Optimizing Use of the Complete Blood Count
Publication date: January–February 2012 Source:Pediatria Polska, Volume 87, Issue 1 Author(s): Bruce M. Camitta , Rebecca Jean Slye The CBC is more than a collection of numbers. Understanding its strengths and limitations provides more useful information. When used in conjunction with careful review of the peripheral smear and a limited number of other tests, the CBC can be a more effective diagnostic tool. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Anti-Vaccination Movement and Parental Refusals of Immunization of Children in USA
Publication date: July–August 2012 Source:Pediatria Polska, Volume 87, Issue 4 Author(s): Marian Ołpiński Despite an enormous success of the vaccination programs in the USA and an all time low incidence rate of vaccine preventable diseases (VPDs) pediatricians and family doctors are seeing increasing numbers of parents who refuse to vaccinate their children. Vaccine coverage decreases causing outbreaks of VPDs in the USA. Fear of potentially deadly diseases has been replaced by the fear of real and, more often, imaginary side effects of vaccination. This fear fuels an anti-vaccination movement with the help of me...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

The results of treatment of complicated pleural empyema with VATS combined with the use of fibrinolytic agents
Conclusions Early VATS combined with early rehabilitation offers excellent results, radically improving the outcome in both the fibrinopurulent, as well as in organizing stages of PE in children, nonetheless surgeon should be experienced in the minimally invasive technique. The method seems to be successful even in very neglected cases, if not, patient could benefit from fibrinolytic therapy. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Rasburicase in the treatment of acute kidney injury in a boy with non-malignancy hyperuricemia
Publication date: September–October 2012 Source:Pediatria Polska, Volume 87, Issue 5 Author(s): Maria Szczepańska , Piotr Adamczyk , Katarzyna Ziora , Tomasz Szczepański In the manuscript authors describe the application of rasburicase in the treatment of acute kidney injury in a child with non-malignancy associated hyperuricemia and combined congenital abnormalities. Rasburicase application was safe, well tolerated and rapidly effective. The significant fall in serum uric acid levels was accompanied by rising diuresis. The improvement of renal function prevented the need for dialysis, which was favorable for the...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Food allergy in children with hypogammaglobulinemia
Conclusions Food allergy is a common health problem coexisting with antibody production defects in infants and young children. Clinical symptoms correlate better with low immunoglobulin levels than with serum IgE, that is not a suitable diagnostic criterion for allergic disease in patients with hypogammaglobulinemia. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Inwazyjna choroba meningokokowa u chorych poniżej 20. roku życia w Polsce w latach 2009–2011
Conclusions Meningococci are still cause of infections associated to high case fatality ratio, especially in children under 5 years of age. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Hyperbaric oxygen for neurologic indications. Action plan for multicenter trials in: stroke, traumatic brain injury, radiation encephalopathy and status migrainosus
Publication date: September–October 2012 Source:Pediatria Polska, Volume 87, Issue 5 Author(s): Harry T. Whelan , Ann K. Helms Introduction: There is great interest in using hyperbaric oxygen (HBO) to treat neurological disease. The exquisite sensitivity of neural tissue to hypoxia makes increased oxygenation attractive as a therapy for disease processes that induce ischemia, edema, and, more recently, apoptosis. Four things specifically exist as targets for future projects and clinical trials: (1) stroke (2) traumatic brain injury (3) radiation induced necrosis and (4) status migrainosus. Methods: Specific aims: S...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Possibilities of orthodontic-orthopaedic treatment in patients with Down syndrome, based on review of literature and on own observations
Publication date: November–December 2012 Source:Pediatria Polska, Volume 87, Issue 6 Author(s): Patrycja Pietrzak , Ewa Kowalska Patients with Down syndrome often suffer from protruding tongue, various dental and occlusal anomalies. Characteristic features of midface hypoplasia in Down syndrome include smaller maxilla, narrower bridge of the nose and presence of “stair” palate. Possibilities of an active orthodontic treatment and its impact on tongue position, oral hygiene, quality of speech and bruxism in patients with Down syndrome, treated orthodontically at the Orthodontic Department Medical Univers...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Indications for gastrostomy feeding in Polish children—Multicenter retrospective analysis of ten years period (2000–2010)
Conclusion: The main indication for pediatric gastrostomy in Polish sites was neurological disorders with dysphagia. Malnutrition was reported in most of children before gastrostomy placement. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Aspekty prawne obowiązkowych szczepień ochronnych u dzieci
This article presents basic regulations concerning the implementation of immunization of children, both mandatory and recommended. There have been shown doctors’ duties in this field, such as the obligation to inform about the compulsory and recommended vaccinations, the obligation of obtaining consent for vaccination. What is more, possible legal consequences that the doctor can face have been highlighted. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Topical timolol gel for the treatment of residual facial hemangioma previously treated with propranolol
Conclusion Timolol gel is an effective therapy option for residual hemangiomas, and should be considered as a complementary treatment for residual hemangiomas after terminating propranolol treatment. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Biegunka związana z antybiotykoterapią wywołana przez Clostridium difficile u małych dzieci – obserwacje własne
Publication date: February 2013 Source:Pediatria Polska, Volume 88, Issue 1 Author(s): Hanna Zielińska-Duda , Beata Jakubowska-Zając , Mieczysława Czerwionka-Szaflarska The most frequent complication related with antibiotic therapy in small children is diarrhea. Clinical symptoms of Antibiotic-Associated Diarrhea (AAD) can vary from mild to life threatening, for example infection caused by Clostridium difficile. The aim of work is presentation the problem of antibiotic-associated diarrhea caused by Clostridium difficile in small children of the own observation. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Changes in the serum levels of clusterin in children with sepsis
Conclusion: We have demonstrated a decrease clusterin levels in pediatric patients with septic state, and its effect on mortality. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Wpływ mediów na rozwój otyłości u dzieci
Publication date: February 2013 Source:Pediatria Polska, Volume 88, Issue 1 Author(s): Artur Mazur , Igor Radziewicz-Winnicki Childhood obesity is one of the major public health problem. One of the environmental factors that may have an impact on the development of childhood obesity are media. Current data on the impact of the media on the development obesity in children and adolescents were presented and legal regulation which designed to arrangement of the advertising market for children. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Stosowanie przymusu bezpośredniego przez personel medyczny w procesie diagnozowania i terapii małoletnich pacjentów
Publication date: March–April 2013 Source:Pediatria Polska, Volume 88, Issue 2 Author(s): Anna Augustynowicz , Iwona Wrześniewska-Wal An article presents basic legal regulations concerning the usage of direct coercion against juveniles in diagnostic and therapeutic process. The authors referred to use of direct coercion both in psychiatric hospitals and places of different profile. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Nutritional status of babies and influence of unmodified cow's milk on allergic reactions according to the epidemiological study from Ukraine
Conclusions: Introduction of UCM into baby's diet during the first and second year of life is associated with increased risk of a variety of allergic and food hypersensitivity reactions, accompanied by a higher frequency of hospitalizations and taking medications. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Rola terapii biologicznej w podtrzymaniu remisji u dzieci z chorobą Leśniowskiego i Crohna
Publication date: March–April 2013 Source:Pediatria Polska, Volume 88, Issue 2 Author(s): Agnieszka Wegner , Monika Szychta , Jarosław Kierkuś In recent years there has been an increase in the incidence of inflammatory bowel disease including Crohn's disease in children. The aim of treatment of Crohn's disease is the induction and maintenance of remission. Currently, it is believed that to achieve healing of the intestinal mucosa may be synonymous with getting complete remission and inhibition of disease progression. Biologics and immunomodulators have a definite place in the treatment of Crohn disease. However, ...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Bilateral obstetric brachial plexus injury: A case report
Publication date: May–June 2013 Source:Pediatria Polska, Volume 88, Issue 3 Author(s): Kamila Okulczyk , Bożena Okurowska-Zawada , Janusz Wojtkowski , Anna Kalinowska , Anna Mirska , Elżbieta Topór , Wojciech Kułak Our case report describes a bilateral obstetric brachial plexus injury in a 14-year-old boy. In the first years of his life, treatment was conservative. After a period of clinical improvement, spontaneous regeneration had stopped. At age two years and three months, neurotmesis with root avulsion was diagnosed, which was the grounds for microsurgery. Unilateral revision and external neurolysis w...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Quality of life of mothers of children with myelomeningocele
Conclusions Mothers of children with MMC had a lower quality of life in all the analyzed domains compared with mothers of healthy children. Deterioration in the quality of life of mothers with sick children is more common among those living in the city. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

The content of serotonin cells in duodenal biopsies of autistic patients
Conclusions The serotonergic profiles of the GI tract of autistic patients and their peers without autistic symptoms are different. In the course of chronic duodenitis in patients with ASD the number of serotonin cells falls while in persons without autistic features it increases significantly. Chronic duodenitis contributes to an increase in the number of serotonin cells in persons without autistic features while decreasing it in patients with ASD. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Antiganglioside antibodies determine the clinical severity and predict response to therapy in Egyptian children with Guillain–Barré Syndrome
Conclusion Antiganglioside antibodies positive patients constitute a major subtype among Egyptian children with GBS. They may be more reliable than electrodiagnosis in determining the clinical severity and predicting the ongoing response to therapy. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Functional constipation in children: A follow-up of two randomized controlled trials
Conclusion A substantial portion of children remained symptomatic after 2–3 years of follow-up indicating a need for regular evaluation of children with FC. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Not all foreign bodies are created equal
Publication date: May–June 2013 Source:Pediatria Polska, Volume 88, Issue 3 Author(s): Petar Mamula Foreign body ingestions in children and adolescents can pose significant challenge both in terms of diagnosis and treatment. The pediatric scientific literature is relatively scarce and consists mostly of case reports and small case series, therefore making firm guidelines and management recommendations rather difficult. The type of ingestions seen may vary in different countries and it changes over time depending on implementation of safety measures, or introduction of new products. Lately, there has been a signific...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Clinical course of Campylobacter infections in children
Conclusions Due to the observed increasing incidence of Campylobacter infections it seems to be reasonable to take feces inoculation in children with diarrhea to 3 years of age, especially in the presence of bloody feces. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Tetraploidy in the era of molecular karyotyping – What we need to remember
Publication date: September–October 2013 Source:Pediatria Polska, Volume 88, Issue 5 Author(s): Joanna Bothur-Nowacka , Aleksandra Jezela-Stanek , Katarzyna Zaniuk , Bożenna Goryluk-Kozakiewicz , Małgorzata Krajewska-Walasek , Anna Dobrzańska Tetraploidy is a condition in which there are four complete sets of chromosomes in a single cell. In humans, this would be 92 pairs of chromosomes per cell. A great majority of pregnancies with a tetraploid fetus end in miscarriage, or if the pregnancy goes to full term, the infant dies shortly after birth. Longer surveillance is rarely described. The only method for confir...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Effect of the specific infant formula mixture of oligosaccharides on local immunity and development of allergic and infectious disease in young children: randomized study
Conclusions The mixture of prebiotic oligosaccharides (scGOS/lcFOS – 9:1; 8g/L) has a similar to breast milk positive impact on the factors of local digestive immunity system in formula-fed infants. This effect may reduce the risk of allergic and infectious diseases in children aged up to 18 months of life, compared with babies fed with the standard formula without oligosaccharides. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Correlation between umbilical cord blood lipid profile and neonatal birth weight
Conclusion TG, TC, LDL, and VLDL levels in LBW and high birth weight newborns were significantly higher than in normal weight newborns. TC and LDL were significantly lower in neonates whose mother's age≤30 years compared to older mothers. TC and LDL were significantly higher in group whose mother's BMI≤25 compared to >25. Another prospective study with more sample size is recommended to finding correlation between neonatal birth weight and cord blood lipid profile. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Thalassemia major may decrease the frequency of febrile convulsions in children
Conclusion: The frequency of febrile convulsion in children with major thalassemia is less than that of normal children. Children with thalassemia major may have higher serum levels of iron and such high serum iron levels might have a protective role in the children who have a vulnerability for febrile convulsions. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Probiotics for preventing healthcare-associated diarrhea in children: A meta-analysis of randomized controlled trials
Conclusion In hospitalized children, the administration of LGG, compared with placebo, reduced the incidence of healthcare-associated diarrhea, including rotavirus diarrhea. Evidence on the effects of other probiotics, whether positive or negative, is limited. (Source: Pediatria Polska)
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

West syndrome associated with Down syndrome: Case report and literature review
We report a girl with West syndrome associated with Down syndrome which occurred at 8 months of age for repetitive flexor spasms and electroencephalography (EEG) showed hypsarrhythmia. She had Down syndrome facies, microcephaly, psychomotor development delay and axial hypotonia. Computed tomography of the brain was normal. Her karyotype was 47, XX, +21. Phenobarbital therapy was immediately effective with good clinical control of seizures, while the EEG monitored after one month was unchanged. At 2 years of age, the patient had hypertonic status epilepticus following a lung infection. The EEG showed a persistence of hypsar...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research

Pelvico-calyceal system rupture due to staghorn calculus with urinoma formation in a boy with neurofibromatosis type 1 and quadriplegia
We present a case of a 17-year-old quadriplegic patient with neurofibromatosis type 1 and urinoma due to the rupture of calyceal fornices in the course of nephrolithiasis. The boy was admitted with symptoms of severe pneumonia complicated with sepsis and prerenal acute kidney injury. Abdominal ultrasound revealed stone casts in both renal pelvises. Antibiotics, fluid therapy and diuretics were used to improve patient's condition. On the 28th day gross hematuria was observed. The patient's condition was stable, without signs of pain or discomfort. Abdomen ultrasound showed heteroechogenic structure (125mm×100mm×...
Source: Pediatria Polska - November 6, 2014 Category: Pediatrics Source Type: research