RESUMO
Upper respiratory tract infections [URTI] are the most common acute illnesses that are often of viral origin. Cough and chest congestion are the common symptoms of this disease. Children are prescribed with drugs that are considered to relive the symptoms of this disease. The topical medications contain vegetable camphor for more than a century that relieve chest congestion and cough caused by URTI. The use of camphor in such products remains questionable especially in children who are more sensitive to its side effects. Herbion "Chest Rub" for children is a camphor-free formulation that contains eucalyptus oil mixture, menthol, turpentine and clove oils and is used to relieve symptoms of URTI. The objective of the present investigation was to determine the effectiveness of the chest rub in children suffering with congestion and cough caused by URTI. The study compared the results of the chest rub applied to a group of infected children with a placebo group. Patients were selected randomly on the basis of the criteria set for the study. The results indicated that the chest rub was quite effective in majority of the cases in relieving the symptoms of URTI as compared to the placebo group
RESUMO
Objective: The aim of this study was to determine the duration of hospital stay in different types of infantile burn
Methods: This retrospective study was conducted at the plastic surgery, burn unit of Patel hospital during the period of 7 years from January 2007 to December 2013. Children ageing one year or less at the time of admission with any type of burn were included in the study and those above one year were excluded. The patients medical records were obtained from medical record department. SPSS 21 version was used for statistical analysis. Data description is given by percentage. Standard deviation and central tendency [medians and means] were taken as measures of variability. For comparison Chi square test was used. P value less than 0.05 was taken as statistically significant
Results: Total 789 paediatric burn patients were admitted in Patel Hospital during January 2007 to December 2013, in which 106 were infants. Infants having scald burn were 83 [78.3%], fire burn 21 [19.8%] and chemical burn 2 [1.9%]. Male to female ratio was 1.5:1. Out of these 106 infants, 74 [70%] were hospitalized for 1 - 10 days, 18 [16.9%] were hospitalized for 11 - 20 days, 6 [5.6%] and 8 [7.5%] infants were hospitalized for 21 - 30 days and more than 30 days respectively. Most of the infants with different types of burn injuries remained under treatment between 1 - 10 days. Infants with scald, fire and chemical burn were 59 [71.1%], 14 [66.7%], and 1 [50%] respectively and remained under treatment at hospital between 1 - 10 days. It was observed that duration of stay was prolonged for infants with fire burn as compared to those with scald burn, if total body surface area [TBSA] was more than 10%. Infants with both second and third degree of fire burn [66.6%] had length of stay more than 20 days as compared to [27.3%] of scald burn. The length of stay was affected mostly in those infants who had secondary wound infections. Out of 106 infants, 28 [26.4%] had growth of organisms in wound cultures. In 106 infants, 95 [89.6%] were discharged, 2 [1.9%] left against medical advice [LAMA] and 9[8.5%] expired. Among these 6 [66.6%] of them expired due to scald burn and 3 [33.3%] expired due to fire burn. Most of the infants 5 [55.5%] expired within 5 days due to more than 40% of their TBSA involved and having third degree burn
Conclusion: We have seen through this study that infants with less than 10% of their TBSA involved were hospitalized for less than 10 days due to scald, fire or chemical burn. However in fire burn the duration of stay was prolonged as compared to scald burn if TBSA was more than 10% or having both second and third degree burn. The length of stay is also affected for those infants who developed secondary bacterial wound infections. Infants who had more than 40% of their TBSA involved and had third degree burn, survived for less than 5 days
RESUMO
The objective of this case report is to emphasize that in any case of proptosis in childhood orbital lymphangioma should be considered. Tissue diagnosis, along with imaging studies, is the best and most consistent confirmation of lymphangioma. The treatment of orbital lymphangioma has to be as conservative as possible if vision is not at risk and cosmesis is acceptable