Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10834
B. Bhusari, S. Hugar, N. Kohli, Niraj S. Gokhale, Sanika U. Karmarkar, Shweta Hugar
No abstract available
无摘要
{"title":"Evaluation of the effectiveness of herbal and non-herbal oral formulations for the prevention of oral diseases in children: A systematic review and meta-analysis","authors":"B. Bhusari, S. Hugar, N. Kohli, Niraj S. Gokhale, Sanika U. Karmarkar, Shweta Hugar","doi":"10.4038/sljch.v53i2.10834","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10834","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"46 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382125","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.11031
B. J. C. Perera
No abstract available
无摘要
{"title":"Emeritus Professor of Paediatrics Priyani Elizabeth Soysa: An icon is no more","authors":"B. J. C. Perera","doi":"10.4038/sljch.v53i2.11031","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.11031","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"345 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385985","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10802
Pushpika Jayawardana, T. Ponnamperuma
Background: Allergic rhino-conjunctivitis (AR) is a common disorder in children, which causes significant morbidity and impact on learning and day-to-day activities. Objectives: To compare effectiveness of montelukast versus cetirizine in AR and its effect on the quality of life (QoL) among children aged 6-12 years, attending Asthma Clinic, Faculty of Medicine, University of Ruhuna, Sri Lanka. Method: This was a randomized, double-blind, parallel-group trial; 'Group A' was given montelukast with a cetirizine dummy; 'Group B' was given cetirizine with a montelukast dummy. Primary endpoint was to compare improvement of nasal, eye and night symptom scores. Secondary endpoint was to compare the QoL between the groups. Total symptoms were assessed at baseline, one month, two months and three months. Results: There were 176 children (62.5% boys) with a mean age of 8.82 ± 1.79 years. Fifteen children were lost to follow-up, 7 from the montelukast and 8 from the cetirizine group. There was a significant reduction in all symptoms (p<0.05) every month in both treatment groups. Whilst montelukast group had more improved day and night symptom scores than cetirizine group, statistically significant improvement was seen only in the 3rd month (t-4.10 p <0.001). Mean QoL score showed no significant difference between the two groups at onset (montelukast 9.01±9.4 and cetirizine 15.9 ± 10.4; t-0.369; p=0.712). Both groups showed a statistically significant improvement in all domains of QoL by completion of treatment (p<0.05). Upon completion, the montelukast group showed a significantly better QoL than the cetirizine group. Conclusions: Both cetirizine and montelukast showed remarkable improvement in the symptoms and better QoL in children. Study outcomes in all clinical domains and QoL were more significantly improved in montelukast group than in cetirizine group when treatment was continued for 3 months.
背景:过敏性鼻结膜炎(AR)是一种常见的儿童疾病,会导致严重的发病率,并对学习和日常活动造成影响。 研究目的:比较孟鲁司特和阿司匹林的疗效:比较孟鲁司特和西替利嗪治疗 AR 的疗效及其对斯里兰卡鲁胡纳大学医学院哮喘门诊 6-12 岁儿童生活质量(QoL)的影响。研究方法这是一项随机、双盲、平行分组试验;"A 组 "服用孟鲁司特和西替利嗪假药;"B 组 "服用西替利嗪和孟鲁司特假药。主要终点是比较鼻部、眼部和夜间症状评分的改善情况。次要终点是比较两组的 QoL。在基线、一个月、两个月和三个月时对总症状进行评估。结果176名儿童(62.5%为男孩)的平均年龄为(8.82 ± 1.79)岁。15名儿童失去了随访机会,其中7名来自孟鲁司特组,8名来自西替利嗪组。两个治疗组的所有症状每月都有明显减轻(P<0.05)。与西替利嗪组相比,孟鲁司特组的日间和夜间症状评分改善幅度更大,但只有在第 3 个月才出现统计学意义上的显著改善(t-4.10 p <0.001)。两组的平均 QoL 评分在发病时无明显差异(孟鲁司特 9.01±9.4,西替利嗪 15.9±10.4;t-0.369;p=0.712)。治疗结束时,两组患者的所有 QoL 领域均有显著改善(p<0.05)。完成治疗后,孟鲁司特组的 QoL 明显优于西替利嗪组。结论西替利嗪和孟鲁司特都能显著改善儿童的症状,提高其生活质量。持续治疗 3 个月后,孟鲁司特组在所有临床领域和 QoL 方面的研究结果都比西替利嗪组有更明显的改善。
{"title":"Comparing the effectiveness of oral montelukast versus cetirizine in the management of allergic rhino-conjunctivitis and its effect on quality of life among children: A randomized, double-blind clinical trial","authors":"Pushpika Jayawardana, T. Ponnamperuma","doi":"10.4038/sljch.v53i2.10802","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10802","url":null,"abstract":"Background: Allergic rhino-conjunctivitis (AR) is a common disorder in children, which causes significant morbidity and impact on learning and day-to-day activities. Objectives: To compare effectiveness of montelukast versus cetirizine in AR and its effect on the quality of life (QoL) among children aged 6-12 years, attending Asthma Clinic, Faculty of Medicine, University of Ruhuna, Sri Lanka. Method: This was a randomized, double-blind, parallel-group trial; 'Group A' was given montelukast with a cetirizine dummy; 'Group B' was given cetirizine with a montelukast dummy. Primary endpoint was to compare improvement of nasal, eye and night symptom scores. Secondary endpoint was to compare the QoL between the groups. Total symptoms were assessed at baseline, one month, two months and three months. Results: There were 176 children (62.5% boys) with a mean age of 8.82 ± 1.79 years. Fifteen children were lost to follow-up, 7 from the montelukast and 8 from the cetirizine group. There was a significant reduction in all symptoms (p<0.05) every month in both treatment groups. Whilst montelukast group had more improved day and night symptom scores than cetirizine group, statistically significant improvement was seen only in the 3rd month (t-4.10 p <0.001). Mean QoL score showed no significant difference between the two groups at onset (montelukast 9.01±9.4 and cetirizine 15.9 ± 10.4; t-0.369; p=0.712). Both groups showed a statistically significant improvement in all domains of QoL by completion of treatment (p<0.05). Upon completion, the montelukast group showed a significantly better QoL than the cetirizine group. Conclusions: Both cetirizine and montelukast showed remarkable improvement in the symptoms and better QoL in children. Study outcomes in all clinical domains and QoL were more significantly improved in montelukast group than in cetirizine group when treatment was continued for 3 months.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"74 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382826","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10716
Chanika Lokuhewage, K. Dayasiri
No abstract available
无摘要
{"title":"Acute pericarditis in a child during the recovery period of multisystem inflammatory syndrome ","authors":"Chanika Lokuhewage, K. Dayasiri","doi":"10.4038/sljch.v53i2.10716","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10716","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"31 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382864","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10714
W. M. C. L. Weerasinghe, S. T. Kudagammana, H. C. M. Hettiarachchi, K. V. C. K. Dharmadasa, A. H. H. M. Jayaweera
No abstract available
无摘要
{"title":"Unicentric-mesenteric Castleman disease in a child: An unusual presentation ","authors":"W. M. C. L. Weerasinghe, S. T. Kudagammana, H. C. M. Hettiarachchi, K. V. C. K. Dharmadasa, A. H. H. M. Jayaweera","doi":"10.4038/sljch.v53i2.10714","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10714","url":null,"abstract":" \u0000No abstract available\u0000 ","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141383837","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10755
Subham Moharana, Prakash Chandra Panda, S. Meher, Himansu Nayak, S. Majhi, Chandrakant Poddar, Nilamadhaba Panda, Anwesha Das, Omswaroop Hota
Introduction: Play is essential for child development as it contributes to their cognitive, physical, social, and emotional well-being. Toys are the primary medium of engagement of caregivers with their children. Traditionally, physical toys were provided to the children. With the introduction of digital toys and screen-based devices, the challenge has been to recognize their effect.Objectives: To assess the practice of toys in infants and toddlers, determine associated health risks and determine the appropriateness of toys as per age.Results: With traditional toys, 74% played with dolls, 72% with soft toys and 5% with outdoor equipment; 53% spent <1 hour, 31% 1-2 hours and 15% >2 hours playing with traditional toys. With digital toys, 61% parents owned 1-3 digital devices, 23.1% 4-6 devices and 15% >6 devices. Almost 92% of children were exposed to mobile screen, 47% to television screen and 42% to tablet. In 77% cases, parents were the principal interactor with child and 15% were solitary play oriented.Conclusions: Almost 50% of traditional toys were not age appropriate. Regarding digital toys, screen time was not safe in 100% in <2-year-old and only 31% safe in 2–3- year age group.
{"title":"Toys for infants and toddlers: An analytical study","authors":"Subham Moharana, Prakash Chandra Panda, S. Meher, Himansu Nayak, S. Majhi, Chandrakant Poddar, Nilamadhaba Panda, Anwesha Das, Omswaroop Hota","doi":"10.4038/sljch.v53i2.10755","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10755","url":null,"abstract":"Introduction: Play is essential for child development as it contributes to their cognitive, physical, social, and emotional well-being. Toys are the primary medium of engagement of caregivers with their children. Traditionally, physical toys were provided to the children. With the introduction of digital toys and screen-based devices, the challenge has been to recognize their effect.Objectives: To assess the practice of toys in infants and toddlers, determine associated health risks and determine the appropriateness of toys as per age.Results: With traditional toys, 74% played with dolls, 72% with soft toys and 5% with outdoor equipment; 53% spent <1 hour, 31% 1-2 hours and 15% >2 hours playing with traditional toys. With digital toys, 61% parents owned 1-3 digital devices, 23.1% 4-6 devices and 15% >6 devices. Almost 92% of children were exposed to mobile screen, 47% to television screen and 42% to tablet. In 77% cases, parents were the principal interactor with child and 15% were solitary play oriented.Conclusions: Almost 50% of traditional toys were not age appropriate. Regarding digital toys, screen time was not safe in 100% in <2-year-old and only 31% safe in 2–3- year age group.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"4 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384924","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10774
Sanika U. Karmarkar, Chandrashekhar Badakar, S. Hugar, B. Bhusari, Krishna S. Kadam, N. Kohli
Background: Children are anxious about dental procedures and the anaesthetic needle’s sight and feeling have been identified as the most fear-eliciting stimuli. Psychologists have used ‘play therapy’ to modify child behaviour to alleviate pain and anxiety during elective surgery in children. The pinwheel and bubble blower have been used in play therapy for children to bring about deep breathing which in turn brings about relaxation and anxiety reduction. Objectives: To evaluate and compare the use of two relaxation breathing exercises for anxiety reduction before and after administration of local anaesthesia for 6–12-year-old children undergoing dental treatment. Method: Forty-five children were divided into 3 groups as control, pinwheel breathing exercise and bubble blowing breathing exercise. The children were given a demonstration of the breathing exercise before local anaesthesia administration and asked to perform the exercise for 3 to 5 minutes. Anxiety was measured before and after administration of local anaesthesia with pulse rate and Venham’s picture scale score. Results: Post-operative rise in pulse rate was seen in all groups but was statistically significant in the control group and the bubble blowing breathing exercise group (p<0.05). The least rise was seen in the pinwheel breathing exercise group. The post-injection Venham’s picture test score was the same as the pre-injection score in the pinwheel exercise group but had increased for the other two groups which was statistically not significant. Conclusions: The play therapy relaxation breathing exercises can be successfully used for anxiety reduction in children receiving local anaesthesia.
{"title":"Comparison and evaluation of two play therapy breathing exercises to reduce anxiety in children receiving local anaesthesia: A randomized clinical study","authors":"Sanika U. Karmarkar, Chandrashekhar Badakar, S. Hugar, B. Bhusari, Krishna S. Kadam, N. Kohli","doi":"10.4038/sljch.v53i2.10774","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10774","url":null,"abstract":"Background: Children are anxious about dental procedures and the anaesthetic needle’s sight and feeling have been identified as the most fear-eliciting stimuli. Psychologists have used ‘play therapy’ to modify child behaviour to alleviate pain and anxiety during elective surgery in children. The pinwheel and bubble blower have been used in play therapy for children to bring about deep breathing which in turn brings about relaxation and anxiety reduction. Objectives: To evaluate and compare the use of two relaxation breathing exercises for anxiety reduction before and after administration of local anaesthesia for 6–12-year-old children undergoing dental treatment. Method: Forty-five children were divided into 3 groups as control, pinwheel breathing exercise and bubble blowing breathing exercise. The children were given a demonstration of the breathing exercise before local anaesthesia administration and asked to perform the exercise for 3 to 5 minutes. Anxiety was measured before and after administration of local anaesthesia with pulse rate and Venham’s picture scale score. Results: Post-operative rise in pulse rate was seen in all groups but was statistically significant in the control group and the bubble blowing breathing exercise group (p<0.05). The least rise was seen in the pinwheel breathing exercise group. The post-injection Venham’s picture test score was the same as the pre-injection score in the pinwheel exercise group but had increased for the other two groups which was statistically not significant. Conclusions: The play therapy relaxation breathing exercises can be successfully used for anxiety reduction in children receiving local anaesthesia.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385634","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10911
P. M. A. S. Senevirathna, I. G. K. R. Ilukpitiya
No abstract available
无摘要
{"title":"A rare cause of acute urinary retention in adolescents: imperforate hymen and haematocolpos","authors":"P. M. A. S. Senevirathna, I. G. K. R. Ilukpitiya","doi":"10.4038/sljch.v53i2.10911","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10911","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"54 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384086","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.10992
M. Lakra, Amar Taksande
No abstract available
无摘要
{"title":"Increments of feeding in preterm babies born with abnormal umbilical Doppler","authors":"M. Lakra, Amar Taksande","doi":"10.4038/sljch.v53i2.10992","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.10992","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"345 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385723","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}
Pub Date : 2024-06-05DOI: 10.4038/sljch.v53i2.11028
B. J. C. Perera
No abstract
无摘要
{"title":"The impact of the exodus of professionals on Sri Lankan Paediatric Healthcare","authors":"B. J. C. Perera","doi":"10.4038/sljch.v53i2.11028","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.11028","url":null,"abstract":"No abstract","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382143","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}