首页 > 最新文献

International Journal of Paediatrics and Geriatrics最新文献

英文 中文
Case of pseudotumor cerebri: A case report 脑假性肿瘤1例
Pub Date : 2022-07-01 DOI: 10.33545/26643685.2022.v5.i2a.188
D. Nt, D. Ap, D. S
{"title":"Case of pseudotumor cerebri: A case report","authors":"D. Nt, D. Ap, D. S","doi":"10.33545/26643685.2022.v5.i2a.188","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.188","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131830127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive review on cervical spine accidents in children 儿童颈椎意外事故的综合综述
Pub Date : 2022-07-01 DOI: 10.33545/26643685.2022.v5.i2a.194
Dr. S Nagesh, Dr. Satyasree Devineni
Introduction : Young people are particularly vulnerable to the devastating effects of cervical spine injury. This article aimed to do just that by conducting a literature review. Conclusions: Diagnosis and treatment of spine injuries need an in-depth understanding of the unique anatomy and biomechanics of the pediatric spine.
年轻人特别容易受到颈椎损伤的破坏性影响。本文旨在通过进行文献综述来做到这一点。结论:脊柱损伤的诊断和治疗需要深入了解小儿脊柱独特的解剖结构和生物力学。
{"title":"Comprehensive review on cervical spine accidents in children","authors":"Dr. S Nagesh, Dr. Satyasree Devineni","doi":"10.33545/26643685.2022.v5.i2a.194","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i2a.194","url":null,"abstract":"Introduction : Young people are particularly vulnerable to the devastating effects of cervical spine injury. This article aimed to do just that by conducting a literature review. Conclusions: Diagnosis and treatment of spine injuries need an in-depth understanding of the unique anatomy and biomechanics of the pediatric spine.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125641653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spectrum of acute hepatitis in hospitalized children 住院儿童急性肝炎谱
Pub Date : 2022-07-01 DOI: 10.33545/26643685.2022.v5.i1b.176
Deepak Kumar, Dr. Sonika Gupta
Background: Acute Hepatitis has been a leading public health problem throughout the world and more so in developing countries. So this study was undertaken to study the demographic and etiological profile of acute hepatitis in our area. Methods: This study a prospective observational study was done in pediatric department of district hospital Udhampur, a secondary care centre. All the patients with diagnosis of acute hepatitis were evaluated and investigated and case records were recorded in a pre-designed performa. Results: Fever, yellow urine, and lack of appetite were the most common presenting complaints seen in 90.90%, 81.16%, and 77.27% of the patients respectively. Most common physical findings were hepatomegaly and icterus. The most common age group affected was 5-10 years. Fulminant hepatic failure was seen in 5% of the patients. Hepatitis A was encountered most frequently (60%), followed by mixed infections (11%) and enteric hepatitis (6.94%). Hepatitis E and Hepatitis B were encountered least frequently (1.94% each). Conclusion: Hepatitis A is the leading cause of acute hepatitis in hospitalized children. A lot needs to be done to improve the vaccine coverage of Hepatitis A in our area to prevent it.
背景:急性肝炎一直是世界范围内的主要公共卫生问题,在发展中国家更是如此。因此,本研究旨在研究本地区急性肝炎的人口统计学和病因学概况。方法:本研究是一项前瞻性观察研究,在二级保健中心Udhampur地区医院儿科进行。对所有诊断为急性肝炎的患者进行评估和调查,并按预先设计的方式记录病例记录。结果:90.90%、81.16%和77.27%的患者以发热、尿黄和食欲不振为最常见的临床表现。最常见的物理表现是肝肿大和黄疸。受影响最常见的年龄组是5-10岁。5%的患者出现暴发性肝衰竭。最常见的是甲型肝炎(60%),其次是混合感染(11%)和肠性肝炎(6.94%)。戊型肝炎和乙型肝炎发病率最低,各为1.94%。结论:甲肝是住院儿童急性肝炎的主要病因。要提高我们地区甲型肝炎疫苗的覆盖率以预防它,还有很多工作要做。
{"title":"Spectrum of acute hepatitis in hospitalized children","authors":"Deepak Kumar, Dr. Sonika Gupta","doi":"10.33545/26643685.2022.v5.i1b.176","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1b.176","url":null,"abstract":"Background: Acute Hepatitis has been a leading public health problem throughout the world and more so in developing countries. So this study was undertaken to study the demographic and etiological profile of acute hepatitis in our area. Methods: This study a prospective observational study was done in pediatric department of district hospital Udhampur, a secondary care centre. All the patients with diagnosis of acute hepatitis were evaluated and investigated and case records were recorded in a pre-designed performa. Results: Fever, yellow urine, and lack of appetite were the most common presenting complaints seen in 90.90%, 81.16%, and 77.27% of the patients respectively. Most common physical findings were hepatomegaly and icterus. The most common age group affected was 5-10 years. Fulminant hepatic failure was seen in 5% of the patients. Hepatitis A was encountered most frequently (60%), followed by mixed infections (11%) and enteric hepatitis (6.94%). Hepatitis E and Hepatitis B were encountered least frequently (1.94% each). Conclusion: Hepatitis A is the leading cause of acute hepatitis in hospitalized children. A lot needs to be done to improve the vaccine coverage of Hepatitis A in our area to prevent it.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127498218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The prevalence of COVID-19 disease in children & its abnormal characteristics 儿童COVID-19患病率及其异常特征
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1b.170
Dr. Mithila Das Mazumder
{"title":"The prevalence of COVID-19 disease in children & its abnormal characteristics","authors":"Dr. Mithila Das Mazumder","doi":"10.33545/26643685.2022.v5.i1b.170","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1b.170","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121046212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of glycemic status of gestational diabetic women on antihyperglycemic medication and neonatal outcome of their offspring 妊娠期糖尿病妇女使用降糖药物的血糖状况及其后代新生儿结局的评估
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1a.159
D. Ak, F. Te, Dr. Mumtaz P, D. Kc, D. Tk, M. Tk
Aim: The study was initiated with the aim of assessing and comparing the glycemic status of gestational diabetic women on antihyperglycemic medication therapy and neonatal outcome of their offspring. Methodology: The study was conducted in a tertiary care teaching hospital set up located in northern Kerala. The two-step approach of American Diabetes Association (ADA) guidelines was followed to confirm the diagnosis of GDM. The participants with confirmed GDM were sent to a physician for consultation and antihyperglycemic medication was prescribed to the GDM women, who failed to achieve euglycemic status on physical exercise and dietary modifications. Result: During the study period 286 pregnant women were diagnosed with GDM, among them 146 participants were treated with metformin, and 140 were treated with insulin. The result of the study showed that both the drug treatments were found to be effective in maintaining blood sugar levels in the normal range throughout the pregnancy period. Also, metformin treatment was observed to cause better neonatal outcomes in offsprings of the study participants. Conclusion: The study concluded both metformin and insulin exhibited excellent glycemic control in GDM women and metformin treatment was observed to cause minimal neonatal complications when compared with Insulin therapy.
目的:本研究旨在评估和比较妊娠期糖尿病妇女接受降糖药物治疗后的血糖状况及其后代的新生儿结局。方法:该研究是在位于喀拉拉邦北部的三级护理教学医院进行的。遵循美国糖尿病协会(ADA)指南的两步法确诊GDM。确诊为GDM的参与者被送到医生那里咨询,并为GDM女性开了降糖药物,这些女性通过体育锻炼和饮食调整未能达到血糖正常状态。结果:研究期间确诊为GDM的孕妇286例,其中二甲双胍治疗146例,胰岛素治疗140例。研究结果表明,这两种药物治疗在整个怀孕期间都能有效地将血糖水平维持在正常范围内。此外,二甲双胍治疗被观察到在研究参与者的后代中引起更好的新生儿结局。结论:该研究表明,二甲双胍和胰岛素对GDM妇女的血糖控制效果良好,与胰岛素治疗相比,二甲双胍治疗引起的新生儿并发症最小。
{"title":"Assessment of glycemic status of gestational diabetic women on antihyperglycemic medication and neonatal outcome of their offspring","authors":"D. Ak, F. Te, Dr. Mumtaz P, D. Kc, D. Tk, M. Tk","doi":"10.33545/26643685.2022.v5.i1a.159","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1a.159","url":null,"abstract":"Aim: The study was initiated with the aim of assessing and comparing the glycemic status of gestational diabetic women on antihyperglycemic medication therapy and neonatal outcome of their offspring. Methodology: The study was conducted in a tertiary care teaching hospital set up located in northern Kerala. The two-step approach of American Diabetes Association (ADA) guidelines was followed to confirm the diagnosis of GDM. The participants with confirmed GDM were sent to a physician for consultation and antihyperglycemic medication was prescribed to the GDM women, who failed to achieve euglycemic status on physical exercise and dietary modifications. Result: During the study period 286 pregnant women were diagnosed with GDM, among them 146 participants were treated with metformin, and 140 were treated with insulin. The result of the study showed that both the drug treatments were found to be effective in maintaining blood sugar levels in the normal range throughout the pregnancy period. Also, metformin treatment was observed to cause better neonatal outcomes in offsprings of the study participants. Conclusion: The study concluded both metformin and insulin exhibited excellent glycemic control in GDM women and metformin treatment was observed to cause minimal neonatal complications when compared with Insulin therapy.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114861927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical and psychosocial health status of adolescent school going girls 学龄少女的医疗和心理健康状况
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1a.156
Dr. Isha Kohli, Dr. Pooja Kapoor
Aim: To evaluate medical and psychosocial health status of adolescent school going girls. Material and Methods: The present cross-sectional study was conducted in the Christian Medical College, Ludhiana from February 2017 to January 2019. The study group was consisted of 1000 adolescent girls of school aged 10-19 yrs in rural Ludhiana. Children were screened for any of adolescent morbidity based on questionnaire. The patients were interviewed that requests for the demographic, socioeconomic status, medical history and previous history of taking any medications and supplements. Girl’s socioeconomic status were classified according to Kuppuswamy scale. For skin related disease dermatologist was considered. Dental caries, dental staining and brushing habits were recorded based upon the examination. Informed pertaining to psychosocial morbidities were recorded i.e. depression, anxiety, stuttering and psychosomatic symptoms. Results: 37.1% girls belong to 10-14yr age group, likewise 25.5% to 15-17yrs and 37.4% to 18-19yr age group. Majority of girls (99.6%) attained menarche after 12yrs of age and dysmenorrhea (12.8%) was reported to be the most common menstrual problem among girls; majority of girls were using sanitary pads for menstrual hygiene purpose. In hearing assessment about 1.7% of girls were found in having hearing difficulty. 35.1% of girls were suffering from dental caries; dental staining was present in 15.8% of girls. Acne was the commonest skin problem (13%).5.2% of girls were found to be in depressed mood, 1.2% of total girls were anxious and stuttering was reported in 0.9% of total girls. Conclusion: To achieve wholesome adolescent health, we need to have a multidimensional approach covering all the adolescent health problems with special emphasis on mental health, behaviour change communication towards healthy lifestyle and positive social environment to acquire life skills.
目的:评价青春期女学生的医学和心理健康状况。材料与方法:本横断面研究于2017年2月至2019年1月在卢迪亚纳基督教医学院进行。研究小组由1000名10-19岁的卢迪亚纳农村女学生组成。通过问卷调查对儿童进行青少年发病筛查。对患者进行访谈,询问其人口统计学、社会经济地位、病史和既往服用任何药物和补充剂的历史。根据Kuppuswamy量表对女孩的社会经济地位进行分类。对于皮肤相关疾病,考虑皮肤科医生。在检查的基础上记录龋齿、牙染及刷牙习惯。记录了与心理社会疾病有关的信息,即抑郁、焦虑、口吃和心身症状。结果:10-14岁年龄组占37.1%,15-17岁年龄组占25.5%,18-19岁年龄组占37.4%。大多数女孩(99.6%)在12岁以后到达月经初潮,痛经(12.8%)被报告为女孩中最常见的月经问题;大多数女孩使用卫生巾是为了保持经期卫生。在听力评估中,约有1.7%的女孩存在听力困难。35.1%的女孩患龋齿;15.8%的女孩出现牙齿染色。痤疮是最常见的皮肤问题(13%),5.2%的女孩情绪抑郁,1.2%的女孩焦虑,0.9%的女孩口吃。结论:为了实现青少年健康,我们需要采取一种涵盖所有青少年健康问题的多维方法,特别强调心理健康、行为改变、健康生活方式的沟通和获得生活技能的积极社会环境。
{"title":"Medical and psychosocial health status of adolescent school going girls","authors":"Dr. Isha Kohli, Dr. Pooja Kapoor","doi":"10.33545/26643685.2022.v5.i1a.156","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1a.156","url":null,"abstract":"Aim: To evaluate medical and psychosocial health status of adolescent school going girls. Material and Methods: The present cross-sectional study was conducted in the Christian Medical College, Ludhiana from February 2017 to January 2019. The study group was consisted of 1000 adolescent girls of school aged 10-19 yrs in rural Ludhiana. Children were screened for any of adolescent morbidity based on questionnaire. The patients were interviewed that requests for the demographic, socioeconomic status, medical history and previous history of taking any medications and supplements. Girl’s socioeconomic status were classified according to Kuppuswamy scale. For skin related disease dermatologist was considered. Dental caries, dental staining and brushing habits were recorded based upon the examination. Informed pertaining to psychosocial morbidities were recorded i.e. depression, anxiety, stuttering and psychosomatic symptoms. Results: 37.1% girls belong to 10-14yr age group, likewise 25.5% to 15-17yrs and 37.4% to 18-19yr age group. Majority of girls (99.6%) attained menarche after 12yrs of age and dysmenorrhea (12.8%) was reported to be the most common menstrual problem among girls; majority of girls were using sanitary pads for menstrual hygiene purpose. In hearing assessment about 1.7% of girls were found in having hearing difficulty. 35.1% of girls were suffering from dental caries; dental staining was present in 15.8% of girls. Acne was the commonest skin problem (13%).5.2% of girls were found to be in depressed mood, 1.2% of total girls were anxious and stuttering was reported in 0.9% of total girls. Conclusion: To achieve wholesome adolescent health, we need to have a multidimensional approach covering all the adolescent health problems with special emphasis on mental health, behaviour change communication towards healthy lifestyle and positive social environment to acquire life skills.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121603780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Falls in the elderly: Prevalence and explanatory factors in Kinshasa: Democratic Republic of Congo 老年人死亡率下降:刚果民主共和国金沙萨的患病率和解释因素
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1b.169
F. Ilunga-Ilunga, Guillaume Kalonji Muasapatoka, Jacques Mukeba Nkashama, Félicien Tshimungu Kandolo, Jean Paul Mbikayi Muya, Paulin Kanema Kabulo
Introduction: The fall of the elderly is a real fact and affects many elderly people at home. The objective of this study is to contribute to the prevention of falls in the elderly at home in the Democratic Republic of Congo. Methods: This is a descriptive cross-sectional study of 115 elderly people living at home in the city of Kinshasa. Data were collected in December 2021. The relationships between the prevalence of falls, the extrinsic or intrinsic characteristics of the elderly and the risk factors for falls were analysed by multivariable logistic regressions. Results: Analyses were performed on 115 seniors, more than 60% of whom were aged 75 years and over. The prevalence of falls was 41.7%. It was higher in patients who used psychotropic drugs with a sleep disorder (ORa= 9 [2.9-31.3]; p<0.001) and those with comorbidity (ORa=2.7[1.2-5.9]; p<0.001). The use of technical aids was found to be a protective factor (ORa=0.2 [0.1-0.9]; p<0.039). Conclusion: Falls of elderly people at home are frequent in the Democratic Republic of Congo due to the lack of appropriate care institutions. In a context marked by the ageing of the population, a monitoring and supervision programme for the elderly and systematic screening to identify the risk factors for falls in the elderly living at home is essential if we want to significantly reduce its prevalence and consequences.
老年人的跌倒是一个真实的事实,影响着许多在家的老年人。本研究的目的是为预防刚果民主共和国家中老年人跌倒做出贡献。方法:这是一个描述性的横断面研究115老年人住在金沙萨市的家。数据于2021年12月收集。采用多变量logistic回归分析跌倒发生率、老年人外在或内在特征与跌倒危险因素之间的关系。结果:对115名老年人进行了分析,其中超过60%的老年人年龄在75岁及以上。跌倒发生率为41.7%。使用精神药物并伴有睡眠障碍的患者的ORa值更高(ORa= 9 [2.9-31.3];p<0.001)和合并症患者(ORa=2.7[1.2-5.9];p < 0.001)。技术辅助设备的使用是一个保护因素(ORa=0.2 [0.1-0.9];p < 0.039)。结论:在刚果民主共和国,由于缺乏适当的护理机构,老年人在家中摔倒是经常发生的。在人口老龄化的背景下,如果我们想要显著减少老年人跌倒的发病率和后果,就必须制定老年人监测和监督规划,并进行系统筛查,以确定导致居家老年人跌倒的风险因素。
{"title":"Falls in the elderly: Prevalence and explanatory factors in Kinshasa: Democratic Republic of Congo","authors":"F. Ilunga-Ilunga, Guillaume Kalonji Muasapatoka, Jacques Mukeba Nkashama, Félicien Tshimungu Kandolo, Jean Paul Mbikayi Muya, Paulin Kanema Kabulo","doi":"10.33545/26643685.2022.v5.i1b.169","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1b.169","url":null,"abstract":"Introduction: The fall of the elderly is a real fact and affects many elderly people at home. The objective of this study is to contribute to the prevention of falls in the elderly at home in the Democratic Republic of Congo. Methods: This is a descriptive cross-sectional study of 115 elderly people living at home in the city of Kinshasa. Data were collected in December 2021. The relationships between the prevalence of falls, the extrinsic or intrinsic characteristics of the elderly and the risk factors for falls were analysed by multivariable logistic regressions. Results: Analyses were performed on 115 seniors, more than 60% of whom were aged 75 years and over. The prevalence of falls was 41.7%. It was higher in patients who used psychotropic drugs with a sleep disorder (ORa= 9 [2.9-31.3]; p<0.001) and those with comorbidity (ORa=2.7[1.2-5.9]; p<0.001). The use of technical aids was found to be a protective factor (ORa=0.2 [0.1-0.9]; p<0.039). Conclusion: Falls of elderly people at home are frequent in the Democratic Republic of Congo due to the lack of appropriate care institutions. In a context marked by the ageing of the population, a monitoring and supervision programme for the elderly and systematic screening to identify the risk factors for falls in the elderly living at home is essential if we want to significantly reduce its prevalence and consequences.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127061441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of PRISM III scoring for mortality prediction in a tertiary care centre of Rohilkhand region 在洛希尔坎德邦地区三级保健中心使用PRISM III评分进行死亡率预测
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1a.160
Dr. Sandhya Chauhan, Dr.Atul kumar, Dr. Rahul Jaiswal
Objective: Paediatric Risk of Mortality (PRISM III) score is a frequently used, physiologically based severity of illness measure, commonly used to control for severity of illness. It is significantly associated with morbidity and mortality and could be used to simultaneously estimate morbidity and mortality risk within the first 24 hours of admission in PICU. Predicting the outcome of any serious illness is of utmost importance for the planning and assessment of interventions in the health-care system, as well as for providing a prognosis for individual cases to the caregivers. Therefore, this study intends to evaluate the efficacy of PRISM III score in prediction of disease specific mortality rate in PICU. Methods: In this prospective, hospital based observational study, 107 children fulfilled the required criteria and were enrolled. PRISM III score was calculated using variables in the first 24 hours after admission. Outcome was noted as survivors and non-survivors. Results: A total of 107 patients were enrolled in the study. Out of 107 patients, 27 were non-survivors, with the mortality rate of 25%. The median PRISM III score was not found to be significantly different between survivors and non-survivors but the use of PRISM III score along with the need of mechanical ventilation and ionotropic support in the first 24 hrs of admission significantly predicted mortality. Overall, PRISM III score did help in severity assessment at the time of admission and the need of mechanical ventilation and ionotropic support. Conclusion: In patients with hepatobiliary and CNS dysfunction PRISM III – 24 score could not predict mortality but it can be applied for severity assessment at the time of admission to PICU. PRISM III24 score proved to be a good predictor of mortality for children admitted with septicaemia, nephrology, respiratory dysfunction.
目的:儿科死亡风险(PRISM III)评分是一种常用的、基于生理的疾病严重程度测量方法,通常用于控制疾病的严重程度。它与发病率和死亡率显著相关,可用于同时估计PICU入院前24小时内的发病率和死亡率风险。预测任何严重疾病的结果对于卫生保健系统干预措施的规划和评估以及为护理人员提供个案预后至关重要。因此,本研究拟评价PRISM III评分对PICU疾病特异性死亡率的预测效果。方法:在这项前瞻性的、以医院为基础的观察性研究中,107名符合要求标准的儿童入组。入院后24小时采用变量计算PRISM III评分。结果分为幸存者和非幸存者。结果:共纳入107例患者。107例患者中,27例未存活,死亡率为25%。幸存者和非幸存者的中位数PRISM III评分无显著差异,但入院前24小时使用PRISM III评分以及机械通气和离子化支持的需要可显著预测死亡率。总体而言,PRISM III评分确实有助于入院时的严重程度评估以及机械通气和电离性支持的需要。结论:对于肝胆和中枢神经系统功能障碍患者,PRISM III - 24评分不能预测死亡率,但可用于PICU入院时的严重程度评估。PRISM III24评分被证明是一个很好的预测败血症、肾病、呼吸功能障碍入院儿童死亡率的指标。
{"title":"Use of PRISM III scoring for mortality prediction in a tertiary care centre of Rohilkhand region","authors":"Dr. Sandhya Chauhan, Dr.Atul kumar, Dr. Rahul Jaiswal","doi":"10.33545/26643685.2022.v5.i1a.160","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1a.160","url":null,"abstract":"Objective: Paediatric Risk of Mortality (PRISM III) score is a frequently used, physiologically based severity of illness measure, commonly used to control for severity of illness. It is significantly associated with morbidity and mortality and could be used to simultaneously estimate morbidity and mortality risk within the first 24 hours of admission in PICU. Predicting the outcome of any serious illness is of utmost importance for the planning and assessment of interventions in the health-care system, as well as for providing a prognosis for individual cases to the caregivers. Therefore, this study intends to evaluate the efficacy of PRISM III score in prediction of disease specific mortality rate in PICU. Methods: In this prospective, hospital based observational study, 107 children fulfilled the required criteria and were enrolled. PRISM III score was calculated using variables in the first 24 hours after admission. Outcome was noted as survivors and non-survivors. Results: A total of 107 patients were enrolled in the study. Out of 107 patients, 27 were non-survivors, with the mortality rate of 25%. The median PRISM III score was not found to be significantly different between survivors and non-survivors but the use of PRISM III score along with the need of mechanical ventilation and ionotropic support in the first 24 hrs of admission significantly predicted mortality. Overall, PRISM III score did help in severity assessment at the time of admission and the need of mechanical ventilation and ionotropic support. Conclusion: In patients with hepatobiliary and CNS dysfunction PRISM III – 24 score could not predict mortality but it can be applied for severity assessment at the time of admission to PICU. PRISM III24 score proved to be a good predictor of mortality for children admitted with septicaemia, nephrology, respiratory dysfunction.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127350592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A study of early neonatal morbidity in late preterm 晚期早产儿早期新生儿发病率的研究
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1a.155
D. S. Sree, Dr.K.B. Chakravarthy, Dr. Sai Pooja Reddy
{"title":"A study of early neonatal morbidity in late preterm","authors":"D. S. Sree, Dr.K.B. Chakravarthy, Dr. Sai Pooja Reddy","doi":"10.33545/26643685.2022.v5.i1a.155","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1a.155","url":null,"abstract":"","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114080913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors associated with acute respiratory tract infection in children among one month to 5 years 1个月至5岁儿童急性呼吸道感染的相关危险因素
Pub Date : 2022-01-01 DOI: 10.33545/26643685.2022.v5.i1a.151
Dr.Sonali Shah, Dr. Triya Malde, Dr. Darshan Nayakpara
Background: Acute respiratory tract infections are among the major cause of morbidity and mortality among children developing countries accounting for 40% of mortality in children fewer than 5 years of age. Objectives: To find out the risk factors associated with acute respiratory tract infection in children between 1 month to 5 years. Methodology: An observational study was conducted was conducted in G.G. Hospital , Jamnagar over a period of 12 months. Institutional ethical clearance taken. After written consent taken from parents, total 150 patients taken in the age group 1 month to 5 years of acute respiratory tract infections as per inclusion and exclusion criteria. Detailed history, anthropometry and physical examination carried out. Assessment of various risk factors done. Results: Most of the parents of patients of ARI were having lower education. Presence of anemia, absence of predominant breast feeding, Exposure to biomass fuel, preterm delivery, low birth weight are predominant risk factors as its association with ARI is found statistically significant. Bottle feeding, prelacteal feeds, no birth spacing and exposure to kerosene lamps are amongst the probable risk factors Conclusion: Lack of predominant breast feeding, anemia, malnutrition, passive smoking, exposure to biomass fuel, preterm delivery, low birth weight and meconium aspiration syndrome definite risk factors of ARI, with incomplete immunization and faulty feeding practices also plays a major role in causation of ARI in children.
背景:急性呼吸道感染是发展中国家儿童发病和死亡的主要原因之一,占5岁以下儿童死亡率的40%。目的:探讨1个月~ 5岁儿童急性呼吸道感染的相关危险因素。方法:在贾姆纳格尔G.G.医院进行了为期12个月的观察性研究。已通过机构伦理审查。经父母书面同意后,根据纳入和排除标准,选取年龄在1个月至5岁的急性呼吸道感染患者共150例。详细病史、人体测量和体格检查。各种风险因素的评估已经完成。结果:ARI患者的家长多为文化程度较低的人群。贫血、缺乏主要的母乳喂养、接触生物质燃料、早产、低出生体重是主要的危险因素,因为其与ARI的关联具有统计学意义。结论:缺乏主要的母乳喂养、贫血、营养不良、被动吸烟、接触生物质燃料、早产、低出生体重和胎粪吸入综合征是急性呼吸道感染的明确危险因素,免疫接种不完全和错误的喂养方法也是导致儿童急性呼吸道感染的主要因素。
{"title":"Risk factors associated with acute respiratory tract infection in children among one month to 5 years","authors":"Dr.Sonali Shah, Dr. Triya Malde, Dr. Darshan Nayakpara","doi":"10.33545/26643685.2022.v5.i1a.151","DOIUrl":"https://doi.org/10.33545/26643685.2022.v5.i1a.151","url":null,"abstract":"Background: Acute respiratory tract infections are among the major cause of morbidity and mortality among children developing countries accounting for 40% of mortality in children fewer than 5 years of age. Objectives: To find out the risk factors associated with acute respiratory tract infection in children between 1 month to 5 years. Methodology: An observational study was conducted was conducted in G.G. Hospital , Jamnagar over a period of 12 months. Institutional ethical clearance taken. After written consent taken from parents, total 150 patients taken in the age group 1 month to 5 years of acute respiratory tract infections as per inclusion and exclusion criteria. Detailed history, anthropometry and physical examination carried out. Assessment of various risk factors done. Results: Most of the parents of patients of ARI were having lower education. Presence of anemia, absence of predominant breast feeding, Exposure to biomass fuel, preterm delivery, low birth weight are predominant risk factors as its association with ARI is found statistically significant. Bottle feeding, prelacteal feeds, no birth spacing and exposure to kerosene lamps are amongst the probable risk factors Conclusion: Lack of predominant breast feeding, anemia, malnutrition, passive smoking, exposure to biomass fuel, preterm delivery, low birth weight and meconium aspiration syndrome definite risk factors of ARI, with incomplete immunization and faulty feeding practices also plays a major role in causation of ARI in children.","PeriodicalId":144032,"journal":{"name":"International Journal of Paediatrics and Geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114058508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Paediatrics and Geriatrics
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1