Respiratory tract infections are usually the most common infections in pediatric patients, including in those with diabetes. A low control on the glucose levels makes the diabetic patient more vulnerable to get an infectious disease and even to develop serious complications, such as diabetic ketoacidosis. We present you two clinical cases, showing, in parallel, children diagnosed with Type 1 Diabetes, who, facing the same stress factor -infection-, show a different response of their immune system. A conscientious maintenance of the disease, regular check-ups and a good knowledge of the risk factors are the key to avoid the occurrence of diabetic ketoacidosis.
{"title":"Respiratory tract infections – Always a trigger for developing dka in children with type 1 diabetes?","authors":"Andrei Condrea, A. Grama, O. Grama","doi":"10.37897/rjp.2023.1.4","DOIUrl":"https://doi.org/10.37897/rjp.2023.1.4","url":null,"abstract":"Respiratory tract infections are usually the most common infections in pediatric patients, including in those with diabetes. A low control on the glucose levels makes the diabetic patient more vulnerable to get an infectious disease and even to develop serious complications, such as diabetic ketoacidosis. We present you two clinical cases, showing, in parallel, children diagnosed with Type 1 Diabetes, who, facing the same stress factor -infection-, show a different response of their immune system. A conscientious maintenance of the disease, regular check-ups and a good knowledge of the risk factors are the key to avoid the occurrence of diabetic ketoacidosis.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43209373","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}
Owing to the living condition, tribal community is at higher risk for diet-associated health disorders. The indigenous tribal populations like “The Yanadi”, residing in state of Andhra Pradesh in India. Being in the lower economic strata, they are deprived of proper food and access to basic health facilities is also constrained. Yanadi tribal children exhibit characteristic features of IDA, stunted growth, wasting and lower cognitive skills, which significantly affects their education. The study investigated the prevalence of anemia in 384 male Yanadi tribal schoolchildren aged 6-14 years and multiple approaches were adopted for survey-based data on social, economic and environment variables of the study-cohort was gathered along with anthropometric information. It was observed that huge majority of the tribal parents lacked primary school education and economic condition of such families is under dilapidating state, leading to consumption of improper food. Strikingly, 56% of the children exhibited the commonest symptom of anemia, pale conjunctiva. Overall analysis of the study participating children, following the WHO grading, close to 28% were found to be anemic and hemoglobin content (g/L) was observed to be close in both age groups, 11 to 14 years (11.889±1.123) and 7 to 10 years (11.734±1.309). Largely, the Yanadi tribal children projected cognitive impairment in the form of poor memory function (33%), down regulated cognitive functions (46%), and impaired attention functions (74.5%). It is somewhat relieving to see that anemia amongst Yanadi male children is not as severe as observed in children of other populations, as reported. However, the study projects out impaired cognitive and behavior skills amongst the participants, emphasizing the need of extending the study in a larger cohort.
{"title":"A study on prevalence of anemia in school going Yanadi tribal children of Nellore District, Andhra Pradesh, India","authors":"Sarvepalli Vijaya Kumar, Skandha S. Harshita","doi":"10.37897/rjp.2023.1.7","DOIUrl":"https://doi.org/10.37897/rjp.2023.1.7","url":null,"abstract":"Owing to the living condition, tribal community is at higher risk for diet-associated health disorders. The indigenous tribal populations like “The Yanadi”, residing in state of Andhra Pradesh in India. Being in the lower economic strata, they are deprived of proper food and access to basic health facilities is also constrained. Yanadi tribal children exhibit characteristic features of IDA, stunted growth, wasting and lower cognitive skills, which significantly affects their education. The study investigated the prevalence of anemia in 384 male Yanadi tribal schoolchildren aged 6-14 years and multiple approaches were adopted for survey-based data on social, economic and environment variables of the study-cohort was gathered along with anthropometric information. It was observed that huge majority of the tribal parents lacked primary school education and economic condition of such families is under dilapidating state, leading to consumption of improper food. Strikingly, 56% of the children exhibited the commonest symptom of anemia, pale conjunctiva. Overall analysis of the study participating children, following the WHO grading, close to 28% were found to be anemic and hemoglobin content (g/L) was observed to be close in both age groups, 11 to 14 years (11.889±1.123) and 7 to 10 years (11.734±1.309). Largely, the Yanadi tribal children projected cognitive impairment in the form of poor memory function (33%), down regulated cognitive functions (46%), and impaired attention functions (74.5%). It is somewhat relieving to see that anemia amongst Yanadi male children is not as severe as observed in children of other populations, as reported. However, the study projects out impaired cognitive and behavior skills amongst the participants, emphasizing the need of extending the study in a larger cohort.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41475782","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}
Vlad Dima, R. Bohîlțea, A. Toma, R. Bors, V. Varlas, A. Davitoiu
Childhood cancer survival rates are constantly improving due to treatment. Fertility research has focused on adult cancer patients, but studies among childhood cancer survivors who reach reproductive age are rare and mainly based on small numbers of patients. This is surprising as childhood cancer survivors constitute a distinct, ever-growing population that may have temporarily or permanently impaired fertility due to cancer treatment. Thus, the basic scientific concern specific to the pediatric population has focused on improving protection techniques and cryopreserved tissue transfer. Research on preservation techniques confirms the safety of surgical retrieval of gonadal (ovarian and testicular) tissue for cryopreservation. Outcomes may improve, but it is clear that large registries of long-term follow-up of patients are needed. Current research efforts imply the need to develop a national strategy in each country to ensure the education and information of pediatric patients undergoing gonadotoxic regimens and their families about fertility options and subsequent outcomes and give them the opportunity to join such programs.
{"title":"Fertility issues among pediatric oncology patients – short communication","authors":"Vlad Dima, R. Bohîlțea, A. Toma, R. Bors, V. Varlas, A. Davitoiu","doi":"10.37897/rjp.2023.1.5","DOIUrl":"https://doi.org/10.37897/rjp.2023.1.5","url":null,"abstract":"Childhood cancer survival rates are constantly improving due to treatment. Fertility research has focused on adult cancer patients, but studies among childhood cancer survivors who reach reproductive age are rare and mainly based on small numbers of patients. This is surprising as childhood cancer survivors constitute a distinct, ever-growing population that may have temporarily or permanently impaired fertility due to cancer treatment. Thus, the basic scientific concern specific to the pediatric population has focused on improving protection techniques and cryopreserved tissue transfer. Research on preservation techniques confirms the safety of surgical retrieval of gonadal (ovarian and testicular) tissue for cryopreservation. Outcomes may improve, but it is clear that large registries of long-term follow-up of patients are needed. Current research efforts imply the need to develop a national strategy in each country to ensure the education and information of pediatric patients undergoing gonadotoxic regimens and their families about fertility options and subsequent outcomes and give them the opportunity to join such programs.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49384580","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}
Maria-Andreea Racean, L. Suciu, Cristina Blesneac, M. Pop, C. Mărginean
Patent ductus venosus is an extremely rare form of congenital portosystemic shunt that results in the diversion of portal blood into the systemic circulation, decreasing hepatic blood flow and increasing blood volume and toxic substances in the systemic circulation. We present a clinical case of a male infant born at 37 5/7 weeks gestational age with patent ductus venosus. Because very few cases of patent ductus venosus have been reported, the prudent approach it would be to perform serial Doppler studies and laboratory tests to follow the course of the ductus venosus until closure and to intervene if the infant becomes unstable and symptomatic. The medical team decided that the conservative management in this case was a better choice, since the infant remained stable with good growth.
{"title":"Patent Ductus Venosus in an early term infant with mild respiratory distress – Case report","authors":"Maria-Andreea Racean, L. Suciu, Cristina Blesneac, M. Pop, C. Mărginean","doi":"10.37897/rjp.2023.1.3","DOIUrl":"https://doi.org/10.37897/rjp.2023.1.3","url":null,"abstract":"Patent ductus venosus is an extremely rare form of congenital portosystemic shunt that results in the diversion of portal blood into the systemic circulation, decreasing hepatic blood flow and increasing blood volume and toxic substances in the systemic circulation. We present a clinical case of a male infant born at 37 5/7 weeks gestational age with patent ductus venosus. Because very few cases of patent ductus venosus have been reported, the prudent approach it would be to perform serial Doppler studies and laboratory tests to follow the course of the ductus venosus until closure and to intervene if the infant becomes unstable and symptomatic. The medical team decided that the conservative management in this case was a better choice, since the infant remained stable with good growth.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46352814","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}
Emma Constantinescu, Teodora Jescu, Cristian Carstoiu, Mihai Cristian Popescu
{"title":"Articles REVIEW – Romanian Journal of Pediatrics (RJP), 4th issue, 2018","authors":"Emma Constantinescu, Teodora Jescu, Cristian Carstoiu, Mihai Cristian Popescu","doi":"10.37897/rjp.2018.5.4","DOIUrl":"https://doi.org/10.37897/rjp.2018.5.4","url":null,"abstract":"","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135723078","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}
Teodora Jescu, Emma Constantinescu, Cristian Carstoiu, Mihai Cristian Popescu
{"title":"Articles REVIEW – Romanian Journal of Pediatrics (RJP), 3rd issue, 2018","authors":"Teodora Jescu, Emma Constantinescu, Cristian Carstoiu, Mihai Cristian Popescu","doi":"10.37897/rjp.2018.5.3","DOIUrl":"https://doi.org/10.37897/rjp.2018.5.3","url":null,"abstract":"","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135723079","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}
Acute lymphoblastic leukemia (ALL) is a malignant condition defined by the proliferation of immature hematopoietic bone marrow cells, which replace the normal bone marrow elements. Furthermore, immature cells will accumulate in various areas of the body. Chemotherapeutic drugs are cytotoxic and have unwanted effects on normal cells. This toxicity is acute, or it may be chronic. Approximately 60% of survivors of ALL will suffer from one or more health problems or adverse side effects of this treatment. Oral complications are a frequent consequence of oncology therapy in pediatric patients. Xerostomia, carious lesions, gingivitis, tumors of the oral cavity, bone deformities of the jaw, temporomandibular joint disorders, trismus, and infections due to abundant microbial flora are common in these children. The risk of dental anomalies (dental or root agenesis, root malformations, enamel defects, dental hypoplasia) is higher in those who started treatment before permanent teeth erupt. All children are at risk of developing oral lesions due to poor hygiene, but children who have survived cancer are at even higher risk. The survival rate of children diagnosed with ALL has significantly increased thanks to remarkable advances in chemotherapy. Therefore, it is important that these patients are constantly monitored by the dentist to treat complications arising from the treatments in a timely manner. In children diagnosed with ALL, oral health is of great importance as the oral environment changes as a side effect of hematological disorders and their treatments. Treatment of carious lesions, periodontal problems and lesions of the oral mucosa must be done before starting chemotherapy by cleaning the oral cavity to eliminate any possible risk of infection. The participation of the dentist is important in improving the preventive protocols and oral examination of the pathological processes that occur in children with ALL. Interdisciplinary collaboration between physicians is essential during the treatment of pediatric cancer patients.
{"title":"Diagnosis, prophylaxis and treatment of oral complications in children with acute lymphoblastic leukemia. A narrative review","authors":"L. Lazăr, C. Bică, Timea Dakó, M. Suciu, A. Lazar","doi":"10.37897/rjp.2022.4.5","DOIUrl":"https://doi.org/10.37897/rjp.2022.4.5","url":null,"abstract":"Acute lymphoblastic leukemia (ALL) is a malignant condition defined by the proliferation of immature hematopoietic bone marrow cells, which replace the normal bone marrow elements. Furthermore, immature cells will accumulate in various areas of the body. Chemotherapeutic drugs are cytotoxic and have unwanted effects on normal cells. This toxicity is acute, or it may be chronic. Approximately 60% of survivors of ALL will suffer from one or more health problems or adverse side effects of this treatment. Oral complications are a frequent consequence of oncology therapy in pediatric patients. Xerostomia, carious lesions, gingivitis, tumors of the oral cavity, bone deformities of the jaw, temporomandibular joint disorders, trismus, and infections due to abundant microbial flora are common in these children. The risk of dental anomalies (dental or root agenesis, root malformations, enamel defects, dental hypoplasia) is higher in those who started treatment before permanent teeth erupt. All children are at risk of developing oral lesions due to poor hygiene, but children who have survived cancer are at even higher risk. The survival rate of children diagnosed with ALL has significantly increased thanks to remarkable advances in chemotherapy. Therefore, it is important that these patients are constantly monitored by the dentist to treat complications arising from the treatments in a timely manner. In children diagnosed with ALL, oral health is of great importance as the oral environment changes as a side effect of hematological disorders and their treatments. Treatment of carious lesions, periodontal problems and lesions of the oral mucosa must be done before starting chemotherapy by cleaning the oral cavity to eliminate any possible risk of infection. The participation of the dentist is important in improving the preventive protocols and oral examination of the pathological processes that occur in children with ALL. Interdisciplinary collaboration between physicians is essential during the treatment of pediatric cancer patients.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46085317","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}
Diana Iulia Vasilescu, Cristina Elena Chiriac, M. Mihai, Vlad Dima, A. Dan
Introduction. Chest X-ray (CXR) has been for decades the most practiced diagnostic tool in respiratory pathology, an available and sometimes life-saving investigation, but we must admit that it has also long-term risks. X-rays can destroy living tissues, affecting DNA and producing genetic mutations Objective. Reducing the exposure of the newborn to ionizing radiation. Material and method. We have analyzed the diagnostic correlation between CXR and lung ultrasound (LUS) for newborns with respiratory pathology admitted to the Neonatal Intensive Care Unit (NICU) of Emergency University Hospital Bucharest. They required a chest X-ray, and we correlated the ultrasound appearance with the radiological one. Results. Acknowledging the normal appearance of LUS, multiple neonatal pathologies can be identified and monitored by pulmonary ultrasound, avoiding chest X-ray. Conclusions. Lung ultrasound proved to be a very useful tool, always handy, easy to perform, reproducible, provides the image promptly, and is immediately integrated clinically into the medical thinking at the patient’s bedside, therefore it should become standard of care.
{"title":"Lung ultrasound in neonatal intensive care unit, an alternative to the chest X Ray","authors":"Diana Iulia Vasilescu, Cristina Elena Chiriac, M. Mihai, Vlad Dima, A. Dan","doi":"10.37897/rjp.2022.4.4","DOIUrl":"https://doi.org/10.37897/rjp.2022.4.4","url":null,"abstract":"Introduction. Chest X-ray (CXR) has been for decades the most practiced diagnostic tool in respiratory pathology, an available and sometimes life-saving investigation, but we must admit that it has also long-term risks. X-rays can destroy living tissues, affecting DNA and producing genetic mutations Objective. Reducing the exposure of the newborn to ionizing radiation. Material and method. We have analyzed the diagnostic correlation between CXR and lung ultrasound (LUS) for newborns with respiratory pathology admitted to the Neonatal Intensive Care Unit (NICU) of Emergency University Hospital Bucharest. They required a chest X-ray, and we correlated the ultrasound appearance with the radiological one. Results. Acknowledging the normal appearance of LUS, multiple neonatal pathologies can be identified and monitored by pulmonary ultrasound, avoiding chest X-ray. Conclusions. Lung ultrasound proved to be a very useful tool, always handy, easy to perform, reproducible, provides the image promptly, and is immediately integrated clinically into the medical thinking at the patient’s bedside, therefore it should become standard of care.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43156794","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}
Congenital chylothorax, the accumulation of lymph in the pleural space, is a rare and serious condition that can appear alone or accompany congenital anomalies. Ultrasonography and pleural fluid analysis can diagnose it early from the fetal period. Both prenatal and postnatal therapeutic interventions improve the fetal prognosis and decrease the rate of complications.
{"title":"Diagnosis and management of congenital chylothorax","authors":"V. Varlas, Vlad Dima, R. Bors","doi":"10.37897/rjp.2022.4.1","DOIUrl":"https://doi.org/10.37897/rjp.2022.4.1","url":null,"abstract":"Congenital chylothorax, the accumulation of lymph in the pleural space, is a rare and serious condition that can appear alone or accompany congenital anomalies. Ultrasonography and pleural fluid analysis can diagnose it early from the fetal period. Both prenatal and postnatal therapeutic interventions improve the fetal prognosis and decrease the rate of complications.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43415176","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}
N. Kissani, Reine Joephane Bikouta Ouadika, H. Arabi, S. Khalfaoui, Y. Abdelfettah
Cerebral palsy (CP) constitutes a major public health problem in Morocco; there is a lack of prevalence and incidence studies. Objectives. The aim of our work is to study and analyze the epidemiological profile of disability, list the challenges and pitfalls concerning the management of CP in Morocco and developing countries, and highlight practical recommendations for health policymakers in terms of CP in particular and disability in general. Material and methods. Authors performed a literature search using MEDLINE, EMBASE, SCIENCE DIRECT, and Google scholar, but also searched in international and local journals to identify articles that examined CP in Morocco. Combination of keywords, such as “Cerebral Palsy” “disability” and “nervous system”, and matching it with “Morocco”, or other developing countries. Outcomes. There are an unsatisfactory number of specialists in physical medicine, lack of good collaboration between specialists involved in CP management and physiotherapists. This situation is more pronounced in small cities and rural areas. However, in Morocco compared to other developing countries, as in Sub-Saharan Africa, the situation is much better. Conclusion. CP is becoming a priority of Moroccan ministry of health and ministry of social affairs and huge improvements are made, mainly in university hospitals, the use of new techniques and reducing the management gap of regional hospitals, and rural areas with the recent use of tele rehabilitation.
{"title":"Cerebral palsy in Morocco: state of affairs and challenges","authors":"N. Kissani, Reine Joephane Bikouta Ouadika, H. Arabi, S. Khalfaoui, Y. Abdelfettah","doi":"10.37897/rjp.2022.4.7","DOIUrl":"https://doi.org/10.37897/rjp.2022.4.7","url":null,"abstract":"Cerebral palsy (CP) constitutes a major public health problem in Morocco; there is a lack of prevalence and incidence studies. Objectives. The aim of our work is to study and analyze the epidemiological profile of disability, list the challenges and pitfalls concerning the management of CP in Morocco and developing countries, and highlight practical recommendations for health policymakers in terms of CP in particular and disability in general. Material and methods. Authors performed a literature search using MEDLINE, EMBASE, SCIENCE DIRECT, and Google scholar, but also searched in international and local journals to identify articles that examined CP in Morocco. Combination of keywords, such as “Cerebral Palsy” “disability” and “nervous system”, and matching it with “Morocco”, or other developing countries. Outcomes. There are an unsatisfactory number of specialists in physical medicine, lack of good collaboration between specialists involved in CP management and physiotherapists. This situation is more pronounced in small cities and rural areas. However, in Morocco compared to other developing countries, as in Sub-Saharan Africa, the situation is much better. Conclusion. CP is becoming a priority of Moroccan ministry of health and ministry of social affairs and huge improvements are made, mainly in university hospitals, the use of new techniques and reducing the management gap of regional hospitals, and rural areas with the recent use of tele rehabilitation.","PeriodicalId":33512,"journal":{"name":"Revista Romana de Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46536783","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}
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