Asian Journal of Clinical Pediatrics and Neonatology 2021-07-24T08:46:37+00:00 Dr. Rohit Varshney Open Journal Systems <p><strong class="pull-left">Asian Journal of Clinical Pediatrics and Neonatology (AJCPN)</strong>&nbsp;&nbsp;is an open-access; freely accessible, online and print Quarterly peer-reviewed international journal publishes a wide spectrum of advanced research in different fields of pediatrics and neonatology, covering etiology, diagnosis, therapy and prognosis aspects. <br><strong>Online ISSN: 2347-3363 | Print ISSN: 2347-3355</strong></p> Hypoglycemic Profile of Breastfeed Low Birth Weight Neonates 2021-06-20T12:21:46+00:00 Sailendra Kumar Yeluri <p><strong>Background: </strong>To assess the hypoglycemic profile of breastfeed low birth weight neonates. <strong>Subjects &amp; Methods: </strong>The study was conducted at Malla Reddy Medical college for women in the Department of Pediatrics from December 2020 to May 2021 in one hundred thirty low birth weight (LBW) neonates and equal age and gender-matched normal birth weight (NBW) (2.5- 3.9 Kg) neonates were assessed for blood glucose level at the age of 1 hour, 6 hours, 12 hours, 24 hours and 48 hours after delivery in early breastfeeding and delayed breastfeeding group. <strong>Results: </strong>There were 70 (53.8%) early breastfeeding and 60 (46.2%) delayed breastfeeding neonates. Blood glucose level recorded at 1 hour,&nbsp;&nbsp;&nbsp; 6 hours, 12 hours, 24 hours and 48 hours in LBW neonates was 41.3, 42.6, 48.4, 59.5 and 68.2 and in NBW neonates was 50.2, 57.4, 67.1, 78.3 and 87.5. A significant difference was found between both groups (P&lt; 0.05). A significant difference was observed at 1 hour, 6 hours, 12 hours, 24 hours and 48 hours between early feeding (LBW), early feeding (NBW), delayed feeding (LBW), delayed feeding (NBW) (P&lt; 0.05). <strong>Conclusion: </strong>Hypoglycemia was seen more in low birth weight as compared to normal birth weight neonates. The early breastfeeding group had less hypoglycemia compared to the delayed feeding group</p> 2021-06-20T00:00:00+00:00 Copyright (c) 2021 Author Meningocele in a Two Year Old Child: A Case Report 2021-06-20T12:34:58+00:00 Muhammad Sule Baba Ma’aji Sadisu Mohammed Sa’idu Sule Ahmed Shamaki Amina Muhammad Bello Usman Aminu Umar <p>Meningocele is the cystic dilation of the meninges containing cerebrospinal fluid through a defect in the vertebral column without neural tissue. Meningocele has a prevalence of about 2.2 per 1000 live birth in North-West Nigeria. This is a two year old male child presenting with a sacral mass since birth, with fecal and urinary incontinence and failure to achieve vital milestones. The patient had a plain spinal radiograph that showed a soft tissue density mass located at the posterior aspect of the sacral spine with associated scoliosis of the lumbosacral spine. He also had a spinal magnetic resonance imaging that confirmed the diagnosis of a meningocele in the posterior aspect of the sacral spine. The patient had a surgical repair of the meningocele and subsequently discharged to continue physiotherapy and regular hospital follow-up visits. We report the radiologic findings of meningocele in this patient due to its mode of presentation.</p> 2021-06-20T00:00:00+00:00 Copyright (c) 2021 Author Profile of Children Suffering from Urinary Tract Infection: A Cross-Sectional Study 2021-06-20T12:43:52+00:00 Pragya Prakash Chandra Khanna Gaurang Dilipkumar Pabani <p><strong>Background : </strong>Present study was performed at a tertiary care centre in Gujarat, to discover the profile of the paediatric urinary tract infection (UTI) and to monitor vesicoureteric reflux (VUR) and renal scarring in these subjects. <strong>Subjects and Methods: </strong>Present Hospital based observational prospective study was performed in 150 clinical cases by using Random sampling method, performed at department of pediatrics, Tertiary care institute of Gujarat. Patients from the age of 1 month to 14 years presenting with urinary symptoms (dysuria, urgency, frequency, incontinence, hematuria and suprapubic pain) and those with fever without focus were enrolled in the study. History was noted and children clinically examined. <strong>Results: </strong>Out of total 150 cases, majority of cases were between 1 to 5 years followed by 6-10 year, more than 10 years and less than 1 year. Female were more affected than male children. Out of total 150 cases, majority of patients i.e., 65% were from middle socioeconomic status According to presenting history, maximum patients presented with abdominal symptoms (70%), urinary symptoms (22%), followed by respiratory symptoms in 19% cases, CNS symptoms (7%) and non-specific symptoms in 48% cases. Fever was the most common presenting complaint. <strong>Conclusion: </strong>UTI differs with age and gender and, so, widespread assessment is necessary in boys under one year of age with UTI. Females were extra usually exaggerated than males. Fever being most ordinary presenting symptom follows by vomiting and pain abdomen.</p> 2021-06-20T00:00:00+00:00 Copyright (c) 2021 Author Surgical Repair of a Giant Encephalocele with Chiari Malformation Type III- A Therapeutic Challenge 2021-07-24T08:46:37+00:00 Srijan Singh <p>An encephalocele is a congenital neural tube defect characterized by herniation of the intracranial contents through a defect in the cranium. It is caused by failure of closure of the cranial part of the developing neural tube during the first few weeks of foetal life. An encephalocele is called a giant encephalocele when its size is larger than the size of the head. Surgical procedures for giant occipital encephalocele are challenging for both the neurosurgeons and anaesthesiologists due to the large size, associated intracranial anomalies, intraoperative blood loss, intraoperative hypothermia, and prolonged anaesthesia. The index case was antenatally diagnosed to have an encephalocele. Postnatal examination revealed a large meningoencephalocele – 10* 10 cm size in the occipital region. MRI brain was suggestive of occipital meningoencephalocele with syrinx involving cervical spinal cord. Baby was operated on day twenty of life. Post operatively, wound site healed with primary intention and was discharged after ten days and child was neurologically normal at the time of discharge.</p> 2021-06-20T00:00:00+00:00 Copyright (c) 2021 Author