Global Pediatric Health最新文献

Hemophilia is a congenital coagulopathy characterized by a deficiency of coagulation factors and the development of haematomas and haemarthrosis, either spontaneously or after minor trauma. Recurrent joint hemorrhage in hemophilia patients leads to progressive and degenerative arthropathy, which affects around 90% of patients with severe disease and contributes significantly to disease morbidity. Positive diagnosis is based on biology. Imaging, particularly MRI, plays an essential role in assessing the evolution and complications, especially osteoarticular complications. We report 2 cases of severe hemophilia A, who presented with almost identical clinical and radiological symptoms. The patients developed severe arthropathy with a course marked by recurrences of haemarthrosis.

Child abuse and neglect (CAN) significantly impact health, the economy, and society. This narrative review examines CAN in the Washington DC, Maryland, and Virginia (DMV) region, comparing it with national and international levels. The review highlights high CAN rates in the DMV, driven by factors such as socioeconomic status, parental substance abuse, and child vulnerabilities. Screening and reporting challenges, exacerbated by the COVID-19 pandemic, impede accurate data collection. This review emphasizes the need for standardized reporting mechanisms, economic investment in public health, and intersectoral collaboration. It recommends targeted support for at-risk families, specialized care for vulnerable children, and the development of predictive screening tools. Continuous research on regional and cultural factors and the pandemic's impact is crucial for future resilience. Addressing CAN requires a comprehensive approach involving prevention, early detection, intervention, and policy reform to safeguard the well-being of children.

Objective. To determine the effect of a physical exercise training program, "HitSportGame" (HSG), on self-regulation of children with ADHD. Subjects and methods. The participants (N = 44) were children with ADHD aged 8 to 12 years (Mean 10.5 SD 1.4) without comorbidity with other neurodevelopmental disorders. Children were randomized to an experimental group and a wait-list control group. The experimental group participated in the Hit-Sport-Game (HSG) training program thrice a week for 12 weeks. The self-control skills of the participants in both groups were evaluated with the CACIA (Child and Adolescent Self-Control Questionnaire) 1 week before and 1 week after completing the entire intervention. Results. The results showed significant improvements with effect sizes from moderate to large in the scales of personal feedback (P = .003; η² _p = 0.183), criteria self-control (P = .029; η² _p = 0.112), and procedural self-control (P = .015; η² _p = 0.131) after the intervention in the experimental group compared to the control group, which showed no difference on any of these scales. The reward delay scale did not show significant changes associated with the intervention (P = .104; η² _p = 0.059). Conclusions. HitSportGame physical exercise training demonstrated favorable effects on some self-control skills such as personal feedback, criterial self-control and procedural self-control of children with ADHD. However, it did not show any effect on the ability to delay rewards in this population.

Objectives. It has been established that an adult's perceived ability to effectively address negative emotions predicts their life satisfaction. To increase the understanding of ethnic minority children's mental health and quality of life, this study examined the relationship between perceived emotional self-efficacy and life satisfaction of Hispanic children. Methods. Using the nonexperimental-correlational research design and the convenience sampling method, a total of 176 fourth-, fifth-, and sixth-grade students (73 boys, 103 girls; 88% Hispanic) in one public elementary school on the US-Mexico border were recruited to participate in this study. Emotional self-efficacy was measured using the emotional subscale of the Self-Efficacy Questionnaire for Children and subjective well-being was measured using the Student Life Satisfaction Scale. Spearman correlation and ordinal regression analyses were used to test the study hypotheses. Results. Consistent with findings from the current literature, emotional self-efficacy was positively associated with subjective well-being. Children in lower elementary grades were more likely to report higher emotional self-efficacy than those in higher elementary grades. Boys were more likely to report higher life satisfaction than girls. Conclusions and Relevance. Using a sample of elementary school children with Hispanic backgrounds on the US-Mexico border, this study attested to the empirical link between emotional self-efficacy and life satisfaction. Our study findings stress the importance of early identification of students with low emotional self-efficacious beliefs and the early introduction of social-emotional learning programs in elementary schools to enhance students' emotional self-efficacy. This study contributes to positive psychology literature and provides insights for future school-based mental health practice and research.

Dermatofibrosarcoma protuberans (DFSP) is an extremely rare cutaneous tumor in children, marked by local aggressiveness, slow growth, high recurrence rate, and low metastatic potential. Its prevalence is often underestimated in children due to its slow growth and frequent misdiagnosis. Diagnosing DFSP can be challenging due to nonspecific symptoms. While most cases present as nodular lesions on the trunk or proximal extremities, some lesions, such as atrophic plaques or sclerotic nodular plaques, can mimic vascular malformations and confuse clinicians. Histologic and immunohistochemical studies are essential for definitive diagnosis. The treatment of choice is complete surgical resection with wide margins to reduce the risk of recurrence. We report two pediatric DFSP cases on the trunk, including one mimicking vascular malformations. Both cases had successful 4 cm margin resections, with no recurrences observed after 6 months and 2 years of follow-up, respectively. Continuous surveillance will be maintained for at least 5 years.

Background. Pediatric critical care in low-resource settings faces challenges like inadequate infrastructure, limited personnel, financial constraints, and cultural considerations, leading to poor outcomes for critically ill children. Methods. This review synthesizes information from 2 articles on pediatric intensive care units (PICUs) in low- and middle-income countries (LMICs). It identifies challenges such as high care costs, cultural preferences, and resource allocation issues. Results. Challenges include the financial burden of care, limited resources, and the need for external funding. Family preferences impact healthcare decisions, leading to ethical dilemmas. Resource allocation issues affect patient outcomes, including delayed diagnoses and high mortality rates. Conclusion. Addressing these challenges requires a multifaceted approach involving governments, healthcare providers, and international stakeholders. Standardizing care, investing in infrastructure and training, and promoting collaboration are essential to improving pediatric critical care and ensuring equitable access.

Background. Little is known about autism spectrum disorder (ASD) in Qatar. The lack of consensus in ASD screening has led to differences in the reported prevalence with escalating rates over time. Objective(s). To screen for ASD and to identify associate factors among Qatary children aged 18 to 48 months. Methods. A cross-sectional study included 600 eligible children at 10 Primary Health Care Centers (PHCCs) in Qatar. Identification of ASD was based on the M-CHAT™ criteria. Results. The number of ASD screen-positive children in the M-CHAT™ was 25.13 per 10.000, and was significantly associated with older maternal age (10.5%) and history of neonatal hyperbilirubinemia (20.0%) [AOR] = 4.88; 95%[CI]: 1.50-16.30)]. The Odds of detecting ASD was lower in children below 2 years of age (AOR = 0.92; 95% CI: 0.87-0.98]). Conclusion. This study demonstrates the utility of M-CHAT™ for ASD screening in PHCCs. Identification of the factors associated with positive ASD screening can highlight areas suitable for future intervention.

Meningocele, a rare subtype of cephalocele, can manifest in various positions and exhibit diverse characteristics. On the other hand, dacryocystocele, also a rare anatomical disorder, typically presents as a cyst located between the nose and the eye. Generally, distinguishing between these 2 lesions is not difficult. The presented case involves a fetus with suspected dacryocystocele, ultimately diagnosed postpartum as meningocele, underscoring the complexities in distinguishing between these conditions. The article details the patient's prenatal examinations, imaging findings, and the subsequent surgical intervention, highlighting the significance of meticulous diagnosis for effective prenatal management. The case illuminates the potential oversight and misdiagnosis challenges associated with atypical cephaloceles, contributing valuable insights for clinicians involved in prenatal diagnosis and management.

Objective. This study examined bacterial skin and soft tissue infections (SSTIs) in pediatric patients at a hospital in Vietnam. Methods. An April 2022-June 2023 prospective obsevational study at a Tertiary Paediatric Centre in Vietnam. Results. From We analyzed 87 cases and found that the greatest occurrence rates were reported during the summer season. Common symptoms were fever, edema, and lower leg involvement. Curiously, although blood cultures seldom verified the offender, Staphylococcus aureus was the most common cause. Additionally, the study found that children with infections including pus were administered a more extended course of antibiotics. Approximately one-third of the patients underwent surgical procedures, and most of them were administered intravenous antibiotics. Fortunately, all the youngsters made a full recovery. Conclusions. In summary, the results indicate that children with purulent SSTIs, primarily attributed to Staphylococcus aureus, may need longer courses of antibiotics. Intravenous antibiotic administration emerged as the predominant therapeutic modality.