western medical research conference 2017 (formerly western regional meeting) camel, california, january 26–28, 2017
Columbia University, Vancouver, BC, Canada.
After two devastating earthquakes in 2015, the Nepalese people continued to face problems such as energy shortages, political instability, poverty, physical and mental trauma, infectious diseases, pollution and malnutrition.
The orphans in Kathmandu are vulnerable in this group, and the number is insufficient.
Identifying their health needs and understanding their needs are an important part of ensuring their healthbeing.
Methods we used qualitative methods obtained from photo sounds to investigate the urgent health needs of Nepalese orphans.
Cameras and children were distributed (n=16)
They can choose to take or draw photos of \"healthy and unhealthy behavior.
Photos are classified and 3-
The hour focus group provides children with an opportunity to explore the meaning and story behind what they capture.
The 151 images collected and the focus group Transcript show four topics: 1.
Environmental pollution, 2.
Preventive measures (e. g.
Nutrition and sports, 3. Self-awareness (e. g. self-
Image and Identity), and 4. Self-
Discipline and social expectations (e. g.
Conclusion our findings provide some insights into health.
The issues most relevant to orphans in Nepal help to validate ways to capture the health needs and perspectives of vulnerable groups.
The topics and examples explored help us understand their agency awareness in meeting the health needs.
These results help guide child care (
Direct and indirect)
And other vulnerable groupsIncome and post
Skull depression 370: 9-1
One-month-old GIRLAE GalvisA ShooAR shedlock University, University of Medicine, University of Nevada, Reno. Case Report 9-
A month-old unvaccinated African-American girl submitted an assessment of an abnormal head \"impact\" to the emergency department.
When getting a medical history, the mother reported that five days before the visit, the patient turned over in bed and fell 3 feet.
There was no change in the patient\'s behavior, obvious pain or vomiting after the fall.
Since the incident, the mother has reported that the patient has been fine, however, during the last two days, when she noticed depression in the patient\'s head while taking a shower, the mother has become worried.
The baby is full term at birth, but the baby is very young.
According to parents, at birth, there was a concern about the deformity of the legs, and X-
Ray shows \"bent legs\" on both sides \".
However, the patient lost the follow-up
In the absence of an examination by primary care pediatrician ician on, her vital signs are within the normal range.
The weight and height of the patient are below 3rd.
Patients are interactive and fun.
She has a small depression with a diameter of 4 centimeters in the left parietal area of her head, and there is no associated crepitus or tenderness at the time of palpation.
The rest of the physical examination normal.
Laboratory studies were obtained, and CBC and CMP were within the normal range.
No contrast of head CT showed a 13mm-sunken fracture of the left-hand top bone crush, with potentially small bleeding from a potential aneurysm.
Bone surveys show multiple fractures.
Trauma surgery, orthopedics, ophthalmology, endocrinology, genetics and child and protection services are eventually consulted and patients are closely monitored in hospitals.
The lab ordered includes growth hormone markers1 and IGFBP-
3. genetic testing of Thyroid Research, abdominal cavity group, ESR, preqing protein, and bone-forming incomplete genes COL1A1 and COL1A2.
According to the findings at the time of discharge, a clinical diagnosis of incomplete bone formation was established.
Later genetic testing confirmed
The severity of the previously reported COL1A2 gene mutation is unknown, and patients are now receiving more
But then another fracture of the femur occurred.
371: cough without interest: present of orphan cancer in Fresno, California.
A case report of a chest-lung tumor is a very rare lung cancer in children and less than 500 cases are reported.
Early detection is critical for a good prognosis, as progression from Type I to type III significantly reduces the likelihood of survival.
Previously healthy 2-year-
Older brother twin men with no major medical history in the past appeared in the emergency department due to 3 weeks of cough, runny nose, intermittent fever and fatigue.
His mother reported that he had looked very pale over the past six months and had lost seven pounds.
Two days before the presentation, he was seen in emergency care and his parents were told that he had a respiratory infection and was sent home.
He had a hip on our check.
It\'s like coughing on the left chest and weakening breathing.
His chest X-rays showed a complete haze in the left half.
This finding is further assessed by cross-examination
Tomography showed a complex cystic mass filled the entire left half of the chest, resulting in a right-to-right portion of the lobe.
When staying in the pediatric ICU, he has stable blood dynamics and is comfortable in the indoor air.
His initial laboratory showed an increase in white blood cells at 20 µx 103 103/uL, elevated CRP, ESR and dh, and normal uric acid.
His respiratory virus test was negative.
He has been treated with experience and has been treated with a combination of vantens and qusong.
On the third day, his heart beat up to 160 times per minute, but his blood dynamics were stable.
On the sixth day, he was taken to the operating room for a left lobe resection to remove a large pustular necrosis mass from his left half chest.
His heart beat too fast. operatively.
The preliminary pathological report is a type II thoracic pulmonary cell tumor.
He started chemo while in hospital and is currently being followed by our oncology team.
This case illustrates the importance of maintaining a broad differential diagnosis of common pediatric manifestations such as cough, fever and fatigue.
Early detection of this malignant tumor is essential to improve the survival rate of patients and reduce the diagnostic threshold of relatives.
372: Correlation of blood lead level in children with special obstacles in Auscultation (ASD)
And pay attention to ADHD (ADHD)
: Literature review University of California, Irvine, CA2CHOC hospital, Orange County.
Objective increased lead exposure was associated with delayed and harmful effects of the central nervous system in children.
The purpose of this review is to summarize the relationship between different lead levels and developmental disability risks such as attention deficit disorder (ADHD)
And autism spectrum disorders (ASD).
View this table: View inline View popupAbstract 372 Table 1 method a systematic literature review of the postgraduate and Google Scholar databases using search terms: lead poisoning, children, lead levels, development barriers and toxicity levels were carried out for long-term effects.
The analysis included only prospective studies of patients under the age of 18 with ADHD or ASD and age-matched controls.
Summary of Results of 19 preliminary results, only 6 studies met the inclusion criteria (see table1).
All studies included patients with clinical diagnosis of ADHD or ASD, questionnaires and blood sampling for each patient.
Three publications examined the effects of lead exposure and the risk of ADHD, and three examined the effects of lead exposure and ASD risk.
Two studies were able to adjust the mix.
In 2 of the 3 studies, there was no significant difference in blood lead levels between the control group and the ASD group, while all studies involving ADHD patients had significant differences.
Conclusion Our review suggests that an increase in lead levels is associated with the development of ADHD in children.
However, there was no correlation between high blood lead levels and the development of ASD.
Most studies have limitations, including small sample size, difficulty in finding matching control pairs, and consideration of confusing variables.
Further studies are needed to confirm lead exposure and its relationship with various neurological diseases.
373: high ambient temperature is the cause of neonatal fever?
Investigate the relationship between ambient temperature and neonatal body temperature, Utah State University of Utah, Salt Lake City, Utah.
The purpose of studying neonatal fever is to pay high attention to severe infections, prompting clinicians to check and start antibiotic treatment.
High ambient temperature in summer may be non-
The infectious temperature of newborns is elevated, but little is known about the prevalence of fever during the season.
Our goal is to determine the prevalence of elevated body temperature in asymptomatic infants during routine examination in Indian summer high temperature environment