Recent Question/Assignment

The Faculty has recently changed the thesis elaboration: theoretical part must be done and graded before the winter session, the practical – before the summer session.
Theory: from text book, Nelson, add informations from articles, studies from Medscape, NLM (National Library of Medicine)
References must be mentioned in ( … ) at the end of the phrase.
Reference list is in order of appearance, at the end of the thesis
Tables, figures if mentioned in text must have a title and in ( from… the name of the article, or the title of the book, author, year). Tables title is above and figures, photos title are below the image.
Clinical manifestations Sy, Signs
Lab tests: blood, cultures, imaging
Diagnosis: positive, differential
Evolution, complications
+/- Prevention
Data collection as inquiry and from medical record - EXAMPLE
Name Age (mo) 1.2.3.... Gender M, F x x…

Environment R (2), U(1)
Birth weight (grams)
Family history: allergy, immundeficiency, chronic respiratory diseases
Personal pathologic History: number of respiratory diseases, other infections, allergy
Gestational age (weeks)
Type of delivery: vaginal (1), C section (2), vacuum, other(3)
Current weight
Feeding type - breast(1), formula(2), cows milk, mixed, complementary +/- correct(1), incorrect(2)
Presenting symptoms, : general (fever, malaise, poor feeding), respiratory sy and signs (breath rate, retractions, breath sound normal (1), increased (2), diminished(3); sat O2, other sy (rash, neurological modifications, diarrhea, vomitings, other...)
Radiology – interstitial, lobar, bronchopneumonia
Lab test –
- leucocytes count : 0 ( 10000/mmc); 1 (10000-20000), 3 ( 20000/mmc)
- CRP : 0 normal, 1 (5-30mg/l), 2 (30-60mg/l), 3 ( 60mg/l)
- Red blood cells : Hgb : 0 normal, 1 ( 9g/dl), 2 (6.1-9), 3 ( 6g/dl)
- Cultures +/-
Evolution of symptoms ; days to relief , disapear the sy

Name Age GD Environment BW Family history Personal pathologic history GA Delivery type CW FT Presenting symptoms and signs radiology Lab test
Evolution of symptoms
genereal respiratory
sy sgn
I gave you a thesis as example how to make the personal contribution.
1. Hypothesis: is the presumption on which the thesis is based on; examples:
- maternal smoking influences in a negative way the infants growth and development
- feeding type determines different growth paterns
- gender or age are risk factors for...
- neonatal jaundice has different features according to...
- respiratory tract infections are more frequent in ...if..., when...
- regurgitations
- laboratory tests depend on the way of samples prelevation
- imaging is more inmportant for diff dg than clinical manifestations
2. The Objective of the thesis is to demonstrate what I presumed in the Hypothesis; examples:
- to demonstrate the influence of maternal smoking on the growth and health condition nof infants
- to proove that the feeding type...
3. Material and method: you have to describe the subjects and the way the study is conducted:
-in the study were included X infants of non smoker mothers who were compared to a control group of Y infants of non smoker mothers. The subjects were all admitted to the Pediatric III dept of the Clinical Municipal Hospital from Oradea, in a month period, for acute illnesses.
- data was collected by inquiry that was conducted during the admission in the hospital and also collected from medical files.
- study design: usually is retrospective and comparative , but you can have a retrospective descriptive one, too. Prospective studies mean that you start from this point on to follow up the subjects, after introducing a variable that you are going to control and to check.
- analysis realized with Med Calc programme, with the following tests...t Student test, chi square, correlation, comparison
In general: First part contains the individual description of the two groups, and the second part contains the comparison of them.
p 0.05 was considered significant
4. Results – simple presentation, no comments.
Short text to present the results, followed by a graph or a tabel , both with numbers. Title for graph is below and for table is above it.
Example: the children included in the study had the following age (tab no 1, chart no 1). There are significantly more boys than girls among the newborns (chi square=, p=0.02), but infants rate is reversed (chi square, p=0.04).

Tab no 1. Distribution of cases according to age
Age boys girls
neonate 4 2
1-3 mo 2 2

Chart no 1. Distribution of infants according to...
5. Discussions – includes brief synthesis of the results, comments, comparisson with other author’s results (mentioned in the theoretical part), you can underline the original results you have obtained, other than they are mentioned in the consulted reference list.
In the end you can also underline that your results are available because you respected a correct selection of the subjects and you did correct statistical analysis
6. Conclusions – short sentences of the most relevant results
- boys are significantly more frequently at risk for…
- neonatal jaundice is usually associated with….
- maternal smoking is more likely to be noted in low income families
- regurgitations are significantly more frequent in prematures
- low birth weight is associated with ….
- the outcome of (variable)… is …
If you are not allowed to enter the hospital, then practical part becomes a review of the previously published articles, studies, researches. These must be described in the same order, such as you have objective, mat, results, concl, just using the other authors results.

Titles for thesis
1. - risk factors for urinary tract infection in infants
2. – severe infection types in infants
3. – maternal smoking influence on the feeding of infants
4. – maternal smoking influence on the health condition of infants
5. – maternal smoking influence on the growth of the infants
6. – causes of neonatal jaundice
7. – the importance of clinical manifestations in the diagnose of food intolerance
8. – feeding errors that lead to food intolerance
9. – laboratory investigations in food intolerance
10. – atypical manifestations of pneumonia in infants
11. – clinical manifestations in acute pneumonia in infants
12. clinical manifestations in acute bronchiolitis in infants
13. -the importance o imaging for differential dg of acute pneumonia in infants
14. – growth patterns of infants according to feeding type
15. – functional digestive disorders in infants
16. -acute diarrhea with Rotavirus in infants
17. -the importance of a well conducted diet in acute diarrhea
18. –the breastfeeding technique, as it is done in our region
19. the bottle feeding technique, as it is realized in our geographical area
20. – the feeding diversification habits in our geographical area

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