An Integrated Approach to Rectal Prolapse in Children

Rectal prolapse is protrusion of some or all layers of wall of rectum. In infants, the prolapse usually involves all layers of wall of rectum called as complete prolapse or Procidentia. In children its incidence is higher during first year of life. It has several causes such as constipation, diarrhoea, malnutrition, muscular weakness, worm infestation etc. but mostly it occurs due to straining associated with chronic constipation. Usually it is a self-limiting entity most of which resolves spontaneously within 1 year of life. It is managed by dietary modification, toilet training along with some sort of conservative treatment but sometimes it may require surgical treatment. In Ayurveda, it is described as Gudabhranshaand caused by excessive straining anddiarrhoea. There are several treatments available in Ayurveda which can help in early resolution of disease or reduce the chances of having surgery for correction. In this review article we assess the various treatment modalities available in Ayurveda along with contemporary medical science which can be used in the better management of Rectal Prolapse.

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A Holistic Approach to Phimosis in Children

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v3i01.11641 ◽

2018 ◽

Vol 3 (01) ◽

Cited By ~ 1

Author(s):

Rajendra Paliwal ◽

Rashmi Pareek

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Medical Science ◽

Holistic Approach ◽

Review Article ◽

Local Application ◽

Treatment Modalities ◽

Recurrent Attack ◽

New Born ◽

Tract Infections

Phimosis is described as condition in which prepuce or foreskin of glans penis is not retracted backwards resulting in poor narrowed stream of urine during micturition causing ballooning of prepuce along with recurrent attacks of balanoposthitis and Urinary Tract Infections (UTIs). Majority of new born boys do have non-retractile foreskin called as Physiological Phimosis. In Ayurveda phimosis is described as Nirudhaprakasha. Physiological phimosis usually does not require any kind of treatment as it resolve spontaneously within first couple of years mostly taking 3 to 6 years after which measures are considered to correct it surgically. Pathological phimosis is condition in which prepuce get adhered to glans secondary to adhesions or scarring made because of infection, inflammation or trauma. Pathological phimosis and physiological phimosis with recurrent attack of balanoposthitis and UTIs do require treatment. There are several treatment modalities are available according to severity of adhesions such as local application of steroid cream or oil, manual retraction, dilatation and Circumcision. In this review article we assess the various treatment modalities available in Ayurveda and contemporary medical science for better management of Phimosis.

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Predictors of early life milestones: Results from the Copenhagen Perinatal Cohort

BMC Pediatrics ◽

10.1186/s12887-019-1778-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Trine Flensborg-Madsen ◽

Marie Grønkjær ◽

Erik Lykke Mortensen

Keyword(s):

Social Status ◽

Motor Development ◽

Toilet Training ◽

Paternal Age ◽

Systematic Evaluation ◽

First Year ◽

Individual Factor ◽

Developmental Continuity ◽

First Year Of Life ◽

Postnatal Factors

Abstract Background Pre- and postnatal factors have been found to be predictors of age at attaining milestones in infancy; however, the degree to which such factors are predictors of milestones in the subsequent years is less investigated. The aim was to conduct a systematic evaluation of a broad range of possible predictors of milestone attainment during the second and third years to identify factors that explain significant inter-individual variance. Methods Mothers of 4009 children from the Copenhagen Perinatal Cohort (1959–61) were interviewed by a physician about 20 developmental milestones at a three-year examination. Milestones were related to: Language, Walking, Eating, Dressing, Social interaction, and Toilet training. Information on possible predictors was collected during pregnancy and at a 1- and 3-year follow-up. Results Several pre- and postnatal factors were significantly associated with the timing of milestone attainment; especially parental social status, paternal age, sex, gestational age, birth weight, birth length, weight increase in the first year of life, and motor development during the first year of life. The significant predictors explained 16.2% of the variance in the Overall mean of milestones and 20.3% of the variance in milestones related to Walking. The most influential individual factor for the timing of milestone attainment was previous motor development during the first year of life. Additionally, sex was an important factor as girls were generally faster at attaining milestones. Parental social status was a consistent, but relatively week predictor. Conclusion A notable amount of variance in the timing of milestones during the first three years of life can be explained by perinatal and early postnatal factors. The study provides evidence of developmental continuity as the main predictor of milestones in the second and third years was the speed of development during the first year.

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Outcome of Rhabdomyosarcoma in First Year of Life: Children’s Cancer Hospital 57357 Egypt

Sarcoma ◽

10.1155/2013/439213 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Enas El Nadi ◽

Emad A. H. Moussa ◽

Wael Zekri ◽

Hala Taha ◽

Alaa Yones ◽

...

Keyword(s):

Overall Survival ◽

Survival Rate ◽

Multimodality Treatment ◽

Treatment Modalities ◽

First Year ◽

Female Ratio ◽

Free Survival ◽

Cancer Hospital ◽

One Year ◽

First Year Of Life

Background. Rhabdomyosarcoma (RMS) is the most common soft-tissue sarcoma in children. Fifty percent of RMS cases occur in the first 10 years of life and less commonly in infants younger than one-year old. These infants require adapted multimodality treatment approaches.Patients and Methods. We analyzed patients’ characteristics, treatment modalities, and the outcome for RMS infants treated at Children’s Cancer Hospital Egypt (CCHE) between July 2007 and December 2010 and compared them to patients above one year treated on the same protocol.Results. Out of the 126 RMS treated during this period, 18 were below the age of one year. The male: female ratio was 1.25 : 1. The median age at diagnosis was 0.7 ± 0.2 years. Most of the cases (27.8%) were presented in head and neck regions. The estimated 4-years failure-free survival and overall survival for infants were 49 ± 12% and 70 ± 12%, respectively. These failure-free survival rate and overall survival rate did not differ from those for older patients (P=0.2).Conclusion. Infants with RMS are a unique group of RMS who needs special concerns in tailoring treatment in addition to concerns regarding toxicity and morbidity in infants.Corrigendum to “Outcome of Rhabdomyosarcoma in First Year of Life: Children’s Cancer Hospital 57357 Egypt”

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A rare case of left lung agenesis in a female teenager.

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v11i4.12610 ◽

2012 ◽

Vol 11 (4) ◽

pp. 350-352

Author(s):

Md Ankan Bandyopadhyay ◽

Debabrata Saha ◽

Kaushik Saha ◽

Debraj Jash ◽

Arnab Maji ◽

...

Keyword(s):

Medical Science ◽

Left Lung ◽

Pulmonary Angiography ◽

First Year ◽

X Ray ◽

History Of ◽

Chest X Ray ◽

Lung Agenesis ◽

First Year Of Life ◽

Routine Chest

Pulmonary agenesis is a rare congenital anomaly. History of recurrent chest infection in first year of life is the presenting symptom although patient may be asymptomatic and detected on routine chest x-ray. Our patient presented with recurrent chest infections since childhood. CT scan thorax revealed absence of lung tissue on left side with mediastinal shifting and herniation of right lung to left side. Pulmonary angiography confirmed the diagnosis of left lung agenesis. DOI: http://dx.doi.org/10.3329/bjms.v11i4.12610 Bangladesh Journal of Medical Science Vol. 11 No. 04 Oct12

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A COMPREHENSSIVE REVIEW ON MANAGEMENT OF HEMORRHOIDS (GUDARSHA) - AN INTEGRATED APPROACH

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v7.i7.2019.769 ◽

2019 ◽

Vol 7 (7) ◽

pp. 310-320

Author(s):

Dwivedi Amarprakash ◽

Pathrikar Anaya ◽

Amitabh Kumar ◽

Shukla Mukesh

Keyword(s):

Lifestyle Modification ◽

Treatment Approach ◽

Early Stage ◽

Treatment Options ◽

Medical Science ◽

Integrated Approach ◽

Review Article ◽

Holistic Treatment ◽

Medicinal Treatment ◽

Treatment Alternatives

Background-Haemorrhoid is a condition characterized by the prolapsed of an anal cushion that may result in bleeding and pain from rectum or anal canal. It is said to be the fourth leading outpatient gastrointestinal diagnosis. Modern medical science has treatment alternatives such as diet- lifestyle modification, sclerotherapy, banding, LASER ablation etc. in early stage and various surgical procedures such as Haemorrhoidectomy, MIPH etc. in advanced stage with varied prognosis. Haemorrhoid can be co-related with Gud-Arsha in Ayurveda. Ayurvedic texts suggest fourfold treatment for Arsha such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery). Method- In this review article, information from modern surgery texts in view of definition, aetiology, patho-physiology, sign and symptoms and available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to Arsha (Haemorrhoid) have been documented to understand integrated and holistic treatment approach towards haemorrhoid management. Result & Conclusion- The article attempts to simplify haemorrhoid management and touches maximum aspects of this disease with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about holistic haemorrhoid management.

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A Longitudinal Study of Assisted Infant Toilet Training During the First Year of Life

Journal of Developmental & Behavioral Pediatrics ◽

10.1097/dbp.0000000000000936 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Jeffrey M. Bender ◽

Yelim Lee ◽

Ji Hoon Ryoo ◽

Laurie Boucke ◽

Min Sun ◽

...

Keyword(s):

Longitudinal Study ◽

Toilet Training ◽

First Year ◽

First Year Of Life

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Editorial statement: The first year of the European Journal of Government and Economics

European Journal of Government and Economics ◽

10.17979/ejge.2012.1.2.4279 ◽

2012 ◽

Vol 1 (2) ◽

pp. 103

Author(s):

Diego Varela ◽

Giacomo Benedetto ◽

Jose Manuel Sanchez-Santos

Keyword(s):

Political Science ◽

Integrated Approach ◽

Publication Ethics ◽

First Year ◽

Editorial Statement ◽

First Year Of Life

In this editorial statement we present a balance of the first year of life of the European Journal of Government and Economics. We discuss the main developments that concern the journal’s indexation by academic databases. We also comment on the approval of a code of publication ethics and malpractice. Finally, we emphasise the dangers of excessive technical sophistication and the need to keep an integrated approach between the fields of political science and economics, according to the spirit of the journal.

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The Development of Swallowing Respiratory Coordination

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd18.1.19 ◽

2009 ◽

Vol 18 (1) ◽

pp. 19-24

Author(s):

Maggie-Lee Huckabee

Keyword(s):

Cortical Activation ◽

First Year ◽

Healthy Children ◽

Nasal Airflow ◽

Single Session ◽

Primary Finding ◽

Patterns Of Behavior ◽

Cortical Modulation ◽

First Year Of Life ◽

Swallowing Apnea

Abstract Research exists that evaluates the mechanics of swallowing respiratory coordination in healthy children and adults as well and individuals with swallowing impairment. The research program summarized in this article represents a systematic examination of swallowing respiratory coordination across the lifespan as a means of behaviorally investigating mechanisms of cortical modulation. Using time-locked recordings of submental surface electromyography, nasal airflow, and thyroid acoustics, three conditions of swallowing were evaluated in 20 adults in a single session and 10 infants in 10 sessions across the first year of life. The three swallowing conditions were selected to represent a continuum of volitional through nonvolitional swallowing control on the basis of a decreasing level of cortical activation. Our primary finding is that, across the lifespan, brainstem control strongly dictates the duration of swallowing apnea and is heavily involved in organizing the integration of swallowing and respiration, even in very early infancy. However, there is evidence that cortical modulation increases across the first 12 months of life to approximate more adult-like patterns of behavior. This modulation influences primarily conditions of volitional swallowing; sleep and naïve swallows appear to not be easily adapted by cortical regulation. Thus, it is attention, not arousal that engages cortical mechanisms.

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