Effect of persistent toe walking on ankle equinus. Analysis of 60 idiopathic toe walkers

1997 ◽  
Vol 87 (1) ◽  
pp. 17-22 ◽  
Author(s):  
E Sobel ◽  
MA Caselli ◽  
Z Velez

Sixty idiopathic toe walkers (age range 1 to 15 years) were evaluated to determine the natural history of toe-to-toe gait and the relationship between the range of ankle dorsiflexion and increasing age. The majority of toe walkers had a normal birth weight (average 7.06 pounds), walked on time (average 11.14 months), began toe walking immediately (87%), stood plantigrade (90%), were able to demonstrate a heel-toe gait (88%), and toe walked intermittently (68%). Forty-six percent of all toe walkers were found to have 0 degree or less of passive ankle dorsiflexion. Equinus toe walkers (mean dorsiflexion -5.2 degrees) had significantly less dorsiflexion than the remaining toe walkers (mean dorsiflexion 16.9 degrees; p < 0.01). An average of 12 degrees of dorsiflexion was resent in the 1-to 2-year age group, which gradually diminished to -4 degrees in the 6- to 15-year age group. It appears that there may be a relationship between persistent toe walking and the development of ankle equinus in some children and therefore interventions should be considered to inhibit the toe walking progression.

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Jenyfer P. Kakalang ◽  
Nurhayati Masloman ◽  
Jeanette I.Ch. Manoppo

Abstract: Febrile seizure usually occurs during increased body temperature (rectal temperature >380 C) caused by an extracranial process. Although febrile seizure is not a neurological disorder, it occurs most common among children. This study was aimed to obtain the profile of febrile seizure in children. This was a descriptive retrospective study. This study was conducted at the Department of Pediatrics Prof. Dr. R. D. Kandou Hospital from January 2014 to June 2016. The results showed that there were 150 children diagnosed as febrile seizure. The majority of them were as follows: age group of 1 - < 2 years old in 41 children (27.3%), males (50.7%), family history in 104 children (69.3%), respiratory tract infection as the cause of fever in 68 children (45.3%); complex febrile seizure in 91 children (60.7%); normal birth weight in 135 children (90%); normal nutritional status in 101 children (67.3%); and spontaneous delivery with head presentastion ins 127 children (84.7%). Conclusion: In this study, febrile seizure was most common among boys and diagnosed as complex febrile seizure.Keywords: febrile seizures, body temperature, extracranial, children Abstrak: Kejang demam ialah bangkitan kejang yang terjadi pada kenaikan suhu tubuh (suhu rektal >380C) yang disebabkan oleh suatu proses ekstrakranial. Walalupun kejang demam bukan merupakan suatu kelainan neurologis tetapi keadaan ini sering dijumpai pada anak. Penelitian ini bertujuan untuk mengetahui profil kejang demam pada anak. Jenis penelitian ialah deskriptif retrospektif untuk mengetahui profil kejang demam di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou periode Januari 2014 sampai Juni 2016. Hasil penelitian mendapatkan 150 anak yang didiagnosis kejang demam. Kejang demam paling sering ditemukan pada usia 1 - <2 tahun berjumlah 41 anak (27,3%); jenis kelamin laki-laki berjumlah 99 anak (66%); suhu badan >380C berjumlah 76 anak (50,7%); adanya riwayat keluarga 104 anak (69,3%); penyakit yang mendasari infeksi saluran pernafasan berjumlah 68 anak (45,3%); jenis kejang demam kompleks 91anak (60,7%); berat badan lahir normal 135 anak (90%); status gizi normal 101 anak (67,3%); riwayat jenis persalinan spontan LBK 127 anak (84,7%). Simpulan: Kejang demam paling sering terjadi pada anak laki-laki dan diagnosis jenis kejang demam kompleks. Kata kunci: kejang demam, suhu tubuh, ekstrakranial, anak


Author(s):  
Tanaya Paul ◽  
Kaustav Chakraborty ◽  
Nayan Sarkar ◽  
Moumita Chatterjee ◽  
Suman Kumar Roy

Background: Low birth weight (LBW) is one of the long-standing birth outcomes amongst all adverse pregnancy outcomes, which have lasting influences in the later life span. The objective of the study was to determine the prevalence of LBW babies; to examine the correlation between maternal socio-demographic, lifestyle, obstetrics, and clinical factors with LBW; and to compare the above factors between mothers with low and normal birth weight babies.Methods: All the pregnant women admitted for delivery in the inpatient Department of Gynaecology and Obstetrics and providing informed consent were interviewed with the help of the semi-structured questionnaire. The antenatal card and labour room log book were also scrutinized for relevant data.Results: The prevalence of LBW and VLBW were 33.8% and 2.8% respectively. A significant positive correlation was found between strenuous working environment, duration of standing, consumption of alcohol and smoking in pregnancy, previous history of premature birth and LBW babies, high blood pressure and pre-eclampsia during pregnancy, total weight gain during pregnancy and gestational age at birth and LBW. Mothers of LBW and normal birth weight babies significantly differed in their age, total weight gain during pregnancy, religion, level of education, history of premature baby and LBW baby, high blood pressure and preeclampsia during pregnancy. In the regression model, there was also a significant positive linear relationship between LBW and strenuous work environment & gestational age at birth.Conclusions: One third of the pregnant mothers delivered LBW child and various socio-demographic and clinical factors had significant correlation with LBW.


2015 ◽  
Vol 3 (4) ◽  
pp. 153-157
Author(s):  
Sirjana Pandit Pahari ◽  
Tulashi Adhikari Mishra

Background: Neonates with a birth weight of less than 2500 g have a higher risk of morbidity and mortality than the babies of normal birth weight. Various factors may play the role in the incidence of low birth weight babies.Objectives: The objective of the study was to fi nd out the factors associated with low birth weight in a maternity hospital.Methods: A case control study was conducted at Paropakar Maternity and Women’s Hospital Kathmandu. Non probability consecutive sampling method was applied in which the total study sample was 136. Among them 68 full term low birth weight babies as case and equal number of full term normal birth weight babies were included as control. Descriptive and inferential statistics were used for data analysis.Results: Half (50.0%) of the case mothers had history of previous low birth weight babies in comparision to 3.0% of the control mothers who had history of previous low birth weight babies. In regards to history of previous birth interval, 25.0% of cases and 3.0% of control mothers had history of previous birth interval of less than two years. Among those who had ANC visits, 40.0% of cases and 14.3% of controls had inadequate Antenatal visit during their last pregnancy. Study found a signifi cant association of low birth weight with smoking during pregnancy (p = 0.029) history of previouschild with term LBW (p= 0.001), birth spacing (p = 0.009) and antenatal visit during pregnancy (p =0.001) among the case mothers.Conclusions: The study concludes that the incidence of low birth weight babies tends to be higher among the mothers with history of smoking during pregnancy, with birth spacing of less than two years, and who had less than four antenatal visits.Journal of Kathmandu Medical CollegeVol. 3, No. 4, 2014Page: 153-157


2016 ◽  
Vol 53 (5) ◽  
pp. 254
Author(s):  
Irene Melinda Louis ◽  
Adrian Umboh

Background Homocysteine is associated with endothelial damage and hypertension. Increased plasma homocysteine levels are often accompanied by cardiovascular impairment, including hypertension. Small for gestational age children have been found to have morbidity and mortality in cardiovascular diseases.Objective To assess for a possible association between homocysteine level and blood pressure in small for gestational age children.Methods This observational study was undertaken from December 2011 to April 2012 in Prof. Dr. R. D. Kandou Hospital, Manado, North Sulawesi, on children who were born small for gestational age in year 2004-2005. Data was analyzed by T-test to compare homocysteine levels in small for gestational age and normal birth weight children. Regression analysis and simple coefficient test were used to assess for an association between homocysteine levels and blood pressure in children who were small for gestational age at birth.Results The mean homocysteine level in small for gestational age children was significantly higher than that of normal birth weight children (P<0.001). We observed no correlation between homocysteine level and systolic blood pressure in the small for gestational age group (r=0.151, P=0.189). However, there was a weak correlation between homocysteine level and diastolic blood pressure in the small for gestational age group (r=0.237, P=0.049).Conclusion Children who were small for gestational age at birth have significantly higher mean homocysteine level than that of normal birth weight children. Higher homocysteine levels are associated with higher diastolic blood pressure in children who were small for gestational age at birth.


Author(s):  
Ramraj Meena ◽  
Purnima Pachori ◽  
Sandhya Chaudhary ◽  
Chandrakanta .

Background: Uric acid is the final product of the purine metabolism in humans. The two final reactions in its production which catalyze the conversion of hypoxanthine to xanthine and the latter to uric acid are catalyzed by the enzyme xanthine oxidoreductase. The role of uric acid in the progression of prediabetes to diabetes has been known. Serum uric acid has been shown to be associated with cardiovascular disease, hypertension, and chronic kidney disease. The present study was done to see the level of uric acid in preeclampsia and  healthy pregnant controls, to relate serum uric acid results to the severity of hypertension and its relation to fetomaternal outcome in patients attending OPD at RMC Ajmer.Methods: 100 cases of preeclampsia of age group between 20-40 year and gestational age ≥28 weeks and 100 normal healthy women with similar gestational age and age group were included in the study and maternal serum uric acid was estimated in both groups.Results: Mean serum uric acid levels in preeclampsia was 7.65±081 mg/dl and 3.21±072 mg/dl in control group. Perinatal complication was more in case group, 74 % were preterm compared to 11% in control group. Mean birth weight in study group was 2.07 kg, of which 24% babies were VLBW 52% were LBW, and 24% babies had normal birth weight, in control group mean birth weight was 2.82 kg. The difference was found to be statistically significant (p value 0.001). In the study group, the MSUA concentration is found higher in LBW and VLBW babies compared to normal birth weight babies.Conclusions: There is a positive correlation between SUA & severity of preeclampsia, and a significant adverse fetal outcome is observed with raised MSUA in preeclamptic patients.


2018 ◽  
Vol 15 (2) ◽  
pp. 45
Author(s):  
Apri Sulistianingsih ◽  
Rita Sari

Background: Stunting cases in infants in Indonesia continue to be a maternal and child health problem. Stunting cases in Pesawaran District increase every year. Some of the factors that influence the incidence of stunting in children include the history of exclusive breastfeeding and low birth weight (LBW) babies.Objective: This study aims to determine the effect of exclusive breastfeeding and birth weight on stunting in children 2-5 years cases in Pesawaran District.Method: This research used observational analytics with a cross-sectional approach. This research was conducted in March-May 2017 in 12 Puskesmas on Pesawaran Lampung District. The number of samples was 385 samples. The variables studied in this study were the incidence of stunting, history of LBW and history of exclusive breastfeeding. Analysis and present data using the Chi-Square test and multiple logistic regression.Results: Children with a history of LBW (OR=12.30; 95% CI:3.663-41.299) and exclusive breastfeeding history (OR=0.122; 95% CI:0.075-0.199) were significantly associated with the incidence of stunting. The multivariate analysis explained the history of exclusive breastfeeding with OR=0.108 (CI 95%: 0.065-0.180) and birth weight with OR=17.063 (CI 95%: 4.892-59.511).Conclusion: Children with exclusively breastfeeding 9.3 times less risk for stunting than children non-exclusive breastfeeding or exclusive breastfeeding provides a protective effect against stunting in toddlers. Children with an LBW history had a risk of 17.063 times greater for stunting than children with normal birth weight.


2017 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Hetriana Leksananingsih ◽  
Slamet Iskandar ◽  
Tri Siswati

Background: Riskesdas in 2013 showed that Yogyakarta (DIY) had a prevalence of stunted new kid in school is less than the national average, which is 14.9% (MOH, 2013). Stunted or short, is a linear growth retardation has been widely used as an indicator to measure the nutritional status of individuals and community groups. Stunted can be influenced by several factors: birth weight, birth length match and genetic factors. Objective: To determine the weight, length of low birth weight and genetic factors as predictors of the occurrence of stunted on elementary school children. Methods: The study was a case control analytic. Research sites in SD Muhammadiyah Ngijon 1 Subdistrict Moyudan. The study was conducted in May and June 2015. The subjects were school children grade 1 to grade 5 the number of cases as many as 47 children and 94 control children. With the inclusion criteria of research subjects willing to become respondents, was present at the time of the study, they have a father and mother, and exclusion criteria have no data BB and PB birth, can not stand upright. The research variables are BBL, PBL, genetic factors and TB / U at this time. Data were analyzed by chi-square test and Odd Ratio (OR) calculation. Results: In case group as much as 91.5% of normal birth weight and length of 80.9% of normal birth weight, most of the height of a normal mother and father as many as 85.1%. In the control group as much as 78.7% of normal birth weight and 61.7% were born normal body length, height mostly normal mom and dad that 96.7% of women and 90.4% normal normal father. Statistical test result is no significant correlation between height mothers with stunted incidence in school children, and the results of chi-square test P = 0.026 with value Odd Ratio (OR) of 3.9 and a range of values from 1.091 to 14.214 Cl95%. Conclusion: High maternal body of mothers can be used as predictors of the occurrence of stunted school children and mothers with stunted nutritional status have 3.9 times the risk of having children with stunted nutritional status.


2021 ◽  
pp. 097321792199140
Author(s):  
Rimjhim Sonowal ◽  
Anamika Jain ◽  
V. Bhargava ◽  
H.D. Khanna ◽  
Ashok Kumar

Objective: The objective of this study was to evaluate the serum levels of various antioxidants, namely, vitamin A and E, superoxide dismutase (SOD), catalase, and glutathione peroxidase (GPx) in the cord blood of term low birth weight (LBW) neonates who required delivery room resuscitation (DRR). Materials and Methods: This case control study included 37 term LBW neonates who needed DRR as cases and 44 term neonates as controls (15 term LBW and 29 term normal birth weight) who did not require resuscitation at birth. Neonates suffering from major congenital malformations, infection, or hemolytic disease were excluded. Standard methods were used to measure the levels of vitamin A, vitamin E, SOD, catalase, and GPx levels in the cord blood. Results: Vitamin A and E levels were significantly low in cases compared to term LBW controls as well as term normal birth weight controls. Levels of SOD, GPx, and catalase were comparable in different study groups. Conclusion: Our study shows that term LBW neonates requiring DRR had significantly low levels of vitamin A and E in their cord blood. This might compromise their ability to tolerate oxidative stress during DRR.


1985 ◽  
Vol 110 (1) ◽  
pp. 32-35 ◽  
Author(s):  
G. Thiériot-Prévost ◽  
F. Daffos ◽  
F. Forestier

Abstract. The serum level of radioimmunoassayable somatomedin-C and the bioassayable growth-promoting activity evaluated by the stimulating effect of serum upon thymidine incorporation into activated lymphocytes have been measured in the blood of term human foetuses. Comparison between those with a low birth weight and those with normal birth weight has shown that small-forgestational-age subjects have lower somatomedin-C (0.31 ± 0.03 vs 0.52 ± 0.03) and thymidine activity (1.03 ± 0.11 vs 1.50 ± 0.07) (P< 0.001). A positive correlation between somatomedin and thymidine activity was found. There was no difference in serum transferrin levels between both groups. It is suggested that somatomedin, and probably other growth-promoting factors measured by the thymidine bioassay, play a role in regulation of the foetal growth.


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