The COVID-19 pandemic is a challenge for all medical personnel in the world. Various studies have been conducted to gain more knowledge about SARS-CoV-2, but studies in the pediatric population are still very limited. We report a case of a boy aged two years and seven months who came to the hospital with an atypical generalized seizure for less than 5 minutes and immediately regained consciousness after the seizure. Other symptoms included fever, productive cough, rhinorrhea, and shortness of breath. The X-ray showed a well-defined homogeneous consolidation in the upper right lobe and a small spot in both lungs which consistently showed top right lobar pneumonia and bronchopneumonia. From the SARS-CoV-2 nucleic acid test, positive results were obtained on the third day of hospitalization. The patient received antiseizure therapy, antibiotics, and other supportive therapies by Indonesian Pediatrician Association (IDAI) guidelines. During treatment, the patient responded well to the treatment given, with no other seizure episodes. A negative result on the SARS-CoV-2 nucleic acid test was obtained after twelve days of hospitalization as well as improvements of the lungs as seen from the X-ray.
Latar belakang. Tidur adalah salah satu kebutuhan dasar untuk mendukung tumbuh kembang anak. Diagnosis dini gangguan tidur masih asing bagi orang tua karena pengetahuan tentang kualitas tidur yang kurang. Gangguan tidur dikaitkan dengan regulasi emosional otak. Tujuan. Menentukan hubungan antara gangguan tidur dan mental emosional pada anak usia 4-6 tahun di Semarang. Metode. Penelitian cross sectional pada anak usia 4-6 tahun sekolah taman kanak-kanak di Kota Semarang dari bulan April-Mei 2016 berdasarkan kriteria inklusi. Cluster sampling dilakukan dalam seleksi mata pelajaran. Gangguan skala tidur untuk anak sleep disturbances scale for children (SDSC) digunakan sebagai alat skrining, sementara perkembangan emosi dan tingkah laku anak digunakan SDQ. Data dianalisis dengan menggunakan SPSS 22, chi-square, dan Fisher exact dengan signifikansi p<0,05. Hasil. Didapat 208 subyek dengan prevalensi gangguan tidur 73,6%. Terdapat hubungan yang signifikan dari gangguan tidur dengan jumlah SDQ skor (RP 2,3, IK95%: 1,1-4,7; p=0,02), skor emosional (RP 2,7, IK95%: 1,3-5,5; p=0,003) dan melakukan skor (RP 1,8, IK95%: 1,1-2,8; p=0,005). Tidak terdapat hubungan yang signifikan dari gangguan tidur pada hiperaktif, masalah dengan teman sebaya, dan perilaku prososial. Kategori pendapatan orang tua, tingkat pendidikan ibu, dan jenis kelamin tidak terbukti sebagai faktor perancu. Kesimpulan. Terdapat hubungan antara gangguan tidur dan masalah mental emosional dalam 4-6 tahun anak. Sari Pediatri 2017;18(5):345-9Kata kunci: gangguan tidur, masalah mental emosional Association between Sleep Disturbance and Mental Emotional Problem in 4-6 Years Old Children in SemarangAdriana Lukmasari, Fitri Hartanto, Tjipta Bahtera, Muhammad Heru Muryawan Background. Sleep is one of children's basic need to support growth and development. Early diagnosis of sleep disturbance is still unfamiliar due to the lack of parents knowledge about sleep quality. Sleep disturbance is associated with brain's emotional regulation Objective. To determine the association between sleep disturbance and mental emotional problem in 4-6 years old children in Semarang Methods. This was a cross sectional study in 4-6 years old children who match inclusions criteria in acredited A and B Kinder Garten school in Semarang from April-May 2016. Cluster sampling was performed in subjects selection. Sleep Disturbance scale for children (SDSC) was used as a screening tools of sleep distubance while the strength and difficulties questionnaire (SDQ) for mental emotional problem. Data was analyzed using SPSS 22, chi-square and Fisher.s Exact test with significancy p<0,05 Results. There were 208 subjects. The prevalence of sleep disturbance was 73,6%. There was significant association of sleep disturbance with total SDQ score (RP 2,3, 95%CI: 1,1-4,7; p=0,02), emotional score (RP 2,7, 95%CI: 1,(3)(4)(5)5 ; p=0,003) and conduct score (RP 1,8, 95%CI: 1,(1)(2)8; p=0,005). There were no significant association of sleep disturbance on hyperactivity, peer problem score and prosocial behav...
BACKGROUND: Pneumopericardium (PPC) is one of the rarest pulmonary air leak syndromes, but the incidence is the highest in the neonatal period. Risk factors include premature infants with respiratory distress (RD) syndrome, receiving active resuscitation, meconium aspiration syndrome, and aggressive mechanical ventilation. Several cases have also been reported related to COVID-19. CASE PRESENTATION: We report a case of a female newborn with a birth weight of 3300 grams a COVID-19 confirmed 35-year-old G3P2A0 mother. The baby was not crying at born and the amniotic fluid was stained green. The baby experienced RD and was intubated. A babygram was performed at the age of 5 h with the impression of a too deep endotracheal tube, neonatal pneumonia, and PPC. COVID-19 RT-PCR examination of the baby was positive. There were no signs of cardiac tamponade, so it was decided to take conservative and supportive management. CONCLUSION: Resolution of PPC was found on repeated babygram 26 h later. The baby was then discharged after 19 days of treatment.
BACKGROUND: Neonatal sepsis can be severe and has mortality rate. The pleural effusion is a rare sign of severe sepsis in newborn and only few studies that reported it. CASE PRESENTATION: We report a case of newborn who referred to our hospital because of dependent mechanical ventilator and severe sepsis. We found a massive pleural effusion and did the pleural drainage. After the drainage, the baby was extubate and discharge well with no signs of respiratory distress. CONCLUSION: Massive pleural effusion might be considered as a cause of dependent ventilator in severe neonatal sepsis.
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