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MEDICAL SCIENCES (2410 journals)            First | 2 3 4 5 6 7 8 9 | Last

Showing 1001 - 1200 of 3562 Journals sorted alphabetically
ISBT Science Series     Hybrid Journal  
iScience     Open Access  
Isis     Full-text available via subscription   (Followers: 34)
Islets     Full-text available via subscription   (Followers: 1)
Israel Journal of Health Policy Research     Open Access  
Israel Medical Association Journal IMAJ     Open Access  
İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi     Open Access  
Italian Journal of Medicine     Open Access   (Followers: 2)
Itch : International Forum for the Study of Itch     Open Access  
JAAPA     Hybrid Journal   (Followers: 3)
JAC-Antimicrobial Resistance     Open Access   (Followers: 1)
Jaffna Medical Journal     Open Access  
JAMA Network Open     Open Access   (Followers: 3)
JAMA The Journal of the American Medical Association     Full-text available via subscription   (Followers: 2310)
Jambi Medical Journal : Jurnal Kedokteran Dan Kesehatan     Open Access   (Followers: 1)
JAMIA Open     Open Access   (Followers: 2)
Janaki Medical College Journal of Medical Science     Open Access   (Followers: 2)
Japanese Clinical Medicine     Open Access   (Followers: 1)
JBI Database of Systematic Reviews and Implementation Reports     Hybrid Journal   (Followers: 2)
JBJS Case Connector     Full-text available via subscription   (Followers: 1)
JBJS Open Access     Open Access   (Followers: 4)
JBMR Plus     Open Access   (Followers: 1)
JBN (Jurnal Bedah Nasional)     Open Access  
JCC Open : Journal de Cas Cliniques     Open Access  
JCI Insight     Open Access   (Followers: 3)
JCSM Clinical Reports     Open Access  
JCSM Rapid Communications     Open Access   (Followers: 3)
JDDG     Hybrid Journal   (Followers: 6)
JDREAM : Journal of interDisciplinary REsearch Applied to Medicine     Open Access  
Jeugd en Co     Hybrid Journal   (Followers: 1)
Jeugd en Co Kennis     Hybrid Journal   (Followers: 1)
JGZ Tijdschrift voor jeugdgezondheidszorg     Hybrid Journal   (Followers: 2)
JHEP Reports     Open Access  
JHN Journal     Open Access  
JMIR Biomedical Engineering     Open Access   (Followers: 1)
JMIR Formative Research     Open Access  
JMIR Human Factors     Open Access   (Followers: 1)
JMIR Medical Education     Open Access   (Followers: 1)
JMIR Medical Informatics     Open Access   (Followers: 9)
JMIR mHealth and uHealth     Open Access   (Followers: 1)
JMIR Perioperative Medicine     Open Access   (Followers: 1)
JMIR Public Health and Surveillance     Open Access  
JMIR Rehabilitation and Assistive Technologies     Open Access  
JMIR Research Protocols     Open Access  
JMIR Serious Games     Open Access   (Followers: 8)
JMV - Journal de Médecine Vasculaire     Hybrid Journal   (Followers: 1)
JNCI Monographs     Hybrid Journal   (Followers: 6)
Joint Bone Spine     Full-text available via subscription   (Followers: 13)
Joints     Open Access   (Followers: 1)
JOP. Journal of the Pancreas     Open Access   (Followers: 2)
Jornal Brasileiro de Patologia e Medicina Laboratorial     Open Access  
Jornal Brasileiro de Pneumologia     Open Access  
Jornal Brasileiro de TeleSSaúde     Open Access  
Jornal de Pneumologia     Open Access  
Jos Journal of Medicine     Open Access  
Journal Club AINS     Hybrid Journal  
Journal Club Schmerzmedizin     Hybrid Journal  
Journal de Mycologie Médicale / Journal of Medical Mycology     Full-text available via subscription   (Followers: 2)
Journal des Maladies Vasculaires     Full-text available via subscription  
Journal for Vascular Ultrasound     Full-text available via subscription   (Followers: 1)
Journal Français d'Ophtalmologie     Full-text available via subscription   (Followers: 3)
Journal Health NPEPS     Open Access   (Followers: 1)
Journal Marocain des Sciences Médicales     Open Access  
Journal of Antivirals & Antiretrovirals     Open Access  
Journal of Bioanalysis & Biomedicine     Open Access   (Followers: 1)
Journal of Cytology & Histology     Open Access   (Followers: 7)
Journal of 3D Printing in Medicine     Hybrid Journal   (Followers: 1)
Journal of Academy of Medical Sciences     Open Access  
Journal of Acute Disease     Open Access  
Journal of Acute Medicine     Open Access  
Journal of Addiction Medicine     Hybrid Journal   (Followers: 8)
Journal of Addiction Medicine and Therapeutic Science     Open Access   (Followers: 2)
Journal of Addiction Science     Open Access   (Followers: 2)
Journal of Addictive Behaviors, Therapy & Rehabilitation     Hybrid Journal   (Followers: 8)
Journal of Advanced Academic Research     Open Access   (Followers: 3)
Journal of Advanced Therapies and Medical Innovation Sciences     Open Access  
Journal of Advancement in Medicine     Hybrid Journal  
Journal of Advances in Internal Medicine     Open Access   (Followers: 2)
Journal of Advances in Medical Education & Professionalism     Open Access   (Followers: 10)
Journal of Advances in Medicine and Medical Research     Open Access   (Followers: 1)
Journal of Aging Research     Open Access   (Followers: 9)
Journal of Agromedicine     Hybrid Journal   (Followers: 1)
Journal of Alzheimers Disease & Parkinsonism     Open Access   (Followers: 7)
Journal of Anatolian Medical Research     Open Access  
Journal of Anatomy     Hybrid Journal   (Followers: 7)
Journal of Andrology & Gynaecology     Open Access  
Journal of Angiogenesis Research     Open Access   (Followers: 2)
Journal of Antibiotics     Hybrid Journal   (Followers: 5)
Journal of Appalachian Health     Open Access  
Journal of Applied Animal Welfare Science     Hybrid Journal   (Followers: 23)
Journal of Applied Biomedicine     Open Access   (Followers: 2)
Journal of Applied Clinical Medical Physics     Open Access   (Followers: 9)
Journal of Applied Medical Sciences     Open Access   (Followers: 2)
Journal of Applied Virology     Open Access   (Followers: 5)
Journal of Archives in Military Medicine     Open Access   (Followers: 3)
Journal of Armed Forces Medical College, Bangladesh     Open Access  
Journal of Artificial Organs     Hybrid Journal  
Journal of Associated Medical Sciences     Open Access  
Journal of Attention Disorders     Hybrid Journal   (Followers: 2)
Journal of Ayurveda and Integrative Medicine     Open Access   (Followers: 3)
Journal of Bio-X Research     Open Access   (Followers: 1)
Journal of Biological Rhythms     Hybrid Journal   (Followers: 2)
Journal of Biomaterials Applications     Hybrid Journal   (Followers: 3)
Journal of Biomedical Education     Open Access   (Followers: 2)
Journal of Biomedical Engineering and Technology     Open Access   (Followers: 1)
Journal of Biomedical Informatics     Partially Free   (Followers: 16)
Journal of Biomedical Informatics : X     Open Access  
Journal of Biomedical Materials Research Part A     Hybrid Journal   (Followers: 3)
Journal of Biomedical Materials Research Part B : Applied Biomaterials     Hybrid Journal   (Followers: 2)
Journal of Biomedical Physics and Engineering     Open Access  
Journal of Biomedical Practitioners     Open Access  
Journal of Biomedical Research     Full-text available via subscription   (Followers: 3)
Journal of Biomedical Research and Health Economics     Open Access  
Journal of Biomedical Science and Engineering     Open Access   (Followers: 2)
Journal of Biomedical Sciences     Open Access  
Journal of Biomedical Semantics     Open Access   (Followers: 2)
Journal of Biomedicine and Translational Research     Open Access  
Journal of Biorepository Science for Applied Medicine     Open Access   (Followers: 2)
Journal of Biosciences and Medicines     Open Access   (Followers: 3)
Journal of Biotechnology and Strategic Health Research     Open Access   (Followers: 2)
Journal of Blood Transfusion     Open Access   (Followers: 1)
Journal of Bodywork and Movement Therapies     Hybrid Journal   (Followers: 17)
Journal of Bone and Mineral Research     Hybrid Journal   (Followers: 14)
Journal of Bone Marrow Research     Open Access   (Followers: 2)
Journal of BP Koirala Institute of Health Sciences     Open Access  
Journal of Breast Imaging     Full-text available via subscription   (Followers: 2)
Journal of Breath Research     Hybrid Journal   (Followers: 6)
Journal of Burn Care & Research     Hybrid Journal   (Followers: 9)
Journal of Caffeine Research: The International Multidisciplinary Journal of Caffeine Science     Hybrid Journal   (Followers: 3)
Journal of Cancer & Allied Specialties     Open Access   (Followers: 1)
Journal of Carcinogenesis     Open Access   (Followers: 1)
Journal of Cardiology and Cardiovascular Medicine     Open Access   (Followers: 3)
Journal of Cardiovascular Medicine and Cardiology     Open Access   (Followers: 2)
Journal of Cell Death     Open Access   (Followers: 2)
Journal of Cellular and Molecular Medicine     Open Access   (Followers: 4)
Journal of Charoenkrung Pracharak Hospital     Open Access  
Journal of Chitwan Medical College     Open Access  
Journal of Chromatography Library     Full-text available via subscription   (Followers: 5)
Journal of Circadian Rhythms     Open Access   (Followers: 2)
Journal of Circulating Biomarkers     Open Access  
Journal of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 3)
Journal of Clinical & Developmental Psychology     Open Access   (Followers: 1)
Journal of Clinical & Medical Case Reports     Open Access   (Followers: 1)
Journal of Clinical and Experimental Investigations     Open Access  
Journal of Clinical and Translational Science     Open Access  
Journal of Clinical Apheresis     Hybrid Journal   (Followers: 2)
Journal of Clinical Bioinformatics     Open Access   (Followers: 5)
Journal of Clinical Case Reports     Open Access  
Journal of Clinical Densitometry     Hybrid Journal  
Journal of Clinical Intensive Care and Medicine     Open Access  
Journal of Clinical Investigation     Full-text available via subscription   (Followers: 70)
Journal of Clinical Medicine     Open Access   (Followers: 3)
Journal of Clinical Medicine and Research     Open Access  
Journal of Clinical Medicine Research     Open Access   (Followers: 4)
Journal of Clinical Monitoring and Computing     Hybrid Journal   (Followers: 1)
Journal of Clinical Movement Disorders     Open Access   (Followers: 3)
Journal of Clinical Neonatology     Open Access   (Followers: 4)
Journal of Clinical Psychology in Medical Settings     Hybrid Journal   (Followers: 13)
Journal of Clinical Research & Bioethics     Open Access   (Followers: 2)
Journal of Clinical Research & Governance     Open Access   (Followers: 2)
Journal of Clinical Sciences     Open Access  
Journal of Clinical Sleep Medicine     Full-text available via subscription   (Followers: 18)
Journal of Clinical Toxicology     Open Access   (Followers: 6)
Journal of Clinical, Medical and Experimental Images     Open Access  
Journal of College of Medical Sciences-Nepal     Open Access  
Journal of Community Medicine and Primary Health Care     Open Access   (Followers: 5)
Journal of Comparative Effectiveness Research     Hybrid Journal   (Followers: 1)
Journal of Compassionate Health Care     Open Access   (Followers: 3)
Journal of Complexity in Health Sciences     Open Access   (Followers: 3)
Journal of Concussion     Open Access  
Journal of Consciousness Studies     Full-text available via subscription   (Followers: 5)
Journal of Contemporary Medical Sciences     Open Access  
Journal of Contemporary Medicine     Open Access  
Journal of Cosmetic and Laser Therapy: formerly Journal of Cutaneous Laser Therapy     Hybrid Journal   (Followers: 6)
Journal of Craniovertebral Junction and Spine     Open Access   (Followers: 4)
Journal of Current Medical Research and Practice     Open Access  
Journal of Current Research in Scientific Medicine     Open Access  
Journal of Current Researches on Health Sector     Open Access  
Journal of Cutaneous Immunology and Allergy     Open Access  
Journal of Cystic Fibrosis     Hybrid Journal   (Followers: 9)
Journal of Cytology     Open Access   (Followers: 2)
Journal of Cytology & Molecular Biology     Open Access   (Followers: 2)
Journal of Datta Meghe Institute of Medical Sciences University     Open Access  
Journal of Dhaka Medical College     Open Access  
Journal of Dhaka National Medical College & Hospital     Open Access  
Journal of Disease and Health Risk DPC.3     Open Access  
Journal of Disease Cause and Control     Open Access  
Journal of Disease Prevention and Control : DPC. 2 Phitsanulok     Open Access  
Journal of Dr. NTR University of Health Sciences     Open Access  
Journal of Eating Disorders     Open Access   (Followers: 10)
Journal of ECT     Hybrid Journal   (Followers: 13)
Journal of Education, Health and Sport     Open Access   (Followers: 4)
Journal of Electronic Resources in Medical Libraries     Hybrid Journal   (Followers: 27)
Journal of Enam Medical College     Open Access  
Journal of Endoluminal Endourology     Open Access  
Journal of Epileptology     Open Access   (Followers: 1)
Journal of Ethnobiology and Ethnomedicine     Open Access  
Journal of European CME     Open Access  
Journal of Evaluation In Clinical Practice     Hybrid Journal   (Followers: 6)
Journal of Evidence-Based Healthcare     Open Access   (Followers: 1)

  First | 2 3 4 5 6 7 8 9 | Last

Similar Journals
Journal Cover
Journal of Clinical Neonatology
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2249-4847
Published by Medknow Publishers Homepage  [427 journals]
  • Physics behind ultrasound – What should i know as a
           neonatologist?

    • Authors: Iyer Harohalli Venkatesh
      Pages: 157 - 161
      Abstract: Iyer Harohalli Venkatesh
      Journal of Clinical Neonatology 2020 9(3):157-161
      The bedside ultrasound is used in the care of sick neonates very often by the treating neonatologist as an extended physical examination. The basic physics involved in the ultrasound technology is very essential to understand the functioning of all the knobs used to derive both the structure and the physiology of the images. This review article covers the essentials of physics including sound, transducers, echogenicity, Doppler, and their interplay to acquire quality images.
      Citation: Journal of Clinical Neonatology 2020 9(3):157-161
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_20_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • A literature review of selection of appropriate antiseptics when inserting
           intravenous catheters in premature infants: The challenge in neonatal
           intensive care unit

    • Authors: Imane Bagheri, Bahare Fallah, Atena Dadgari, Azam Shirinabadi Farahani, Naiire Salmani
      Pages: 162 - 167
      Abstract: Imane Bagheri, Bahare Fallah, Atena Dadgari, Azam Shirinabadi Farahani, Naiire Salmani
      Journal of Clinical Neonatology 2020 9(3):162-167
      Background: Reducing or preventing bloodstream infection caused by invasive intravenous catheterization, emphasizes the use of an effective topical antiseptics agent; however, because of the flaw in the evidence available regarding the choice of safe antiseptic to use on infants' skin under 2 months this issue remains controversial. The aim of this study was to investigate the types of antiseptics commonly used in neonatal intensive care units, consumption criteria and side effects of consumption and the effects of using antiseptics in premature infants. Methods: In this review, the total number of articles in PubMed, Scopus and ScienceDirect databases since 2010 were searched; titles and abstracts to identify relevant articles have been identified and 14 of the 48 searched articles were finally reviewed. Results: The review articles showed that different antiseptic-including chlorhexidine (CHG) 2% with alcohol base, pure CHG (in different density - 0.05%–2%), povidone-iodine 10%, isopropyl alcohol, 70% alcohol are used when inserting intravenous catheters in premature infants. Cutaneous side effect, systemic absorption and transient hyperthyroidism were reported as common side effects. Weight or age was criteria reported for antiseptic use. Various studies have been conducted to compare the effects of antiseptic with each other and different results have been reported. Conclusion: There is a paucity of evidence-based consensus guidelines for the use of appropriate antiseptic for preparing the skin before placing the intravenous catheter in preterm babies. Further research and publications are required, which will help reduce the risk of line related hospital-acquired infections.
      Citation: Journal of Clinical Neonatology 2020 9(3):162-167
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_135_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Heated humidified high-flow nasal cannula versus nasal continuous positive
           airways pressure for respiratory support in preterm neonates – A
           noninferiority trial at a tertiary care center

    • Authors: Siddu Charki, Priyanka Keval Patil, Laxmi Hadalgi, Trimal Kulkarni, Ramaning Loni, MM Karva, Laxman H Bidari
      Pages: 168 - 174
      Abstract: Siddu Charki, Priyanka Keval Patil, Laxmi Hadalgi, Trimal Kulkarni, Ramaning Loni, MM Karva, Laxman H Bidari
      Journal of Clinical Neonatology 2020 9(3):168-174
      Background: In the neonatal period, respiratory failure remains a difficult challenge and is associated with high morbidity and mortality. Humidified high-flow nasal cannula (HHFNC) is being used as an alternative form of respiratory support for preterm infants with respiratory distress syndrome, apnea, and chronic lung disease. Objective: The objective was to assess the indications, frequency of usage, efficacy, and safety of heated HHFNC (HHHFNC) as compared to nasal continuous positive airway pressure (NCPAP) in providing respiratory support in preterm neonates after a period of positive pressure ventilation. (postextubation). Materials and Methods: This study was conducted in a Level II b neonatal intensive tertiary care unit in North Karnataka, India. In this study, all preterm neonates less than 37 weeks of gestation were placed on one of the respiratory supports (HHHFNC or NCPAP), immediately following extubation from mechanical ventilation. The primary outcome measures assessed were death, days on mechanical ventilation, need for reintubation (failure), air leak, nasal injury, and bronchopulmonary dysplasia (BPD). Results: There were no significant differences in major clinical outcomes including death, BPD, ventilator-days, necrotizing enterocolitis, severe intraventricular hemorrhage, retinopathy of prematurity, or time to full feeds. Failure of assigned mode of respiratory support was seen in 12% of infants on HHHFNC compared to 16% on NCPAP (P = 0.48). No significant difference in other outcome measures was seen between the groups. No nasal injury was observed in the HHHFNC group against 10% in the NCPAP group (P = 0.55). Conclusion: There was no statistically significant difference within the primary and secondary outcomes. At 5% level of significance, HHHFNC was found to be noninferior compared to NCPAP with 3.5% difference in the rates of failure of assigned mode of respiratory support. Hence, HHHFNC can be considered to be a safe, efficacious, and more easily acceptable mode of respiratory support as compared to NCPAP in preterm neonates after a period of positive pressure ventilation.
      Citation: Journal of Clinical Neonatology 2020 9(3):168-174
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_76_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Experience of therapeutic hypothermia in neonates with perinatal asphyxia
           in a tertiary care center in North Karnataka, India

    • Authors: Siddu Charki, SS Kalyanshettar, Silky Singh, Vijaykumar Biradar, Trimal Kulkarni, SV Patil
      Pages: 175 - 181
      Abstract: Siddu Charki, SS Kalyanshettar, Silky Singh, Vijaykumar Biradar, Trimal Kulkarni, SV Patil
      Journal of Clinical Neonatology 2020 9(3):175-181
      Introduction: Perinatal asphyxia contributes to 20%–30% of the neonatal deaths in India. In developed countries, therapeutic hypothermia (TH) is the established standard of care in asphyxiated neonates. In this study, we present our center experience in using TH for asphyxiated neonates using servo-controlled cooling machine.Subjects and Methods: This study was conducted in Level IIB Neonatal Intensive Care Unit (NICU) of Shri B M Patil Medical College Hospital Vijayapur, Karnataka, over a period of 1 year including neonates admitted in NICU with perinatal asphyxia. Babies with perinatal asphyxia (TOBY criteria) were enrolled in the protocol group and control group. In the protocol group, babies were cooled to 33.5°C using servo-controlled cooling machine within 6 h of birth for 72 h, followed by rewarming at 0.5°C/h to 36.5°C. In the control group, babies received standard supportive care as per unit protocol. Babies were enrolled in this study after taking verbal and written consent from parents.Results: Among 210 neonates included in the study, 92 in the protocol group received TH, whereas 118 neonates were in the control group. 10 neonates died/discharge against medical advice in the Protocol group whereas 22 neonates died/discharge against medical advice in the Control group. 35% and 19% had normal neurological examination at discharge in the protocol and control group, respectively. No statistically significant differences were observed among complications associated with TH between protocol and control group except for bradycardia and thrombocytopenia.Conclusion: TH resulted in better survival and neurodevelopmental outcomes at 18 months of age in our study. Developing training programs and improving infrastructure including neonatal transport are necessary for successful implementation of TH.
      Citation: Journal of Clinical Neonatology 2020 9(3):175-181
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_85_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Implementation of newborn early warning system in government hospital,
           United Arab Emirates

    • Authors: Souher El Amouri, Maqbool Qadir, Esther Jose, Tisha Anna Simon, Junaid M Khan
      Pages: 182 - 188
      Abstract: Souher El Amouri, Maqbool Qadir, Esther Jose, Tisha Anna Simon, Junaid M Khan
      Journal of Clinical Neonatology 2020 9(3):182-188
      Significant morbidity and mortality might occur in neonates due to the absence of early warning system. The seriousness of this issue is due to the rapidity of neonates to become unwell if it is not recognized early. Although usefulness of early warning signs in adult and pediatric is well documented, there is paucity of information related to neonate, and in particular, in the Gulf region. Aims: The aim of this study is to discuss the implementation of newborn early warning system (NEWS) in government hospital, United Arab Emirates (UAE). Settings and Design: A quality improvement project was implemented. We used chart reviews and focus group feedbacks that were conducted in the neonatal intensive care unit (NICU) of one Government hospital in the UAE. Subjects and Methods: A 3-month retrospective and prospective chart reviews were conducted of babies admitted to the NICU by using an adapted tool (NEWS chart NHS Plymouth Hospitals). Statistical analysis was used mainly frequency and percentages and themes for qualitative data. Results: Out of 171 babies from a retrospective study, 104 (60.8%) had risk factors and 67 (39.2%) had no risk factors. A total of 50 babies from risk factors and 14 from no risk factors were admitted to the NICU. Out of 191 babies from a prospective study, 138 (72%) had risk factors and 53 (28%) had no risk factors. Overall, 73 babies from risk factors and 18 from no risk factors were admitted to the NICU. Conclusions: This new tool helped to identify babies at risk and with abnormal physiological parameters at an early stage. It also facilitates to intervene appropriately before complications occur.
      Citation: Journal of Clinical Neonatology 2020 9(3):182-188
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_132_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • The outcome of fetuses diagnosed with congenital cystic adenomatous
           malformation of the lungs: Experience of a regional neonatal center
           (2004–2016)

    • Authors: Akuma Oti Akuma, Ayevbekpen Grace Okoye
      Pages: 189 - 195
      Abstract: Akuma Oti Akuma, Ayevbekpen Grace Okoye
      Journal of Clinical Neonatology 2020 9(3):189-195
      Objective: Although much is known about the antenatal course of congenital cystic adenomatous malformation (CCAM), the postnatal course is less well documented. The vast majority of infants remain asymptomatic at birth, with the controversy surrounding the postnatal management of such infants. We reviewed the outcome of fetuses diagnosed with CCAM in our center and evaluated their symptom burden during the 1st year of life. Methods: A retrospective review of maternal and infant medical records of all cases with antenatal diagnosis of CCAM managed in a regional perinatal center over 12 years, and infant outcome at 1 year of age is presented. Results: Forty-two eligible singleton pregnancies/infants were identified. Thirteen babies (30.9%) were symptomatic and 29/42 (69.1%) asymptomatic at birth. 7/13 (53.9%) symptomatic infants had associated antenatal complications. The fetal lesions were more likely to remain static or reduce in size during pregnancy in asymptomatic (26/29; 89.6%) than symptomatic babies (8/13; 61.6%). All babies had chest radiographs after birth, but computed tomography (CT) scan was done in only a few symptomatic babies; 7/42 (16.7%) during the neonatal period and a further 3/42 (7.1%) during infancy. The majority (8/13; 61%) of the symptomatic babies had surgical intervention compared to only 1/29 (3.4%) asymptomatic babies who had surgery. However, most babies remained symptom-free during infancy. Death within the cohort was limited to babies who were symptomatic (4/13; 31%). Conclusion: Most pregnancies diagnosed with CCAM remain uncomplicated. The behavior of the prenatal lesion could help predict the postnatal outcome. Our experience highlights that CCAM persistence cannot be excluded from chest radiographs; hence, the need for chest CT scans. Symptom surveillance should help guide the need for surgery in asymptomatic infants. However, only skilled clinicians who can offer long-term follow-up, until the transition into adulthood should oversee surveillance to ensure safety.
      Citation: Journal of Clinical Neonatology 2020 9(3):189-195
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_1_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Melatonin supplementation as an adjuvant therapy in neonatal respiratory
           distress syndrome

    • Authors: Mohamed Shawky Elfarargy, Radwa Elsharaby, Reham Lotfy Younis, Sally Abu-Risha
      Pages: 196 - 201
      Abstract: Mohamed Shawky Elfarargy, Radwa Elsharaby, Reham Lotfy Younis, Sally Abu-Risha
      Journal of Clinical Neonatology 2020 9(3):196-201
      Background: Neonatal respiratory distress syndrome (RDS) is a common serious chest disease that is caused by a deficiency of alveolar surfactant. Aim: Detection of the effect of melatonin supplementation in cases of neonatal RDS. Patients and Methods: A prospective randomized clinical trial study which was done at Tanta University Hospital from July 2016 to March 2018 on 100 neonates suffering from respiratory distress which was diagnosed as RDS. The studied neonates were divided into two groups: group 1, which had supplied with melatonin, and group 2, which had not supplied with melatonin. Grades of RDS, down score, malondialdehyde (MDA), superoxide dismutase (SOD), and interleukin-8 (IL-8) were measured on the 1st day and the 5th day of admission in the incubator. The duration of the presence of neonates in the incubator was determined, and the number of cases who needed mechanical ventilation (MV) was calculated. Results: There were significant differences in grades of RDS, Down score, MDA, SOD, IL-8 on the 5th day of admission between Group 1 and 2 (P = 0.001), and between 1st and 5th day of admission in Group 1 (P = 0.001). There was a significant difference between Groups 1 and 2 in the duration of the presence of neonates in the incubator (P = 0.001) and the number of cases who needed MV (P = 0.046). Conclusion: Melatonin supplementation could be used as adjuvant therapy for the treatment of RDS in neonates, but further studies involving a larger number of neonates must be performed on this topic. Recommendation: Melatonin supplementation for RDS neonates.
      Citation: Journal of Clinical Neonatology 2020 9(3):196-201
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_17_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Early-onset Trueperella bernardiae bacteremia in a preterm neonate

    • Authors: Sharandeep Kaur, Smita Roychoudhury, Byron Berenger, Amuchou Singh Soraisham
      Pages: 202 - 204
      Abstract: Sharandeep Kaur, Smita Roychoudhury, Byron Berenger, Amuchou Singh Soraisham
      Journal of Clinical Neonatology 2020 9(3):202-204
      Trueperella bernardiae is a Gram-positive coccobacilli and is a commensal on human skin. It is an opportunistic pathogen and has been known to cause infections in human beings ranging from mild septicemia to brain abscess in adult population. This pathogenic organism is unheard of in neonatal population. We report a case of early-onset T. bernardiae bacteremia in a preterm neonate who was treated successfully with ampicillin and gentamicin. This is the first case report of T. bernardiae infection in neonates. This case illustrates a rare cause of early-onset sepsis in neonates.
      Citation: Journal of Clinical Neonatology 2020 9(3):202-204
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_38_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Cardiac arrest and ventricular tachycardia in a newborn with
           carnitine–Acylcarnitine translocase deficiency

    • Authors: Saleh Al-Alaiyan, Fahad Al-Hazzani, Raef Qeretli, Weam Elsaidawi, Fawaz Al-Anzi
      Pages: 205 - 207
      Abstract: Saleh Al-Alaiyan, Fahad Al-Hazzani, Raef Qeretli, Weam Elsaidawi, Fawaz Al-Anzi
      Journal of Clinical Neonatology 2020 9(3):205-207
      We report a female infant who was diagnosed to have carnitine–acylcarnitine translocate deficiency (CACTD) and developed ventricular tachycardia followed by cardiac arrest. Following full feeding, the infant developed significant bradycardia, hypothermia, hypotonia, hypoglycemia, metabolic acidosis, and hyperammonemia. The hyperammonemia was successfully treated with continuous renal replacement therapy (CRRT). One day after the CRRT, she developed ventricular tachycardia that was refractory to medical treatment and synchronized cardioversion. She had cardiac arrest that was unresponsive to full cardiopulmonary resuscitation and died. Raising high index of suspicion of CACTD in the deferential diagnosis of infants present with sudden deterioration, hypoglycemia or hyperammonemia is crucial for early recognition and providing appropriate treatment in this highly lethal disorder.
      Citation: Journal of Clinical Neonatology 2020 9(3):205-207
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_52_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Multiple organ failure after a topical application of henna on a newborn

    • Authors: Selahattin Katar, Beril Gümüş Demirel
      Pages: 208 - 210
      Abstract: Selahattin Katar, Beril Gümüş Demirel
      Journal of Clinical Neonatology 2020 9(3):208-210
      Henna is a popular cosmetic product that can be used for different purposes in our country (South-East Anatolia). Local and systemic side effects have been reported after the topical use of henna. These side effects include nephrotoxicity, hemolytic anemia, rhabdomyolysis, and multiple organ failure. Here, we present a case of a newborn who was diagnosed with multiple organ failure after receiving a topical henna application.
      Citation: Journal of Clinical Neonatology 2020 9(3):208-210
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_71_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Entrapment of peripherally inserted central catheter due to fibrin sheath
           required surgical removal

    • Authors: Prakash C Vaghela, Chirag Gabani, Hiral Mangukiya, Dinesh Dankhara
      Pages: 211 - 213
      Abstract: Prakash C Vaghela, Chirag Gabani, Hiral Mangukiya, Dinesh Dankhara
      Journal of Clinical Neonatology 2020 9(3):211-213
      Entrapment of the percutaneous inserted central catheter (PICC) is a rare complication in NICU, but when it occurs, it becomes very stressful for neonatologist and the health-care provider team. Peripherally inserted central catheters are simple procedures if done by experienced and skillful hand in the level 3 NICU for long-term TPN. We reported a challenging complication in a premature neonate with entrapment of the PICC line due to fibrin sheath and surgical removal of the same. In our situation, if we had not been successful in the removal of the catheter, the patient would have faced transfer to the higher center supported by cardiovascular surgeons.
      Citation: Journal of Clinical Neonatology 2020 9(3):211-213
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_100_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Otopalatodigital dysplasia type II: Uncommon skeletal disorder seen in
           Calabar, Nigeria

    • Authors: Sunday Oteikwu Ochigbo, Emmanuel Bassey Adams, Ubong Bassey Akpan, Ushie David Edem
      Pages: 214 - 217
      Abstract: Sunday Oteikwu Ochigbo, Emmanuel Bassey Adams, Ubong Bassey Akpan, Ushie David Edem
      Journal of Clinical Neonatology 2020 9(3):214-217
      Otopalatodigital (OPD) dysplasia type 2 is an X-linked rare congenital disorder causing severe skeletal and extraskeletal manifestations. This results from the gain of function mutations in the filamin A (FLNA) gene which is protein actin responsible for modulation and reorganization of the actin cytoskeleton. The baby's mother had polyhydramnios, delivered at 39 weeks, with low Apgar scores and weight 1.5 kg. Examination revealed aplasia of the humerus, ulnar, fibula, hypoplasia of the digits, hanging malformed thumb, thoracolumbar lordosis, short thoracic vertebra, and incomplete ribs with brittle bones. Extraskeletal anomalies were cleft lip and palate, hydrocephalus, and omphalocele. The diagnosis of OPD type 2 with intra-uterine growth retardation and severe birth asphyxia was made, the baby died 7 min after birth. The autopsy confirmed highlighted findings without abnormalities of the lungs, trachea, kidneys, and heart. We report this case to highlight the fact that the presence of polyhydramnios should raise a high index of suspicion for further diagnostic evaluation to exclude the otopalatoskeletal syndrome.
      Citation: Journal of Clinical Neonatology 2020 9(3):214-217
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_110_19
      Issue No: Vol. 9, No. 3 (2020)
       
  • Congenital laryngeal saccular cyst leading to stridor in a newborn: Think
           beyond laryngomalacia

    • Authors: Jyoti Patodia, Sunil Garg, Jaikrishan Mittal
      Pages: 218 - 221
      Abstract: Jyoti Patodia, Sunil Garg, Jaikrishan Mittal
      Journal of Clinical Neonatology 2020 9(3):218-221
      Laryngomalacia is the most common congenital anomaly of the larynx leading to stridor in newborns. However, laryngeal cyst, although rare, should also be considered in the differential diagnosis of stridor. Hence, every newborn with stridor should undergo flexible/rigid endoscopic evaluation of the airway so that these rare entities are not missed, as its early recognition and proper treatment are essential because it can cause life-threatening airway obstruction. We describe a newborn presenting to us with stridor and severe respiratory distress since birth, who was successfully treated with no recurrence, with transoral microscopic complete excision of the laryngeal saccular cyst. We emphasize the importance of a good clinical history along with endoscopic evaluation of the airway in every neonate presenting with stridor with an unexpected evolution to determine the causal lesion.
      Citation: Journal of Clinical Neonatology 2020 9(3):218-221
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_32_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Remarks on postnatal brain color doppler ultrasound

    • Authors: Reza Gerami, Amin Saburi
      Pages: 222 - 223
      Abstract: Reza Gerami, Amin Saburi
      Journal of Clinical Neonatology 2020 9(3):222-223

      Citation: Journal of Clinical Neonatology 2020 9(3):222-223
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_27_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Study of reversal of diastolic blood flow in the middle cerebral artery
           using doppler ultrasound in the prognostication in sick neonates

    • Authors: Iyer Harohallli Venkatesh, HV Shubha, Nagesh Karthik, Swamy RaviShankar
      Pages: 224 - 226
      Abstract: Iyer Harohallli Venkatesh, HV Shubha, Nagesh Karthik, Swamy RaviShankar
      Journal of Clinical Neonatology 2020 9(3):224-226

      Citation: Journal of Clinical Neonatology 2020 9(3):224-226
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_76_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Loss of both eyes from endogenous endophthalmitis in a term neonate with
           pseudomonas sepsis

    • Authors: Mahmood Dhahir Al-Mendalawi
      Pages: 227 - 227
      Abstract: Mahmood Dhahir Al-Mendalawi
      Journal of Clinical Neonatology 2020 9(3):227-227

      Citation: Journal of Clinical Neonatology 2020 9(3):227-227
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_75_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Loss of both eyes from endogenous endophthalmitis in a term neonate with
           pseudomonas sepsis

    • Authors: Abubakar Sani Lugga, Nuraddeen Ibrahim, Amina Oiza Ibrahim, Sule Garba Paret
      Pages: 228 - 228
      Abstract: Abubakar Sani Lugga, Nuraddeen Ibrahim, Amina Oiza Ibrahim, Sule Garba Paret
      Journal of Clinical Neonatology 2020 9(3):228-228

      Citation: Journal of Clinical Neonatology 2020 9(3):228-228
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_91_20
      Issue No: Vol. 9, No. 3 (2020)
       
  • Infant feeding at the time of COVID-19: Is it safe to breastfeed?

    • Authors: Rafat Mohammed Mosalli
      Pages: 229 - 230
      Abstract: Rafat Mohammed Mosalli
      Journal of Clinical Neonatology 2020 9(3):229-230

      Citation: Journal of Clinical Neonatology 2020 9(3):229-230
      PubDate: Fri,7 Aug 2020
      DOI: 10.4103/jcn.JCN_64_20
      Issue No: Vol. 9, No. 3 (2020)
       
 
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