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Short CommunicationView abstract
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“It is difficult to get a man to understand something when his salary depends upon his not understanding it (Upton Sinclair).” Before electricity became widely available after 1930, home mechanical ventilation was not possible. In the 1940s and 50s up to full continuous noninvasive negative pressure ventilatory support was provided by Iron Lungs and other body ventilators [1]. The Danes did not have these in 1952, so tracheotomies were first done for ventilatory support (CTMV). This spread to the U.S. However, in 1953 the mouthpiece CNVS was described by Dr. John Affeldt at Rancho Los Amigos in Los Angeles. In 1957 Dr. Augusta Alba removed 257 patients from body ventilators and placed them on up to continuous noninvasive positive pressure ventilatory support (CNVS) via simple mouthpieces which many used for CNVS for over 50 years and..... ReadMore -
EditorialView abstract
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Teachers are increasingly confronted with their students’ illnesses, because of better medical treatment successes, and/or due to an increase in civilization diseases or the effects of various stresses [1]. Currently, there are an average of four children and adolescents with a chronic disease in each class [2]...... ReadMore -
Case ReportView abstract
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Nitromethane along with methanol is a common component of model airplane fuel, rocket fuel and race car fuel. Reports of nitromethane exposure causing falsely elevated creatinine levels by its interference with Jaffe reaction analysis are noted in the adult literature, but pediatric reports are limited. We present a case report and literature review of nitromethane fuel toxicity in the pediatric population...... ReadMore -
Case ReportView abstract
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A 15-year-old boy was presented to the emergency department, with one day history of severe respiratory distress, blood-stained sputum, and right sided chest pain. He had been a healthy child previously, with no history of ill health except mild infection with Covid-19, 2 weeks prior to presentation. He was not vaccinated against Covid-19 virus. On examination, he was tachypneic and tachycardic and hypoxic with initial oxygen saturations of 88% in room air. He was afebrile and normotensive. He was in pain with a high pain score. He had moderate work of breathing, was alert and noted to be obese. On chest auscultation breath sounds were reduced on both sides with bilateral expiratory wheeze. Cardiovascular, abdominal and CNS examination were unremarkable...... ReadMore -
Case ReportView abstract
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The Azygos lobe is not an actual lobe of the lungs but is usually a rare congenital variant of the right lung. It is more common in men and has a genetic predisposition. The Azygos lobe is asymptomatic, and it is often located on the right lung. Its incidence was found to be 1% in chest radiographs...... ReadMore -
Research ArticleView abstract
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Tree nuts and peanuts (TN/P) are frequent causes of anaphylaxis in children. Our aim was to characterize a Portuguese pediatric cohort with TN/P allergy and to assess skin tests (ST), specific IgE (sIgE) and molecular components (mcIgE), as well as sIgE/total IgE ratio’s utility in anaphylaxis prediction...... ReadMore -
OpinionView abstract
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The Neonatal mortality rate of 27 per 1000 live births in Zambia is one of the highest in Sub-Sahara Africa. Although these perinatal deaths are reviewed on a weekly basis, there are gaps that may be context specific. The inception of mortality audits and surveillance response meetings in Zambia were characterized by predominantly maternal death discussion...... ReadMore -
Case ReportView abstract
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Congenital glucose galactose malabsorption syndrome presents with severe osmotic diarrhea of neonatal onset. It is a rare autosomal recessive disorder, consisting of damage to the glucose-coupled sodium cotransporter protein, responsible for its absorption in the enterocytes. We report the case of a previously healthy patient fed with exclusive breast milk, who debuted in the first week of life...... ReadMore