scholarly journals Post-Operative Complications of Ventriculoperitoneal Shunts in Children at the Children’s Hospital $ The Institute of Child Health Lahore

2021 ◽  
Vol 4 (8) ◽  
pp. 14-17
Author(s):  
Mian Awais ◽  
Akhtar Munir ◽  
Lubna Ijaz ◽  
Muhammad Akmal Hussain ◽  
Ihsan Ullah ◽  
...  
2021 ◽  
Vol 29 (01) ◽  
pp. 116-120
Author(s):  
Saadia Khan ◽  
Waqas Imran Khan ◽  
Ayesha Fayyaz ◽  
Ibad Ali ◽  
Asad Abbas ◽  
...  

Objective: To determine the percentage of Hypothyroidism in children with severe acute malnutrition. Study Design: Cross Sectional study. Setting: Nutrition Rehabilitation Center, Children’s Hospital and Institute of Child Health Multan. Period: January 2019 to December 2019. Material & Methods: A total of 255 malnourished patients (as per inclusion criteria) were included in current study. A written Performa was designed to collect history, anthropometric measurements and systemic examination. Taking aseptic measures venous blood was sent for baseline tests as well as for T3, T4 and TSH, total serum protein albumin and total ferritin levels to hospital laboratory. Correlation between serum thyroid concentrations and total protein, albumin, hemoglobin and serum ferritin were estimated by using t-test and p-vlaue less than 0.05 was considered as significant. Total collected data was entered and analyzed in SPSS version 21.0. Results: A total of 255 malnourished children were included in this study. Majority of studied subjects were male (52.5%) with 83.92%, 3-5 years of age. Amongst the 255 children mean values of T3 in MAM and SAM patients were 105.4 ng/dl and 89.7 ng/dl respectively. There was a statistically significant (p <0.001) association between decreased T3 and type of malnutrition. Similarly, mean values of T4 in MAM and SAM patients were 6.3 ug/dl and 5.7 ug/dl respectively that was statistically significant (p <0.05). Lower values of T4 were higher among SAM children in 1 to 3 years age group compared to respective MAM children with p value .0.05 and high T4 value in 3-5 years age group of MAM children were both statistically insignificant. Higher mean Values of TSH was found in SAM compared to MAM children both age groups. Conclusion: Severe acute malnutrition (SAM) is associated with reduction in T3 and T4 levels and higher levels of TSH in SAM children as compared to MAM. The altered thyroid hormone status in children with PEM is perhaps a protective phenomenon to limit protein catabolism and lower energy requirements.


PEDIATRICS ◽  
1966 ◽  
Vol 38 (4) ◽  
pp. 697-701

Postgraduate Symposium in Houston: The Division of Maternal and Child Health of the Texas State Department of Health and the Department of Pediatrics, Baylor University College of Medicine will hold their Annual Pediatric Postgraduate Symposium at Texas Children's Hospital in Houston, November 17-19, 1966. Guest speakers will be Drs. John D. Crawford, F. Clarke Fraser, Malcolm A. Holliday, Samuel Karelitz, Richard L. Naeye. Interested physicians should write to Dr. R. J. Blattner, Chairman, Department of Pediatrics, Baylor University College of Medicine, Houston.


2020 ◽  
Vol 27 (08) ◽  
pp. 1560-1564
Author(s):  
Shahid Ishaq ◽  
Saima Jabeen Joiya ◽  
Muhammad Azam Khan

Objectives: Renal failure (RF) is associated with significant mortality and morbidity. its management still remains challenging for treating physicians. Acute peritoneal dialysis (APD) is an option for treatment of renal failure among young children. We aimed to determine the efficacy of peritoneal dialysis (PD) in RF among children admitted. Study Design: Case series study. Setting: Nephrology Department of Children’s Hospital and Institute of Child Health, Multan. Period: February 2018 to July 2018. Material & Methods: A total of 74 children with renal failure were included. All the patients were treated with acute peritoneal dialysis. The outcome of interest was clinical and biochemical improvement. Result: Amongst all there were 46 (62.2%) male and 26 (37.8%) female. Mean age of the children was found to be 57.72 months. Mean weight of children was 12.36 kg with a standard deviation of 6.4 kg. Most of the children, 43 (58.1%) had acute renal failure (ARF) whereas 31 (41.9%) had chronic renal failure (CRF). With PD, mortality was reported in 22 (29.7%) children. Conclusion: Acute peritoneal dialysis showed good rates of improvement in renal function, so, it should be recommending among children with acute renal failure.


2020 ◽  
Vol 27 (11) ◽  
pp. 2335-2338
Author(s):  
Erum Afzal ◽  
Waqas Imran Khan ◽  
Sajjad Hussain

Objectives: To determine the neurodevelopmental status in children with congenital hypothyroidism. Study Design: Cross Sectional Study. Setting: Department of Pediatric Endocrine and Developmental Pediatrics Outpatient at The Children’s Hospital and The Institute of the Child Health (CHICH) Multan. Period: January to December 2019. Material & Methods: A total of 119 children, 1-5years of age having congenital hypothyroidism were included. Their socioeconomical status, age at which the diagnosis was made, duration of thyroxine intake was noted. Development in domains of personal-social, fine motor-adaptive, language and gross motor skills was assessed by using The Denver developmental screening test (DDST). Developmental quotient of each domain was measured and less than 70% was considered significant delayed. SPSS-20 was used for statistical analysis. Results: Out of 119 patients, 47.8% were male, 61.3% were among the age group of 1-3 years and the mean age was 1.40 ± 0.489 years. Forty-five percent (45.4%) belonged to low and 47.1% to middle socioeconomical status. Only 46.2% children started taking thyroxine within 2 months of life. Significant delay in personal-social domain was detected in 73.9% (n=88) children while 80.7% (n=96), 80.7% (n=96) and 86.6% (n=103) patients had significant developmental delay in fine motor-adaptive, language and gross motor skills respectively. Developmental delay was significantly low in children started on thyroxine therapy within 2-months of age (p-value ≤ 0.05 for all domains of development. Conclusion: Children with congenital hypothyroidism suffer from delayed development, so these patients must be referred for developmental therapy along with medical therapy.


2018 ◽  
Vol 25 (12) ◽  
pp. 1937-1944
Author(s):  
Razia Sultana ◽  
Mansoor Ghani ◽  
Tahira Yasmeen ◽  
Shazia Ashraf

Introduction: The prevalence of childhood asthma is increasing globally. Asthma is one of the main causes of hospitalization and frequent emergency department visits of children. The parents having awareness about asthma can comply with the treatment, avoidance from triggers and subsequently, they can control asthma symptoms in their children. Study Design: Cross- sectional analytical study. Setting: The Children’s Hospital and the Institute of Child Health, Lahore and Shaikh Zayed Hospital, Lahore in collaboration with University of Health Sciences Lahore. The Shaikh Zayed Hospital, Lahore is a tertiary care and an academic hospital as it is attached with Shaikh Khalifa Bin Zayed Al-Nahyan Medical and Dental College (Shaikh Zayed Hospital updates). The Children’s Hospital and Institute of Child Health, Lahore provides services of tertiary health care as well as allied facilities. Period: 12 months from 01-08-2013 to 01-07-2014. Methods: To assess the knowledge of parents of asthmatic children about the disease and to determine any association between asthma knowledge and the level of asthma control in their children. Subjects were parents with their asthmatic children ages between 4 to 12 years attending two exclusive pediatric hospitals at Lahore. A tool was constructed to assessparent’s knowledge about asthma, and a pre-validated asthma control tool was administered to determine asthma symptoms control in children. Data was represented in the form of figures, tables and chi square test was used to determine the association of knowledge about asthma,demographic information, and environmental information with different group of asthma control. Results: One hundred and ninety-six parents with their asthmatic children participated in this study. There was no association between asthma knowledge and the level of asthma control.There were 108 parents who had adequate knowledge about asthma, out of them only 45 (41.7%) children had asthma control. There were 88 parents who had inadequate knowledge about asthma. Out of them 36 (40.9%) children were with asthma control (p=.915). Conclusions:The findings of the study concluded that more than 50% (108/ 196) of the parents/ guardians have adequate knowledge about asthma and there was no association found between asthma knowledge and the level of asthma control. However, we need to empower Pakistani communityvia a national asthma awareness program, smoking cessation campaign and also empower the health care team with up-to-date knowledge about asthma management. 


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