Serum and CSF-Zn simultaneously decreased in FS children in comparison to their matched NSF peers. Further prospectively designed multicentral studies are recommended to conduct in geographically diverse regions involving larger sample to confirm or refute our findings. It remains crucial in standardizing/strengthening national seizure prevention protocol with adequate Zn supplementation.
Background: Transient hypoglycemia in the early neonatal period is a common adaptive phenomenon as the newborn changes from the fetal state of continuous transplacental glucose consumption to intermittent nutrient supply following cessation of maternal nutrition at birth. This adaptation is well established in term appropriate for gestational age babies but is not established in low birth weight babies. Objective: this study was undertaken to evaluate glycemic status of the low birth weight babies and impact of early feeding.Methodology: This prospective observational study was done in the department of Pediatrics and department of obstetrics, Rangpur Medical College Hospital, Rangpur, Bangladesh from September 2005 to February 2006 for a period of six (6) months. Blood sugar was estimated at birth (cord blood) and then from capillary blood at 2 hours, 4 hours, in between 12 to 24 hours and in between 24 to 48 hours. The capillary blood was obtained by heel prick. Venous sample was sent to the college laboratory for confirmation if the blood sugar was less than 2.6 mmol/L (47 mg/dL). Result: In the first 48 hours, the blood glucose levels were lowest at 2 hours after delivery and the level gradually increased with increasing postnatal age in low birth weight babies. Birth weight had a positive correlation with blood glucose levels of low birth weight babies. The overall incidence of hypoglycemia in low birth weight babies were 31.8%, among them 77.1% asymptomatic and 22.9% symptomatic. The mean blood glucose levels were significantly high in early feed group than the delayed feed group babies (p<0.05).Conclusion: The blood glucose levels is lowest at 2 hours after delivery and the level gradually increases with increasing postnatal age in low birth weight babies which is a positive correlation with blood glucose levels of low birth weight babies.Journal of Current and Advance Medical Research 2018;5(1):33-38
Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM), In neonates and infants, patient may cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. Here we show our experience regarding management of congenital muscular torticollis with physiotherapy. Patients and Methods: This is an observational descriptive study. Verbal consent from parents was taken. Patients of congenital muscular torticollis with other disease or other congenital anomaly were excluded from study. Twenty patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women's Medical College Hospital, Shaheed Shurawardy Medical College Hospital. Neonates and infants were treated conservatively with physiotherapy and non responsive cases were referred for surgery. Results: Patients age range from 5 days to 1 year of which eleven were females and nine were males. Sternocleidomastoid muscle (SCM) was shortened in all cases (12 on right side and 8 on left side). Of 20 patients 6 neonates, rest 14 infants within 1 year age. Out of 20 neonates and infants 17 were cured conservatively with physiotherapy and rest 3 were referred for surgery. Conclusion: Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12157 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.2-5
Background: The morbidity and mortality of under five children due to respiratory illness still not in acceptable range in spite of multiple ongoing national programs including IMCI. Objective: The present study was intended to explore the pattern of respiratory illnesses and their hospital outcome seen in admitted children admitted with respiratory illnesses. Methodology: This present retrospective study was conducted in children up to 12 years of age admitted with acute respiratory illness in pediatric unit of 250 bedded Jashore General Hospital, Jashore, Bangladesh from February 2019 to January 2020. All children between the age limit with acute respiratory illness were included in the study. Data were collected from treatment file and admission register. Results: A total of 7,484 patients were admitted in pediatric unit. Among them 840 cases (11.2%) were admitted with respiratory illnesses and bronchopneumonia contributing the majority cases 410(48.8%), followed by bronchiolitis 190(22.6%), childhood asthma 110(13.1%), wheezy child 70(8.4%), URTI 45(5.3%), laryngomalacia 12(1.4%) and tuberculosis 3(0.4%). Males were predominant in every group. Majority of respiratory diseases were from poor socioeconomic background and found lately referred. Conclusions: In conclusion respiratory illnesses contributes to most common cause of admission in pediatric unit of district level hospital Journal of Current and Advance Medical Research 2020;7(2): 50-54
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