This study explored one woman's experience in becoming a mother to her premature son during his prolonged hospitalization. This paradigm case is an exemplar selected from a larger phenomenological study that examined the high-risk perinatal experience. Hermeneutic analysis led to the discovery of the phenomenon of maternal work embedded in the experience of this mother. Dimensions of her maternal work included working for love, working for meaningful moments, working amid uncertainty, working against the odds, and working overtime. Understanding the experience of maternal work can assist nurses to acknowledge and support the work inherent in becoming a mother within the neonatal intensive care unit.

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from retroperitoneal region can mimic hip arthritis. We report a case presenting with symptoms of monoartrhritis of the hip. Methods: Case A 4 ½ years old male child presented with intermittent fever and ongoing pain in right thigh for three days. It was learnt that he had fallen from table and leg splint was included two months ago. He has no complaints since then. On systemic examination, she had fever with minimal hepatosplenomegaly and had pain with restriction of movements on the right hip joint. Abnormal laboratory results revealed high levels of ESR and CRP with hemoglobin 10.5g/dl. Peripheral blood smear and bone marrow aspiration were normal. Lower extremity radiographes showed metastatic lytic lesions leading to cortical destruction. Abdominal USG and CT revealed a solid mass containing necrotic areas and calcification. The patient was considered as neuroblastoma with ten times higher than normal levels of urine vanil mandelic acid and serum neuron-specific enolase. Conclusions: Neuroblastoma is a poorly differentiated pediatric tumor in which majority of it originates in the abdomen or pelvis, though it may appear anywhere from the brain to the pelvis. The wide range of clinical presentations makes the diagnosis a challenge. The most common symptoms are due to a tumor mass or to bone pain from metastases. In majority of cases, it is not diagnosed until metastasized. Thus, a high index of suspicion is needed.Background and aims: This is a case report of a 6 years old girl who was diagnosed with pulmonary hemosiderosis, she was treated as hemolytic anemia since she was 3 years old. recenyly she was diagnosed with ideopathic pulmonary hemosiderosis (IPH) and started on corticosteroids and cyclophosphamide and chloroquine. This was because she had several severe pulmonary hemorrhages and required mechanical ventilation. Aims: To describe the role of corticosteroids in varicella pneumonitis in adition with intravenous Acyclovir. Methods: The girl received intravenous methylprednisone and intravenous Acyclovir and her varicella pneumonitis improved and her clinical condition improved with resolution of the pulmonary hemorrhage at that attack. Results: There was dramatic improvment in the varicella pneumonitis after starting intravenous methylprednisone in combination with Acyclovir. Conclusions: There is role for systemic corticosteroids in severe varicella pneumonitis.Background and aims: G6PD deficiency complicating viral hepatitis A is well recognized. In G6PD deficient individuals, oxidative stress can result in hemolysis or rarely methemoglobinemia. Aims: To discuss management issues in a case of viral hepatitis A with G6PD deficiency and methemoglobinemia Methods: We report a 10 year old previously healthy boy who presented with excessive sleepiness following 3 days of fever, vomiting and jaundice. IgM antibodies were positive for hepatitis A. The drowsiness was initially thought to be due to hepatic encephalopathy.After admission it was noticed that the pulse oximeter read O2 saturation in 70's althou...