Archive for the ‘Pediatrics’ Category

Umbilical Cord Stem Cells and Medical Treatments

Saturday, December 3rd, 2011

New parents have an exciting option after the birth of their child that could possibly keep that child healthy for many years. With advancements in umbilical cord blood harvesting, umbilical cord stem cells can be stored and used in the future in case of an accident or illness. While its been known for many years that umbilical cord blood contains stem cells, it was believed that those cells could only create new blood cells. However, according to National Geographic News (http://news.nationalgeographic.com/news/2006/04/0406_060406_cord_blood.html), stem cells from umbilical cords can be used to treat a number of medical issues, from brain damage to cancers. (more…)

Permanent disabilities in children

Wednesday, May 12th, 2010

Permanent disability is defined as physical conditions that probably or definitely affect daily life functions for> 3 months / year and determine overall hospitalization> 1 month / year. These disabilities include asthma, cerebral palsy, cystic fibrosis, congenital heart disease, diabetes mellitus, inflammatory bowel disease, renal failure, epilepsy, cancer, juvenile arthritis, hemophilia and sickle cell anemia.

Children permanent disabilities

Children permanent disabilities

The physical disability, such as amputations, deformities and skin lesions extended also ruin the image of self and child development. While each disability is rare, affecting all together about 10% of children and may constitute an important part of children.

Effects of permanent disability on the child despite many differences, children with permanent disabilities have joint pain, discomfort, limited growth and development, frequent hospitalization, outpatient visits, treatment of pain and discomfort, the inability to participate in peer a significant burden of daily care and an unpredictable course. (more…)

The index Silverman

Friday, February 26th, 2010

Silverman index is a score to assess, in the premature infant, the severity of respiratory distress syndrome.
It is most often due to a lack of surfactant (liquid lining the inner surface of alveoli.)
Silverman index depends on several parameters:

  • Balancing thoraco-abdominal inspiration: mobilization of the thorax and abdomen.
  • Indrawing depression abnormal chest wall, visible up to the intercostal spaces (circulation under sternum) during heavy breaths.
  • This draw may also be visible above the sternum (sternal random addition). This phenomenon occurs when the entry of air into the lungs is obstructed by a mechanical obstacle.
  • Funnel xiphoid.
  • Flapping wings of the nose.
  • Grunting.

(more…)

Bronchiolitis

Friday, December 11th, 2009

Inflammation of lung bronchioles. It may be due to an acute viral infection, often very serious in infants.
Etiology:
The viruses are primarily responsible for respiratory infections in infants and small children. The broncho-pneumonia are often epidemic.
Viruses are implicated in the majority of RSV (Respiratory Virus Syncicial) and influenza viruses and adenoviruses.

Bronchiolitis

Note the notion of repeated infections caused by a deficiency of immunoglobulins (IgA, IgG). Other factors may encourage respiratory infections: passive smoking, pollution, community development, psychological factors (overprotection of the mother anguish …), gastro-esophageal reflux. The hereditary factor is not negligible: the existence of an allergic component with an atopic family plot (often in association with skin reactions). (more…)

Prematurity

Friday, December 11th, 2009

A premature, by definition, a newborn whose gestational age is less than 37 weeks of pregnancy, counted from the first day of gestation. It is always an important factor for perinatal morbidity. The risk of death or sequelae is directly related to the degree of prematurity.
The lower limit of viability theory was set by the World Health to 22 weeks and 500g, but still a theory, premature infants less than 1000g already accounting for 5% of premature births.

Aetiology:
Found primarily in the socio economic disadvantage (underprivileged, single women, standing work and painful, …)
Then find uteroplacental abnormalities, morphological type (bifid uterus, hypoplastic), cervical incompetence, smoking or maternal pathology.
Finally, there may be a factor directly fetus, including twins and other multiple births.
In 40% of cases the origin is unknown. (more…)

Characteristics of Newborn

Thursday, December 10th, 2009

The data shown here are data for a new-born forward, parents “normal”:

  • Average weight: 3300g
  • Average size: 50cm
  • Head circumference: 35 cm
  • Members flexed, hands closed
  • Skin covered with a variable amount of vernix caseosa (sebaceous white fatty substance)
  • cyanosis of the extremities often
  • Fine hairs on the forehead, cheeks, shoulders and back, called lanugo
  • jaundice frequently to 2-3 days, physiological
  • perception of fontanelles
  • Respiratory rate 20 to 60/min
  • Short neck, large tongue, glottis and anterior very high (risk of difficulty in intubation)
  • Heart rate of 120 to 160/min
  • Systolic blood pressure NNE at approximately 70mmHg (PAM = Term)
  • APGAR test near or equal to 10 (see table), assessed at 1 minute and 5 minutes.

(more…)

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