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Pediatrics and Neonatology |
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Pediatrics and Neonatology

Editorial

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Longdom Group LLC Global Summit on Pediatrics and Neonatology

Elena Smith

Conferences Series LLC has successfully concluded its Global Summit on Pediatrics and Neonatology from November 23-24, 2020 at Madrid, Spain. More than 40 distinguished scientists, researcher, academician participated for sharing research advance, knowledge and expertise related to the Healthcare worldwide. The 2 days conference, held on July 22 through July 23 provides the leading academic scientists, researchers and scholars to share their experiences and research results about all aspects of Pediatrics & Neonatology. Upcoming Conferences on Global Summit on Pediatrics and Neonatology during November 23-24, 2021 at Madrid, Spain. Longdom Group LLC take great pleasure in inviting the scientific community across the globe to the Global Summit on Pediatrics and Neonatology during November 23-24, 2021 at Osaka, Japan. Osaka is a designated city in the Kansai region of Honshu in Japan. Japan is considered as one of the best venue for conducting conferences due its favourite tourist destinations. This meeting will explore advances in the Pediatrics & Neonatology. The upcoming Pediatrics & Neonatology, 2021 focus on Pediatrics and Neonatology, issues, prevention and study of Infectious diseases and Pediatrics issue . This conference will also present the advanced research, advanced techniques for treatment for better Health and diseases related to the Epidemiology and Infectious diseases The participants can exchange and share their research results covering the scientific aspect of Epidemiology ,Digital & Dental Healthcare, Nutritional Health & Epidemiology, Diabetes & Public Health, Oncology & Public Health, Infectious Disease Epidemiology, Healthcare Nursing, Public Health & Nutrition, Sexually Transmitted Diseases, Environmental Health Sciences, Obesity & Health Disorders, Maternal, Infant, and Child Health, Mental Health and Mental Disorders, Healthcare-Associated Infections, Occupational Safety and Health, Educational and Community Based Programs, Modern Public Health Practice, Social and Behavioural Sciences, Social Determinants of Health, Disaster Management & Emergency Preparedness, General Public Health in the Pediatrics and Anesthesia , 2021. Conference will encourage Young Researcher’s Forum, scientists and the researchers in their early stage of career graph to widely discuss their outcome so as to enrich and develop the idea. The ‘Best Poster Award’ is meant to encourage students in taking active part in the International Science platform to sharpen their skills and knowledgebase. The Sponsor in the Pediatrics and Neonatology, 2021 can reach and get exposure to new clients, customer, business, brand awareness and media exposure. The sponsorship has different levels Premium Sponsorship Packages: Elite Sponsor, Silver Sponsor, Gold Sponsor, Exhibition, Additional Sponsorship Packages and Advertisements.

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DOLF Method - The use of multisensory teaching strategies in reading and writing learning (on Portuguese people)

Ana Severino

Multisensory teaching: Multisensory teaching means that when information is presented, the learner is simultaneously using multiple senses. Visual (what we see), auditory (what we hear) and kinesthetic/tactile (what we feel) are the 3 primary senses that students use, and these correspond to the visual, auditory and motor (or muscle) memory. The more pathways and connections a student use for learning a new item of knowledge, the more pathways they have for retrieval of this information, enhancing memory and the learning of written language. This multisensory teaching strategies also increases listening, speaking, reading and writing skills development. It’s through multisensory methods, involving touch and movement, that the child is able to bridge the gap between oral and written language, facilitating the learning process. Teachers or therapists who use this approach teach children to link the sounds of the letters with the written symbol. In this way, multisensory learning is used as a form of prevention and/or intervention in children with learning difficulties and/or dyslexia, phonological and/or phonetic disorders. Método DOLF - Desenvolvimento Oral Linguístico e Fonológico: The DOLF Method stands for Oral, Linguistic and Phonological Development. It was created by two speech language pathologists with the purpose of establishing an effective technique to support their daily practice with children with learning difficulties. It´s an auxiliary tool in the learning of speech, language, reading and writing and uses multisensory teaching strategies, allowing the child to see, hear, speak, make the gesture and write. The DOLF method associates a gesture to each phoneme in the Portuguese language (sound), subsequently making the connection to its respective grapheme (letter. It draws attention to the movements of the mouth, the way they are articulated or how sounds are produced. The use of the gesture supports the auditory and visual memory triggering a supplementary memory: the motor memory (articulatory-motor). It’s a flexible method that can be applied according to the objective and through each student. The DOLF method can be applied by speech-language pathologists, teachers, psychologists or any technician who works with children with learning difficulties in reading and writing.

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Analgesia and peri-operative practice in fractured neck of femurs at York Teaching Hospitals NHS Foundation Trust

Dr Sarah Easby

Fractured neck of femurs are a significant public health issue. NICE recommends that healthcare professionals should deliver care that minimises the patient’s risk of delirium and maximises their independence and pain control is a vital component of this [1]. Prompt assessment and response to pain as per NICE guidelines aids speedy recovery and helps to prevent complications such as delirium in and already high risk, elderly population. Previous audits have found poor documentation of the assessment of pain and the rate of nerve blocks in A+E and theatres. This completed cycle audit will assess the interventions made in response to these audits including adding pain scores to e-observations and training staff to perform nerve blocks. The aim of this audit was to assess current anaesthetic and analgesic practice. Method: This was a retrospective review of 32 case notes and electronic prescribing over November – December 2019. Data collected included documentation of pain assessment, which analgesia was prescribed as per NICE guideline CG124 [1] and rate of nerve block in A+E and theatres. Results: The audit found that 100% of patients received analgesia as per NICE guidelines. In all settings, documenting the assessment of pain scores has improved from 44% to 63% in A+E, 64% to 81% on the ward pre-operatively and 0 to 100% post op. However, a small number of patients had blanket pain scores of zero which questions the validity of some assessments. On admission, 41% of patients received a nerve block and 94% intra-operatively, up from 22% and 55% respectively, the majority of patients received a fascia iliaca block (FIB). Conclusions: The large increase in post op pain assessment is likely credited to mandatory input as part of e-observations and overall practice has improved significantly. A refresher training session will be provided for ward nursing staff to re-iterate the importance of accurately assessing of and responding to pain. The Hip Fracture Specialist Nurse is now competent to perform FIBs which may further increase the number performed on admission.

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Regenerative Medicine in Paediatric Age

Eduardo Serna Cuéllar

Actual indications of PRP, lipofilling and SVF therapies to reconstruct defects in children. Biocompatibility and disponibility have guaranteed the frequent use of adipose tissue as graft to reconstruct soft tissue defects of the face, above all, in paediatric patients, in wich survival was apreciated superior and in wich implantation of other materials may origin complications and secuelae at very early ages. A survival analysis has been realized with the stereologic method in order to quantify the grafts take tax and to study differences between adult and childhood groups. This volumetric analysis evidenced a high survival of fat grafts in infants (93%), significantly superior than in adults (63%) in fifteen months follow-up, allowing us to conclude that these regenerative techniques offer a real guaranty of success, although partial and non-ever lasting, with good clinical results in selectioned paediatric patients.

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Uniform practice for the prevention of healthcare associated infections and occupational therapy in pediatry & neonatology

Guylaine HENRY LAMY

Hygiene rules and practices for preventing healthcare-associated infections evolve with the readjustments in line with advances in science and technology The awareness that basic health principles are, in some cases, difficult or even impossible to put into practice for various reasons is shown by the current global health crisis caused by Coronavirus strains Management of political authorities, lack of information, difficulties of access to training, fake news, popular beliefs, individual defensive reactions, individual characteristics of the population and professionals, including patients and their families in pediatrics and neonatology, equipment and procedures that are still not appropriate to prevent the cross transmission of healthcare-associated infections. For example, equipment used for occupational therapy care is very often shared without the possibility of disinfection between patients. The architectural environment of structures, workshops and liberal occupational therapy practices (differentiation of public reception, care, cleaning, disinfection and waste disposal areas, and finally clean storage) do not always allow basic hygiene tasks to be carried out (and when they are carried out, in the right order) There is a real obstacle to the change in practices that is necessary to provide the care that the public expects from professionals.

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Botulinum Toxin Usefulness in the Treatment of Drooling in Childhood

Paola Diaz Borrego

Introduction: Drooling is a common and severe problem in different kind of disorders. It affects both adults and children and it is the cause for respiratory infections or dermal complications as minor social participation. Ultrasound botulinum toxin injections could be a successful option to reduce excessive sialorrhea in children independently whose origin it has. Methods: Retrospective-descriptive survey. Period study: 2010- 2019. Inclusion criteria: patients under 18 on severe drooling. Measure units: demographic data, glands injected, botulinum toxin dosage, side effects, intensity and frequency drooling scale (IFDS), and daily changes of bibs/tissues before and 1 month after ultrasound guided injection, use of sedation during procedure and feeding mode. Intervention was performed with ultrasound guidance of salivary glands (10 MHZ linear transducer: submental acoustic window of submaxilar glands and transverse scans of parotid glands) Results: 67 patients, 58,2% females. Mean age 9,03 (limits: 4-14 years). 46,3% were Cerebral Palsy patients. The most frequently gland infiltrated was submaxilar (53,7%). They showed severe drooling (65,7%) or profuse drooling (26,9%) and 88,1% constantly drooled pre treatment. Botulinum toxin total dosage average used, was 53,78 IU (Parotids/ submaxilar mean dosage: 23,06 IU/ 19,49 IU respectively). 30 day post treatment assessment: 6% no drooling and 68,6% mild or moderate drooling, 34,1 % occasionally drooled. Statistical significative difference (p <0,05%) pre-post infiltration. Daily bibs changes post-injection reduction: 48%. Non-response to toxin injection in ten of the treatment sessions: 14,9% cases. Side-effects: 2,98% (hematoma/ mild dysphagia). No differences observed by glands number injected, sedation procedure or underlying disease. Conclusions: Ultrasound botulinum toxin injections in children with severe drooling, demonstrated clinical improvement in reduction on saliva. The usefulness didn´t depend on the disease that originated the sialorrhea. Some children failed to respond to the treatment due probably to insufficient dosage, inadequate diagnosis or uncontrolled secondary drooling factors. Good results were possible with injections of two glands (instead of four), reducing side effects possibility.

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