scholarly journals The short child: Importance of early detection and timely referral

2021 ◽  
Vol 16 (3) ◽  
pp. 6-15
Author(s):  
Meenal Mavinkurve ◽  
Azriyanti Anuar Zaini ◽  
Muhammad Yazid Jalaludin
Keyword(s):  
Early Recognition ◽  
Review Article ◽  
Growth Monitoring ◽  
Clinical Approach ◽  
Growth Disorders ◽  
Common Phenomenon ◽  
Raising Awareness ◽  
Outcomes For Children ◽  
Growth Assessment ◽  
Timely Referral

Stunting is a common phenomenon in Malaysian children. Optimising outcomes for children with growth disorders rests on early recognition and prompt referral. In this context, a framework for the clinical approach can help to guide appropriate growth assessment and referral. This review article aims to provide family medicine specialists with such a framework whilst raising awareness about the shortcomings of the existing growth monitoring system in Malaysia. It also invites readers to consider additional measures that could further optimise this system.

School Nurses’ Experiences, Concerns, and Knowledge of Growth Disorders in Children: Development of a Monograph

2002 ◽  
Vol 18 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Janet K. Williams ◽  
Ann Marie McCarthy ◽  
Helga Bragadottir ◽  
David Reed
Keyword(s):  
Health Care ◽  
Psychosocial Adjustment ◽  
Behavioral Problems ◽  
School Personnel ◽  
School Nurses ◽  
School Age Children ◽  
Growth Disorders ◽  
Care Plans ◽  
Growth Assessment ◽  
Nurses Knowledge

Growth disorders may be associated with difficult psychosocial adjustment, learning problems, and specific health risks. Appropriate school health programming relies on school nurses who are skilled in growth assessment, management of psychosocial and behavioral problems, and effective communication with school personnel, children, families, and health care resources. A monograph and model individualized healthcare plans were developed for growth disorders in school-age children as an educational resource for school nurses. Knowledge of growth disorders among nurses receiving the monograph was evaluated in a random sample of 336 school nurses, members of the National Association of School Nurses. Knowledge of growth assessment and individualized health care plans for children with specific growth disorders was significantly higher in the group of school nurses who received the monograph. Specific obstacles to implementing school-based health care for children with growth disorders are discussed.

scholarly journals Case Report: Frontalis sign for early bedside consideration of impending uncal herniation

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 125
Author(s):  
Sunil Munakomi ◽  
Bijoy Mohan Kumar
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Early Recognition ◽  
Mass Effect ◽  
Tertiary Centre ◽  
Valuable Adjunct ◽  
Neurosurgical Patients ◽  
Pupillary Size ◽  
Timely Referral ◽  
Simple Bedside

It is prudent to have early diagnosis and timely management of uncal herniation for better management of neurosurgical patients. There are several clinical and radiological armamentariums that aid in early recognition of the condition. Through this case report, we try to highlight a simple bedside clinical sign that can be a valuable adjunct in early recognition of the impending uncal herniation especially in scenarios wherein it is difficult to assess the pupillary size and reactivity correctly. The improvement in the sign also confirms the resolution of the mass effect in the postoperative period. This is especially helpful for doctors working in the periphery or in resource restrained areas, for a timely referral of the patient to tertiary centre.

scholarly journals Acute right ventricular failure

Medicina ◽  
2007 ◽  
Vol 43 (5) ◽  
pp. 432 ◽  
Author(s):  
Dagmara Reingardienė
Keyword(s):  
Right Ventricular ◽  
Early Recognition ◽  
Review Article ◽  
Right Ventricular Failure ◽  
Precipitating Factors ◽  
Ventricular Failure ◽  
Right Heart ◽  
Life Threatening ◽  
Acute Right Ventricular Failure ◽  
Right Heart Dysfunction

Acute right ventricular failure is a syndrome, which is related to pulmonary and right heart dysfunction. It may occur with or without cardiopulmonary pathologies. It is often life threatening and requires early recognition and urgent treatment. In this review article, precipitating factors for right ventricular failure and its pathophysiological mechanisms, clinical picture and hemodynamic manifestations, the principles of the management of acute right ventricular failure (optimization of preload, increase in cardiac output, specific pulmonary vascular vasodilators, problems of mechanical ventilations, etc.) are discussed.

scholarly journals MON-456 Clinical Profile of Thyroid Papillary Microcarcinoma in Brazil

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Bruna Dellatorre Diniz ◽  
Letícia Assad Maia Sandoval ◽  
Juliano Ferreira Coelho ◽  
Gabriel Caetano de Jesus ◽  
Monalisa Ferreira Azevedo ◽  
...  
Keyword(s):  
Early Recognition ◽  
Regional Lymph Node ◽  
Good Prognosis ◽  
University Hospital ◽  
Clinical Aspects ◽  
Clinical Approach ◽  
Thyroid Tumors ◽  
Papillary Microcarcinoma ◽  
Increased Risk ◽  
Thyroid Papillary

Abstract INTRODUCTION: The thyroid papillary microcarcinoma (TPMC) is defined as a tumor ≤ 1 centimeter. This variant of thyroid papillary carcinoma is generally characterized by slow progression and minimal invasion. Although the TPMC subtype usually has good prognosis, itʼs early recognition has clinical relevance because it may present with regional lymph node metastasis, as well as increased risk of recurrence. AIM OF THE STUDY: The aim of the study is to identify the epidemiologic profile of the population diagnosed with TPMC, as well as the signs and symptoms observed in these patients. This study intends to guide early clinical suspicion of thyroid tumors; in order to propose assertive forms of management and prevention of undesirable outcomes. PATIENTS AND METHODS: Retrospective cohort study based on medical records of patients diagnosed with TPMC at University Hospital of Brasilia-Brasil, from 1999 to 2017. The clinical aspects analysed were: gender; race; age of the patient when the diagnosis was made; symptoms reported by the patients regarding the pathology and comorbidities. RESULTS: Fifty-eight patients who underwent thyroidectomy for variable thyroid criteria were included in this study. 87,93% were women, (seven fold higher female prevalence of the TPMC). Mean age of diagnosis was 42, 94 ± 11,4. Regarding the race, the majority of the patients had self-entitled as mixed race, which corresponds to 39,65% of the sample. Symptoms reported included dysphagia (29,31%), dyspnea (17,24%) and feeling of neck compression (13,79%). Even though these aspects of the clinical approach are significant diagnosis tools, only 26,5% of the patients in this sample attested those kinds of signs/symptoms. Considering that actual clinical manifestation is relatively rare, total inclusion of the anatomic specimen is useful in this unsettling scenarios. Among the most commonly reported comorbidities, benign thyroid affections were the most prominent, such as multinodular goiter and hypothyroidism. CONCLUSION: Analysis of the data endorses that the TPMC does not have a well defined clinic presentation. Nonetheless, dysphagia is the most reported symptom. Analysis of the data pointed to a higher prevalence of the pathology in women in their 40s, which can be used as parameter of investigation on patients that have symptoms that cannot be explained by other pathologies. Although TPMC usually presents with good prognosis, the non incidental groups may present with aggressive behavior and should be treated as papillary thyroid carcinoma. Despite that, fine needle aspiration and ultrassonografy are the preferable methods in the evaluation of thyroid tumors.

scholarly journals An Overview of Novel Coronavirus SARS-Cov-2 Spanning around the Past, Present and Future Perspectives

2020 ◽  
Vol 14 (suppl 1) ◽  
pp. 775-788 ◽  
Author(s):  
Shadma Yaqoob ◽  
Areena H. Siddiqui ◽  
R. Harsvardhan ◽  
J. Ahmad ◽  
V.K. Srivastava ◽  
...  
Keyword(s):  
Early Recognition ◽  
Rna Virus ◽  
Treatment Strategies ◽  
Control Measures ◽  
Family Welfare ◽  
Infection Control Measures ◽  
Raising Awareness ◽  
Diagnostic Modalities ◽  
Novel Coronavirus ◽  
Morbid Conditions

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), a new enveloped RNA virus known as Coronavirus (COVID-19) are most prevalent in humans and wild animals. All four species that is alpha, beta, delta and theta have been identified till date and are responsible for human disease; causing influenza like illness (ILI). This virus has similar lineage of Middle East Respiratory Syndrome coronavirus (MERS-CoV) and related Coronavirus (SARS-CoV). This outbreak initially presented as pneumonia-like illness in a group of people in Wuhan, China. The infection was said to be caused by seafood and unusual animals in the wholesale markets of this city. SARS-CoV-2 is highly infectious and has resulted in a rapid pandemic. As of now it has spread to 197 countries with total no of cases in the world being 3.76 million as of early march. The mortality till now is 7.11% .The cases have been increasing since its first discovery in China. In India also the number has been increased. Till now India has total of 39,980 cases and mortality is attributed to be 3.26%. As per data from Ministry of health and family welfare (MoHFW) death is more commonly seen in males with age >60years. Among these most of the deaths were related to other co-morbid conditions. This article will help the readers with an overview of novel Coronavirus spanning around the clinical features, diagnostic modalities, treatment strategies and infection control measures. It will also help in raising awareness among healthcare workers regarding COVID-19 and aid in early recognition of these patients. Moreover, this review will also focus on the most recent information for the effective management, prevention, and treatment of patients worldwide.

scholarly journals Growth outcome, feeding practices and co morbidities in follow up of discharged newborns from special newborn care unit Gwalior, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2296
Author(s):  
Ajay Gaur ◽  
Prakash Petchimuthu
Keyword(s):  
Infant Mortality ◽  
Respiratory Infections ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Primary Objective ◽  
Growth Monitoring ◽  
Hearing Difficulty ◽  
Growth Assessment

Background: In spite of advances in neonatal care, infant mortality is still high in India. Regular follow up of discharged newborns could bring down infant mortality and reduce long term disability by early identification and intervention. The primary objective of the study is evaluating the Special Newborn Care Unit(SNCU) graduates for Comorbidities, feeding and immunization practices, growth assessment and outcome during follow up.Methods: The discharged neonates from SNCU, GRMC were examined for their morbidity and growth monitoring done. Feeding and immunization practices were observed.Results: Among 100 neonates observed, 2 neonates were excluded and 41(41.8%) were females and 57(58.1%) were males. Major causes of indication of admission were prematurity (25.5%) and birth asphyxia (22.4%). During follow up, 23(23.4%) neonates had respiratory infections followed by 19 cases (19.3%) of diarrhea. Around 45(45.9%) infants’ weight fall between -1 to +1 SD which was around 55 infants during admission. Length monitoring showed that around 68(69.3%) infants length fall between -1 to +1 SD which was 72 during admission. Exclusive breast feeding was observed in 68(69.3%) infants, 7 infants (7.1%) were exclusively top fed, and 19 infants (19.3%) were mixed fed. Immunization was appropriately done in only 51 infants (52%). Retinopathy of prematurity was observed in 2 infants during follow up. Hearing difficulty was observed in 1 infant.Conclusions: Most common indication of admission in SNCU was prematurity. Most common comorbidity during follow up was respiratory infection. Weight monitoring of infants showed the reduction in weight during follow up than admission whereas length and head circumference was relatively static during admission and follow up.

Collaboration between EAP teachers and content teachers: Insights from the literature for the Chinese context

2021 ◽  
Vol 2021 (Spring) ◽  
pp. 37-55
Author(s):  
Yongyan Li
Keyword(s):  
Institutional Structure ◽  
Review Article ◽  
Common Phenomenon ◽  
Chinese Context ◽  
Language Content

Partnership with content teachers is sought after by EAP practitioners working in many contexts. However, such a partnership has not been a common phenomenon in EAP practice. In the Chinese context, the traditional institutional structure which maintained compartmentalization of disciplines did not encourage language-content dialogue. A review of the relevant (English-medium) literature would be timely as insights can be derived to inform the praxis in the Chinese context. For this purpose, in this review article, I aim to illuminate some literature-derived themes that seem particularly relevant for the Chinese context. The article will conclude with a consideration of the implications of these insights for the Chinese context.

scholarly journals Metastatic Crohn’s Disease: An Approach to an Uncommon but Important Cutaneous Disorder

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Babak Aberumand ◽  
Jessica Howard ◽  
John Howard
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Early Recognition ◽  
Treatment Options ◽  
Age Groups ◽  
Skin Lesions ◽  
Cutaneous Manifestation ◽  
Clinical Approach ◽  
Inflammatory Disorder ◽  
Metastatic Crohn's Disease

Objective. To provide physicians with a clinical approach to metastatic Crohn’s disease (MCD).Main Message. Metastatic Crohn’s disease, defined as skin lesions present in areas noncontiguous with the gastrointestinal tract, is the rarest cutaneous manifestation of Crohn’s disease. MCD lesions vary in morphology and can arise anywhere on the skin. MCD presents equally in both sexes and across age groups. Cutaneous findings may precede, develop concurrently with, or follow gastrointestinal involvement. A detailed history and thorough physical examination including a full-skin exam may help to exclude other dermatoses, as MCD can mimic other common disorders. A biopsy is required for a definitive diagnosis. Treatment options for MCD remain underwhelming due to the lack of randomized control studies and varying responses of reported therapeutic methods. Topical, intralesional, and systemic corticosteroids, antibiotics, traditional immunosuppressants, and surgery have shown mixed results. Recently, biologics have shown promise, even with refractory cases of MCD.Conclusion. MCD is an important cutaneous manifestation of this inflammatory disorder. Although a rare entity, early recognition can provide opportunity for successful therapeutic intervention.

scholarly journals ROLE OF TRANSVAGINAL SONOGRAPHY IN FIRST TRIMESTER VAGINAL BLEEDING

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Dr Sanjay Punjaji Dhawane
Keyword(s):  
Vaginal Bleeding ◽  
Early Recognition ◽  
Correct Diagnosis ◽  
Clinical Intervention ◽  
First Trimester ◽  
Laboratory Diagnosis ◽  
Transvaginal Sonography ◽  
Clinical Approach ◽  
Technological Developments

Vaginal bleeding during the first trimester has been estimated to occur in 16% of all pregnant women, while the frequency of spontaneous abortion is estimated at around 10-20%. The clinical approach though helpful here is not of much value. Despite the latest technological developments and laboratory diagnosis the desired goal of early recognition is not achieved.  This study was therefore planned with an objective to evaluate role of ultrasound in patients with first trimester vaginal bleeding. It was an Hospital based study where in a total 300 cases presented with complaint of bleeding per vaginum during first trimester, were enrolled for study. All patients underwent trans-abdominal and transvaginal sonography. About 60 % patients had normal viable pregnancy at time of initial sonography. Rest of the cases had a variety of abortions and other pregnancy related complications. Some of the conditions like molar pregnancy and ectopic pregnancy were life threatening and required immediate clinical intervention. The Ultrasonographic examinations were done per abdominally by using ultrasound equipment. In the present study normal live embryo with subchorionic bleed was the most common cause of first trimester bleeding. Various types of abortions constituted the second commonest cause of first trimester bleeding. All cases were diagnosed correctly on ultrasonography with 100% sensitivity and accuracy and managed appropriately. Hence it can be suggested that ultrasound helped in establishing correct diagnosis timey and decides the line of management (1) Keywords: Vaginal bleeding, first trimester, transvaginal sonography.

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