Pub Date : 2023-01-13DOI: 10.15406/jpnc.2023.13.00483
Ashlyn E Whitlock, Lorena Rincon-Cruz, Lauren M. Mednick, Farokh R Demehri, Belinda H. Dickie, P. Nandivada
Background: Pediatric rectal prolapse (RP) is a rare but burdensome disease. We sought to describe our RP patient population’s mental behavioral health disorder (MBHD) history and compare their outcomes. Methods: In a single center retrospective cohort study, all patients who underwent surgical evaluation of RP from 2016-2021 were identified and reviewed. Results: Of 56 patients identified, 30 met inclusion criteria, 16 (53.3%) had a documented MBHD. Those with MBHD were significantly older (14.4 vs 9.4 years, p=0.027), and had higher rates of constipation (15, 94% vs 19, 17%, p =0.05). They had significantly longer duration of medical management before intervention than those without MBHD (216 vs 57 days, p=0.046). Ultimately, more patients with MBHD underwent operative intervention for rectal prolapse (8, 50% vs 2, 14.2%, p =0.019). Conclusions: Pediatric patients with rectal prolapse have a high rate of MBHD and despite longer intervals of medical management, often require operative intervention.
背景:小儿直肠脱垂(RP)是一种罕见但负担沉重的疾病。我们试图描述我们的RP患者群体的精神行为健康障碍(MBHD)的历史，并比较他们的结果。方法:在一项单中心回顾性队列研究中，对2016-2021年所有接受RP手术评估的患者进行识别和回顾。结果:在确定的56例患者中，30例符合纳入标准，16例(53.3%)有记录的MBHD。MBHD患者明显更老(14.4 vs 9.4岁，p=0.027)，便秘率也更高(15.94% vs 19.17%， p= 0.05)。干预前的医疗管理时间明显长于非MBHD组(216天vs 57天，p=0.046)。最终，更多MBHD患者接受了直肠脱垂手术干预(8.50%比2.14.2%，p =0.019)。结论:小儿直肠脱垂患者的MBHD发生率较高，尽管治疗间隔较长，但往往需要手术干预。
{"title":"Rectal prolapse and mental health disorders in pediatric patients","authors":"Ashlyn E Whitlock, Lorena Rincon-Cruz, Lauren M. Mednick, Farokh R Demehri, Belinda H. Dickie, P. Nandivada","doi":"10.15406/jpnc.2023.13.00483","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00483","url":null,"abstract":"Background: Pediatric rectal prolapse (RP) is a rare but burdensome disease. We sought to describe our RP patient population’s mental behavioral health disorder (MBHD) history and compare their outcomes. Methods: In a single center retrospective cohort study, all patients who underwent surgical evaluation of RP from 2016-2021 were identified and reviewed. Results: Of 56 patients identified, 30 met inclusion criteria, 16 (53.3%) had a documented MBHD. Those with MBHD were significantly older (14.4 vs 9.4 years, p=0.027), and had higher rates of constipation (15, 94% vs 19, 17%, p =0.05). They had significantly longer duration of medical management before intervention than those without MBHD (216 vs 57 days, p=0.046). Ultimately, more patients with MBHD underwent operative intervention for rectal prolapse (8, 50% vs 2, 14.2%, p =0.019). Conclusions: Pediatric patients with rectal prolapse have a high rate of MBHD and despite longer intervals of medical management, often require operative intervention.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124863042","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 : 2023-01-11DOI: 10.15406/jpnc.2023.13.00482
Yuraima García Calcurian, Avila Teran Robersi C, I. Agüero
Introduction: Health personnel seem to be the category most exposed to the psychological challenges of a new normality due to the Covid-19 pandemic, facing the risk of contracting the virus or infecting others, generating various psychic responses that can be reflected in stress or anxiety. The Objective: Evaluate the level of stress in relation to anxiety disorders through the application of the DSM-IV diagnostic criteria in the Postgraduate Residents of Childcare and Pediatrics. Materials and Methods: Quantitative study, evaluative type of cross-sectional with a sample represented by 56 residents of postgraduate childcare and pediatrics, whose data were obtained through the application of a multiple choice questionnaire according to DSM-IV criteria. Results: 66.07% presented symptoms of moderate stress or phobic disorders. The largest number of cases for this category is found in first year residents with an affectation of 68.97%. Conclusions: According to DSM-IV, resident physicians present with symptoms of moderate stress.
{"title":"Stress in child care and pediatrics postgraduate residents during the covid-19 pandemic. University of Carabobo - Venezuela","authors":"Yuraima García Calcurian, Avila Teran Robersi C, I. Agüero","doi":"10.15406/jpnc.2023.13.00482","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00482","url":null,"abstract":"Introduction: Health personnel seem to be the category most exposed to the psychological challenges of a new normality due to the Covid-19 pandemic, facing the risk of contracting the virus or infecting others, generating various psychic responses that can be reflected in stress or anxiety. The Objective: Evaluate the level of stress in relation to anxiety disorders through the application of the DSM-IV diagnostic criteria in the Postgraduate Residents of Childcare and Pediatrics. Materials and Methods: Quantitative study, evaluative type of cross-sectional with a sample represented by 56 residents of postgraduate childcare and pediatrics, whose data were obtained through the application of a multiple choice questionnaire according to DSM-IV criteria. Results: 66.07% presented symptoms of moderate stress or phobic disorders. The largest number of cases for this category is found in first year residents with an affectation of 68.97%. Conclusions: According to DSM-IV, resident physicians present with symptoms of moderate stress.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130219891","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 : 2023-01-03DOI: 10.15406/jpnc.2023.13.00481
Murtaza Kamal
Uhl’s anomaly is a rare congenital anomaly of the heart in which there is a congenital absence of the right ventricular myocardium. Only a few cases have been reported in the literature. It normally presents in infancy with features of congestive cardiac failure; however, cases have been reported in adults with right heart failure. Although the prognosis is not good, palliative surgical modalities are being done in this population. We report below 2 cases of children with Uhl’s anomaly who presented to us with this rare condition and are un- der medical management.
{"title":"Uhl’s anomaly: A rare form of congestive cardiac failure in early childhood","authors":"Murtaza Kamal ","doi":"10.15406/jpnc.2023.13.00481","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00481","url":null,"abstract":"Uhl’s anomaly is a rare congenital anomaly of the heart in which there is a congenital absence of the right ventricular myocardium. Only a few cases have been reported in the literature. It normally presents in infancy with features of congestive cardiac failure; however, cases have been reported in adults with right heart failure. Although the prognosis is not good, palliative surgical modalities are being done in this population. We report below 2 cases of children with Uhl’s anomaly who presented to us with this rare condition and are un- der medical management.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132385708","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 : 2022-12-29DOI: 10.15406/jpnc.2022.12.00480
Wafae Jbilou, Asbai Youssra, El Hormi Soumaya, Maaroufi Maha, Meriem Kabbaj, Rihab Rachid, L. Rachidi, Benjelloun Ghizlane
The psychological effects of seclusion have been previously described in the literature. However, the scale of the containment implemented during the coronavirus disease 2019 appeared in 2019 (COVID-19) pandemic is novel. The aim of this article is to present the implications of the containment, mainly suicidal behaviors, conduct disorders and violence in children and adolescents. We conducted a study in the child psychiatry department of Casablanca, among children and adolescents attending the consultation and those who were hospitalized, thus comparing the rate of conduct disorder, violence and suicide attempts during the pre-confinement, confinement and post-confinement periods. A literature review was also conducted on the PubMed database, which allowed us to discuss our results and to take stock of current research.
{"title":"Impact of covid-19 containment on mental health in the pediatric population: a descriptive study","authors":"Wafae Jbilou, Asbai Youssra, El Hormi Soumaya, Maaroufi Maha, Meriem Kabbaj, Rihab Rachid, L. Rachidi, Benjelloun Ghizlane","doi":"10.15406/jpnc.2022.12.00480","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00480","url":null,"abstract":"The psychological effects of seclusion have been previously described in the literature. However, the scale of the containment implemented during the coronavirus disease 2019 appeared in 2019 (COVID-19) pandemic is novel. The aim of this article is to present the implications of the containment, mainly suicidal behaviors, conduct disorders and violence in children and adolescents. We conducted a study in the child psychiatry department of Casablanca, among children and adolescents attending the consultation and those who were hospitalized, thus comparing the rate of conduct disorder, violence and suicide attempts during the pre-confinement, confinement and post-confinement periods. A literature review was also conducted on the PubMed database, which allowed us to discuss our results and to take stock of current research.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132731806","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 : 2022-12-28DOI: 10.15406/jpnc.2022.12.00479
Raj Kumar, Anil Kumar Mavi
Many young toddlers experience frequent chest discomfort, wheezing, and coughing. Before the age of six, one-third of preschoolers experience these symptoms, yet only 40% of these wheezing preschoolers go on to develop asthma. The majority of youngsters in older school-aged children suffer asthma. Controlling asthma affects quality of life. Only a small portion of patients who receive asthma therapy succeed in controlling their condition. Even if co-morbidities, an erroneous diagnosis, or subpar inhaling technique could be to blame, non-adherence is frequently the main factor in therapy failures. Non-pharmacological interventions focus on avoiding cigarette smoke and avoiding allergens when a child is allergic. The GINA and the British Guideline for the Therapy of Asthma are two international standards for pharmacological management.
{"title":"Etiology, pathophysiology, and management of Allergic Asthma in Children’s ","authors":"Raj Kumar, Anil Kumar Mavi","doi":"10.15406/jpnc.2022.12.00479","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00479","url":null,"abstract":"Many young toddlers experience frequent chest discomfort, wheezing, and coughing. Before the age of six, one-third of preschoolers experience these symptoms, yet only 40% of these wheezing preschoolers go on to develop asthma. The majority of youngsters in older school-aged children suffer asthma. Controlling asthma affects quality of life. Only a small portion of patients who receive asthma therapy succeed in controlling their condition. Even if co-morbidities, an erroneous diagnosis, or subpar inhaling technique could be to blame, non-adherence is frequently the main factor in therapy failures. Non-pharmacological interventions focus on avoiding cigarette smoke and avoiding allergens when a child is allergic. The GINA and the British Guideline for the Therapy of Asthma are two international standards for pharmacological management.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122225763","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 : 2022-12-27DOI: 10.15406/jpnc.2022.12.00478
Gudisa Bereda
The combination of acute coronary syndromes, illnesses associated with mast cell activation, interconnected and interacting inflammatory cells, allergic or hypersensitive reactions, and anaphylactic or anaphylactoid episodes is known as the Kounis syndrome. Non-steroidal anti-inflammatory drugs (such as ibuprofen, alclofenac, diclofenac, and naproxen) are the most frequently observed medications that cause Kounis syndrome, followed by antibiotics like ampicillin, azithromycin, ampicillin/sulfactam, amoxicillin, amikacin, cefazolin, cefoxitin, cefuroxime, cephradine, cinoxacin, lincomycin, penicillin, cefopera (5-fluorouracil, capecitabine, carboplatin, denileukin, interferons, paclitaxel, vinca alkaloids). There are three main types of Kounis syndrome: type 1 is allergic vasospastic angina, which is caused by endothelial dysfunction and is one of the causes of non-obstructive myocardial infarction; type 2 is allergic myocardial infarction; and type 3 is allergic stent thrombosis with an occluding thrombus (subtype a) or stent restenosis (subtype b). The first step in treating Kounis syndrome is to stop the allergic reaction, then use medicinal or interventional methods to stabilize the coronary arteries. Strong immunosuppressive and anti-inflammatory drugs, corticosteroids play a significant part in the management of allergic responses. Kounis syndrome is treated with intravenous corticosteroids, such as hydrocortisone, at a dosage of 5 mg/kg/day.
{"title":"Kounis syndrome risk factors, pathophysiology, and management","authors":"Gudisa Bereda","doi":"10.15406/jpnc.2022.12.00478","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00478","url":null,"abstract":"The combination of acute coronary syndromes, illnesses associated with mast cell activation, interconnected and interacting inflammatory cells, allergic or hypersensitive reactions, and anaphylactic or anaphylactoid episodes is known as the Kounis syndrome. Non-steroidal anti-inflammatory drugs (such as ibuprofen, alclofenac, diclofenac, and naproxen) are the most frequently observed medications that cause Kounis syndrome, followed by antibiotics like ampicillin, azithromycin, ampicillin/sulfactam, amoxicillin, amikacin, cefazolin, cefoxitin, cefuroxime, cephradine, cinoxacin, lincomycin, penicillin, cefopera (5-fluorouracil, capecitabine, carboplatin, denileukin, interferons, paclitaxel, vinca alkaloids). There are three main types of Kounis syndrome: type 1 is allergic vasospastic angina, which is caused by endothelial dysfunction and is one of the causes of non-obstructive myocardial infarction; type 2 is allergic myocardial infarction; and type 3 is allergic stent thrombosis with an occluding thrombus (subtype a) or stent restenosis (subtype b). The first step in treating Kounis syndrome is to stop the allergic reaction, then use medicinal or interventional methods to stabilize the coronary arteries. Strong immunosuppressive and anti-inflammatory drugs, corticosteroids play a significant part in the management of allergic responses. Kounis syndrome is treated with intravenous corticosteroids, such as hydrocortisone, at a dosage of 5 mg/kg/day.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117118311","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 : 2022-11-28DOI: 10.15406/jpnc.2022.12.00477
Linda Rachidi , A. Faiki, Manal El Allam, Wafae Jbilou, Youssra Asbai, Wafaa Bannit, S. Housbane, I. Chahid, G. Benjelloun
Objectives: Functional neurological disorders (FNDs) are a common source of disability in medicine. Patients have often been misdiagnosed, correctly diagnosed after long delays, and/or subjected to misdiagnoses that lead to inadequate treatments, unnecessary costly evaluations, and poor outcomes. We sought to identify the epidemiological and clinical characteristics of children and adolescents suffering from functional neurological disorders in the child and adolescent psychiatry department in CASABLANCA. Methods: We conducted a retrospective study of 52 children and adolescents admitted for functional neurological disorders from March 2019 to July 2021, and analyzed their clinical profiles, sociocultural, environmental and psychological characteristics. Results: In our study, nearly the threatening quarters of the patients were girls, stressor antecedents were notably reported, most often related to family stressors. Recent or distant history of abuse was of varying degrees. The neurological presentations were complex, with nearly half of the patients having multiple distinct neurological symptoms. Motor symptoms and non-epileptic seizures were the most frequent, with an acute mode of onset in the majority of the cases. The course was marked by the regression of symptoms in the majority of patients, with their persistence in the third of the cases, meanwhile a small group of the cases interrupted the follow-up. A high resource use was noted due to the participation of several specialized consultants, the conduction of many diagnostic studies, and lengthy hospital stays. Conclusion: Our data confirms previous findings in the literature and contributes to a better understanding and characterization of our population.
{"title":"Clinical and epidemiological characteristics of functional neurological disorders in children and adolescents treated in the child psychiatry department of Casablanca","authors":"Linda Rachidi , A. Faiki, Manal El Allam, Wafae Jbilou, Youssra Asbai, Wafaa Bannit, S. Housbane, I. Chahid, G. Benjelloun","doi":"10.15406/jpnc.2022.12.00477","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00477","url":null,"abstract":"Objectives: Functional neurological disorders (FNDs) are a common source of disability in medicine. Patients have often been misdiagnosed, correctly diagnosed after long delays, and/or subjected to misdiagnoses that lead to inadequate treatments, unnecessary costly evaluations, and poor outcomes. We sought to identify the epidemiological and clinical characteristics of children and adolescents suffering from functional neurological disorders in the child and adolescent psychiatry department in CASABLANCA. Methods: We conducted a retrospective study of 52 children and adolescents admitted for functional neurological disorders from March 2019 to July 2021, and analyzed their clinical profiles, sociocultural, environmental and psychological characteristics. Results: In our study, nearly the threatening quarters of the patients were girls, stressor antecedents were notably reported, most often related to family stressors. Recent or distant history of abuse was of varying degrees. The neurological presentations were complex, with nearly half of the patients having multiple distinct neurological symptoms. Motor symptoms and non-epileptic seizures were the most frequent, with an acute mode of onset in the majority of the cases. The course was marked by the regression of symptoms in the majority of patients, with their persistence in the third of the cases, meanwhile a small group of the cases interrupted the follow-up. A high resource use was noted due to the participation of several specialized consultants, the conduction of many diagnostic studies, and lengthy hospital stays. Conclusion: Our data confirms previous findings in the literature and contributes to a better understanding and characterization of our population.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129659543","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 : 2022-11-14DOI: 10.15406/jpnc.2022.12.00476
Temesgen Geta, Tsiyon Kassa, Eskinder Israel
Background: Neonatal sepsis is a leading cause of neonatal death across the globe, which accounted for 15% and 30% of neonatal mortality in low and middle-income countries and developing countries including Ethiopia, respectively. Despite various efforts have been made by the Ethiopian government to prevent neonatal mortality and morbidity, sepsis-related to neonatal mortality is still high. So the objective of this study was to assess the magnitude and affecting factors of neonatal sepsis among neonates admitted to neonate intensive care units in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Methods and materials: Facility based cross-sectional study was conducted from January to February 2022 at Hawassa university comprehensive specialized hospital, Southern Ethiopia. A total of 216 neonate-mother pairs who were admitted to the intensive care unit was included in the study and a systematic random sampling technique was used to select study participant. A structured questionnaire was used to collect data. The data was entered into EPI Data 3.1 version and transported to SPSS version 25 for data analysis. Multi regression analysis was done for predictor variables associated at p-value <0.05 with the dependent variable. Result: A total of 74 (34.3%) neonates were admitted with neonatal sepsis. A surgical procedure is done before sepsis (AOR=2.9, 95% of CI(1.5 to5.6), last pregnancy wanted (AOR=2.8, 95% of CI(1.0 to 7.3), more frequent per-vaginal examination (AOR=2.6, 95% of CI (1.3 to 5.3), educational level unable to read and write(AOR=5.4, 95% of CI(1.0 to 27.7), low birth weight (AOR=5.4, 95% of CI(3.0 to 9.8), and getting care from unskilled health workers(AOR=2.7, 95% of CI(1.5 to 4.9) were significantly associated with neonatal sepsis at multivariable with less than 0.05 p values. Conclusion: This study indicated that the prevalence of neonatal sepsis was still high. Thus, immediate action should be taken before it leads to neonatal mortality and further complications. The study used only physician diagnosis to confirm neonatal sepsis, which may affect its prevalence and needs further investigation.
{"title":"Magnitude of sepsis and its predictors among neonates admitted to neonatal intensive care unit at Hawassa University comprehensive specialized hospital in Southern Ethiopia 2022","authors":"Temesgen Geta, Tsiyon Kassa, Eskinder Israel","doi":"10.15406/jpnc.2022.12.00476","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00476","url":null,"abstract":"Background: Neonatal sepsis is a leading cause of neonatal death across the globe, which accounted for 15% and 30% of neonatal mortality in low and middle-income countries and developing countries including Ethiopia, respectively. Despite various efforts have been made by the Ethiopian government to prevent neonatal mortality and morbidity, sepsis-related to neonatal mortality is still high. So the objective of this study was to assess the magnitude and affecting factors of neonatal sepsis among neonates admitted to neonate intensive care units in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Methods and materials: Facility based cross-sectional study was conducted from January to February 2022 at Hawassa university comprehensive specialized hospital, Southern Ethiopia. A total of 216 neonate-mother pairs who were admitted to the intensive care unit was included in the study and a systematic random sampling technique was used to select study participant. A structured questionnaire was used to collect data. The data was entered into EPI Data 3.1 version and transported to SPSS version 25 for data analysis. Multi regression analysis was done for predictor variables associated at p-value <0.05 with the dependent variable. Result: A total of 74 (34.3%) neonates were admitted with neonatal sepsis. A surgical procedure is done before sepsis (AOR=2.9, 95% of CI(1.5 to5.6), last pregnancy wanted (AOR=2.8, 95% of CI(1.0 to 7.3), more frequent per-vaginal examination (AOR=2.6, 95% of CI (1.3 to 5.3), educational level unable to read and write(AOR=5.4, 95% of CI(1.0 to 27.7), low birth weight (AOR=5.4, 95% of CI(3.0 to 9.8), and getting care from unskilled health workers(AOR=2.7, 95% of CI(1.5 to 4.9) were significantly associated with neonatal sepsis at multivariable with less than 0.05 p values. Conclusion: This study indicated that the prevalence of neonatal sepsis was still high. Thus, immediate action should be taken before it leads to neonatal mortality and further complications. The study used only physician diagnosis to confirm neonatal sepsis, which may affect its prevalence and needs further investigation.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128843888","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 : 2022-11-10DOI: 10.15406/jpnc.2022.12.00475
Hippolite O Amadi, Mohammed B Kawuwa, A. L Abubakar, Christiana T Adesina, Eyinade K Olateju
Introduction: Highest proportion of most vulnerable Nigeria neonates are concentrated in hard-to-reach local villages without proper intervention devices owing to unavailable electric power. Hence, majority of needy neonates continue to lose their lives due to their inability to journey to urban cities where few inadequately equipped neonatal intervention centres are located. The Nigerian healthcare system requires the neonates to make the often-treacherous journeys, travelling into the cities in search of possible intervention. This system has continued to fail generations of precious neonates who could have survived otherwise. It is therefore imperative to device a technique that could enable the reversal of the patient traffic – by “taking our medicine to them right where they are" instead of waiting for them to come to our medicine right where we are at urban locations. Methods: Solar-based applicable devices and simplified neonatal intervention procedures operable by basic medical and nursing officers were developed. The technologies were fundamentally tailored for maintainability by the local people. This empowers the confidence of treating many of the regular neonatal emergencies at primary healthcare centre located within the villages. Uncomplicated treatable cases are believed to constitute over 65% of all cases and hence could be adequately supported. Appropriately remanufactured tricycle was modified to operate ambulatory services for referring the cases requiring specialist care in the city. Conclusion: Successful implementation of this concept and its scale-up could guarantee over 75% reduction of neonatal mortality within a controlled geographical region.
{"title":"A Community integrated concept that minimises death of most vulnerable neonates at poor-resource environments","authors":"Hippolite O Amadi, Mohammed B Kawuwa, A. L Abubakar, Christiana T Adesina, Eyinade K Olateju","doi":"10.15406/jpnc.2022.12.00475","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00475","url":null,"abstract":"Introduction: Highest proportion of most vulnerable Nigeria neonates are concentrated in hard-to-reach local villages without proper intervention devices owing to unavailable electric power. Hence, majority of needy neonates continue to lose their lives due to their inability to journey to urban cities where few inadequately equipped neonatal intervention centres are located. The Nigerian healthcare system requires the neonates to make the often-treacherous journeys, travelling into the cities in search of possible intervention. This system has continued to fail generations of precious neonates who could have survived otherwise. It is therefore imperative to device a technique that could enable the reversal of the patient traffic – by “taking our medicine to them right where they are\" instead of waiting for them to come to our medicine right where we are at urban locations. Methods: Solar-based applicable devices and simplified neonatal intervention procedures operable by basic medical and nursing officers were developed. The technologies were fundamentally tailored for maintainability by the local people. This empowers the confidence of treating many of the regular neonatal emergencies at primary healthcare centre located within the villages. Uncomplicated treatable cases are believed to constitute over 65% of all cases and hence could be adequately supported. Appropriately remanufactured tricycle was modified to operate ambulatory services for referring the cases requiring specialist care in the city. Conclusion: Successful implementation of this concept and its scale-up could guarantee over 75% reduction of neonatal mortality within a controlled geographical region.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"392 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131582308","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 : 2022-11-01DOI: 10.15406/jpnc.2022.12.00473
Cláudia Santos, A. Moreira, Cláudia Silva, J. Ferreira, R. Amaral, Rubim S. Santos
Aim: To assess postural control in children with hemiparetic cerebral palsy after a 12-week Physiotherapy intervention program, based on the Bobath Concept and supplemented by a home-based bimanual activities program. Methods: The final sample was composed by 4 children with hemiparesis, and for each one of them two evaluation moments was considered, before and after the application of the intervention program. In both moments, a pressure platform and the Kinovea® software were used in order to analyze kinematic parameters regarding both cervical and trunk’s orientation and the behavior of pressure distribution while performing three functional activities (gait initiation, pick up a box, sit-to-stand) for all four children included in this study. Additionally, the Gross Motor Function Measure, the 30’’ Sit to stand and the Timed Up and Go tests were also applied to the children in question. Results: At the end of the 12-week intervention program, a more suitable scapular and hemi trunks’ orientation was verified, consistent with a decrease of compensatory strategies. In addition, a more symmetric load distribution was verified, as well as a modification of behavior, activity, and function of the contralesional upper limb. Conclusion: The obtained results suggest that a 12-week Physiotherapy intervention program based on the Bobath Concept and supplemented by a home-based bimanual activities program was able to modify not only trunk’s orientation, associated to the reduction of compensatory strategies, but also load distribution, that became more symmetric, suggesting a better pelvis and lower trunk’s stability.
{"title":"Postural control in children with hemiparetic cerebral palsy: a Bobath Concept approach supplemented by a home-based bimanual activities program","authors":"Cláudia Santos, A. Moreira, Cláudia Silva, J. Ferreira, R. Amaral, Rubim S. Santos","doi":"10.15406/jpnc.2022.12.00473","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00473","url":null,"abstract":"Aim: To assess postural control in children with hemiparetic cerebral palsy after a 12-week Physiotherapy intervention program, based on the Bobath Concept and supplemented by a home-based bimanual activities program. Methods: The final sample was composed by 4 children with hemiparesis, and for each one of them two evaluation moments was considered, before and after the application of the intervention program. In both moments, a pressure platform and the Kinovea® software were used in order to analyze kinematic parameters regarding both cervical and trunk’s orientation and the behavior of pressure distribution while performing three functional activities (gait initiation, pick up a box, sit-to-stand) for all four children included in this study. Additionally, the Gross Motor Function Measure, the 30’’ Sit to stand and the Timed Up and Go tests were also applied to the children in question. Results: At the end of the 12-week intervention program, a more suitable scapular and hemi trunks’ orientation was verified, consistent with a decrease of compensatory strategies. In addition, a more symmetric load distribution was verified, as well as a modification of behavior, activity, and function of the contralesional upper limb. Conclusion: The obtained results suggest that a 12-week Physiotherapy intervention program based on the Bobath Concept and supplemented by a home-based bimanual activities program was able to modify not only trunk’s orientation, associated to the reduction of compensatory strategies, but also load distribution, that became more symmetric, suggesting a better pelvis and lower trunk’s stability.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125614021","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：