Pub Date : 2023-12-05DOI: 10.4038/sljch.v52i4.10637
Mondal Abdul Rahim, M. Sinha, Mrinal Kanti Das, Ripan Saha, Akshay Rana, Suprit Basu
Background: Childhood stroke is an acute onset neurological sign or symptom attributable to focal brain infarction or haemorrhage. It is an under-studied entity and is scarcely reported from India.Objectives: To evaluate the risk factors, clinical profile and short-term outcome (after a 6-month follow-up) of childhood stroke in a tertiary care hospital of Eastern India.Method: This observational, prospective study was conducted on 50 patients aged 2 months to 12 years over a period of 18 months. Data on history, examination, relevant investigations, radio-imaging and follow-up was taken and recorded on a pre-formed proforma and analysed.Results: Out of the 50 cases, 23 (46%) had arterial ischaemic stroke (AIS), 12 (24%) had cerebral sino-venous thrombosis (CSVT) and 15 (30%) had haemorrhagic stroke (HS). The common risk factors were infection (30%) and vascular disorder (24%), including arteriopathy and vascular malformation. Common presentations were seizures (78%) and hemiparesis (70%). Eight (16%) cases died. Although none died among AIS and CSVT cases, there was statistically significant mortality in HS (p<0.001). After 6-month follow-up of discharged cases (n=42), partial neurological recovery was noted in 64.3%.Conclusions: AIS was the most common type of stroke. Commonest risk factor was infection and commonest presentation was seizure. Mortality was observed only in HS. Majority achieved partial neurological recovery on short-term follow-up.
{"title":"Childhood stroke: A prospective study on risk factors, clinical profile, and short-term outcome in a tertiary care hospital in Eastern India","authors":"Mondal Abdul Rahim, M. Sinha, Mrinal Kanti Das, Ripan Saha, Akshay Rana, Suprit Basu","doi":"10.4038/sljch.v52i4.10637","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10637","url":null,"abstract":"Background: Childhood stroke is an acute onset neurological sign or symptom attributable to focal brain infarction or haemorrhage. It is an under-studied entity and is scarcely reported from India.Objectives: To evaluate the risk factors, clinical profile and short-term outcome (after a 6-month follow-up) of childhood stroke in a tertiary care hospital of Eastern India.Method: This observational, prospective study was conducted on 50 patients aged 2 months to 12 years over a period of 18 months. Data on history, examination, relevant investigations, radio-imaging and follow-up was taken and recorded on a pre-formed proforma and analysed.Results: Out of the 50 cases, 23 (46%) had arterial ischaemic stroke (AIS), 12 (24%) had cerebral sino-venous thrombosis (CSVT) and 15 (30%) had haemorrhagic stroke (HS). The common risk factors were infection (30%) and vascular disorder (24%), including arteriopathy and vascular malformation. Common presentations were seizures (78%) and hemiparesis (70%). Eight (16%) cases died. Although none died among AIS and CSVT cases, there was statistically significant mortality in HS (p<0.001). After 6-month follow-up of discharged cases (n=42), partial neurological recovery was noted in 64.3%.Conclusions: AIS was the most common type of stroke. Commonest risk factor was infection and commonest presentation was seizure. Mortality was observed only in HS. Majority achieved partial neurological recovery on short-term follow-up.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598660","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10436
P. K. B. U. C. Bandara, K. Dayasiri
No abstract available
没有摘要
{"title":"Monkey tapeworm (Bertiella studeri) infection in a toddler","authors":"P. K. B. U. C. Bandara, K. Dayasiri","doi":"10.4038/sljch.v52i4.10436","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10436","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600038","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10763
C. Akhil, Mounica Gudavalli Ramya Pandi
No abstract available
没有摘要
{"title":"Impact of COVID-19 pandemic on educational, psychosocial and behavioural aspects of children: An alert for parents ","authors":"C. Akhil, Mounica Gudavalli Ramya Pandi","doi":"10.4038/sljch.v52i4.10763","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10763","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600417","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10781
B. J. C. Perera
No abstract available
没有摘要
{"title":"‘Rogue Medicines’: The absolute pits of the world","authors":"B. J. C. Perera","doi":"10.4038/sljch.v52i4.10781","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10781","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600215","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10720
Marianne Nishani Lucas
No abstract available
没有摘要
{"title":"Do we need to re-think growth assessment in Sri Lankan children from birth to 2 years?","authors":"Marianne Nishani Lucas","doi":"10.4038/sljch.v52i4.10720","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10720","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598314","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10722
Kosalakumar Wickramarachchi Karunaratne
No abstract available
没有摘要
{"title":"In the wake of a calamity, let no child be left behind","authors":"Kosalakumar Wickramarachchi Karunaratne","doi":"10.4038/sljch.v52i4.10722","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10722","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600607","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10565
I. Kankananarachchi, Dimuthu Liyanage, U. Egodage, Lanka Dassanayaka, Dileni Aishwarya Gunarathna, S. Amarasena, M. Hettiarachchi
Introduction: Unlike in developed countries, there is no established expanded newborn screening (eNBS) in resource-limited settings. In Sri Lanka, the Ministry of Health has adopted screening only for congenital hypothyroidism, critical congenital heart diseases and congenital deafness as a policy in all newborns. Hence, there is a requirement to assess the need for eNBS in Sri Lanka. This requires epidemiological studies of the inherited metabolic disorders (IMDs) before investment to ensure costeffectiveness of the programme and reflections on acceptance by beneficiaries.Objectives: To evaluate the pregnant women's knowledge, attitudes and willingness towards eNBS.Method: A descriptive cross-sectional study was conducted at the Mahamodara Maternity Hospital antenatal clinics, Galle, Southern Province, Sri Lanka. A convenient sample was obtained from the antenatal clinics. A pre-tested intervieweradministered questionnaire was used to assess basic socio-demographic details, knowledge and perception of eNBSResults: A total of 602 pregnant women took part in the study. The mean age was 29±5.7 years; 67% were in the 25-40-year age group; 37.2% were primigravida and 60% were in the third trimester. More than 50% of the study participants knew about the heel prick test done at birth. However, only 34.8% and 28% were aware of the screening for congenital hypothyroidism and congenital heart disease, respectively; 93.6% of mothers had not heard of the term IMD, and only seven were aware of the term eNBS. Nevertheless, more than 80% of participants were willing to screen their babies at birth for underlying IMDs, even if it is available on payment, as the current programme was free of charge to the family. Similarly, 96.2% were willing to screen their babies for incurable diseases.Conclusions: Though most women were aware of the heel prick test done at birth, only a suboptimal proportion of them was aware of the disease/s checked using the test. In addition, there was poor knowledge about the IMDs and eNBS. However, there were positive attitudes towards eNBS.
{"title":"Knowledge and perception on expanded newborn screening in Sri Lanka among pregnant women attending antenatal clinics in Teaching Hospital Mahamodara","authors":"I. Kankananarachchi, Dimuthu Liyanage, U. Egodage, Lanka Dassanayaka, Dileni Aishwarya Gunarathna, S. Amarasena, M. Hettiarachchi","doi":"10.4038/sljch.v52i4.10565","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10565","url":null,"abstract":"Introduction: Unlike in developed countries, there is no established expanded newborn screening (eNBS) in resource-limited settings. In Sri Lanka, the Ministry of Health has adopted screening only for congenital hypothyroidism, critical congenital heart diseases and congenital deafness as a policy in all newborns. Hence, there is a requirement to assess the need for eNBS in Sri Lanka. This requires epidemiological studies of the inherited metabolic disorders (IMDs) before investment to ensure costeffectiveness of the programme and reflections on acceptance by beneficiaries.Objectives: To evaluate the pregnant women's knowledge, attitudes and willingness towards eNBS.Method: A descriptive cross-sectional study was conducted at the Mahamodara Maternity Hospital antenatal clinics, Galle, Southern Province, Sri Lanka. A convenient sample was obtained from the antenatal clinics. A pre-tested intervieweradministered questionnaire was used to assess basic socio-demographic details, knowledge and perception of eNBSResults: A total of 602 pregnant women took part in the study. The mean age was 29±5.7 years; 67% were in the 25-40-year age group; 37.2% were primigravida and 60% were in the third trimester. More than 50% of the study participants knew about the heel prick test done at birth. However, only 34.8% and 28% were aware of the screening for congenital hypothyroidism and congenital heart disease, respectively; 93.6% of mothers had not heard of the term IMD, and only seven were aware of the term eNBS. Nevertheless, more than 80% of participants were willing to screen their babies at birth for underlying IMDs, even if it is available on payment, as the current programme was free of charge to the family. Similarly, 96.2% were willing to screen their babies for incurable diseases.Conclusions: Though most women were aware of the heel prick test done at birth, only a suboptimal proportion of them was aware of the disease/s checked using the test. In addition, there was poor knowledge about the IMDs and eNBS. However, there were positive attitudes towards eNBS.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599206","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10598
Ankita Annu, S. Paranna, Anil T. Patil, B. Sandhyarani, Adhithi Prakash, Tanata R. Kulkarni
Background: Dental biofilms are the primary aetiologic factors in the 2 most prevalent oral diseases, dental caries and periodontal disease. Among all oral hygiene methods available, mechanical plaque removal with a toothbrush is the primary mode of maintaining good oral hygiene.Objectives: Comparative evaluation of plaque removal efficacy and quantitative analysis of Streptococcus mutans in saliva after using nylon and charcoal bristles toothbrushes in children.Method: Forty healthy children aged 8-10 years having decayed-missing-filled-tooth (DMFT) score less than 5 were randomly allocated into two groups, one using charcoal bristles and the other using nylon bristles toothbrush. Loe & Silness Plaque Index was recorded along with saliva sample collection for Streptococcus mutans count before and after using the respective toothbrushes for 1 week.Results: A significant reduction in plaque index was observed in each group with a non-significant reduction in Streptococcus mutans CFU. However, the comparison between the two groups was not statistically significant.Conclusions: This randomised, parallel, singleblinded clinical study demonstrated that both nylon and charcoal bristles toothbrushes significantly enhanced plaque control but there was no significant difference in the two methods. There was no significant reduction in Streptococcus mutans CFU.
{"title":"Comparative evaluation of plaque removal efficacy and quantitative analysis of Streptococcus mutans in saliva after using nylon and charcoal bristles toothbrushes in children: A clinico-microbiological study","authors":"Ankita Annu, S. Paranna, Anil T. Patil, B. Sandhyarani, Adhithi Prakash, Tanata R. Kulkarni","doi":"10.4038/sljch.v52i4.10598","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10598","url":null,"abstract":"Background: Dental biofilms are the primary aetiologic factors in the 2 most prevalent oral diseases, dental caries and periodontal disease. Among all oral hygiene methods available, mechanical plaque removal with a toothbrush is the primary mode of maintaining good oral hygiene.Objectives: Comparative evaluation of plaque removal efficacy and quantitative analysis of Streptococcus mutans in saliva after using nylon and charcoal bristles toothbrushes in children.Method: Forty healthy children aged 8-10 years having decayed-missing-filled-tooth (DMFT) score less than 5 were randomly allocated into two groups, one using charcoal bristles and the other using nylon bristles toothbrush. Loe & Silness Plaque Index was recorded along with saliva sample collection for Streptococcus mutans count before and after using the respective toothbrushes for 1 week.Results: A significant reduction in plaque index was observed in each group with a non-significant reduction in Streptococcus mutans CFU. However, the comparison between the two groups was not statistically significant.Conclusions: This randomised, parallel, singleblinded clinical study demonstrated that both nylon and charcoal bristles toothbrushes significantly enhanced plaque control but there was no significant difference in the two methods. There was no significant reduction in Streptococcus mutans CFU.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599352","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 : 2023-12-05DOI: 10.4038/sljch.v52i4.10437
Amila Chandrasiri, Darshani Hettiarachchi, K. Somarathna, Ajanthi Wannisinghe, Sajeewa De Silva
No abstract available
没有摘要
{"title":"Strengthening detection, referral and care of childhood psychiatric conditions: Implementing an out-reach programme","authors":"Amila Chandrasiri, Darshani Hettiarachchi, K. Somarathna, Ajanthi Wannisinghe, Sajeewa De Silva","doi":"10.4038/sljch.v52i4.10437","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10437","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599536","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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