International Journal of Pediatric Research and Reviews


Preparing A University Hospital Neonatal Intensive Care Unit for Covid-19 Pandemic and Country Lockdown

Review Article of International Journal of Pediatric Research and Reviews Preparing A University Hospital Neonatal Intensive Care Unit for Covid-19 Pandemic and Country Lockdown Manar Al-lawama1, Eman Badran1, Enas Al-Zyadneh1, Montaha Al-ede1, Amira H Daher1, Ayah Irsheid1, Hiba Qtaishat1, Noor Ghanim1, Fares G Bakri2,3 1Pediatric Department, The University of Jordan, Amman, Jordan 2Devision of infectious diseases, Department of Medicine, Jordan University Hospital 3Infectious disease and vaccine center, The University of Jordan, Amman, Jordan Jordan is one of the earliest countries that took a very strict approach to contain COVID-19 pandemic by declaring a country lock down. Our neonatal intensive care unit is a level three 30 beds unit. The shortage of neonatal nurses, doctors, and of respiratory support devices are the major existing challenges. During COVID-19 pandemic, those two issues were magnified. This paper will shortly discuss the measures taken as a preparedness for COVID-19 Pandemic in our unit. Team development and work schedule: The medical knowledge about COVID-19 was foggy, however; teamwork is the only ev-ident thing. Our team included, the neonatologists, pediatric intensivist, pediatric pul-monologists, in addition to the infectious disease specialist. The team also included three of our senior residents, and the neonatal unit head nurse. To enhance communication, we created a WhatsApp group (Peds COVID -19). Among this group, unidentified Patients’ information, in addition to recent publications and sci-entific opinions, were shared. Meeting with the obstetric department was done to famil-iarize both teams with the measures taken on both sides. The neonatal care is provided by two neonatologists. The in-house care providers are the pediatric residents. Senior residents are well-trained on neonatal resuscitation, endotra-cheal intubation, and umbilical venous catheterization. During COVID-19 lock down, residents were split into separate teams. Neonatal team, the pediatric floor team, and the emergency room team, each team had their sleeping room ...

Fever is not a symptom in COVID -19. None of the diseases require fever as its symptom

Review Article of International Journal of Pediatric Research and Reviews Fever is not a symptom in COVID -19. None of the diseases require fever as its symptom K. M. Yacob. Chief Physician, Marma Health Centre, Kerala, India We have been hearing for centuries that ‘fever is not a disease but a symptom’. Physicians say that fever is a symptom of diseases like flu to cancer. The conservative fever definition, diagnosis, and treatments are based on fever as a symptom. All the studies related to fever as a symptom of a disease have been done without knowing the Purpose of the temperature of fever is. In the current COVID -19 epidemic situation, it has great importance. Because Fever is considered as an important part of Corona disease. Not knowing the purpose of temperature of fever, how can fever included as a symptom in COVID -19? What is the symptom in COVID -19 according to symptom definition? In COVID -19 up to 80% of patients have no fever. Why up to 80% of patients with the COVID -19 virus have no fever? Is it because there is no need for the care of fever or is it because the disease is free of symptoms? Without knowing the Purpose of the temperature of fever, how can fever included in the symptom definition? Any evidence to establish that fever is a symptom in COVID -19? Is temperature between 38o to 41o centigrade can be symptom of a disease? Most of the diseases may not have fever. Sometimes it disappears. Then, is fever a symptom of which disease? Is fever a symptom? what are the scientific criteria or parameters necessary for a Symptom? What we will do to prove a symptom? Symptom Definition? What is the use of Symptom Definition? As with any or all ...

Non-Contact Respiratory Rate Monitoring with raybaby in an NICU: An Observational Study

Research Article of International Journal of Pediatric Research and Reviews Non-Contact Respiratory Rate Monitoring with raybaby in an NICU: An Observational Study Aardra Kannan Ambili1*, Prof. Dr. R. Kishore Kumar2, Anjali Palliyil Rajan3, Adrija Nag4, Sanchi Poovaya5 1CTO & Cofounder, rayIoT Solutions Inc, 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, USA. 2Senior Consultant Neonatologist, Cloudnine Hospitals, 1533, 1st Floor, 9th Main Road, JayaNagar 1st Block, Jaya Nagar East, Jayanagar, Bengaluru, Karnataka, India-560011. 3Head- Clinical Intelligence & Applications, rayIoT Solutions Inc, 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, USA. 4Product Associate, rayIoT Solutions Inc, 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, USA. 5COO & Cofounder, rayIoT Solutions Inc, 2711 Centerville Road, Suite 400, Wilmington, Delaware 19808, USA. Objectives: This study aimed at evaluating the reliability of respiratory rate obtained by a non-contact technology with respect to a medically validated monitor among preterm babies. Design: This observational study compared the respiratory rates from raybaby’s non-contact technology and FDA approved Earlysense unit for the same instants of time through 760 hours of monitoring. 18 preterm babies in the NICU of a paediatric specialty hospital in India were considered for the study. The raybaby device was installed in front of the incubator and the contact-free FDA approved device was placed below the mattress of the incubator. The Respiratory Rate monitored was displayed on the device’s monitoring screen. Respiratory rates from both devices were compared to calculate the agreement between the values. Correlation, Accuracy, Hit Percentage and Fit Curves for the non-contact technology of raybaby with respect to the clinically certified device. Results: With 760 hours of monitoring, 37404 breathing instances were analysed. This yielded an accuracy of 98%. 95% of the data points fell within the +/- 5 units error range which is usually followed by medical devices. Conclusions: Raybaby uses a ...

Importance of Psychoanalysis of Childhood Drawings for Prediagnosis of Mental Diseases

Research Article of International Journal of Pediatric Research and Reviews Importance of Psychoanalysis of Childhood Drawings for Prediagnosis of Mental Diseases Matheus Alves Siqueira de Assunção1, Francisco Henrique da Silva2, Evandro Valentim da Silva3, Fálba Bernadete Ramos dos Anjos4 1Graduates of the Biological Sciences course - Bachelor's Degree, Biological Sciences Center, Federal University of Pernambuco (UFPE); 2Department of Biochemistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil; 3Clinical Hospital (UFPE); 4Professor Doctor of the Federal University of Pernambuco (UFPE). Psychoanalysis and its application in the biological area. The area of Psychology already presents a lot of research in the context, looking for artificial and laboratory situations; however, the importance of contextual analysis of the individual as a whole, of their daily activities and, from this, the understanding of their perceptions. Through psychoanalysis it is possible to observe widely the subject as a whole, not focusing on the presence of organic or genetic disorders, Ansermet (2003) addresses this problem by stating that “We cannot see the subject only as someone who manifests an organic or mental defect, according to the logic of disability”. The systems that compose and organize the environment, according to Bronfenbrenner (1996), are constituted by the fitting of concentric structures called microsystem, what presents itself as the most active and direct contact environments, such as family, school or social work relationships; mesosystem referring to two or more environments of active social participation; exosystem, understood as environments that influence events that take place in the immediate environment of social relationship; and macrosystem, which comprise, in addition to the behavior of individuals, the connections between other people, the nature of bonds and the direct or indirect influence on the developing individual in the contexts in which they live and act actively. The use of psychoanalysis as a tool to decipher possible ...

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International journal of Pediatric research and reviews

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