Evidence shows that the different etiologies of neonatal jaundice, including breastfeeding and breast milk jaundice, have many different aspects. Therefore, the present study aims to conduct a literature review to compare breastfeeding and breast milk jaundice, ehich will furtherly help physicians and healthcare practitioners to have adequate information to properly establish an accurate diagnosis. The precise cause of breast milk jaundice is unclear. The majority of the suggested etiologies include factors found in human breast milk. Other theories point to possible genetic defects in the infected neonates. It has been reported that pregnane-3a,20ß-diol, epidermal growth factor, interleukin (IL)1ß, alpha-fetoprotein, and ß-glucuronidase are several factors that are solid constituents of the breast milk which may attribute to the development of this jaundice. Reports showed that breast milk jaundice usually develops in 20-30% of U.S. neonates, and most of whom are breastfed. Moreover, studies showed that more than one-third of infants on breastfeeding will eventually have high serum bilirubin levels that are ≥5 mg/dl. Evidence showed that the diagnosis should be considered when the levels of serum bilirubin exceed 5 mg/dl. Breast milk jaundice will usually fade away with no interventions, and in some cases, phototherapy inauguration and breast milk discontinuation might be needed. In breastfeeding jaundice, serum bilirubin levels usually peak within the first five or six days of life due to wrong or inadequate breastfeeding practices, and the management should be done by correcting these habits, while phototherapy might be applied when the bilirubin levels exceed 18-20 mg/dl.

Objective: To determine the association between socioeconomic level, gender, stunting and other characteristics with the presence of overweight/obesity in the preschool children. Result: BMI/Age Z score > + 2 SD was found in 19.5% of the children. It was more common among the children from areas with high socioeconomic level (OR: 2.43; 95% CI 1.54, 3.84, and p < .000). Obesity was higher among the males (OR 1.76; 95% CI 1.09, 2.8, and p < .02) compared to females. The increased duration of breast feeding, was significantly associated with increased BMI/Age Z-score (b = .027, p < .004). Decreased age of the child was significantly associated with increased BMI/Age Z-score (b = − .013, p < .004). The children with stunted growth were 6.7 times fold likely to have BMI/Age Z Score > + 2 SD compared to the normal children (OR 6.73; 95% CI 3.79, 10.80, and p < .000), after allowing for other factors. No significant association was found between allergic disorders and BMI/Age Z score > + 2 SD. Thus male gender, high socioeconomic condition, increased duration of breast feeding and stunting were significantly associated with overweight/obesity in preschool children.

Objective: This study was conducted to explore the risk factors of increased BMI /Age Z score > + 2 SD in the preschool children. Result: BMI/Age Z score > + 2 SD was found in 19.5% (146 /748) of the children. It was significantly more common among the children from areas with high socio-economic level (OR: 2.434; 95% CI 1.543, 3.841, and p < 0.000). Risk of being obese was significantly higher among the males (OR 0.630; 95% CI 0.431, 0.920, and p < 0.017) compared to females. The increased duration of breast feeding in infancy, was significantly associated with increased BMI/Age Z-score (b= 0.027, p< 0.004). Decreased age of the child was significantly associated with increased BMI/Age Z-score (b= - 0.013, p < 0.004). The children with stunted growth were 6.7 times fold likely to have BMI/Age Z Score > + 2 SD compared to the normal children (OR 6.733; 95% CI 3.799, 10.800, and p < 0.000), after allowing for other factors. No significant association was found between allergic disorders and BMI/Age Z score > + 2 SD.

Recurrent infections are a common cause for seeking medical care and they result in significant parental anxiety and concerns. Although immunodeficiency disorders are an important underlying cause of recurrent infections, the majority of children with recurrent infections do not have any dysfunction in their immune systems. We present the case of an 11-year-old boy who was brought to the outpatient department by his parents because of a complaint of productive cough for the last one week that was associated with low-grade fever. The patient had a history of frequent episodes of pneumonia. He developed three episodes of pneumonia within the last year. According to the parents, the patient was investigated previously for possible immunodeficiency disorders, but the findings did not reveal any abnormal results. His siblings are healthy and have no history of recurrent infections or immunodeficiency disorders. The vital signs were within the normal limits. The patient was treated empirically with the antibiotic course of amoxicillin. The patient was given a follow-up appointment one week later. In the follow-up visit, the patient had complete resolution of the infection. The parents expressed concern about their child having recurrent episodes of infections. The patient underwent a high-resolution CT scan of the thorax to rule out any structural abnormalities. The scan demonstrated the presence of an aberrant bronchus arising from the lateral wall of the trachea above the level of the carina and supplying the apical segment of the right upper lobe. This finding is often referred to as a "tracheal bronchus." The tracheal bronchus is a rare congenital anomaly of the respiratory tract. It should be considered in the differential diagnosis of children with recurrent pneumonia with no infections in other organ systems to suggest immunodeficiency disorder.

Objective : To determine the association between socioeconomic level, gender, stunting and other characteristics with the presence of overweight/obesity in the preschool children.Result : BMI/Age Z score > + 2 SD was found in 19.5% of the children. It was more common among the children from areas with high socio-economic level (OR: 2.43; 95% CI 1.54, 3.84, and p < 0.000) . obesity was higher among the males (OR 1.76; 95% CI 1.09, 2.8, and p < 0.02) compared to females. The increased duration of breast feeding, was significantly associated with increased BMI/Age Z-score (b= 0.027, p < 0.004). Decreased age of the child was significantly associated with increased BMI/Age Z-score (b= - 0.013, p < 0.004). The children with stunted growth were 6.7 times fold likely to have BMI/Age Z Score > + 2 SD compared to the normal children (OR 6.73; 95% CI 3.79, 10.80, and p < 0.000), after allowing for other factors. No significant association was found between allergic disorders and BMI/Age Z score > + 2 SD. Thus male gender, high socioeconomic condition, increased duration of breast feeding and stunting were significantly associated with overweight/obesity in preschool children