Pub Date : 2024-07-30eCollection Date: 2024-01-01DOI: 10.1177/2333794X241258657
Patryk Domarecki, Katarzyna Plata-Nazar
Objectives. Important factor in caring for ASD patients is the successful cooperation between the physician and the parent. Methods. The online survey has been conducted. For statistical analysis the t-student test and the U-Mann Whitney test were performed to compare 2 variables, then the Kruskal-Wallis test or ANOVA as well as The Pearson correlation and Sperman's rank correlation were performed. Results. 80.5% of respondent's PHPs did not notice the child's developmental difficulties. 22.02% of respondents can speak to their PHP about a child's difficulties. PHPs take different strategies to make patient contact with the healthcare system easier. We discovered statistically significant differences in the assessment of PHPs' abilities depending on the physicians' specialty, the children's age, the age at ASD diagnosis. Conclusion. The care for autistic patients provided by Polish PHPs is insufficient and the topic needs to be addressed immediately.
{"title":"The Assessment of Comprehensive Care for Autistic Children Provided by Polish Primary Healthcare Physicians in Parental View.","authors":"Patryk Domarecki, Katarzyna Plata-Nazar","doi":"10.1177/2333794X241258657","DOIUrl":"10.1177/2333794X241258657","url":null,"abstract":"<p><p><i>Objectives</i>. Important factor in caring for ASD patients is the successful cooperation between the physician and the parent. <i>Methods</i>. The online survey has been conducted. For statistical analysis the <i>t</i>-student test and the <i>U</i>-Mann Whitney test were performed to compare 2 variables, then the Kruskal-Wallis test or ANOVA as well as The Pearson correlation and Sperman's rank correlation were performed. <i>Results</i>. 80.5% of respondent's PHPs did not notice the child's developmental difficulties. 22.02% of respondents can speak to their PHP about a child's difficulties. PHPs take different strategies to make patient contact with the healthcare system easier. We discovered statistically significant differences in the assessment of PHPs' abilities depending on the physicians' specialty, the children's age, the age at ASD diagnosis. <i>Conclusion</i>. The care for autistic patients provided by Polish PHPs is insufficient and the topic needs to be addressed immediately.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241258657"},"PeriodicalIF":1.4,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives. This study aimed to find the association between clinical characteristics, cytogenetics, and post-induction outcomes of childhood acute lymphoblastic leukemia. Methods. The study was conducted at the Indus Hospital in Karachi. Initial total leukocyte count (TLC), cytogenetics, CNS status, and post-induction remission status were recorded. Results. Out of 108 children diagnosed with ALL, 66 (61.1%) were male and 42 (38.9%) were female. The majority 90 (83.3%) had B-ALL. CNS1 status was observed in 76 (84.4%) B-ALL and 18 (88.9%) T-ALL. All T-ALL and 89 (98.8%) B-ALL achieved remission post-induction. In B-ALL, 50 (55.5%) had a normal diploid karyotype, and 22 (24.4%) had numerical abnormalities. No typical gene rearrangement was observed in 66 (73.3%), 11 (12.2%) had BCR::ABL1, 10 (11.1%) had ETV6::RUNX1 and 3 (3.3%) KMT2A on FISH. No significant difference was observed between cytogenetics and clinical characteristics (P > .05). Conclusion. The study provides valuable data on childhood acute lymphoblastic leukemia in the Pakistani population.
研究目的本研究旨在发现儿童急性淋巴细胞白血病的临床特征、细胞遗传学和诱导后结果之间的关联。研究方法研究在卡拉奇的印度河医院进行。记录了初始白细胞总数(TLC)、细胞遗传学、中枢神经系统状况和诱导后缓解状况。结果。在确诊为 ALL 的 108 名儿童中,66 名(61.1%)为男性,42 名(38.9%)为女性。大多数 90 名(83.3%)患儿为 B 型 ALL。在76例(84.4%)B-ALL和18例(88.9%)T-ALL中观察到CNS1状态。所有 T-ALL 和 89 例(98.8%)B-ALL 在诱导后均获得缓解。在B-ALL中,50例(55.5%)的二倍体核型正常,22例(24.4%)有数字异常。66例(73.3%)未观察到典型的基因重排,11例(12.2%)有BCR::ABL1,10例(11.1%)有ETV6::RUNX1,3例(3.3%)有KMT2A。细胞遗传学与临床特征之间无明显差异(P > .05)。结论该研究提供了巴基斯坦儿童急性淋巴细胞白血病的宝贵数据。
{"title":"Clinical Characteristics and Cytogenetics of Childhood Acute Lymphoblastic Leukemia in a Single Center in Pakistan.","authors":"Najia Tabassum, Sadia Muhammad, Talat Mirza, Zainab Butt, Neelum Mansoor","doi":"10.1177/2333794X241256863","DOIUrl":"10.1177/2333794X241256863","url":null,"abstract":"<p><p><i>Objectives.</i> This study aimed to find the association between clinical characteristics, cytogenetics, and post-induction outcomes of childhood acute lymphoblastic leukemia. <i>Methods.</i> The study was conducted at the Indus Hospital in Karachi. Initial total leukocyte count (TLC), cytogenetics, CNS status, and post-induction remission status were recorded. <i>Results.</i> Out of 108 children diagnosed with ALL, 66 (61.1%) were male and 42 (38.9%) were female. The majority 90 (83.3%) had B-ALL. CNS1 status was observed in 76 (84.4%) B-ALL and 18 (88.9%) T-ALL. All T-ALL and 89 (98.8%) B-ALL achieved remission post-induction. In B-ALL, 50 (55.5%) had a normal diploid karyotype, and 22 (24.4%) had numerical abnormalities. No typical gene rearrangement was observed in 66 (73.3%), 11 (12.2%) had BCR::ABL1, 10 (11.1%) had ETV6::RUNX1 and 3 (3.3%) KMT2A on FISH. No significant difference was observed between cytogenetics and clinical characteristics (<i>P</i> > .05). <i>Conclusion.</i> The study provides valuable data on childhood acute lymphoblastic leukemia in the Pakistani population.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241256863"},"PeriodicalIF":1.4,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-25eCollection Date: 2024-01-01DOI: 10.1177/2333794X241263169
Ahmad Khaleghnejad Tabari, Leily Mohajerzadeh, Manoochehr Ebrahimian, Mohsen Rouzrokh, Fariba Jahangiri, Saghar Rouzrokh, Reyhaneh Eghbali Zarch, Arian Ahmadi Amoli
Objectives:The study aimed to address the shortage of pediatric surgery specialists globally by investigating the discrepancies in training programs and population metrics across different countries and regions. Methods: An international survey of pediatric surgeons gathered data on training duration, examination procedures, certification, and population metrics like mortality rate and surgeon-to-population ratio. Results: The study included 44 countries. The average length of pediatric surgery training was 5.7 years, with no significant difference between different regions. The pediatric mortality rate and surgeons count per 100 000 people were inversely correlated, while training duration was associated with GDP and life expectancy, but not pediatric mortality rate or surgeons' count. Conclusion: Many countries' pediatric surgery training programs do not align with their actual need for pediatric surgeons. Nations with limited economic resources may opt to shorten residency programs or offer pediatric surgery as a direct specialty after medical school to mitigate the shortage effectively.
{"title":"Pediatric Surgery Workforce Around the World: A Need to Revise Residency Programs?","authors":"Ahmad Khaleghnejad Tabari, Leily Mohajerzadeh, Manoochehr Ebrahimian, Mohsen Rouzrokh, Fariba Jahangiri, Saghar Rouzrokh, Reyhaneh Eghbali Zarch, Arian Ahmadi Amoli","doi":"10.1177/2333794X241263169","DOIUrl":"10.1177/2333794X241263169","url":null,"abstract":"<p><p><b>Objectives:</b>The study aimed to address the shortage of pediatric surgery specialists globally by investigating the discrepancies in training programs and population metrics across different countries and regions. <b>Methods:</b> An international survey of pediatric surgeons gathered data on training duration, examination procedures, certification, and population metrics like mortality rate and surgeon-to-population ratio. <b>Results:</b> The study included 44 countries. The average length of pediatric surgery training was 5.7 years, with no significant difference between different regions. The pediatric mortality rate and surgeons count per 100 000 people were inversely correlated, while training duration was associated with GDP and life expectancy, but not pediatric mortality rate or surgeons' count. <b>Conclusion:</b> Many countries' pediatric surgery training programs do not align with their actual need for pediatric surgeons. Nations with limited economic resources may opt to shorten residency programs or offer pediatric surgery as a direct specialty after medical school to mitigate the shortage effectively.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241263169"},"PeriodicalIF":1.4,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11273707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background. Anemia in children aged 6 to 59 months is a public health problem in Burkina Faso with a prevalence well above the 40% estimated by WHO globally for this age group. Aim. The objective of this study was to evaluate the prevalence and associated factors of anemia in children aged 6 to 59 months. Methods. This was a cross-sectional descriptive and analytical study. The rapid diagnostic test "hemocue" was used to measure the hemoglobin level in the blood of 486 children aged 6 to 59 months. The cut-off point for any anemia was a hemoglobin level of less than 11.0 g/dL. The chi-square test was used to analyze the anemia prevalence differences in different characteristic groups, and the multivariate logistic regression was used to analyze the relationship between the household and sociodemographic characteristics and anemia in children. The data was processed using the SPSS software. Results. Nine out of 10 children were anemic, with a prevalence of 90.9%. Prevalences were high in both Gnagna and Gourma, respectively 89.9% and 91.6%. The results of the bivariate analysis showed that the age of the child, the household head education level and the participation of the mother in activities to prevent malnutrition were significantly associated with anemia. In multivariate analysis, children aged 6 to 12 months were 3 times more likely to have anemia than children aged over 36 months. Those aged 13 to 36 months were twice as likely to have anemia as those aged over 36 months. Conclusion. There was a need to strengthen anemia interventions taking into account the age of children.
{"title":"Prevalence and Associated Factors of Anemia in Children Aged 6 to 59 Months in the Eastern Region of Burkina Faso.","authors":"Ousmane Ouédraogo, Ella Wendpouigoudinkondo Rakièta Compaoré, Ousmane Ouédraogo, Mediatrice Kiburente, Mamoudou Hama Dicko","doi":"10.1177/2333794X241263163","DOIUrl":"https://doi.org/10.1177/2333794X241263163","url":null,"abstract":"<p><p><i>Background.</i> Anemia in children aged 6 to 59 months is a public health problem in Burkina Faso with a prevalence well above the 40% estimated by WHO globally for this age group. <i>Aim.</i> The objective of this study was to evaluate the prevalence and associated factors of anemia in children aged 6 to 59 months. <i>Methods.</i> This was a cross-sectional descriptive and analytical study. The rapid diagnostic test \"hemocue\" was used to measure the hemoglobin level in the blood of 486 children aged 6 to 59 months. The cut-off point for any anemia was a hemoglobin level of less than 11.0 g/dL. The chi-square test was used to analyze the anemia prevalence differences in different characteristic groups, and the multivariate logistic regression was used to analyze the relationship between the household and sociodemographic characteristics and anemia in children. The data was processed using the SPSS software. <i>Results.</i> Nine out of 10 children were anemic, with a prevalence of 90.9%. Prevalences were high in both Gnagna and Gourma, respectively 89.9% and 91.6%. The results of the bivariate analysis showed that the age of the child, the household head education level and the participation of the mother in activities to prevent malnutrition were significantly associated with anemia. In multivariate analysis, children aged 6 to 12 months were 3 times more likely to have anemia than children aged over 36 months. Those aged 13 to 36 months were twice as likely to have anemia as those aged over 36 months. <i>Conclusion.</i> There was a need to strengthen anemia interventions taking into account the age of children.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241263163"},"PeriodicalIF":1.4,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-24eCollection Date: 2024-01-01DOI: 10.1177/2333794X241260261
Nicholas P Hays, Rasha Alenazi, Reham Al-Zaatreh, Luca Lavalle, Moustafa Sameer, Inez Sroda, Yvonne Vissers, Mohammad Mizyed
Objective. Feeding intolerance during the early postnatal period can be distressing for families. To assess this, infants (n = 150) of mothers who had previously decided to exclusively or partially formula feed were enrolled ≤24 hours after birth. Methods. Infants were fed with a single ready-to-feed, 100% partially hydrolyzed whey protein-based formula until discharge, in accordance with standard hospital practice. Parents recorded daily the presence/severity of gastrointestinal (GI) symptoms/behaviors, rated from 0 (never) to 5 (always). A validated questionnaire was completed at discharge to evaluate symptoms of GI discomfort; scores can range from 0 to ~140 (lower scores indicate fewer symptoms). Results. Mean ± SD daily scores ranged from 0.12 ± 0.40 (fussiness/irritability) to 1.26 ± 0.90 (spitting up), indicating that GI symptoms/behaviors occurred, on average, "never" or "almost never." Mean GI discomfort scores were also very low (9.9 ± 7.4). Conclusion. These results indicate that the ready-to-feed formula was very well accepted and well tolerated during this period among healthy newborns in Saudi Arabia.
{"title":"Gastrointestinal Tolerance of Formula-Fed Infants During the Immediate Postnatal Period in Saudi Arabia: An Observational Study.","authors":"Nicholas P Hays, Rasha Alenazi, Reham Al-Zaatreh, Luca Lavalle, Moustafa Sameer, Inez Sroda, Yvonne Vissers, Mohammad Mizyed","doi":"10.1177/2333794X241260261","DOIUrl":"https://doi.org/10.1177/2333794X241260261","url":null,"abstract":"<p><p><i>Objective</i>. Feeding intolerance during the early postnatal period can be distressing for families. To assess this, infants (n = 150) of mothers who had previously decided to exclusively or partially formula feed were enrolled ≤24 hours after birth. <i>Methods</i>. Infants were fed with a single ready-to-feed, 100% partially hydrolyzed whey protein-based formula until discharge, in accordance with standard hospital practice. Parents recorded daily the presence/severity of gastrointestinal (GI) symptoms/behaviors, rated from 0 (never) to 5 (always). A validated questionnaire was completed at discharge to evaluate symptoms of GI discomfort; scores can range from 0 to ~140 (lower scores indicate fewer symptoms). <i>Results</i>. Mean ± SD daily scores ranged from 0.12 ± 0.40 (fussiness/irritability) to 1.26 ± 0.90 (spitting up), indicating that GI symptoms/behaviors occurred, on average, \"never\" or \"almost never.\" Mean GI discomfort scores were also very low (9.9 ± 7.4). <i>Conclusion</i>. These results indicate that the ready-to-feed formula was very well accepted and well tolerated during this period among healthy newborns in Saudi Arabia.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241260261"},"PeriodicalIF":1.4,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-24eCollection Date: 2024-01-01DOI: 10.1177/2333794X241259908
Stuart Jarvis, Helen Giles, Karl J New
Objective. This study investigated cardiorespiratory fitness (CRF) levels and the relationship with field-based measures of anthropometry in children aged 10 to 11 years. Methods. A total of 288 boys and 257 girls participated in the study. CRF (20 m shuttle run) and several field-based measures of anthropometry were assessed. Multiple regression was utilized for all data analysis. Results. Boys performed significantly better than girls on the CRF test (P < .001) and achieved higher classifications of CRF based on centile norms compared to girls. All measures of anthropometry were significant predictors of CRF, (P < .001), and each measure was significant in predicting a negative trajectory of CRF performance when they increased in value (P < .05). Conclusion. The study findings add to the international reporting of CRF and the use of simple field-based measures of anthropometry alongside the use of BMI to predict CRF for health with Welsh school children (UK).
研究目的本研究调查了 10 至 11 岁儿童的心肺功能(CRF)水平及其与实地人体测量的关系。研究方法。共有 288 名男孩和 257 名女孩参加了研究。对 CRF(20 米往返跑)和几项实地人体测量指标进行了评估。所有数据分析均采用多元回归法。结果。男孩在 CRF 测试中的表现明显优于女孩(P P P P 结论:男孩在 CRF 测试中的表现明显优于女孩。研究结果为国际上关于 CRF 的报告以及使用简单的实地人体测量方法和体重指数来预测威尔士学童(英国)的 CRF 增添了新的内容。
{"title":"The Cardiorespiratory Fitness of Children and the Anthropometric Determinants During Late Childhood Within South East Wales: Potential Implications for Future Health.","authors":"Stuart Jarvis, Helen Giles, Karl J New","doi":"10.1177/2333794X241259908","DOIUrl":"https://doi.org/10.1177/2333794X241259908","url":null,"abstract":"<p><p><i>Objective.</i> This study investigated cardiorespiratory fitness (CRF) levels and the relationship with field-based measures of anthropometry in children aged 10 to 11 years. <i>Methods</i>. A total of 288 boys and 257 girls participated in the study. CRF (20 m shuttle run) and several field-based measures of anthropometry were assessed. Multiple regression was utilized for all data analysis. <i>Results.</i> Boys performed significantly better than girls on the CRF test (<i>P</i> < .001) and achieved higher classifications of CRF based on centile norms compared to girls. All measures of anthropometry were significant predictors of CRF, (<i>P</i> < .001), and each measure was significant in predicting a negative trajectory of CRF performance when they increased in value (<i>P</i> < .05). <i>Conclusion</i>. The study findings add to the international reporting of CRF and the use of simple field-based measures of anthropometry alongside the use of BMI to predict CRF for health with Welsh school children (UK).</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241259908"},"PeriodicalIF":1.4,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-22eCollection Date: 2024-01-01DOI: 10.1177/2333794X241263199
Siddique Gbanha Bawa, Lauren Haldeman
Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.
{"title":"Fathers Nutrition Knowledge and Child Feeding Practices Associated with Childhood Overweight and Obesity: A Scoping Review of Literature From 2000 to 2023.","authors":"Siddique Gbanha Bawa, Lauren Haldeman","doi":"10.1177/2333794X241263199","DOIUrl":"10.1177/2333794X241263199","url":null,"abstract":"<p><p><i>Objective.</i> Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers' nutrition knowledge and feeding practices with childhood overweight/obesity. <i>Methods.</i> Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers' nutrition knowledge, feeding practices, and childhood overweight/obesity. <i>Results.</i> Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers' nutrition knowledge, and child feeding practices (53.4%). <i>Conclusion.</i> Literature on fathers' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241263199"},"PeriodicalIF":1.4,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-13eCollection Date: 2024-01-01DOI: 10.1177/2333794X241256860
Addisu Dabi Wake
Introduction. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. Methods. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. Result. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, P = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, P = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, P = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, P = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, P = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, P = .004] were statistically significant risk factors for recovery time from severe CAP. Conclusions. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.
导言。重症社区获得性肺炎(CAP)是一种危及生命的疾病,发病率和死亡率都很高。本研究旨在确定重症 CAP 的恢复时间以及儿科患者的风险因素。研究方法在2021年1月1日至2022年12月31日期间,对阿塞拉转诊和教学医院收治的412例重症CAP儿科病历进行了回顾性随访研究。研究分别使用 EpiData 4.6.0.6 版和 STATA 14.2 版进行数据录入和统计分析。进行了二变量和多变量考克斯比例危险回归分析。结果儿科重症 CAP 患者的中位康复时间为 5 天(IQR = 3-8 天)。重症 CAP 康复 IDR 为每 100 个观察日 13.089 [95%CI: 11.82, 14.49]。重症 CAP 恢复的累积发生率为 89.56% [n = 369,95%CI:86.20,92.18]。年龄[AHR = 1.55,95%CI:1.12,2.13,P = .007]、疫苗接种情况[AHR = 1.29,95%CI:1.03,1.63,P = .027]、是否有危险征兆[AHR = 1.61,95%CI:1.26,2.05,P = .000]、是否有合并症[AHR = 1.67,95%CI:1.33,2.10,P = .000]、就医时间[AHR = 1.71,95%CI: 1.18,2.47,P = .004]和氧疗[AHR = 1.45,95%CI:1.12,1.87,P = .004]是严重 CAP 恢复时间的统计学显著风险因素。结论重症 CAP 患者的中位康复时间相对较长。年龄、疫苗接种情况、是否存在危险征兆、是否存在合并症、就医时间和氧疗是影响重症 CAP 恢复时间的具有统计学意义的危险因素。
{"title":"Recovery Time From Severe Community Acquired Pneumonia and Risk Factors Among Pediatrics, Ethiopia: A Retrospective Follow-Up Study.","authors":"Addisu Dabi Wake","doi":"10.1177/2333794X241256860","DOIUrl":"10.1177/2333794X241256860","url":null,"abstract":"<p><p><i>Introduction</i>. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. <i>Methods</i>. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. <i>Result</i>. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, <i>P</i> = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, <i>P</i> = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, <i>P</i> = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, <i>P</i> = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, <i>P</i> = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, <i>P</i> = .004] were statistically significant risk factors for recovery time from severe CAP. <i>Conclusions</i>. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241256860"},"PeriodicalIF":2.2,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07eCollection Date: 2024-01-01DOI: 10.1177/2333794X241258179
Toufica Sultana, Mónica Ruiz-Casares, René Iwo, Magdalena Janus, José Ignacio Nazif-Muñoz
Background. Maternal education may influence child supervision practices in low-and middle-income countries (LMIC). However, little is known about the maternal factors that can improve child supervision in LMIC with scarce childcare facilities. Objective. To investigate the prevalence of children under 5 years home alone and examine the association between mother's formal education and children home alone across 63 LMIC. Methods. The study used data from 50 Multiple Indicator Cluster Surveys and 13 Demographic and Health Surveys with a sample of 501 769 children. We estimated Prevalence Ratios (PRs) for the association between maternal education and children home alone using multivariable Poisson regression, adjusting for covariates such as child's age and sex, mother's age and marital status, number of adults inhabiting the households, and urbanicity. Results. Prevalence of children home alone across 63 LMIC ranged from 1.1% to 50.1%. A significant negative association between mothers with more years of formal education and children home alone was found across 16 LMIC. However, the opposite trend was observed in Nigeria, Senegal, and Côte d'Ivoire. Null association was found across 44 LMIC. Conclusions. The varied pattern of the associations observed across LMIC underscores the importance of regional and local factors when developing policies and interventions to ensure safety and adequate care for children aged under 5 years in LMIC.
{"title":"Maternal Education and Children Home Alone in 63 Low- and Middle-Income Countries.","authors":"Toufica Sultana, Mónica Ruiz-Casares, René Iwo, Magdalena Janus, José Ignacio Nazif-Muñoz","doi":"10.1177/2333794X241258179","DOIUrl":"10.1177/2333794X241258179","url":null,"abstract":"<p><p><i>Background.</i> Maternal education may influence child supervision practices in low-and middle-income countries (LMIC). However, little is known about the maternal factors that can improve child supervision in LMIC with scarce childcare facilities. <i>Objective.</i> To investigate the prevalence of children under 5 years home alone and examine the association between mother's formal education and children home alone across 63 LMIC. <i>Methods.</i> The study used data from 50 Multiple Indicator Cluster Surveys and 13 Demographic and Health Surveys with a sample of 501 769 children. We estimated Prevalence Ratios (PRs) for the association between maternal education and children home alone using multivariable Poisson regression, adjusting for covariates such as child's age and sex, mother's age and marital status, number of adults inhabiting the households, and urbanicity. <i>Results.</i> Prevalence of children home alone across 63 LMIC ranged from 1.1% to 50.1%. A significant negative association between mothers with more years of formal education and children home alone was found across 16 LMIC. However, the opposite trend was observed in Nigeria, Senegal, and Côte d'Ivoire. Null association was found across 44 LMIC. <i>Conclusions.</i> The varied pattern of the associations observed across LMIC underscores the importance of regional and local factors when developing policies and interventions to ensure safety and adequate care for children aged under 5 years in LMIC.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241258179"},"PeriodicalIF":2.2,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11159552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background. Child abuse in Suriname has a prevalence between 58.2% and 68.8%. This prospective observational study evaluates the implementation of screening for child abuse at the Emergency Department (ED) of the Academic Hospital Paramaribo (AZP). Methods. Children (0-16 years) presenting with injury from 01-02-2018 until 31-08-2018 were eligible. Case-record-forms were completed. Multidisciplinary meetings were used to evaluate positive screened and admitted patients. Diagnostic accuracy was calculated and results were compared to retrospective data from 2016. Results. 3253 Children attended the ED. In 1190 (36.6%) children, the screening was completed. The screening was positive in 148 (12%); in 71 (6%) cases child abuse was confirmed. The sensitivity and specificity were 0.88 and 0.92 respectively, PPV 0.43, NPV 0.99. There was a significant increase of detected child abuse cases; 4.4% in 2016 versus 6% in 2018 (P = .04). Conclusion. Implementation of screening at the ED in the AZP increased detection of child abuse. To improve screening's accuracy, more education for healthcare professionals is pivotal.
{"title":"Screening for Child Abuse in the Emergency Department of Academic Hospital Paramaribo in Suriname.","authors":"Eeftinck Schattenkerk Ld, Loos Mhj, Schouten McM, Cheuk-Alam I, Bakx R, Lissone Npa","doi":"10.1177/2333794X241245274","DOIUrl":"10.1177/2333794X241245274","url":null,"abstract":"<p><p><i>Background.</i> Child abuse in Suriname has a prevalence between 58.2% and 68.8%. This prospective observational study evaluates the implementation of screening for child abuse at the Emergency Department (ED) of the Academic Hospital Paramaribo (AZP). <i>Methods.</i> Children (0-16 years) presenting with injury from 01-02-2018 until 31-08-2018 were eligible. Case-record-forms were completed. Multidisciplinary meetings were used to evaluate positive screened and admitted patients. Diagnostic accuracy was calculated and results were compared to retrospective data from 2016. <i>Results.</i> 3253 Children attended the ED. In 1190 (36.6%) children, the screening was completed. The screening was positive in 148 (12%); in 71 (6%) cases child abuse was confirmed. The sensitivity and specificity were 0.88 and 0.92 respectively, PPV 0.43, NPV 0.99. There was a significant increase of detected child abuse cases; 4.4% in 2016 versus 6% in 2018 (<i>P</i> = .04). <i>Conclusion.</i> Implementation of screening at the ED in the AZP increased detection of child abuse. To improve screening's accuracy, more education for healthcare professionals is pivotal.</p>","PeriodicalId":12576,"journal":{"name":"Global Pediatric Health","volume":"11 ","pages":"2333794X241245274"},"PeriodicalIF":2.2,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11159537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}