Combination of tacrolimus and mycophenolate mofetil in persistent proteinuria due to refractory childhood lupus nephritis
ConclusionTAC combined with MMF can be considered as an alternative therapeutic option for children with refractory lupus nephritis particularly those with persistent nephrotic-range proteinuria. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - August 10, 2018 Category: Pediatrics Source Type: research

Noninflammatory disorders mimic juvenile idiopathic arthritis
Publication date: March 2018Source: International Journal of Pediatrics and Adolescent Medicine, Volume 5, Issue 1Author(s): Sulaiman M. Al-MayoufAbstractJuvenile idiopathic arthritis (JIA) is the most common chronic childhood arthritis; unfortunately, no diagnostic tool is available. Genetic disorders with musculoskeletal involvement that mimic chronic polyarthritis should be considered in the differential diagnostics of JIA. Normal inflammatory markers and characteristic radiological features are able to distinguish these disorders from JIA. Timely diagnosis of these disorders is crucial to offer the family proper geneti...
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

We don't dare to tell her … we don't know where to begin: Disclosure experiences and challenges among adolescents living with HIV and their caregivers in China
ConclusionDisclosure to adolescents living with HIV in China was delayed compared with recommended guidelines. Culturally appropriate disclosure strategies should be developed, focused on supporting caregivers and de-stigmatizing HIV. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Etiology and clinical characteristics of pediatric acute pancreatitis in Saudi Arabia: a 20-year experience from a single tertiary center
ConclusionAlthough still relatively uncommon in Saudi Arabia, there are on average 2–3 cases of pediatric AP diagnosed annually in our institution. Idiopathic AP was the most common cause. Isoniazid and choledochal cysts are rare causes of AP and were reported in the study. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

A randomized study on a 3-month versus a 7-month prednisolone regimen for the initial episode of childhood idiopathic nephrotic syndrome at a large Saudi center
ConclusionWe concluded that the long 7 months protocol was significantly better than the 3 months prednisolone regimen in both efficacy and safety for the initial episode of childhood INS. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Magnitude and severity of anthropometric failure among children under two years using Composite Index of Anthropometric Failure (CIAF) and WHO standards
Publication date: March 2018Source: International Journal of Pediatrics and Adolescent Medicine, Volume 5, Issue 1Author(s): Waleed Rasheed, Angeline Jeyakumar (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

The first case of Raoultella planticola infective endocarditis in a 4 year old child: A case report and review of literature
Publication date: March 2018Source: International Journal of Pediatrics and Adolescent Medicine, Volume 5, Issue 1Author(s): Abdulrahman AlSweed, Abdulrahman Alghamdi, Haysam Tufenkeji, Sami Al-HajjarAbstractInfective endocarditis is a complication of bacteremia that can lead to serious morbidity and even mortality if not appropriately treated, well known organisms commonly lead to this condition in many repeated scenarios so they are usually recognized and treated, but if it was caused by other organisms its detection and treatment can be harder. Raoultella planticola, a low virulent organism used to be part of the Klebsi...
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Use of bone densitometry to assess bone disease in aluminum toxicity complicating parentral nutrition: A case report
In this report, we describe a similar patient who suffered from bone disease and had a favorable response to chelation therapy using deferoxamine. We believe this may be a possible agent improving the life quality for the above mentioned group of patients. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Approach to recurrent Herpes Simplex Encephalitis in children
Publication date: June 2018Source: International Journal of Pediatrics and Adolescent Medicine, Volume 5, Issue 2Author(s): Abdulrahman Alsweed, Mohammed Alsuhibani, Jean-Laurent Casanova, Sami Al-HajjarAbstractHerpes Simplex Encephalitis (HSE) is one of the commonest viral encephalitis and its recurrence is being increasingly reported were HSE relapse rate came up to 5%. Both herpes simplex virus (HSV) types can lead to encephalitis and it was established that HSV-1 is capable of nervous system invasion, latency, and recurrence. The recurrence of HSE used to be attributed to immunological compromise, but reports show many...
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

The impact of maternal socio-demographic characteristics on breastfeeding knowledge and practices: An experience from Casablanca, Morocco
ConclusionsOur findings shed some light on challenges faced by mothers, as well as an association between socio-demographic characteristics and practices for facilitating exclusive breastfeeding to guide the mothers in breastfeeding management. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Demographic and lifestyle determinants of time spent in physical activity among Malaysian adolescents
ConclusionIn conclusion, demographic and lifestyle factors play an important role in determining levels of physical activity among adolescents. In order to reduce the prevalence of physically inactive adolescents, policy makers should focus primarily on late adolescents, females, adolescents who engage in unhealthy lifestyle and seldom attend physical education classes, as well as obese adolescents. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Evaluation of growth chart use among clinicians in Saudi Arabia: Is there a need for change?
ConclusionGrowth chart utilization among clinicians in Saudi Arabia needs further evaluation. Clinicians residing in the Northern and Eastern regions, who worked in private hospitals only, and who typically used the Saudi growth charts showed poorer practices with regards to growth chart utilization. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

The effects of low protein products availability on growth parameters and metabolic control in selected amino acid metabolism disorders patients
ConclusionLow protein products availability was successful in improving outcomes for selected amino acid metabolic disorders. However, due to compliance issues and impracticality of the diet, the results were not significant in all enrolled patients. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Departmental collaborative approach for improving in-patient clinical documentation (five years experience)
ConclusionDespite multiple challenges for improving the compliance for clinical documentations, major improvement can be achieved when the collaboration and efforts among all stakeholders being shared and set as a common goal. (Source: International Journal of Pediatrics and Adolescent Medicine)
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research

Anti-NMDA receptor encephalitis in a toddler: A diagnostic challenge
We report a 21-month-old Jordanian female toddler with NMDAR encephalitis, who initially presented with behavioral changes and some autistic features. She presented a diagnostic challenge due to a concurrent urinary tract infection and gastroenteritis. Multiple investigations were conducted and she was treated with methylprednisolone and intravenous immunoglobulin (IVIg) empirically as well as plasma exchange and rituximab once the diagnosis was confirmed. Her condition improved gradually. We discuss her clinical picture and the diagnostic challenges within this age group; we also review the current related literature. (So...
Source: International Journal of Pediatrics and Adolescent Medicine - July 10, 2018 Category: Pediatrics Source Type: research