Biography
Jin Sook Yuk, M.P.H., OTR earned a Bachelor of Science in Occupational Therapy from Yonsei University, Master in Health Policy & Management from Yonsei University. I am licensed as an occupational therapist in Korea. She has been primarily in the area of pediatric occupational therapy. Her research interests are on occupational therapy interventions with infants and young children in the hospital.
Abstract
Background: Computerized cognitive training becomes most popular and accessible form of cognitive training (CT). Evidences suggest CT facilitates cognitive function, while most of the studies targeted on children older than 6 years age. Touch screen technology can promote motivation and apply to very young children or children with lower cognitive level. Aim: This study evaluated the applicability and efficacy of the tablet PC-based CT program for children with cognitive impairment of cognitive ages between 18 and 36 months. Method: 28 subjects between cognitive ages 18 and 36 months were recruited and randomly assigned to a training group (n=14) and a control group (n=14). Training group received tablet PC-based CT program (Injini) for 30 minutes a day, twice a week, for 12 weeks, by experienced occupational therapist. The control group received traditional rehabilitation program only. Cognitive function was assessed by psycho-developmental measurement scales which include Bayley Scales of Infant Development II (BSID II), Pediatric Evaluation of Disability Inventory (PEDI), Laboratory Temperament Assessment Battery (Lab-TAB) and Goal Attainment Scale (GAS) at baseline and after the completion of 12 weeks intervention. Result: There was no significant difference between the training and control groups in the scores of psycho-developmental tests at baseline. After 12 weeks of training, training group showed significant improvements in all domains. Control group also showed improvements in almost domains except manipulation domain of Lab-TAB. Comparing the two groups, training group had greater increments in BSID II, social function domain of PEDI, observation and manipulation domains of Lab-TAB, and GAS, than control group. Conclusion: Tablet PC-based CT was feasible and showed promising results in children with cognitive impairment of cognitive ages between 18 and 36 months. More works are needed to study lasting effects and real-world application of CT.
Biography
Barbaria W has completed her Medical studies from Mongi Slim Hospital-Tunisia. She chose Pediatrics as specialty. She accomplished training in different pediatric departments and neonatal centers. She participated in national and international conferences as speaker. She has published papers in reputed journals.
Abstract
Introduction: Congenital heart diseases are common in children. The ductal-dependent heart disease group includes defects with major right or left obstacles. Maintaining patency of the ductus arteriosus in this group is vital to ensure the systemic circulation. The purpose of our study was to clarify the clinical and developmental profile of these conditions. Material & Methods: We conducted a retrospective study of cases of ductal-dependent heart diseases collected in the neonatal unit of the pediatric department of Mongi Slim Hospital La Marsa over a period of 4 years (January 2012-July 2016). Results: We collected 21 cases of ductal-dependent heart disease during the study period. Average age at diagnosis was 2.1 days with extremes of first hour of live and eighteen days. Sex ratio (M/F) was 2. Inbreeding was present in 2 cases. Only one case had history of cardiac disease among siblings. The pregnancies were complicated by gestational diabetes in 4 cases. Antenatal ultrasound has not been performed in 5 newborns. Antenatal diagnosis of heart disease has been established in only 2 cases. The birth was vaginal in 12 cases. The Apgar at one minute and 5 minutes was respectively 7.4 and 9.1. Mean birth weight was 3070 grams. Neonatal resuscitation in the delivery room with use of mechanical ventilation was necessary in 2 cases. Ten (10) newborns were cyanotic at birth. The most common reason for admission was neonatal respiratory distress (12 cases). This respiratory distress was secondary in 8 newborns. A heart murmur was objectified in 10 cases. Two (2) newborns had developed heart failure. Femoral pulse were little or not perceived in 15 cases. Average saturation at ambient air was 78.4% and 89.7% within oxygen. Genetic studies have been performed in only 6 cases of which one (1) Di George syndrome, one (1) Cornelia Delange syndrome, two (2) Down syndrome and two with normal genetic profile. Eight (8) newborns received a first-line treatment based on prostaglandin. Seven (7) cases have urgently received an atrioseptotomy (Rashkind maneuver) and were operated abroad successfully. A fatal outcome was observed in 6 patients with heart disease in question as critical valvular abnormalities, single ventricle and atrioventricular discordance. Eight (8) infants were lost to view. Mean follow survivors were estimated at 20 months. Their evolution was marked by susceptibility to viral and bacterial infections without heart failure episodes. Conclusion: Ductal-dependent heart diseases are potentially serious pathologies. Collaboration between gynecologists, pediatricians and pediatric cardiologists is essential to ensure optimal care.