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Mihaela Balgradean

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Articole semnate de acelasi autor in Revista Romana de Pediatrie:

CONSTIPATIA CRONICA LA COPIL. ACTUALITATI IN EVALUARE SI MANAGEMENT

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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CONSTIPATIA CRONICA LA COPIL. ACTUALITATI IN EVALUARE SI MANAGEMENT

, , , , and

REZUMAT

Constipaţia este un fenomen comun în practica pediatrică. Prevalenţa sa este în creştere, fiind prezentă, conform diferitelor statistici, la 0,7-29,6% dintre copii. Constipaţia este întâlnită la toate grupele de vârstă, cu severitate şi durată variabile, de la forme uşoare şi de scurtă durată la forme severe şi de lungă durată, cu impactare fecală şi in continenţă fecală. Acest articol revede aspectele epidemiologice, clinice şi terapeutice ale constipaţiei la copil, funcţională în majoritatea cazurilor.

Cuvinte cheie: constipaţie, copil

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CHRONIC CONSTIPATION IN CHILDREN. AN UPDATE ON EVALUATION AND MANAGEMENT

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

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Promoting Global Health

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CHRONIC CONSTIPATION IN CHILDREN. AN UPDATE ON EVALUATION AND MANAGEMENT

, , , , and

ABSTRACT

Constipation is a common problem in childhood, with a children prevalence varying between 0.7% and 29.6%. Constipation is encountered in all pediatric age groups, with variably severity and duration, from mild and short to severe and chronic forms, with faecal impact and encopresis. This article review the epidemiological, clinical and therapeutically aspects of children constipation, functional in the majority of cases.

Keywords: constipation, child

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Renal involvement in severe sepsis and septic shock of small children

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 1, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

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ICMJE- Recommendations

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Promoting Global Health

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Renal involvement in severe sepsis and septic shock of small children

and

ABSTRACT

Despite of the decrease in mortality caused by sepsis in the latest years, the septic shock still remains a major cause of morbidity and mortality for the children younger than 5 years old. The kidney is involved and constantly affected in this pathology, bacterial infections being the main cause. Acute kidney failure may be the major manifestation of the disease, being at the same time a priority of the therapeutic approach. In this paper, the authors present the renal involvement in the meningococcemia, as well as in the uremic hemolytic syndrome caused by E. Coli O157: H7 and by streptococcus pneumoniae, all of them representing diseases that require specific diagnostic and therapeutic approaches.

Key words: sepsis, septic shock, meningococcemia, uremic hemolytic syndrome, little child

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IMPLICAREA RENALA IN SEPSISUL SEVER SI IN SOCUL SEPTIC LA SUGAR SI COPILUL MIC

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 1, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

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Promoting Global Health

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IMPLICAREA RENALA IN SEPSISUL SEVER SI IN SOCUL SEPTIC LA SUGAR SI COPILUL MIC

and

REZUMAT

Deşi mortalitatea prin sepsis a scăzut în ultimii ani, şocul septic rămâne o cauză majoră de morbiditate şi mortalitate la copilul sub vârsta de cinci ani. Rinichiul este implicat şi constant afectat în această patologie, infecţiile bacteriene reprezentând o cauză frecventă de îmbolnăvire. Insuficienţa renală acută poate fi principala manifestare a bolii şi o problemă terapeutică majoră. Autorii prezintă implicarea renală în meningococemie şi în sindromul hemolitic uremic cauzat de E coli O157:H7 şi de pneumococ, boli ce necesită abordare diagnostică şi terapeutică specifică.

Cuvinte cheie: sepsis, şoc septic, meningococemie, sindromul hemolitic uremic, copil mic

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Renal involvement in the severe sepsis and the septic shock of small children (II)

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 2, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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HIGHLIGHTS

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Renal involvement in the severe sepsis and the septic shock of small children (II)

and

ABSTRACT

Despite of the decrease in mortality caused by sepsis in the latest years, the septic shock still remains a major cause of morbidity and mortality for the children younger than 5 years old. The kidney is involved and constantly affected in this pathology, bacterial infections being the main cause. Acute kidney failure may be the major manifestation of the disease, being at the same time a priority of the therapeutic approach. In this paper, the authors present the renal involvement in the meningococcemia, as well as in the uremic hemolytic syndrome caused by E. Coli O157: H7 and by streptococcus pneumoniae, all of them representing diseases that require specific diagnostic and therapeutic approaches.

Key words: sepsis, septic shock, meningococcemia, uremic hemolytic syndrome, little children

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IMPLICAREA RENALA IN SEPSISUL SEVER SI IN SOCUL SEPTIC LA SUGAR SI COPILUL MIC (II)

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 2, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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HIGHLIGHTS

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

IMPLICAREA RENALA IN SEPSISUL SEVER SI IN SOCUL SEPTIC LA SUGAR SI COPILUL MIC (II)

and

REZUMAT

Deşi mortalitatea prin sepsis a scăzut în ultimii ani, şocul septic rămâne o cauză majoră de morbiditate şi mortalitate la copilul sub vârsta de cinci ani. Rinichiul este implicat şi constant afectat în această patologie, infecţiile bacteriene reprezentând o cauză frecventă de îmbolnăvire. Insuficienţa renală acută poate fi principala manifestare a bolii şi o problemă terapeutică majoră. Autorii prezintă implicarea renală în meningococemie şi în sindromul hemolitic uremic cauzat de E coli O157:H7 şi de pneumococ, boli ce necesită abordare diagnostică şi terapeutică specifică.

Cuvinte cheie: sepsis, şoc septic, meningococemie, sindromul hemolitic uremic, copil mic

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DIAGNOSTICUL COMPUTER-TOMOGRAFIC IN URGENTA PEDIATRICA

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Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 1, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

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DIAGNOSTICUL COMPUTER-TOMOGRAFIC IN URGENTA PEDIATRICA

, , , and

REZUMAT

Introducere. Examinarea prin computer-tomograf (CT) deţine un rol important în orientarea diagnostică în Urgenţă.

Obiective. Ne-am propus să identificăm utilitatea examinării CT, în urgenţa pediatrică.

Material şi metode. Studiul are un design cross-secţional, referindu-se la anul 2010. Din cele 92.959 de vizite înregistrate la Unitatea de Primiri Urgenţe, a Spitalului Clinic de Urgenţă pentru Copii „M.S. Curie“, Bucureşti, un număr de 9.258 pacienţi reprezentau urgenţe (lotul A), iar 90 constituiau urgenţe majore (lotul B). S-au efectuat un număr de 102 examinări CT. Datele au fost exprimate procentual.

Rezultate. Procentul de vizite asociat cu examinare CT, a fost de 1% în lotul A şi 1‰, exprimat global. Toţi pacienţii lotului B au fost supuşi investigaţiei CT. Principalele indicaţii au fost: traumatismele cranio-cerebrale (TCC) – 50%, hipertensiune intracraniană (HIC) – 35%, politraumatisme – 12,7% şi suspiciunile de malformaţii – 5,9%. Rata de detecţie globală a unei leziuni a fost de 51%. Pentru TCC, rata a fost de 49%, identificându-se următoarele leziuni: edem cerebral difuz (19%), hemoragii intracraniene (15,6%), fracturi osoase (15,6%), leziuni de părţi moi (29%). Pentru HIC, rata de detecţie a fost de 43%, pentru politraumatisme 84,6%, iar pentru suspiciunile de malformaţii 100%. Ratele de detecţie lezională, pe diverse categorii de indicaţii (senzitivitatea metodei) nu diferă semnificativ statistic faţă de alte studii.

Concluzie. La pacienţii de vârstă pediatrică, indicaţiile de CT, în urgenţă, s-au efectuat după o atentă selecţie a cazurilor, iar examinarea s-a dovedit utilă în cazul traumatismelor şi a suspiciunilor de hipertensiune intracraniană.

Cuvinte cheie: CT, urgenţă, traumatism, hipertensiune intracraniană

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COMPUTED TOMOGRAPHY IMAGING IN THE PEDIATRIC EMERGENCY DEPARTMENT

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Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 1, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

COMPUTED TOMOGRAPHY IMAGING IN THE PEDIATRIC EMERGENCY DEPARTMENT

, , , and

ABSTRACT

Introduction. The Computerised Tomography (CT) plays a crucial role in the emergency diagnosis.

Objective. Our purpose was to identify CT-scan’s utility in Pediatric Emergency Department.

Materials and methods. We used a cross-sectional approach, for the year 2010. From a total of 92959 visits in the Emergency Room (ER) of the “Clinical Emergency Hospital for Children “M.S. Curie”, Bucharest, 9258 patients were considered emergencies (group A) and 90 patients were major emergencies (group B). We performed 102 CT scans. Results were given as percents.

Results. The global percent of ER visits associated with a CT scan was 1% within the group A and it scored 1‰ from all ER visits. All patients from group B underwent a CT scan. Main indications were: major head injuries - 50%, intracranial hypertension – 35%, polytrauma – 12.7%, suspicions of malformations – 5.9%. The global detection rate for any kind of lesion was 51%. For brain trauma the rate scored 49%, identifying the following lesions: diffuse cerebral edema (19%), intracranial hemorrhage (15.6%), skull fractures (15.6%) and other facial or visceral lesions (29%). For intracranial hypertension the method’s sensitivity was 43%, for multiple trauma 84.6% and for malformations’ suspicions 100%. The lesions’ detection rate, for different clinical conditions (or the method’s sensitivity) is similar with other medical studies.

Conclusion. In all pediatric patients, indication of a CT scan was made after a careful selection of cases. The method proved to be useful for managing all kind of trauma and intracranial hypertension situations.

Keywords: CT, emergency, trauma, intracranial hypertension

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APORTUL IMAGISTICII IN DIAGNOSTICUL COMPLICATIILOR INTRACRANIENE SECUNDARE OTOMASTOIDITEI LA COPIL

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

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Promoting Global Health

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APORTUL IMAGISTICII IN DIAGNOSTICUL COMPLICATIILOR INTRACRANIENE SECUNDARE OTOMASTOIDITEI LA COPIL

, , and

REZUMAT

Introducere. Otita medie (OM) acută este, una dintre cele mai comune infecţii diagnosticate în patologia copilului, cu evoluţie autolimitată cel mai frecvent (1,2). Ea poate duce în 2-6% dintre cazuri (2) spre complicaţii supurative intracraniene cu evoluţie nefavorabilă, fatală în 8-26,3% din ele (2,3). Apariţia semnelor neurologice în evoluţia unei otite supuraţive necesită investigaţii imagistice de urgenţă (2-8).

Material şi metodă. Se prezintă cazul unei fetiţe de 10 ani diagnosticată cu otită supurată complicată, transferată la Spitalul Clinic de Urgenţa pentru Copii „M.S. Curie“ Bucureşti în secţia ORL după o evoluţie a bolii de 2 săptămâni. Copilul se prezintă la internare cu: febră, otoree purulentă, semne neurologice reprezentate de cefalee, convulsii, redoare de ceafă. Se efectuează în urgenţă un examen computer tomografic (CT) cu substanţă de contrast intravenoasă (iv).

Rezultat. Examenul CT, extins şi la nivel cervical evidenţiază prezenţa unui proces litic la nivelul stancii temporale şi soluţie de continuitate între antrul mastoidian şi meninge, şi evidenţierea unui abces epidural perisigmoidian, tromboza de sinus sigmoid extinsă la nivelul jugularei şi sinusului lateral, semne de meningită, cerebrită cerebeloasă, abces cerebral şi empiem subdural.

Concluzii. Complicaţiile în infecţiile urechii medii sunt rare, însă apariţia semnelor neurologice la examenul fizic impune un examen imagistic care poate preciza arhitectura locală, prezenţa complicaţiilor locale sau la distanţa pentru instituirea unui tratament adecvat şi rapid.

Cuvinte cheie: copil, otită medie, complicaţii, computer tomograf (CT)

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CONTRIBUTION OF IMAGING EXAMINATIONS IN DIAGNOSIS OF INTRACRANIAL COMPLICATIONS IN CHILDREN OTOMASTOIDITIS

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Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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National Awards “Science and Research”

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ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

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CONTRIBUTION OF IMAGING EXAMINATIONS IN DIAGNOSIS OF INTRACRANIAL COMPLICATIONS IN CHILDREN OTOMASTOIDITIS

, , and

ABSTRACT

Introduction. Otitis media (OM) is one of the most common infections in child pathology, most often with selflimited evolution (1,2). In 2-6% of cases (2) developed, intracranial complications with unfavorable, fatal outcome in 8-26.3% of them (2,3). Presence of neurological signs in the evolution of suppurative otitis require early imaging examinations (2-8).

Material and methods. We presents the case of a 10 year old girl with suppurative otitis complicated, transferred to the Clinical Emergency Hospital for Children „M.S. Curie“, Bucharest to ENT department after 2 weeks of disease progression. The child presents at hospital: fever, purulent otorrhea, neurological signs represented by headache, seizures, stiff neck. Contrast-enhanced computed tomographic (CT) were performed in emergency.

Result. CT scanning, extended to the neck show the presence of a lytic process in the temporal bone, solution of continuity between mastoid antrum and meninges with epidural abscess form over sigmoid sinus, trombophlebitis and thrombus of sigmoid sinus, which is propagate to the lateral sinus and the jugular vein; signs of meningitis, cerebellar cerebritis, brain temporal abscess and subdural empyema.

Conclusions. Complications in middle ear infections are rare, but the appearance of neurological signs in clinical examination must be completed by CT of head with contrast, which can specify local architecture, presence of local or distant complications, help in the application to a fast and appropriate therapy.

Keywords: child, otitis media, complications, computer tomography (CT)

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