Pub Date : 2022-05-10DOI: 10.15406/jpnc.2022.12.00458
Georges Pius Kamsu Moyo, S. Sap Ngo Um, H. M. Mbassi Awa, E. Mah, A. Chiabi, P. K. Koki Ndombo
Urinary tract infection is one of the most common type of infections in neonates, with the capacity to induce neonatal jaundice which is another major emergency in neonates. However, the pathophysiology of this comorbidity is still poorly described in neonatology and the clinical implications insufficiently illustrated. The aim of this review is to contribute to shed more light over this issue in order to improve understanding and orientate therapeutic interventions. In this piece of work, we did a critical study of recent and pertinent articles on the topic available online. This enabled us to make a synthesis of current classifications of neonatal jaundice, with epidemiological, etiological and pathophysiological aspects of the comorbidity with urosepsis being discussed. We conclude with consequent therapeutic implications.
{"title":"The pathophysiology of neonatal jaundice in urosepsis is complex with mixed bilirubin!!!","authors":"Georges Pius Kamsu Moyo, S. Sap Ngo Um, H. M. Mbassi Awa, E. Mah, A. Chiabi, P. K. Koki Ndombo","doi":"10.15406/jpnc.2022.12.00458","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00458","url":null,"abstract":"Urinary tract infection is one of the most common type of infections in neonates, with the capacity to induce neonatal jaundice which is another major emergency in neonates. However, the pathophysiology of this comorbidity is still poorly described in neonatology and the clinical implications insufficiently illustrated. The aim of this review is to contribute to shed more light over this issue in order to improve understanding and orientate therapeutic interventions. In this piece of work, we did a critical study of recent and pertinent articles on the topic available online. This enabled us to make a synthesis of current classifications of neonatal jaundice, with epidemiological, etiological and pathophysiological aspects of the comorbidity with urosepsis being discussed. We conclude with consequent therapeutic implications.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122972343","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 : 2022-04-11DOI: 10.15406/jpnc.2022.12.00455
R. Sacy, Abbas Chamseddine, Marwa El Masri PGY
Objective: Congenital malformations of the lymphatic system, known as lymphatic lymphangiomas, are benign vascular tumors that are usually detected on prenatal ultrasound, and most commonly occur in the head and neck region. The aim of this paper it to report our experience with three cases of cystic hygromas along with a review of the literature. Materials and methods: Herein we present three cases of cystic hygroma detected within the neonatal period treated with ultrasound guided aspiration. Results: Following the procedure, two babies had recurrence of the lesion and then died secondary to cardiorespiratory failure. The third baby had many recurrences requiring repetitive aspiration, however, he was lost to follow up and no information is available on his current medical status. Conclusion: Different modalities of treatment have been used with variable results. However, surgical treatment remains the gold-standard of treatment.
{"title":"Cystic Hygroma: 3 case reports of head and neck cystic hygroma in neonates","authors":"R. Sacy, Abbas Chamseddine, Marwa El Masri PGY","doi":"10.15406/jpnc.2022.12.00455","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00455","url":null,"abstract":"Objective: Congenital malformations of the lymphatic system, known as lymphatic lymphangiomas, are benign vascular tumors that are usually detected on prenatal ultrasound, and most commonly occur in the head and neck region. The aim of this paper it to report our experience with three cases of cystic hygromas along with a review of the literature. Materials and methods: Herein we present three cases of cystic hygroma detected within the neonatal period treated with ultrasound guided aspiration. Results: Following the procedure, two babies had recurrence of the lesion and then died secondary to cardiorespiratory failure. The third baby had many recurrences requiring repetitive aspiration, however, he was lost to follow up and no information is available on his current medical status. Conclusion: Different modalities of treatment have been used with variable results. However, surgical treatment remains the gold-standard of treatment.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"41 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123110459","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 : 2022-03-11DOI: 10.15406/jpnc.2022.12.00454
A. Kumar Ghosh, Abu Naser Mohammad Al-Amin, H. Fan
Lymphomas involving the mediastinum occur in a wide age range and represent heterogeneous histological subtypes with various clinical symptoms and complex radiological findings. However, this cross sectional study that describes the clinical, pathological and radiological features of Bangladeshi pediatric patients aged less than 18 years. The study conducted in National Institute of Cancer Research and Hospital with 71 primary pediatric mediastinal masses, diagnosed between 2014 and 2018 and evaluated at enrollment or admission in the department of Pediatric Hematology and Oncology (PHO). The presence of extra thoracic lymph node involvement was excluded from the study. All patients were underwent computerized tomography (CT) or ultra sound (USG) guided needle biopsy. Only diagnosed cases of lymphoma (N-38) with mediastinal mass on chest radiography or CT scan were taken for analysis. Mediastinal lymphoma was 38 in number which, 16.30% of total (N-233) pediatric lymphoma of PHO. The median age of the patients was 11.43 years with mostly (68.42%) in 10-17 years age group. Males and females were equal in number. Common symptoms of the patients were fever, cough, dyspnea, chest pain. Most common side involved by tumors were anterior mediastinum 68.42% (N-26) followed by middle mediastinum 50% (N-19), Posterior mediastinum 10.53% (N-4) and superior mediastinum 7.9% (N-3). More than one mediastinal anatomical side involvement was in 34.21% (N-13) cases. Tissue biopsy revealed non Hodgkin Lymphoma were 86.84% (N-33), Hodgkin Diseases 10.53% (N-4) and T-lymphoblastic lymphoma (LBL) 2.63% (N-1). All tumors were malignant with 73.68% metastasis. Pediatric mediastinal mass is a troublesome condition for doctors during emergency management at presentation, for interventional radiologists during tissue biopsy, pathologists during histopathological examination and oncologists during treatment planning. A few publications narrated the pediatric mediastinal oncological conditions but in Bangladesh no such study has conducted before addressing the pediatric mediastinal lymphoma. So we conducted this study to show the importance of development of infrastructure to manage these type of tumors successfully.
{"title":"Pediatric primary mediastinal lymphoma – a descriptive study of a single cancer center of Bangladesh","authors":"A. Kumar Ghosh, Abu Naser Mohammad Al-Amin, H. Fan","doi":"10.15406/jpnc.2022.12.00454","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00454","url":null,"abstract":"Lymphomas involving the mediastinum occur in a wide age range and represent heterogeneous histological subtypes with various clinical symptoms and complex radiological findings. However, this cross sectional study that describes the clinical, pathological and radiological features of Bangladeshi pediatric patients aged less than 18 years. The study conducted in National Institute of Cancer Research and Hospital with 71 primary pediatric mediastinal masses, diagnosed between 2014 and 2018 and evaluated at enrollment or admission in the department of Pediatric Hematology and Oncology (PHO). The presence of extra thoracic lymph node involvement was excluded from the study. All patients were underwent computerized tomography (CT) or ultra sound (USG) guided needle biopsy. Only diagnosed cases of lymphoma (N-38) with mediastinal mass on chest radiography or CT scan were taken for analysis. Mediastinal lymphoma was 38 in number which, 16.30% of total (N-233) pediatric lymphoma of PHO. The median age of the patients was 11.43 years with mostly (68.42%) in 10-17 years age group. Males and females were equal in number. Common symptoms of the patients were fever, cough, dyspnea, chest pain. Most common side involved by tumors were anterior mediastinum 68.42% (N-26) followed by middle mediastinum 50% (N-19), Posterior mediastinum 10.53% (N-4) and superior mediastinum 7.9% (N-3). More than one mediastinal anatomical side involvement was in 34.21% (N-13) cases. Tissue biopsy revealed non Hodgkin Lymphoma were 86.84% (N-33), Hodgkin Diseases 10.53% (N-4) and T-lymphoblastic lymphoma (LBL) 2.63% (N-1). All tumors were malignant with 73.68% metastasis. Pediatric mediastinal mass is a troublesome condition for doctors during emergency management at presentation, for interventional radiologists during tissue biopsy, pathologists during histopathological examination and oncologists during treatment planning. A few publications narrated the pediatric mediastinal oncological conditions but in Bangladesh no such study has conducted before addressing the pediatric mediastinal lymphoma. So we conducted this study to show the importance of development of infrastructure to manage these type of tumors successfully.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132924280","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 : 2022-02-24DOI: 10.15406/jpnc.2022.12.00453
M. Nitsche
A person's intelligence is shaped by genes and later by environmental conditions. This paper explores the question: Is there an influence of the fluctuations of the planetary gravitational field on the development of the human brain? The oscillations of the planetary gravitational field lead to higher oscillations, to higher harmonics, in material structures. A correlation function, which can describe nonlinear correlations and which has already been used with success in triggering earthquakes, is applied in this investigation to the development of the highly complex human brain. At the time of birth, it is not only the genes that determine a person's intelligence. The research also suggests that fluctuations in the planetary gravitational field also have an influence. The results suggest that there is something like a "quality of time" in the temporal environment of birth that has a stimulating effect on the development of the brain.
{"title":"IQ Stimulation-Fluctuations of the planetary gravitational field and nonlinear interactions with matter","authors":"M. Nitsche","doi":"10.15406/jpnc.2022.12.00453","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00453","url":null,"abstract":"A person's intelligence is shaped by genes and later by environmental conditions. This paper explores the question: Is there an influence of the fluctuations of the planetary gravitational field on the development of the human brain? The oscillations of the planetary gravitational field lead to higher oscillations, to higher harmonics, in material structures. A correlation function, which can describe nonlinear correlations and which has already been used with success in triggering earthquakes, is applied in this investigation to the development of the highly complex human brain. At the time of birth, it is not only the genes that determine a person's intelligence. The research also suggests that fluctuations in the planetary gravitational field also have an influence. The results suggest that there is something like a \"quality of time\" in the temporal environment of birth that has a stimulating effect on the development of the brain.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122639010","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 : 2022-01-26DOI: 10.15406/jpnc.2022.12.00450
Tomas Yeheyis, Getahun Wuletaw, B. Birhanu, Sentayehu Admasu, Zewdu Shewangzaw
Background: The World Health Organization recognizes that continuous and on-demand breast feeding until two years of age and beyond is essential for health, growth and development of young children, and protection against infectious diseases. In Ethiopia, breastfeeding is promoted by providing information on benefits during ante-natal care and by supporting mothers during post-natal visits. Objective: To assess the current breast feeding practices and associated factors among mothers of children less than two years of age in Areka town, southern Ethiopia. Methods: A community-based cross-sectional study was conducted among 286 randomly selected mother-child pairs living in Sothern, Ethiopia, Areka town community. A structured questionnaire was used to collect data on maternal characteristics and assess breast feeding practice. Descriptive summaries were done to present pertinent findings. Multivariate logistic regression analysis was done to establish statistical associations between dependent and independent variables with p <0.05. Results: From the total of 274 mother- child pairs participated in the study,132 (48.2%) have good breast feeding practice of breast feeding and 142(51.2%) mothers have poor practice of breast feeding. Mothers of age less than 35 practiced appropriate breastfeeding were less likely than mothers with age greater than 35 years. Like wise mothers who are none governmental employed have good breast feeding practice compared to government employees. Conclusion: The finding in the study showed that magnitude of good breast feeding practice in the study area is lower than the national level. In this study maternal age and maternal occupation have been found to be predictors of breast feeding practice.
{"title":"Predictors of breastfeeding practice, evidence from mothers of children less than two years of age in southern Ethiopia","authors":"Tomas Yeheyis, Getahun Wuletaw, B. Birhanu, Sentayehu Admasu, Zewdu Shewangzaw","doi":"10.15406/jpnc.2022.12.00450","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00450","url":null,"abstract":"Background: The World Health Organization recognizes that continuous and on-demand breast feeding until two years of age and beyond is essential for health, growth and development of young children, and protection against infectious diseases. In Ethiopia, breastfeeding is promoted by providing information on benefits during ante-natal care and by supporting mothers during post-natal visits. Objective: To assess the current breast feeding practices and associated factors among mothers of children less than two years of age in Areka town, southern Ethiopia. Methods: A community-based cross-sectional study was conducted among 286 randomly selected mother-child pairs living in Sothern, Ethiopia, Areka town community. A structured questionnaire was used to collect data on maternal characteristics and assess breast feeding practice. Descriptive summaries were done to present pertinent findings. Multivariate logistic regression analysis was done to establish statistical associations between dependent and independent variables with p <0.05. Results: From the total of 274 mother- child pairs participated in the study,132 (48.2%) have good breast feeding practice of breast feeding and 142(51.2%) mothers have poor practice of breast feeding. Mothers of age less than 35 practiced appropriate breastfeeding were less likely than mothers with age greater than 35 years. Like wise mothers who are none governmental employed have good breast feeding practice compared to government employees. Conclusion: The finding in the study showed that magnitude of good breast feeding practice in the study area is lower than the national level. In this study maternal age and maternal occupation have been found to be predictors of breast feeding practice.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115347373","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 : 2022-01-26DOI: 10.15406/jpnc.2022.12.00449
Nabil Hassan, D. Reischman, J. Lyon, C. Jacobs, D. Sterken, Brian Boville
Background: Iron deficiency anemia (IDA) is a frequent finding in hospitalized pediatric patients. Sodium ferric gluconate complex (SFGC) has been in use at our institution for rapid replenishment of iron in patients unable to take or tolerate oral iron. Objective: Evaluate efficacy of SFGC, and incidence of adverse drug reactions (ADRs). Methods: Retrospective review of SFGC infusions in hospitalized patients <18 years with IDA, or after acute blood loss between January 1st 2008 and April 20th 2015. Results: Sixty-five inpatients received 1586 infusions in 738 courses of daily 1-3 mg/kg infusions followed by laboratory tests within 2-4 days. Mean number of infusions per course was 2.06±1.08, mean dose per course 4.6±3.1 mg/kg, and mean age was 8.43±6.64 years. 18.4% of the courses were administered to infants, and 24.4% to children 1-<7 years. The largest patient diagnoses group was gastrointestinal diseases (175 of 738, 23.7%), of those 64.6% (113) were inflammatory bowel disease. Comparing pre to post infusion values, there were significant increases in iron saturation, ferritin, reticulocyte count, and hemoglobin in all diagnoses and age groups. 85.8% of the courses were accompanied by erythropoietin injections. Those who received erythropoietin had higher reticulocyte count and lower ferritin levels compared to those who did not receive it (59.16±70.75 vs. 8.32±75.11, p=.005 and 81.61±179.01 vs. 134.84±117.87, p=.027 respectively). Two patients had transient hypotension but completed the infusions. Conclusion: SFGC infusions rapidly improved iron studies, and induced hematopoiesis in all age and diagnoses groups, and without significant ADRs. Safety in neonates needs further examination.
{"title":"Intravenous sodium ferric gluconate complex for pediatric inpatients with iron deficiency anemia or after acute blood loss","authors":"Nabil Hassan, D. Reischman, J. Lyon, C. Jacobs, D. Sterken, Brian Boville","doi":"10.15406/jpnc.2022.12.00449","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00449","url":null,"abstract":"Background: Iron deficiency anemia (IDA) is a frequent finding in hospitalized pediatric patients. Sodium ferric gluconate complex (SFGC) has been in use at our institution for rapid replenishment of iron in patients unable to take or tolerate oral iron. Objective: Evaluate efficacy of SFGC, and incidence of adverse drug reactions (ADRs). Methods: Retrospective review of SFGC infusions in hospitalized patients <18 years with IDA, or after acute blood loss between January 1st 2008 and April 20th 2015. Results: Sixty-five inpatients received 1586 infusions in 738 courses of daily 1-3 mg/kg infusions followed by laboratory tests within 2-4 days. Mean number of infusions per course was 2.06±1.08, mean dose per course 4.6±3.1 mg/kg, and mean age was 8.43±6.64 years. 18.4% of the courses were administered to infants, and 24.4% to children 1-<7 years. The largest patient diagnoses group was gastrointestinal diseases (175 of 738, 23.7%), of those 64.6% (113) were inflammatory bowel disease. Comparing pre to post infusion values, there were significant increases in iron saturation, ferritin, reticulocyte count, and hemoglobin in all diagnoses and age groups. 85.8% of the courses were accompanied by erythropoietin injections. Those who received erythropoietin had higher reticulocyte count and lower ferritin levels compared to those who did not receive it (59.16±70.75 vs. 8.32±75.11, p=.005 and 81.61±179.01 vs. 134.84±117.87, p=.027 respectively). Two patients had transient hypotension but completed the infusions. Conclusion: SFGC infusions rapidly improved iron studies, and induced hematopoiesis in all age and diagnoses groups, and without significant ADRs. Safety in neonates needs further examination.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122623121","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}
Background: Dengue fever is an acute viral infection seen commonly in developing countries. Its presentation varies in children starting from mild illness to severe complications. Acute necrotising pancreatitis is a serious form of pancreatitis which is a very rare entity in children. Here we are presenting a rare case of unusual presentation of acute necrotising pancreatitis as a presenting feature of dengue fever. Case details: A 15 years male child presented with history of pain, distension of abdomen and vomiting. Patient had history of fever off and on since one month. Per abdomen examination showed ascites, hepatomegaly. Dengue NS1 antigen and dengue serology IgM was positive. Serum amylase level and lipase level were 1540 U/Land 960 U/L respectively. Contrast enhanced CT scan and MRCP showed bulky pancreas with decreased enhancement with ascites. Patient was managed conservatively with intravenous fluids, antibiotics and octreotide and patient was discharged successfully. Acute necrotising pancreatitis as a presenting feature of dengue fever has not been reported in children to the best of my knowledge. Conclusion: Clinical presentation of dengue fever varies but when patient presents with pain in abdomen, vomiting and fever then acute pancreatitis should be ruled out. In such patient clinical suspicion is important and timely intervention may lead to complete recovery and good outcome.
{"title":"A rare case of unusual presentation of acute necrotising pancreatitis as a presenting feature of dengue haemorrhagic fever in a child","authors":"Mahaveer Singh Lakra, Sham Lahiya, Rewat J Meshram, A. Taksande, Sachin Damke","doi":"10.15406/jpnc.2022.12.00251","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00251","url":null,"abstract":"Background: Dengue fever is an acute viral infection seen commonly in developing countries. Its presentation varies in children starting from mild illness to severe complications. Acute necrotising pancreatitis is a serious form of pancreatitis which is a very rare entity in children. Here we are presenting a rare case of unusual presentation of acute necrotising pancreatitis as a presenting feature of dengue fever. Case details: A 15 years male child presented with history of pain, distension of abdomen and vomiting. Patient had history of fever off and on since one month. Per abdomen examination showed ascites, hepatomegaly. Dengue NS1 antigen and dengue serology IgM was positive. Serum amylase level and lipase level were 1540 U/Land 960 U/L respectively. Contrast enhanced CT scan and MRCP showed bulky pancreas with decreased enhancement with ascites. Patient was managed conservatively with intravenous fluids, antibiotics and octreotide and patient was discharged successfully. Acute necrotising pancreatitis as a presenting feature of dengue fever has not been reported in children to the best of my knowledge. Conclusion: Clinical presentation of dengue fever varies but when patient presents with pain in abdomen, vomiting and fever then acute pancreatitis should be ruled out. In such patient clinical suspicion is important and timely intervention may lead to complete recovery and good outcome.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"2362 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127476171","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 : 2021-12-31DOI: 10.15406/jpnc.2021.11.00446
Mengistu Lodebo, M. Thomas
Purpose: Globally, more than 2.7 million new-borns die before reaching neonatal age every year and most of the new born deaths occur at home. Half of these surprisingly occur within the first 24 h of delivery and 75% occur in the early neonatal period. Promotion of essential new-born care practice is one of a cheap approach to improve health outcomes of new-born babies. Thus, this study was aimed to assess essential new born care practice and associated factors among mothers who gave birth last 6 months in East Badewacho woreda, Hadiyya zone. Patient and methods: Community based cross sectional study design was done from March 1 to April 30, 2018. The sampled population were 399 mothers who gave live births within the last six months prior to actual data collection using multistage random sampling technique. Data was collected by using semi-structured questionnaire and entered in Epi-data version 3.1 then exported into SPSS version 21 for analysis. Binary logistic regression analysis with 95 % CI was carried out. Result: Less than half (34.1%) of the mothers were utilized essential new born care. Educational status of the husband [AOR=0.24,CI(0.089,0.64)] and [AOR=0.314,CI(0.126,0.78)], place of delivery [AOR=0.024,CI(0.009,0.068)] and knowledge on essential newborn care [AOR=2.03,CI(1.223,3.371) were significant predictors for utilization of essential newborn care. Conclusion: The study result revealed that practice of essential newborn care in East Badewacho Woreda was low. Therefore, enhance linkage of health centers with health posts to increase ANC, institutional delivery and PNC service utilization.
{"title":"Assessing practice of essential new born care and associated factors among mothers who gave birth last 6 months in east Badewacho Woreda, Hadiyya Zone, Ethiopia","authors":"Mengistu Lodebo, M. Thomas","doi":"10.15406/jpnc.2021.11.00446","DOIUrl":"https://doi.org/10.15406/jpnc.2021.11.00446","url":null,"abstract":"Purpose: Globally, more than 2.7 million new-borns die before reaching neonatal age every year and most of the new born deaths occur at home. Half of these surprisingly occur within the first 24 h of delivery and 75% occur in the early neonatal period. Promotion of essential new-born care practice is one of a cheap approach to improve health outcomes of new-born babies. Thus, this study was aimed to assess essential new born care practice and associated factors among mothers who gave birth last 6 months in East Badewacho woreda, Hadiyya zone. Patient and methods: Community based cross sectional study design was done from March 1 to April 30, 2018. The sampled population were 399 mothers who gave live births within the last six months prior to actual data collection using multistage random sampling technique. Data was collected by using semi-structured questionnaire and entered in Epi-data version 3.1 then exported into SPSS version 21 for analysis. Binary logistic regression analysis with 95 % CI was carried out. Result: Less than half (34.1%) of the mothers were utilized essential new born care. Educational status of the husband [AOR=0.24,CI(0.089,0.64)] and [AOR=0.314,CI(0.126,0.78)], place of delivery [AOR=0.024,CI(0.009,0.068)] and knowledge on essential newborn care [AOR=2.03,CI(1.223,3.371) were significant predictors for utilization of essential newborn care. Conclusion: The study result revealed that practice of essential newborn care in East Badewacho Woreda was low. Therefore, enhance linkage of health centers with health posts to increase ANC, institutional delivery and PNC service utilization.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128855372","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 : 2021-12-29DOI: 10.15406/jpnc.2021.11.00444
M. Lakra, A. Taksande, B. Lakhkar
Covid 19 pandemic has been a very dreadful experience and affected all of us badly. Although children are asymptomatic and less severely affected by covid illness as compared to adult population, however the patients presenting with severe symptoms require hospitalisation and need oxygen and respiratory support. Inappropriate, prolonged use and failure to monitor oxygen therapy can have serious consequences. Oxygen therapy in children requires the selection of proper oxygen delivery system that suits the patient's size, needs, and the therapeutic goals. Low flow and high flow oxygen devices are being used to deliver oxygen in children. High flow nasal cannula has been used proved to be wonderful modality for respiratory support in children. We need to follow all guidelines laid down by various agencies while delivering oxygen and respiratory support to sick children suffering from covid infection. All precautions should be taken to avoid aerosol generation. Close monitoring of oxygen therapy is a must. In this article we have tried to cover the indication and modes, it’s relation with mucormycosis, monitoring and the precautions which we should take while giving oxygen therapy in covid era. Update of knowledge of indication of use and other modalities of treatment by treating doctors and patients are equally important so that we can fight a battle of third wave if it arrives.
{"title":"Oxygen therapy and respiratory support in SARS COVID 19 infection in children","authors":"M. Lakra, A. Taksande, B. Lakhkar","doi":"10.15406/jpnc.2021.11.00444","DOIUrl":"https://doi.org/10.15406/jpnc.2021.11.00444","url":null,"abstract":"Covid 19 pandemic has been a very dreadful experience and affected all of us badly. Although children are asymptomatic and less severely affected by covid illness as compared to adult population, however the patients presenting with severe symptoms require hospitalisation and need oxygen and respiratory support. Inappropriate, prolonged use and failure to monitor oxygen therapy can have serious consequences. Oxygen therapy in children requires the selection of proper oxygen delivery system that suits the patient's size, needs, and the therapeutic goals. Low flow and high flow oxygen devices are being used to deliver oxygen in children. High flow nasal cannula has been used proved to be wonderful modality for respiratory support in children. We need to follow all guidelines laid down by various agencies while delivering oxygen and respiratory support to sick children suffering from covid infection. All precautions should be taken to avoid aerosol generation. Close monitoring of oxygen therapy is a must. In this article we have tried to cover the indication and modes, it’s relation with mucormycosis, monitoring and the precautions which we should take while giving oxygen therapy in covid era. Update of knowledge of indication of use and other modalities of treatment by treating doctors and patients are equally important so that we can fight a battle of third wave if it arrives.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"25 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120976011","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 : 2021-11-26DOI: 10.15406/jpnc.2021.11.00443
Charles Kombi, Bidashimwa Nzabo, J. Mastaki, A. Lokangaka, Gustave Lomendje, M. Kabuyaya, Joel Bosenya
The management of severe laparoschisis is a big challenge in health facilities with limited technical capabilities. Unfortunately up to date, there is little data/research on this concern in Congolese medical practice and the etiology is still unclear. The case we report was born from vaginal delivery at the health center and then was referred to the referral hospital for adequate care, as the management was not appropriate, it was later aggravated by symptoms of sepsis and resulted in death. An appropriate management of such a case requires a total and frank collaboration between the health care’s providers and patients relatives. It also raises a need for further research toward appropriate management, not to mention preventive interventions.
{"title":"The challenges of severe laparoschisis management in rural health facilities: a case from Bominenge health district facility","authors":"Charles Kombi, Bidashimwa Nzabo, J. Mastaki, A. Lokangaka, Gustave Lomendje, M. Kabuyaya, Joel Bosenya","doi":"10.15406/jpnc.2021.11.00443","DOIUrl":"https://doi.org/10.15406/jpnc.2021.11.00443","url":null,"abstract":"The management of severe laparoschisis is a big challenge in health facilities with limited technical capabilities. Unfortunately up to date, there is little data/research on this concern in Congolese medical practice and the etiology is still unclear. The case we report was born from vaginal delivery at the health center and then was referred to the referral hospital for adequate care, as the management was not appropriate, it was later aggravated by symptoms of sepsis and resulted in death. An appropriate management of such a case requires a total and frank collaboration between the health care’s providers and patients relatives. It also raises a need for further research toward appropriate management, not to mention preventive interventions.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131931941","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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