L. The diagnosis of primary CH is confirmed by the finding of an elevated serum TSH level and a low free T4 or total T4. Early T4 replacement in children with CH is crucial for neurological outcome. A high starting dose of 10-15 Ig/kg/day is recommended by AAP and European Society for Paediatric Endocrinology (ESPE). The T4 levels normalize in first 3 days of initiation of treatment, while TSH levels take up to 1 month for normalization. Routine follow-up with biochemically adjustment of doses of Levothyroxine can completely normalize the children of CH.Bangladesh J Child Health 2017; VOL 41 (2) :110-116

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  8. [해외논문]   Obstructive Uropathy in Children - An Update  

    Roy, Ranjit Ranjan , Anjum, Md Firoz , Ferdous, Shahana
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 117 - 124 , 2018 , 0257-3490 ,

    초록

    Obstructive nephropathy is a structural or functional hindrance of normal urine flow, sometimes leading to renal dysfunction. Urinary tract obstruction can result from congenital (anatomic) lesion or can be caused by trauma, neoplasia, calculi, inflammation or surgical procedures, although most childhood obstructive lesions are congenital.The clinical features in most of the patients are due to consequences of the obstruction2. Obstruction of the urinary tract generally causeshydronephrosis, which is typically asymptomatic in its early phase. Renal USG gives information about urinary tract dilatation, renal cortical thickness, calyx size, diameter of pelvis, ureter, bladder thickness, tumor & calculi and doppler USG for evaluation of aberrentvessles. Once obstructive nephropathy has been identified therapy focuses on the rapid restoration of normal urine flow either by medical or surgical intervention.Bangladesh J Child Health 2017; VOL 41 (2) :117-124

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  9. [해외논문]   Blue Rubber Bleb Nevus Syndrome: A Case Report  

    Jahan, Roushan , Riaaz, Rumana , Mazumder, Md Wahiduzzamun , Akhter, Shohela , Rahman, Shahana A
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 125 - 128 , 2018 , 0257-3490 ,

    초록

    Blue rubber bleb nevus syndrome (BRBNS) is a rare condition that is characterized by malformations of the venous system that significantly involve the skin and viscera.Cutaneous malformations are usually asymptomatic and do not require treatment except cosmetic purpose. The treatment of gastrointestinal lesions is determined by the extent of involvement and severity of the disease.We are presenting a case of BRBNS who was admitted in the paediatric ward of Bangabandhu Sheikh Mujib Medical University(BSMMU) with the complaints of progressive pallor since one year of age, passage of blackish stool for last two years, presence of soft bluish/and swelling all over the body and multiple dark blue to blackish nodule present in palm and sole. She got blood transfusion over one hundred (100) times. Endoscopy showed multiple haemangioma with active bleeding in upper GIT. After possible investigations she was diagnosed as a case of BRBNS and treated with available treatment facility.Bangladesh J Child Health 2017; VOL 41 (2) :125-128

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  10. [해외논문]   Congenital Pulmonary Airway Malformation (CPAM): A Case Report  

    Ahmed, Taslim Uddin , Roy, Sudipta , Kabir, ARM Luthful , Chowdhury, Kona , Hassan, Mahmuda , Mollah, Md Abid Hossain , Noushin, Rubaiya , Razzaque, Mohammad Abdur , Khan, Raihana Noor , Rahman, Md Hamidur
    Bangladesh journal of child health : a journal of continuing education on child health v.41 no.2 ,pp. 129 - 134 , 2018 , 0257-3490 ,

    초록

    Congenital pulmonary airway malformation (CPAM) is a very rare congenital cystic lung disease in children. Frequent respiratory tract infections (RTI) are major concerns in these patients. When a child having recurrent episodis of RTI, CPAM could be the underlying pathology. Surgical excision is recommended to make a definite diagnosis and exclude hidden malignancies and is also the treatment of choice. Here in, we report a 6 months old girl presenting with an acute respiratory infection for the first time. An routine USG of abdomen incidentally showed multiple cystic lessions in the left lower lung. CT scan of chest also revealed similar lessions in some area. After receiving treatment for pneumonia surgical excision was performed and she was doing well after surgeryBangladesh J Child Health 2017; VOL 41 (2) :129-134

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