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  • ISSN: 2373-9312
    Volume 2, Issue 3
    Research Article
    Maria Aparecida Zanetti Passos1, Isa de Padua Cintra1, Gerson Luis de Moraes Ferrari1,2*, Eliana Cristina de Almeida1 and Mauro Fisberg1
    Abstract:
    Purpose: To describe the distribution of Waist Circumference (WC) percentiles and cutoff points for obesity in Brazilian adolescents.
    Methods: Study including adolescents aged ≥10 and <16 years conducted. Anthropometric measurements (weight, height and WC) were taken and data of WC were divided into percentiles derived from LMS regression. The Receiver Operating Characteristic (ROC) curve was used to determine the cutoff points for obesity (BMI ≥ 97th).
    Results: The study included 8.020 adolescents, 54.5% were female. The mean WC was higher in males (70.23 vs. 68.55) and increased according to the stages of sexual maturation in girls: M1 and M5 = 63.26 = 74.53 and boys: 67.86 = G1 and G5 = 73.08. The cutoff points of WC showed high sensitivity (89.3 - 100 and 100 - 94.7) and specificity (87.3 - 87.9 and 88.4 - 95), both female and male, respectively. According to the cutoff points proposed, central obesity was identified in 18.57% girls and 20.96% boys. The values ​​of WC above the P75 showed significant association with adiposity in adolescents 10-15 years.
    Conclusion: The WC was significantly associated with body adiposity, and its age-specific percentiles and cutoff points may be used as surrogate markers of central obesity and its comorbidities.
    Mohammad Amin Fallahzadeh1, Alireza Salehi2, Jafar Hassanzadeh3 and Mohammad Hossein Fallahzadeh4*
    Abstract:
    Objective: Acute poisoning is considered as an important health problem leading to admission of children. Also, the epidemiologic surveillance specific for each country is necessary. Therefore, we conducted this study to obtain the epidemiological information on poisoning in Nemazee Hospital, a referral center in South of Iran.
    Methods: In this cross sectional study, we determined age, sex, presence of suicidal intent and poisoning incidence and causes of the children admitted to Nemazee Hospital due to poisoning from 2008 to 2013.
    Results: We found that 1391 out of 21940 admissions were due to poisoning with an incidence of 6.3%. Mean age of the patients was 9.34±6.11 years; 40.5% were male. Poisoning was intentional in 53.3% of cases. The most frequent causes of poisoning were drugs (54.3%), opium (7.9%), methadone (7.6%), household products (6%) and hydrocarbons (3.5%).
    Conclusion: According to our findings, the rate of pediatric in-patient poisoning was high. Also, drugs, opium and methadone were the most common poisonous substances.
    Case Report
    Manish Kumar1*, Tanu Satija1 and Deepshikha Khanna2
    Abstract: Lichen scrofulosorum (LS) is a rare tuberculid seen in children and young adults with underlying tuberculosis, which may be difficult to diagnose otherwise. Present communication describes two cases presenting with characteristic skin lesions of LS and later diagnosed as intracranial tuberculosis and pulmonary tuberculosis respectively. In both the cases the skin lesions served as an important diagnostic marker for tuberculosis. Skin lesions disappeared completely within four weeks of initiation of ATT.
    Tu T. Mai*, Shana E. Godfred-Cato, Darcie M. Takemoto, and Murali Jatla
    Abstract: There are different causes for reflux, recurrent vomiting, constipation, poor weight gain, and other GI related issues in infants. Lactobezoar, a rare GI condition, can present with these nonspecific findings. Early diagnosis should be made, however, to prevent further complications and to ensure adequate growth and development in children.
    Ann Kennedy1, Rocio B. Quinonez2*, Lauren Sanzone3 and Edward M. Pickens4
    Abstract: Pediatric traumatic injuries involving the oral cavity are common, and can have serious functional, esthetic, and developmental sequelae. The peak incidence for primary tooth trauma occurs between the ages of 18 and 30 months – a time when parents have established a medical home for their child, but may have yet to establish a dental home. As a result, such acute injuries commonly present to the pediatrician or family practitioner for initial evaluation. We present the case of a 10-month-old male who sustained avulsion (complete tooth displacement out of the socket) of both maxillary primary central incisors after falling onto a table at day care. Initial assessment was performed by the child's pediatrician, who referred the family to the pediatric dentist for further evaluation. The diagnosis of tooth avulsion was confirmed clinically and radiographically. However, the teeth could not be located at the scene of the fall, raising the question of whether the teeth had been aspirated or ingested. The child's parents and their pediatrician chose to follow a conservative protocol, consisting of monitoring the stool for passage of the avulsed teeth or signs of pulmonary involvement. The teeth were recovered in the stool the following day. This case serves as an example of collaborative care between the pediatrician and pediatric dentist, working together to arrive at an accurate diagnosis, deliver appropriate case management, and provide emotional support to concerned parents.
    Clinical Image
    Peace Ibekwe*
    A 13-year-old girl presented with complaint of genital pain and swelling following a straddle injury. Patient was riding an adult bicycle when she fell over the crossbar and landed on her genitalia. She had pain and mild swelling of the genitalia that improved after sitz bath. She passed non-bloody urine afterwards.
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