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The relationship between dental caries, dietary intake and body composition in school-age children Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-03-18 İrem Çağla Özel, Gizem Erbaş Ünverdi, Pınar Serdar Eymirli, Nurcan Yabancı Ayhan
The aim of this study is to evaluate the relationship between dental caries, food intake, and body composition in school-age children. The study was conducted on 210 children, 105 boys and 105 girls, aged 6–12 years, without mental and/or physical disorders. Oral examinations of the children were performed by paediatric dentists and DMFT–DMFS and dmft–dmfs values were recorded. A detailed food frequency
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Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-03-12 Ahmed M. Abd El Moktader, Remon M. Yousef, Ahmed Safwat, Heba A. Borayek
Using conventional echocardiography, this study aimed to evaluate the epicardial fat thickness (EFT) and its role in discriminating infants of diabetic mothers (IDMs) from those of non-diabetic mothers (INDMs) and to assess its prognostic role in IDMs. This case control study was conducted at the Neonatology and Cardiology Units of Pediatric Department, Fayoum University Hospital, Egypt, between February
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The microbial spectrum and antimicrobial resistance pattern in pediatric cancer patients with febrile neutropenia at King Abdullah University Hospital, Jordan Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-03-08 Diya Alzu’bi, Hanady Obeidat, Dua’a Ghabashineh, Omayma AbuRass, Ola Musadag, Dua’ N. Samara, Belal Al Droubi, Gamal T. Abdelhady, Suleimman Al-Sweedan
Febrile neutropenia (FN) is a life-threatening complication of cancer therapy. Appropriate antibiotic treatment improves the clinical outcome in these patients; however, the increasing rate of anti-microbial resistance makes its therapy particularly challenging. This study aims to investigate the microbial spectrum and antimicrobial resistance pattern in cancer patients with FN at King Abdullah University
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Correlation between clinical measurement scales on gross motor function in children with spastic cerebral palsy Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-03-04 Shimaa Reffat, Alaa Fahmy AL-Nemr
Children with cerebral palsy (CP) may have different gross motor impairments which in sequence affecting their life occupations. The purpose of the study is to investigate the correlation between Gross Motor Function Measurement-66 (GMFM-66), the test of Bruininks-Oseretsky Motor Proficiency (BOTMP), and the Peabody Developmental Motor Scale–Second Edition (PDMS-2) in young children with CP. A correlational
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Profile of metabolic bone disease in extremely low birth weight (ELBW) and very low birth weight (VLBW) neonates Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-29 Rajesh Nare, Vishal Dnyaneshwar Sawant, Rahul Surve
Metabolic bone disease (MBD) is an important cause of morbidity in premature, very low birth weight (VLBW), and sick infants and, if left undiagnosed, may lead to structural deformities and spontaneous fractures. The objective of the present study was to study the profile of MBD and to determine the incidence of MBD in infants ≤ 32 weeks/≤ 1250 g at birth. A total of 57 infants ≤ 32 weeks/≤ 1250 g
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Poorly differentiated papillary thyroid carcinoma in a 5-year-old girl: a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-26 Mohanned Mohsen, Omar Hamdy, Ahmad Ramadan, Shadi Awny, Khaled Zalata, Mohamed Ezat
The incidence of thyroid cancer has been increasing among the population less than 20 years of age, especially during the second decade of life. Differentiated papillary thyroid cancer is the most common pathology in children. It usually presents with thyroid nodules with or without cervical lymphadenopathy. Thyroid nodules carry a considerable risk of malignancy in children. We herein report a 5-year-old
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Mean platelet volume and D-dimer as predictors for complicated community-acquired pneumonia in hospitalized children Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-21 Rehab Elmeazawy, Osama Toema, Amira Mobarak
Community-acquired pneumonia (CAP) is one of the primary causes of child mortality and morbidity. The primary objective of our research was to assess the value of mean platelet volume (MPV) and D-dimer levels in predicting complicated community-acquired pneumonia in hospitalized children. This observational retrospective study gathered medical data from the electronic medical records of children diagnosed
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An atypical presentation of ulcerative colitis: case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-14 Avanti Saoji, Madhura Kavishwar, Praveen Unki, Surbhi Rathi
Bloody diarrhea in children often indicates a severe gastrointestinal illness. Although infections are the most likely cause, inflammatory bowel disease (IBD) is a close mimic. IBD generally presents with chronic and persistent symptoms requiring long-term treatment. Hence, acute or atypical presentations may mislead the physician leading to delays in diagnosis. We report the case of an atypical presentation
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Survey of current maintenance intravenous fluids prescribing practices among Egyptian pediatricians Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-07 Alyaa Ahdy Abdelaziz, Hafez Mahmoud Bazaraa, Sherif Reda Omar, Rasha Ashmawy, Yousra A. El-Maradny, Ramy Mohammed Ghazy
Recent research has firmly linked the administration of hypotonic fluids with the incidence of hospital-acquired hyponatremia in pediatric patients. This study examined the prevailing practices in prescribing maintenance intravenous fluids (mIVFs) among Egyptian pediatricians, assessed the compliance of current prescribing practices with the American Academy of Pediatrics Clinical Practice Guidelines
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Eligibility for hematopoietic stem cell transplantation in a cohort of children with sickle cell disease: a single-center report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-02-01 Khaled Salama, Asmaa F. Allam, Yasmeen M. M. Selim
Hematopoietic stem cell transplantation (HSCT), is the only currently available curative option for SCD. Yet, the eligibility of SCD patients for HSCT is always limited by the significant associated toxicity and lack of suitable donors. At Cairo University’s pediatric hematology outpatient clinic, we aimed to determine hematopoietic stem cell transplantation (HSCT) candidates among a sickle cell disease
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Pediatric anterior thoracic wall reconstruction: a successful case of extensive resection and repair Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-01-26 Izchel Valdez García, Alfa Guadalupe Barraza Tinajero, Nayely Carrillo Ibarra, Sofia Brenes Guzmán
Thoracic tumors are a challenge for pediatric surgeons. They comprise a heterogeneous group of neoplasms classified based on histological variety, location, presentation, biological behavior, treatment response, and prognosis. Primary tumors of the thoracic wall in children and adolescents are sporadic, accounting for only 1–2% of all pediatric thoracic neoplasms, with two-thirds of them being malignant
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Insights from a retrospective study: an understanding of pediatric colorectal carcinoma Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-01-22 Sofia Brenes Guzmán, Edgar Fernando Oliver García, Edgar Guillermo Lazcano Rojas, Alfa Guadalupe Barraza Tinajero, Daniela Hernández Meza, Jose Luis González Chávez, Edgar Melo Camacho, Juan Carlos Nuñez Enríquez
Pediatric colorectal cancer, comprising just 1% of childhood cancers, has surged among young individuals, underscoring its significant health impact. Diagnostic challenges arise from atypical presentation and nonspecific symptoms in 90% of cases, leading to delayed detection in 19%. Methods A 2-year retrospective study of pediatric colorectal carcinoma cases was conducted across a specialized surgical
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Promoting child health through a comprehensive One Health perspective: a narrative review Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-01-15 Ramy Mohamed Ghazy, Asma Saidouni, Sarah Hamed N. Taha
Children are increasingly exposed to health risks as a result of adverse effects of climate change, including more frequent and intense extreme weather events, disruption of food systems, an increase in food-, water- and vector-borne diseases, mental health issues, clean water scarcity and zoonoses, and habitat destruction causing “zoonotic spillovers”. To address these emerging and new health risks
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Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-01-08 Hoda H. Ahmed, Tarek M. Farid, Maha M. A. Abo Hashish, Areef R. Ibrahim, Amr M. Mustafa, Aliaa Ahmed Wahby, Mirhane Hassan, Eman Hany Elsebaie, Abeer Ramadan, Sameh Abdelaziz Mansour
Personalized asthma medicine research identifies critical genes like ADRB2 and ADH5 that affect disease and treatment outcomes, necessitating a deeper exploration of these genetic influences on asthma prevalence and management in Egyptian children. This study aimed to examine the relationship between asthma control and specific genetic variants in Egyptian children, focusing on four significant SNPs
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Prevalence and types of anemia in infancy, Egypt: cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2024-01-03 Mahmoud Abdelgawad Elattar, Samah Ahmed Gad, Amany Mohamed Abd ela-zziz, Taghreed Salah Elsheikh, Esraa Morshedy Beltagy, Asmaa Nabil Elgamal, Hassan Yousef Elmsri, Vian Abd el halim El refae
Infant anemia has a significant impact on physical and cognitive development, not only in infancy but also throughout their life. The study aimed to estimate the prevalence, types, and risk factors of anemia in infancy. A cross-sectional study was conducted on 498 infants aged 6-23 months who attended five primary healthcare centers in Kafr-el Sheikh governorate, Egypt, for vaccination and follow-up
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Co-existence of Morgagni’s cyst with a twisted vas aberrans and “bell clapper” deformity in a 15-year-old boy: a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-20 Athanasios G. Pegios, Apostolos P. Andronikou, Ioannis Ch. Georgakis, George S. Papouis
The testicular appendix is a residual of the paramesonephric and mesonephric duct, most commonly found close to the superior pole of the epididymis as Morgagni’s cyst. Torsion of such cysts is a common event in children, and the patient usually presents with a palpable testis with a tender mass in its upper pole. The co-existence of two or more appendices is very rare. In addition to the fact that
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ADAMTS13 in pediatric sepsis: a prognostic biomarker with potential therapeutic implications Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-20 Muhammad Said El-Mekkawy, Sara Mahmoud El-Deeb, Maha Fawzy El-Hanafy
Growing evidence implicates a pro-thrombotic state, caused by ADAMTS13 deficiency, in sepsis-associated organ dysfunction, but pediatric data is limited. Our purpose was to evaluate association of ADAMTS13 with prognosis of pediatric sepsis. This was prospective observational study, conducted on 70 children with sepsis and 18 healthy controls. Patients were classified upon Pediatric Intensive Care
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Comparison of massage and prone position on heart rate and blood oxygen saturation level in preterm neonates hospitalized in neonatal intensive care units Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-19 Hanan Mostafa El-sayd, Ghada Mohamed El-Mashad, Mohamed Zakaria Elsaied Mohamed, Zeinab Sabri Abouzouna
Many years ago, it was proposed that prone positioning and infant massage would benefit preterm and babies with low birth weight. Evaluating the effectiveness of massage therapy and the neonatal prone position on the heart rate (HR) and blood oxygen saturation level (SPO2) of premature neonates in neonatal intensive care units. Our study was conducted as a single-center, randomized controlled clinical
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Congenital absence of sternum with tetralogy of Fallot, right aortic arch, and bilateral superior vena cava Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-18 Santosh Chavan, Nilima Narkhede, Rajaram Weling
Congenital complete absence of sternal bone or cleft sternum or absent sternum is a very rare and potentially life-threatening birth defect. An association of cleft sternum with tetralogy of Fallot, right aortic arch, and bilateral superior vena cava is extremely rare, and not many cases have been reported. A 2-year-old child was brought for routine checkup. He was a known case of congenital heart
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Sphericity index for bedside diagnosis of acute myocarditis Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-15 Antoine AbdelMassih, Sonia El-Saiedi, Rana Hendawy, Reem Esmail, Manal AbdelHameed, Alaa Sobeih, Ahmed Kharabish, Nourine Diab, Hanya Gaber, Nadine El-Husseiny, Hala M. Agha
Differentiating acute myocarditis (AMY) from dilated cardiomyopathy (DCM) in a patient presenting with acute heart failure and poor systolic function is of utmost importance to initiate timely anti-inflammatory treatment in AMY. Using cardiac magnetic resonance (CMR) or endomyocardial biopsies (EMB) as gold standards might be limited due to the likelihood of hemodynamic compromise. Eccentric myocardial
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The use of polyethylene glycol as a maintenance treatment of functional constipation in children living in Egypt Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-14 Olivia Kameel Shokrey Bastaoros, Mostafa Ahmed Gad, Ayman Emil Eskander, Mourad Alfy Ramzy, Amera Hasnoon
Constipation is an underestimated but common health problem worldwide, decreasing the quality of life. Functional constipation (FC) is a common pediatric problem, with reported prevalence ranging from 0.7 to 29.6%. In Egypt, there are no established guidelines for the treatment of constipation in children. The aim of this study was to investigate the efficacy of polyethylene glycol (PEG) as a maintenance
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A prospective cohort study of severe sepsis-induced dyslipidemia and changes in D-dimer levels in children: do they affect the prognosis? Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-12 Tarek A. Abdelaziz, Mohamed Ali Abdou Mohamed, Weaam Ibrahim Ismail, Ibrahim Ali Ibrahim Idreis, Eman Gamal Baz
The dyslipidemia and changes in D-dimer values that occur in children with severe sepsis remain unidentified. The current research aimed to explore the relationship between D-dimer and lipid profile values, including total cholesterol (TC), lipoproteins, apolipoprotein A-V (Apo A-5), triglycerides (TG), and in-hospital nonsurvival in children with severe sepsis or septic shock in pediatric intensive
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Investigation of the relationship between oral motor feeding development and gross motor development between preterm and term infants at 10- to 12-month postnatal age Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-12 Erkan Erol, Umut Apaydın, Numan Demir, Bülent Elbasan
Immature central nervous system, extended stay in the neonatal intensive care unit, and sensory experience deficiency may contribute to oral and gross motor delay in preterm infants. Current study aimed to investigate oral and motor development in preterm infants. Twenty-nine preterm infants and 28 term infants were evaluated within the scope of the study. Oral motor feeding development was assessed
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Spontaneous ping-pong fracture in a full-term neonate—a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-11 Walid Alhussin, Sukena Susnerwala
Non-traumatic depressed skull fracture in a neonate delivered by cesarean section is a rare phenomenon. The incidence reported in literature varies between 1 and 2.5 in every 10,000 live births. The skull is transformed from its normal convex shape to a more concave form due to easy malleability. This is secondary to the lack of complete ossification in the neonatal period. Hence, it is commonly known
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Paediatric parenchymal neurocysticercosis with pleomorphic clinico-radiological presentations: a case series Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-08 Sanjay Kumar, Radhamohan Rana, Mahesh Kumar, Aakash Yadav
Neurocysticercosis (NCC) is thought to be the most common helminthic infection of central nervous system in India. In children, it has pleomorphic clinical and radiological presentations depending on location and stage of lesion. Solitary cystic granuloma appearing as a single ring enhancing lesion is the most frequently encountered neuroimaging finding in patients with neurocysticercosis or tuberculoma
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SARS-CoV-2 induced urinary tract infection in an infant: a rare case Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-07 Murad Habib, Mansoor Ahmed, Rafi Raza, Sibghatullah Babar, Muhammad Amjad Chaudhary
The incidence of SARS-CoV-2 infection in pediatric population is less than 7% that too when associated with a urinary tract infection, the presentation is very rare. There have been numerous case reports in adults and adolescent population but very few in pediatrics and none in our socioeconomic. We present here the case of a 1-year-old boy with SARS-CoV-2 induced urinary tract infection whose urine
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Vascular access modalities in a pediatric intensive care unit in tertiary hospital indications and outcomes: a single-center cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-07 Miriam Magdy Aziz, Hafez Bazaraa, Aly Sayed Aboulmakarem, Dalia Helal
Vascular access is a mainstay of pediatric critical care. The selection of the route of access and equipment used will depend on patient- and provider-specific factors, which constantly need revision to achieve more effective assessment and management. To evaluate the use, indication, and outcome of different vascular access modalities in critically ill children in the Emergency Pediatric Intensive
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Tenascin-C: as a diagnostic biomarker for rheumatic heart disease Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-06 Maha M. A. Abo-Hashish, Azza Mohamed Ahmed, Mohammad Ali Hegazi, Naglaa Abdel Rahman Mosaad, Mona Hammed Ibrahim, Nagwan Yehia Abdel Salam
Rheumatic fever is a long-term inflammatory disease that can happen if group A beta-hemolytic streptococci bacteria are not treated well enough. Rheumatic fever is recognized globally as the leading cause of heart disease in the pediatric population. This disease destroys the heart muscle, progressively deteriorating its structure and impairing the function of its valves over time. The aim of this
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Role of Montelukast in modulation of response to sepsis in preterm infants: a randomized-controlled trial Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-05 Nouran El-Shehaby, Heba Abdelhameed El-Shahawy, Nehad Nasef, Shadia El-Sallab, Hanan EL-Halaby
Since inflammatory mediators play a crucial role in the pathophysiology of neonatal sepsis. Montelukast, as an anti-inflammatory drug, could be a beneficial therapy. In searching the literature, no previous research addressed the role of Montelukast in neonatal sepsis; hence, this study aimed to explore the adjuvant role of Montelukast in regulating the inflammatory response associated with neonatal
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Tissue Doppler vs. conventional parameters for diagnosis of tamponading pericardial effusion: a cross-sectional study in tertiary referral center Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-04 Ahmed Behairy, Amira Esmat El Tantawy, Asmaa Mahmoud Hamed, Antoine AbdelMassih, Sara Tarek
Conventional signs of tamponade include right ventricular and atrial collapse and respiratory variation in mitral inflow velocities. Despite being reliable, they are qualitative in nature and are not well correlated with clinical signs of deterioration or improvement. Tamponade is invariably preceded and associated with diastolic dysfunction, and tissue Doppler imaging (TDI) can help in early detection
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Intention to vaccinate chronic disease children against COVID-19; a multicenter survey Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-04 Ramy Mohamed Ghazy, Sally Waheed Elkhadry, Engy Saad Elkaragy, Mona Sayed Aly Hassan Makhlouf, Alyaa Ahdy Abdelaziz, Esraa Abdellatif Hammouda
Vaccination against severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) has gained recognition as a crucial strategy to prevent and reduce the risk of infection, including emerging variants, due to its proven safety, immunogenicity, and effectiveness. This study aimed to evaluate the vaccination hesitancy (VH) among Egyptian parents towards SARS-CoV-2 vaccination, specifically focusing
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Unusual presentation of systemic lupus erythematosus in a male child: a case presentation Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-04 Khyati Gupta, Vishal Dnyaneshwar Sawant, Sushma Save
Systemic lupus erythematosus is an autoimmune connective tissue disorder that is common among women of age group 15–40 years. The novelty in our case is owed to the deceptive demographic characteristics, not only the sex (F > > M) but also of the age profile (common in 15–44 years age group) along with deviation from typical disease presentation of skin rash/arthritis/nephritic syndrome. We aim to
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A rare presentation of measles and post-measles complications in a neonate: case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-12-01 Suraksha Ramakrishna Sharma, Vishal Sawant, Sushma Uttam Save, Alpana Santosh Kondekar
Measles is a common infection in children. Measles infection in children less than 6 months of age is very rare since maternal antibodies play a major role in the prevention of the disease. Here we present a rare case of a 34-day-old infant, who had a history of fever with a rash on the 18th day of life and significant history of measles contact with mother and elder brother. The patient presented
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Clinico-laboratory outcomes of plasma transfusion in the Egyptian’s pediatric intensive care units—a prospective observational study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-30 Mohamed Abdallah Abd El Megied, Laila Hussein Mohamed, Basant Salah Saad Meligy, Yasmin Mohamed Ramadan Eissawy, Hanaa Elsayed Mohammed Ahmed, Ola Soliman Emam Soliman Younis
Despite the paucity of data supporting their indications, plasma transfusions (PT) are regularly administered for critically ill patients (CIP) in pediatric intensive care units (PICU). The aim of this study was to identify the actual indications for PT in the Egyptian’s PICUs and determine to what extent it affects the clinic-laboratory outcomes for CIP. A prospective observational study was conducted
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Clinical features and therapeutic approaches of genital lichen sclerosus in children: results of an observational monocentric study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-29 Francesca Caroppo, Roberto Mazzetto, Anna Belloni Fortina
Lichen sclerosus is a chronic, progressive, inflammatory skin disease that presents unique challenges, particularly in the pediatric population, where limited data exist regarding its manifestation and optimal management. This retrospective observational monocentric study aims to provide insights into the clinical characteristics and therapeutic strategies employed, in a cohort of children and adolescents
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Lymphatic malformations: a 9-year experience at the vascular anomaly clinic Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-24 Amr Abdelhamid AbouZeid, Shaimaa Abdelsattar Mohammad, Nihal Hussein Aly, Wael Ahmed Ghanem, Mohammad Seada, Iman A. Ragab, Osama El-Naggar, Mohamed Aly AbdelBaky
To share our experience in the management of a specific type of vascular malformations (lymphatic) at a specialized multidisciplinary clinic for vascular anomalies. Data of patients attending the vascular anomaly clinic during the period 2015 through 2023 were retrospectively analyzed. The study included cases diagnosed primarily as lymphatic malformations (LMs). We excluded cases associated with complex/syndromic
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Population knowledge and commitment regarding a child’s car safety seat after implementation of the new traffic regulations in Saudi Arabia: a cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-24 A. Alsaeigh, ES. Heji, W. Alamer, MY. Alsubhi, A. Alqurashi, LK. Alsulimani
This study aimed to evaluate the understanding and adherence to child car safety seat (CSS) guidelines among the general population in the Makkah region of Saudi Arabia following the implementation of new traffic regulations. A four-section questionnaire addressing knowledge and attitudes regarding CSSs was distributed among the general population of Makkah city in light of new traffic regulations
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Predictors of persistent asthma among preschooler wheezers: a retrospective case series study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-20 Hager Barakizou
Early childhood wheezing can evolve to different asthma phenotypes. Prediction of persistent asthma during the preschool years has proven challenging. Through this study, we aimed to identify predictors of persistent asthma in preschooler wheezers. This was a retrospective case series study over 10 years. Patient data from 98 infants diagnosed with infantile asthma were obtained from their medical
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Frequency of hepatitis C virus infection in patients with pediatric inflammatory bowel disease: a cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-16 Sara Tarek, Ayman E. Eskander, Safa Meshaal, Eman Badr, Asmaa Abd El-Hakeem
Patients with pediatric inflammatory bowel disease (PIBD) are believed to be at higher risk of hepatitis C virus (HCV) infection not only due to using of immunosuppressive drugs but also because of repeated blood transfusion and endoscopic and other invasive procedures used for diagnoses and effective controlling of the disease, so this study aimed to assess the frequency of HCV infection, in patients
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A rare congenital anomaly in a female child with acute urinary retention—female hypospadias: a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-15 Hooi Hooi Tan, Shung Ken Tan
Female hypospadias is a rare congenital anomaly and defined as a female urethral opening on the anterior vaginal wall. Diagnosis is challenging due to its rarity. Different anatomical variations exist depending on the location of the urethral opening. Clinical presentation can vary from asymptomatic until end-stage renal disease due to lower urinary tract obstruction. This case highlights the important
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Proposal for diagnosis using FLAIR image aimed for pediatric MELAS with recurrent stroke-like episodes on MRI system cannot take ASL imaging Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-13 Makoto Shimada, Tae Ikeda, Ryohei Fukui, Katsuhiro Kida, Ryutaro Matsuura, Takuya Akagawa, Sachiko Goto
Arterial spin-labeling (ASL) imaging is currently the most useful method for diagnosing mitochondrial encephalomyopathy, lactic acidosis, and stroke-like attack syndrome (MELAS). However, ASL is often an optional feature of standard MRI systems. Therefore, not all MRI systems can perform ASL imaging. In contrast, fluid-attenuated inversion recovery (FLAIR) imaging is one of the common sequences in
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Diagnostic and prognostic utility of prealbumin as a nutritional biomarker in critically ill children: a prospective cross sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-13 Mohamed Abdallah Abd El Megied, Iman Khaled Ayada, Omnia Yahia Abd El Dayem, Ramy Abd El Naser Abd El Wareth, Mohamed Salah Ghonaim, Aya Osama Mohamed, Shereen AbdelMonem Mohamed
Paediatric intensive care units (PICU) experience a big challenge with malnutrition. It significantly impacts the development and prognosis of critically ill patients (CIP). CIP are those who require high reliance or serious medical and/or surgical interventions. For their importance, valid and reliable nutritional markers are mandatory to be implemented in the daily practice of our PICU. The aim of
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Prognostic value of combined central venous oxygen saturation and lactate in pediatric patients after cardiac surgery Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-09 Alyaa Ahdy Abdelaziz, Fady Mohammed ElGendy, Alaa Atef Hegazy, Mai Hussein, Ramy Mohamed Ghazy
This study assessed the value of measuring both arterial lactate levels and central venous oxygen saturation (ScvO2) in predicting cardiac surgery outcomes in pediatric patients. A prospective cohort study was conducted on 73 patients who underwent surgery for congenital heart disease. Vasoactive-inotropic score (VIS), serial mean arterial blood pressures (MAP), lactate levels, and ScvO2 were measured
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Three-dimensional-printed heart model can determine univentricular repair strategy in borderline double-outlet right ventricle Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-08 Yuzo Katayama, Sho Isobe, Tsukasa Ozawa, Takeshiro Fujii
As double-outlet right ventricle has a wide pathophysiology spectrum, its comprehensive treatment strategy is determined based on relevant factors, such as the location and size of the ventricular septal defect, ventricular volume, and relationship of the great arteries. However, for borderline double-outlet right ventricle cases, it is occasionally difficult to decide the treatment strategy preoperatively
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The reliability of POCUS in the diagnosis of community-acquired pneumonia in critically ill pediatric patients: a cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-06 Shereen A. Mohamed, Hafez M. Bazaraa, Sally K. Ishak, Mohamed H. El-Ghobashy, Maie A. Gommaa
Community-acquired pneumonia represents a noteworthy concern in terms of morbidity and mortality, particularly in countries with lower and middle-income levels. Accurate and timely diagnosis of pneumonia is crucial for optimal management. Chest CT is considered the gold standard imaging for diagnosis of pneumonia, but it is not always readily available and exposes children to radiation hazards, so
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Precipitating factors and outcome of acute asthma attack patients attended to the emergency unit at Cairo University Specialized Pediatric Hospital in 2019 “before COVID era” Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-06 Khaled Amin Nasef Ahmed, Iman Ali Abd El Aziz, Sara Tarek, Hager Mahmoud Abd El Fattah, Ahmed Said Behairy
Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families, and the community. The aim of this study was to find a correlation between precipitating factors of acute asthma attacks of patients attending to emergency departments and different factors such as socioeconomic status. The study included patients 2–12 years old of both sexes who
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Effect of phototherapy on eosinophils count in neonatal hyperbilirubinemia (cross-sectional study) Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-03 Sara Tarek, Dalia S. Mosallam, Doaa Saber, Nehal Diaa, Omnia Y. Abd El Dayem, Samira Abdelmonem
Neonatal jaundice is a common disorder in neonates. Phototherapy is associated with various side effects despite being safe. This research aimed to determine the impact of phototherapy (PT) on eosinophil levels in neonates treated for unconjugated hyperbilirubinemia. In this cross-sectional prospective study, icteric neonates admitted to the Neonatal Intensive Care Unit (NICU) of Abo-Elreesh Child
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Renal Doppler sonography as a non-invasive technique for early detection of reno-vascular changes in sickle cell disease in children Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-11-02 Mona Hassan Eltagui, Hadeel M. Seif Eldein, Marwa Abd Elhady, Dalia El-Sayed, Nouran Momen, Yasmeen M. M. Selim, Mai Mohammed Abd EL Salam
Early identification of sickle renovascular changes via renal Doppler sonography among sickle cell disease patients to help in early diagnosis and interventions to prevent progression to end-stage renal disease. Forty-five SCD children were included along with 45 healthy control children. Renal Doppler sonography (PI and RI) was performed on all subjects. Laboratory investigations were done: Hb electrophoresis
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The pattern and clinical outcomes of non-diabetic pediatric endocrine disorders, Al-Baha, Saudi Arabia: a retrospective study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-30 Ahmed Hassan Al-Ghamdi, Abdelhamid Ahmed Fureeh, Rawan Ibrahim Alshawikhat, Fatimah Ali Alshaikh Jafar, Saad Khalid Alamri, Abdulrhman K. Alzahrani, Abdulghani A. Alzahrani, Ahmed Saleh Alghamdi, Ali Abdulrraheem Almathammi
Pediatric endocrine disorders (PED) are a common component of medical health challenges in Saudi Arabia. We aimed to describe the pattern and clinical outcomes of different non-diabetic pediatric endocrine disorders in Al-Baha Region, Saudi Arabia, aiming for early diagnosis and management. The clinical and laboratory data of 744 children and adolescents who presented with non-diabetic endocrine disorders
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Bardet-Biedl Syndrome: a case report of delayed diagnosis with variable presentation and role of genetic testing in definitive diagnosis Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-30 Gargi Ramesh Rekhawar, M. P. Bhavana, Vishal Dnyaneshwar Sawant, Sushma Save, Alpana Kondekar
Bardet-Biedl syndrome (BBS) is a rare multisystemic autosomal recessive (AR) disorder, which falls under the spectrum of ciliopathic disorders. As BBS is a very rare entity in India, its diagnosis is most often missed during early child visits. The lack of a syndromic approach for diagnosing genetic disorders by health care physicians is being considered a major blackguard. The following case report
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The impact of red blood cell transfusion in preterm neonates on germinal matrix hemorrhage: incidence and grade with correlation to outcome Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-24 Khaled Amin Nasef Ahmed, Dalia Ahmed Saied, Eman E. L. Sayed Mustafa Megahed, Sara Mahmoud Kamel, Mona Ahmed Kamel
Germinal matrix hemorrhage affects 20 to 25% of infants with a low birth weight (less than 1500 g). About one-tenth of them progress to intra-parenchymal hemorrhage, usually during the first days after birth. Several studies have found a correlation between packed RBC transfusions and a higher frequency of severe germinal matrix hemorrhage in neonatal intensive care units. Transcranial ultrasound is
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Financial burden in the form of medical and non-medical out-of-pocket expenses on the family of children admitted to a pediatric intensive care unit in India Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-23 Varun Ravindra Jagtap, Sushma Save, Praveen Unki
Pediatric intensive care unit (PICU) admissions can have significant repercussions on families, including financial burdens and psychological distress. Not only do they face the overwhelming concern for their child’s health and well-being, but they are also confronted with a range of practical and financial difficulties. Coping strategies play a vital role in mitigating the negative impact of PICU
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Childhood immunization delay during the first wave of COVID-19 in an urban area of Sangli district from Maharashtra, India: a cross-sectional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-23 S. S. Dhanawade, R. V. Kawade, V. B. Waghachavare
COVID-19-related lockdowns had resulted in overburdening on health services. The lockdowns along with anxiety of the disease have resulted in delay in routine vaccination of many under-5 children. The current study was undertaken to understand the extent of the delay in under-5 vaccination during COVID-19-related lockdown in March-December 2020. It was a cross-sectional study conducted during January-December
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Furosemide continuous infusion versus repeated injection in the management of acute decompensated heart failure in infants with left to right shunt: a randomized trial Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-20 Marwa Zarzor, Bothina Hasaneen, Mohamed Magdy Abouelkheir, Hanan El-Halaby
Furosemide is the foremost drug used in the management of acute decompensated heart failure (ADHF). By tradition, it was administered as repeated intravenous boluses but fluctuations in intravascular volume and blood pressure were noticed in addition to the possibility of toxicity. Hence, continuous intravenous infusion was thought of as an alternative route of administration. In searching the literature
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Early onset Caroli’s disease with associated renal cystic disease presented with recurrent fever and epigastric pain: a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-19 Abhishek Mishra, Achinta Kumar Mallick, A. K. Singh, Anushree Mishra
Caroli’s disease is characterized by non-obstructive dilatation of intrahepatic biliary radicals with formation of calculi followed by recurrent episodes of cholangitis. It is a rare congenital malformation and often remains silent, diagnosed accidentally. But if kept unattended, and without any early intervention, it may lead to fatal residual complications. Hence, its early recognition is of utmost
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Geospatial distribution of under-five mortality in Alexandria, Egypt: a cross-sectional survey Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-18 Samar Abd ElHafeez, Mahmoud A. Hassan, Esraa Abdellatif Hammouda, Abdelrahman Omran, Ola Fahmy Esmail, Amira Saad Mahboob, Mohamed Mostafa Tahoun, Dina Hussein El Malawany, Mohamed Kamal Eldwiki, Passent Ehab El-Meligy, Ehab Elrewany, Shaimaa Gadelkarim Ebrahim Ali, Amira Mahmoud Elzayat, Ahmed Ramadan, Abdelhamid Elshabrawy, Naglaa Youssef, Ramy Mohamed Ghazy
Globally, infectious diseases, including pneumonia, diarrhea, and malaria, along with pre-term birth complications, birth asphyxia and trauma, and congenital anomalies remain the leading causes of death for under-five mortality (U5M). This study aimed to identify the geospatial pattern of U5M in Alexandria and its key determinants. We analyzed the geospatial distribution of 3064 deaths registered at
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Diagnosis, management and prevention of Pediatric Acute Hemolytic Anemia: Egyptian adapted evidence-based clinical practice guidelines Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-18 Galila Mokhtar, Ashraf Abdel Baky, Ilham Youssry, Iman Ragab, Laila Sherief, Marwa Zakaria, Mervat Hesham, Nouran Salah, Rasha Abdel-Raouf, Sara Makkeyah, Sherein Shalaby, Sonia Adolf Habib, Tarek Omar, Yasser Amer, Niveen M. Salama
Acute hemolytic anemia (AHA) is a common emergency in pediatric emergency departments, hence the need to adapt pre-existing high-quality practice guidelines for the diagnosis, management, and prevention of AHA to be available for national use. The guideline panel used the adapted ADAPTE methodology. The panel prioritized the health questions and recommendations according to their importance for clinicians
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Hepatic mesenchymal hamartoma masquerading as neonatal unconjugated hyperbilirubinemia: a case report Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-16 Shirbin Joe Mathews, Athiya Perveen K, Bini Mariam Chandy, Ria K. Mathew
Hepatic mesenchymal hamartoma (HMH) is the second most common benign hepatic tumor in the pediatric age group. The etiology of HMH is unclear. Theories include abnormal hepatic mesenchyme, a reactive change or a proliferative lesion. The condition can present prenatally in USG as a mass, high output cardiac failure, pulmonary hypertension, respiratory distress, and abdominal distension or mass in older
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Bone marrow transplantation/non-bone marrow transplantation gap: to what extent does it exist in the Egyptian children with acquired aplastic anemia? Retrospective descriptive study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-13 Mohamed Abdallah Abd El Megied, Rasha Abdel-Raouf Abdel-Aziz Afifi, Howida Ahmed Ali
Bone marrow transplantation (BMT) is not always feasible in resources-limited countries for treatment of acquired aplastic anemia (AA); accordingly, an alternative and acceptable non-BMT is required to avoid missing many cases who are liable to die while waiting for BMT. The aim of this study was to determine the extent of the gap between BMT and non-BMT in Egypt. The resolution and survival outcomes
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Can introduction of sleep hygiene videos improve sleep and concentration in 5th and 6th graders? Interventional study Egypt. Pediatr. Assoc. Gaz. Pub Date : 2023-10-12 Eman Hassanin, Shelbea Peters, Folasade Rotimi
Insomnia is a very common condition in childhood with a prevalence of 25–50%. It can present as difficulty with initiating and maintaining sleep with frequent disruptions throughout the night. Sleep insomnia is known to affect children’s development and contribute to poor attention and memory. Establishing a good sleep routine will have a beneficial effect not just on the child’s wellbeing and development