Objective: to determine the frequency of hypomagnesaemia in severe acute malnutrition, aged 6 – 59 months. Methodology: Patients admitted in Pediatric Medical Unit of Children Hospital, Lahore fulfilling the inclusion criteria were enrolled in the study. Their MUAC along with weight for height/length was taken and also examined for bilateral pitting edema. Venous sample was taken for serum magnesium level and studied in labs of CHL. Hypomagnesaemia was labeled as per operational definition. Treatment given in form of magnesium sulfate after confirming hypomagnesaemia. Results: Of 200 cases, 58%(n=116) were between 6-36 months of age whereas 42%(n=84) were between 37-59 months. mean +sd was calculated as 34.9+11.36 months. 50.5%(n=101) were male while 49.5%(n=99) were female, mean magnesium level was calculated as 1.94+0.30 mg/dL. Frequency of hypomagnesemia in severe acute malnutrition, aged 6 – 59 months was recorded in 31.5%(n=63) of the cases. Conclusion: frequency of hypomagnesemia is significantly higher in cases with malnutrition, however, a larger study is required to record the rate of this morbidity in our region. Keywords: Malnutrition, hypomagnesemia, 6-59 months of age
Objective: To compare the frequency of complications (hyperthermia, skin eruption, dehydration) of LED phototherapy and fluorescent phototherapy in management of indirect hyperbilirubinemia in neonates Material and methods: This randomized control study was carried out from 1st June 2015 to 31 December 2016 at NNU of The Children`s Hospital Lahore using Non probability consecutive sampling technique after getting informed consent from parents. All basic demographic information of each variable (name, age) was noted and entered on Performa. SPSS-18 was used to interpret the data. Results: In our study the mean age was 1.98±0.83 days. Skin rash complication was observed in 43(13%) cases, dehydration was found in 48(14.5%) cases and hyperthermia was noted in 65(19.70%) patients. Practical Implication: Many setups in Pakistan are still using conventional fluorescent phototherapy machines. LED has lesser side effects as compared to conventional one so by using LED light source we can lessen the adverse effects of phototherapy that will be beneficial to the babies Conclusion: LED light source is effective for phototherapy with significantly lesser complication rate (hyperthermia, skin eruption, and dehydration) compared to fluorescent phototherapy in management of indirect hyperbilirubinemia in neonates. In this study LED phototherapy significantly showed fewer complications as compared to fluorescent phototherapy cases. Keywords: LED, Fluorescent, Hyperthermia, Skin, Rash, Dehydration, Neonates, Hyperbilirubinemia
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