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Indian Pediatr 2018;55: 84 |
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Clippings
Theme: Pediatric Allied Specialities
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Amit P Shah
Email:
[email protected]
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Video game vision syndrome in children. (J Pediatr Ophthalmol
Strab. 2017;54:346-55)
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In this era of technology, children are usually hooked to their gadgets
such as video games, computer games, cellphones and other electronic
devices. In this observational, cross-sectional study on Italian
children using video games, the dominant eye was identified using the
Dolman method, and stereoscopic vision was assessed on Lang-Stereotests
I and II. Two groups of the children were formed. Control group children
(who played video games for <30 minutes/d and not every day) and Video
game group children (who played video games for ³30 minutes/d) were
divided into two subgroups: children using other types of electronic
screens (eg, televisions, computers, tablets, and smartphones)
for less than 3 hours daily (low electronic use subgroup) and children
using other types of electronic screens for 3 hours or more per day
(high electronic use subgroup).
It was observed that Asthenopia (especially headache,
eyelid tic, transient diplopia, and dizziness), absence of fine
stereopsis, and refractive errors were more frequent (mainly in the
dominant eye) in children in the Video game group. These are probably a
part of still undefined Video Game Vision Syndrome. It is important to
recognize these signs as possible functional disorders to avoid
erroneous diagnostic and therapeutic interventions. It is also important
to convey this message to the parents and teachers and make them realize
that more screentime is harmfull for the children.
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Better acceptability of neurosurgical
procedures with unshaven hair on cranial surgery site infection.
(Pediatr Neurosurg. 2018;53:18-23)
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It is a common practice to shave the hairs for any cranial surgery.
Cranial surgical site infection is a significant cause of morbidity and
mortality in hospitals. Preoperative shaving of surgical incision sites
using traditional surgical blades without properly washing the head has
the potential to cause infections at surgical sites.
This retrospective comparative study evaluated
patients who underwent unshaven cranial surgery with absorbable sutures
for scalp closure. Data of patients who underwent surgery with the
traditional protocol were also analyzed for comparison. It was found
that a rapid protocol in which the scalp remains unshaven and absorbable
sutures are used for scalp closure with early postoperative shampooing
is equally good, and did not result in more infections. This protocol
may also have a positive psychological effect. It can help patients
accept neurosurgical procedures and improve their self-image after the
operation.
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Topical coconut oil in very preterm infants. (Neonatology.
2018;113:146-51)
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In very preterm infants, various emollients and creams are used to take
care of the skin as the immature fragile skin of preterm infants
represents an inadequate protective barrier. Whether coconut oil is
appropriate to use on the skin of very preterm infants of <30 weeks’
gestation was studied in this open-label randomized controlled trial in
preterm infants <30 weeks’ gestation.
The emollient and anti-infective properties of coconut
oil make it a potentially beneficial topical agent for this population.
Enrolled infants were randomized to receive either routine care or
topical coconut oil (5 mL/kg) twice daily for 21 days, starting within
24 h of birth. The neonatal skin condition was assessed using the
Neonatal Skin Condition Score (NSCS) on days 1, 7, 14, and 21. The
number of coconut oil applications was recorded to assess clinical
feasibility and all enrolled infants were monitored for adverse effects
of topical coconut application, such as skin irritation. Topical
application of coconut oil was feasible and without adverse effects. The
NSCS was maintained in the coconut oil group throughout the intervention
period and there were no differences in common neonatal outcomes,
including sepsis, necrotizing enterocolitis, retinopathy of prematurity,
chronic lung disease, and mortality. Thus, using topical coconut oil
maintained a better skin condition in very preterm infants without
adverse effects.
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Comparison of three different adenoidectomy techniques in
children.(https://doi.org/10.1016/j.ijporl.2017.11.012)
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Pharyngeal tonsillar hyperplasia is the most frequent cause of nasal
obstruction and chronic mouth breathing during childhood and
adenoidectomy is the procedure of choice for the relief of symptoms.
Nowadays newer techniques are developed, which use various smart
devices, and there is always a debate about the usefulness of
conventional technique (blind curettag") compared to the newer
techniques.
This prospective observational study of adenoidectomy
using three different techniques in children was done to determine the
best technique. Patients were followed up for a period of 3 months after
surgery. The patients were divided into 3 different groups, according to
the adenoidectomy technique: Group A (conventional technique - blind
curettage); Group B (video-assisted adenoidectomy with microdebrider);
Group C (video-assisted adenoidectomy with radiofrequency – Coblation).
The surgical time of each procedure was measured and postoperative
complications were analyzed. The questionnaire for quality of life
OSA-18 was on the day of the surgery and 30–90 days after the procedure
was applied to all caregivers.
It was found that the adenoidectomy resulted in
improvement of quality of life, and there were no major postoperative
complications, for all operated children, regardless of the technique
used. The conventional technique was faster when compared to the more
modern adenoidectomy techniques.
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