Background: Anemia is one of the most common hematological conditions of infancy and childhood. It has been recognized as a major health problem due to its negative impacts on mental and physical development during childhood. Anemia is the world's second leading cause of disability. Aim of the study: To assess the effect of chronic anemia on physical growth and development among children under five years.
Background: Neonatal sepsis is an important cause of neonatal morbidity and mortality worldwide. Early diagnosis is the cornerstone of management and favorable outcome.The wide variations of presenting signs of neonatal sepsis make reaching a diagnosis very challenging.Objectives: Our aim was to study serum pancreatic stone protein (PSP) in late-onset neonatal sepsis and its relation to the clinical score and C-reactive protein (CRP).
Results:We found that the definite sepsis group had significantly higher PSP and CRP levels than the other two groups (p< 0.001). Moreover, the probable sepsis group had significantly higher PSP and CRP levels than controls (p<0.001). The PSP had significant positive correlations with the clinical score (r=0.32, P =0.01) and CRP level (r=0.47, P =0.001). The PSP was more sensitive than both clinical score and CRP in detecting neonatal sepsis, as its sensitivity was 98.3% and a specificity of 100%.
Conclusion:PSP is a valuable biomarker to detect late-onset neonatal sepsis. It is more sensitive than traditionally used acute phase reactant as CRP.
Background: Newborn infants have an increased sensitivity to pain and are more reactive to pain than older children and adults. Nurses play a crucial role in assessing pain, implementing and evaluating interventions to minimize neonatal pain using available resources especially nonpharmacologic techniques. Aim of the study: to develop and apply an educational program on pediatric nurses regarding selected nonpharmacologic techniques to relieve pain in neonates. Research design: Quasi-experimental research design was utilized in the present study. The study was carried out at Minia University for Obstetric and Pediatric and General Hospitals at neonatal care units. A convenient sample of 41 nurses was included in this study. Educational program for nurses' was done through using the following data collection tools 1) Pre-designed questionnaire sheet, 2) Observation checklists sheet and 3) Educational and training program. Results: It was revealed that there was an obvious increase in the total mean scores of knowledge and practice in post and follow up program phase compared with pretest phase, with a very highly significant difference (p<0.001). Conclusion: The education program had a significant impact on pediatric nurses' knowledge and practices regarding selected nonpharmacologic techniques to relieve pain in neonates. Recommendations: A continuous training and educational program should be planned and offered on regular basis for nurses regarding nonpharmacologic techniques to relieve pain in neonates.
Introduction: Platelets first appea r in the human fetus at five weeks post-concep tion, and increase in number during fetal life, reaching n ormal adult values by 22 weeks of gestation. Objectives: The aim of this work t o screen neonatal thrombocytopenia, its causes and its relation to maternal diseases. Patients and methods: This prospective study was carried out in the Neonatal Intensive Care Unit (NICU) at the Obstetrics and Gynec ology Department of MINIA University Hospital from the beginning of March 2017 till the June 2017. T his study was carried out on 150 neonates w o were admitted to the NICU and met the inclusion crit eria for enrollment into this study including 45 (30%)male neonates and 105(70%) female neonates ,th eir age ranged from (28 week-38 week) Who delivered to mothers which has maternal disease durin g pregnancy e.g (Diabetes , Pre mature rup ture of membrane , TORCH , preeclampsia, placental ab normalities). Results: The study included 150 newborn children, 102 (68%) of whom were premature infants and 48(32%) of them were term neonates & (70%)of them were females and(30%) of them were males& mode of delivery was cesarean section in(82.7%)and vaginal delivery was (17.3%). In our study there were significant increase in maternal diseases in preterm neonates when compared with full term with p.value (0.004, 0.0002, 0.001, 0.001,0.001) for each of them respectively ,while HTN diseases were common in full term neonates (p.0.004). There was significant correlation between birth weight and maternal illness that thrombocytopenia most common among ELBW. Conclusion: placental insuffici ency and perinatal asphyxia are relate d to early onset thrombocytopenia.
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