Online ISSN: 2515-8260

Keywords : pediatric


A prospective comparative study of functional and radiological outcome in percutaneous trans-olecranon fossa four cortex purchase lateral pinning versus cross-pinning in displaced supracondylar fractures of humerus in children

Somashekara S.A, Deepak H.R, Sunkappa S.R Somashekar Doddabhadre Gowda, Manoj Gidaganti

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 871-879

Traditional treatment with closed reduction and application of plaster slab or cast is
inappropriate in the case of displaced supracondylar fractures of humerus as this method may
potentially lead to malunion & subsequent elbow deformity, as it is difficult to obtain
satisfactory reduction and to maintain the reduction due to distraction forces acting at the
elbow. Our study involved 40 children who had sustained displaced supracondylar fractures
(Gartland-Type III) who were treated in the Department of Orthopaedic at a Tertiary care
trauma center, between November 2018 to May 2020. 55% of our cases were in the age group
5-10 years, 60% were male & 40% female.
80% (n=32) of the cases had history of fall on outstretched hand, followed by 3% with fall on
flexed hand which is in concordance with the most common mode of injury established by
many studies. 70% of the cases had fracture of left supracondylar humerus as compared to
30% on the right side. 30 out 40 cases had postero-medial displacement of distal fragment &
remaining 10 cases had postero-lateral displacement.

Assessment and evaluation of hearing, tinnitus, and vertigo in children with endocrine disorders

Dr Rajveer Basu, Dr Preeti Lahari, Kiran Lahari, Dr Jugvendra Lahari .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1805-1811

Background: Metabolic and endocrine disorders are related to a significant proportion of
mortality and morbidity seen in the child population globally. The disorders and associated
comorbidities affecting various body organs including inner ear functions include diabetes
mellitus, growth hormone deficiency, childhood obesity, precocious puberty, etc.
Aims: The present clinical trial was carried out to assess high-frequency hearing,
associated tinnitus and vertigo in children with endocrine disorders including growth
hormone deficiency, precocious puberty, type 1 diabetes mellitus, obesity and idiopathic
short stature.
Materials and Methods: 120 subjects having a growth hormone deficiency, precocious
puberty, type 1 diabetes mellitus, obesity and/or idiopathic short stature, and 32 healthy
children were evaluated with a complete otolaryngologic examination followed by
otoscopic ear examination, tympanometry, vertigo, and tinnitus. The collected data were
subjected to statistical evaluation and results were formulated.
Results: PTA˃20dB was seen in 2.5% (n=3) subjects, HFA ˃20dB was seen in 5% (n=6),
PTA and HFA ˃20dB in 5% (n=6) subjects (p= 1.000, 0.465, and 1.000). 18.6% (n=19) had
tinnitus, and 8.82% (n=9) had vertigo. Presence of vertigo and tinnitus in study subjects
with ISS seen in 22.7% (p=0.04). Vertigo with PTA and HFA value ˃20dB was seen in
3.84% (n=1) subject with GHD, 5.88% (n=2) with Type1 DM, 4% (n=1) with obesity, and
3.06% (n=3) subjects in whole experimental group.
Conclusion: Within its limitations, the present study concludes that endocrine diseases
manifested in childhood can lead to alterations in the inner ear with poorly understood
aetiology. However, the study suggests a balance examination and thorough hearing
examination be done in all children visiting endocrinology clinics to detect and treat any
associated abnormality at an early stage.

Seizure Due To Electrolyte Imbalance In Pediatric

Nurul Hidayah; Huldani .; Fauziah .; M Naufal Risyad

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4664-4668

Seizures are symptoms that are temporary and sudden as a result of abnormal electrical
activity in the brain. Seizures can be caused by various conditions, for example, epilepsy,
fever, hypoglycemia, hypoxia, hypotension, brain tumors, meningitis, electrolyte
imbalance, and drug overdose. Severe and acute electrolyte disturbances cause
neurological deficits such as seizures, which may be the sole presenting
symptom. Electrolytes are compounds in a solution that dissociate into particles with a
positive (cation) or negative (anion) charge. Most of the metabolic processes require and
are affected by electrolytes. Electrolyte imbalances are common in clinical practice and the
diagnosis is confirmed by laboratory tests. Seizures are common in patients with
hyponatremia, hypocalcemia, and hypomagnesia. Tonic-clonic seizures or other types can
be found due to these electrolyte disturbances. Hypo or hyperkalemia can also cause
seizures, but it is very rare. These electrolyte disturbances can trigger epileptic areas in the
brain. Central nervous system disorders due to electrolyte imbalance are reversible.
However, if this is not treated immediately it will cause permanent brain damage

ASSESSMENT OF PREVALENCE OF ANTIBIOTIC USE FOR PEDIATRIC ACUTE VIRAL GASTROENTERITIS ATTENDING THE PRIMARY HEALTH CLINICS IN MAKAH CITY IN SAUDI ARABIA 2019

Mohammed Meyassr Melybari, Khulood Nader Felemban, Emran Hasan Fallatah, Hesham Abdullah Ganim, Sultan Hymid Al-Hazmi, Moawad Ayed Allihyani, Manal Salmi Alsadi Saeed Hassan Abdullah ALqurashi, Afraa Mohmad Bassuoni, Ayman Salem Ajyeeb, Sameer Mohammad Ali Albishri

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 492-500

Background
Antibiotics are the most commonly used drug group in hospitalized patients and primary health clinics as they are all over the world. Inappropriate or unnecessary use of antibiotics leads to adverse effects related with antibiotics, occurrence of resistant microorganisms, and increased therapeutic cost. With the Budgeting Application Instruction, which entered into force in 2003 for controlling antibiotic use, approval of an infectious disease specialist (IDS) was required for use of some differences in antibiotic knowledge and attitudes between parents of Medicaid-insured. It is unknown whether understanding has improved and whether previously identified differences persist.Efforts to reduce antibiotic misuse and overuse are necessary to curb additional increases in antibiotic resistance in developed and developing countries also in KSA saw increases in antibiotic use for children during the last 2 decades, no educational campaigns for patients and professionals, and introduction of new vaccines. ​
Aim of the study: To assessment of prevalence of antibiotic use for pediatric acute viral gastroenteritis attending the primary health clinics in Makah city in Saudi Arabia 2019.
Method: This is a cross-sectional study, thirty questions of children years of age who had suffered from acute gastroenteritis during the March to June, 2019 was conducted attending the primary health care centers in Makkah, Saudi Arabia. our total participants were (80).
Results:Oral antibiotics were preferred by 45.0% followed by intravenous route (30.0%), and intramuscular route in 8.75%. Antibiotics less than week were prescribed in about 43.0%. Duration from 7-14 days was recorded by 20%. Long-term antibiotics were prescribed by 3.0%. Questioning about the seasonal break out of viral gastroenteritis as stated by study individuals.
Conclusion: must be Antibiotic use based on consultation with an infectious diseases specialist decreased inappropriate antibiotic use. Acute gastroenteritis is a major source of morbidity and mortality among young children in developed and developing countries. Enter pathogenic viruses are regarded as particularly relevant causative agents.