Susan J Astley Hemingway, Michael Baldwin, Pierce-Bulger Marilyn
Background: Fetal alcohol spectrum disorder (FASD) screening, diagnosis, intervention, research and prevention hinges on establishment of interdisciplinary FASD diagnostic clinics using an evidence-based method of diagnosis. In 1993 Washington State opened the first interdisciplinary FASD diagnostic clinic sponsored by the CDC as a FASD primary prevention study. Clinic data was used to develop the evidence-based FASD 4-Digit Diagnostic Code, paving the way for the clinic's expansion into a statewide network of FASD diagnostic clinics (Washington Fetal Alcohol Syndrome Diagnostic & Prevention Network), now in its 30th year. Alaska adopted this Washington model in 1999. Both states have also participated in the CDC Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System since the 1990s. Study objectives were to describe the two statewide FASD diagnostic networks; graphically compare the 4-Digit-Code FASD diagnoses and prenatal alcohol exposure (PAE) over 2-3 decades and illustrate how network data helped guide FASD public health policies and track successful prevention efforts.
Methods: Retrospective descriptive study.
Results: FASD diagnostic outcomes were similar across 2,532 Washington and 2,469 Alaskan patients. PAE in each State followed similar annual trajectories from 1991-2020. Both States documented significant decreases in FAS and PAE in the 1990s. Clinic data helped guide public health policies.
Conclusions: Both States demonstrated the feasibility and value of establishing statewide interdisciplinary FASD diagnostic clinical networks using the FASD 4-Digit-Code. Legislative support, centralized data collection, and use of a single, evidence-based FASD diagnostic system have been key to the long-term, ongoing success of these two diagnostic networks.
{"title":"Washington and Alaska statewide fetal alcohol spectrum disorder diagnostic clinical networks: Comparison of three decades of 4-Digit Code diagnostic outcomes and prenatal alcohol exposure histories.","authors":"Susan J Astley Hemingway, Michael Baldwin, Pierce-Bulger Marilyn","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Fetal alcohol spectrum disorder (FASD) screening, diagnosis, intervention, research and prevention hinges on establishment of interdisciplinary FASD diagnostic clinics using an evidence-based method of diagnosis. In 1993 Washington State opened the first interdisciplinary FASD diagnostic clinic sponsored by the CDC as a FASD primary prevention study. Clinic data was used to develop the evidence-based FASD 4-Digit Diagnostic Code, paving the way for the clinic's expansion into a statewide network of FASD diagnostic clinics (Washington Fetal Alcohol Syndrome Diagnostic & Prevention Network), now in its 30<sup>th</sup> year. Alaska adopted this Washington model in 1999. Both states have also participated in the CDC Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System since the 1990s. Study objectives were to describe the two statewide FASD diagnostic networks; graphically compare the 4-Digit-Code FASD diagnoses and prenatal alcohol exposure (PAE) over 2-3 decades and illustrate how network data helped guide FASD public health policies and track successful prevention efforts.</p><p><strong>Methods: </strong>Retrospective descriptive study.</p><p><strong>Results: </strong>FASD diagnostic outcomes were similar across 2,532 Washington and 2,469 Alaskan patients. PAE in each State followed similar annual trajectories from 1991-2020. Both States documented significant decreases in FAS and PAE in the 1990s. Clinic data helped guide public health policies.</p><p><strong>Conclusions: </strong>Both States demonstrated the feasibility and value of establishing statewide interdisciplinary FASD diagnostic clinical networks using the FASD 4-Digit-Code. Legislative support, centralized data collection, and use of a single, evidence-based FASD diagnostic system have been key to the long-term, ongoing success of these two diagnostic networks.</p>","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2385-4529.21.8.16
H. Akinbi
{"title":"Neonatal Restraint Condition: The Executives and Current Ideas","authors":"H. Akinbi","doi":"10.35248/2385-4529.21.8.16","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.16","url":null,"abstract":"","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015529","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.19
H. Akinbi
{"title":"Psychosocial Well-Being during the COVID-19 Pandemic","authors":"H. Akinbi","doi":"10.35248/2385-4529.21.8.19","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.19","url":null,"abstract":"","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015651","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.8
G. Ross
{"title":"Advances in Pediatric Research Overview","authors":"G. Ross","doi":"10.35248/2385-4529.21.8.8","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.8","url":null,"abstract":"","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016022","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.18
H. Akinbi
{"title":"Oxygen Therapy in Preterm Infants: Recommendations for Practice","authors":"H. Akinbi","doi":"10.35248/2385-4529.21.8.18","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.18","url":null,"abstract":"","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015590","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.17
H. Akinbi
{"title":"Streamlining Nutrition of Preterm and Term Infants","authors":"H. Akinbi","doi":"10.35248/2385-4529.21.8.17","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.17","url":null,"abstract":"","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015549","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.56
S. Bittmann, G. Ross
Advances in Pediatric Research publish original research articles with a potential impact on the fields of neonatology, pediatrics, and adolescent medicine. The editors seek forward-looking, cutting-edge original research, case studies, and systematic reviews. We will also publish invited editorials, expert viewpoints and counterpoints. Advances in Pediatric Research are primarily a clinical research journal; yet translational, genetic and compelling basic science research articles are welcome.
{"title":"Challenges, Risk and Approaches of SARS-CoV-2 and COVID-19 in Children","authors":"S. Bittmann, G. Ross","doi":"10.35248/2385-4529.21.8.56","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.56","url":null,"abstract":"Advances in Pediatric Research publish original research articles with a potential impact on the fields of neonatology, pediatrics, and adolescent medicine. The editors seek forward-looking, cutting-edge original research, case studies, and systematic reviews. We will also publish invited editorials, expert viewpoints and counterpoints. Advances in Pediatric Research are primarily a clinical research journal; yet translational, genetic and compelling basic science research articles are welcome.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015915","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.36
Dessalegn Nigatu
Introduction: Despite World health organization universal recommendation of Preventive Therapy, only 56% of pediatrics on ART receiving this intervention. The aim of this study was to determine the magnitude of Preventive Therapy and challenges in its effective implementation among HIV exposed children in Ilu Ababor zone public hospitals. Materials: A facility based retrospective cohort study was used among 300 children’s’ reviewing records by standard structured questionnaires and interviewing their primary caregivers. Data were cleared and entered into Epi-info version 3.1 and exported into SPSS version 24 for further analysis and a binary logistic regression was used to investigate factors associated with uptake of Preventive Therapy. Variables with p-value <0.2 in bivariable analysis were entered into the multivariable analysis. Odds ratio with 95% confidence interval was estimated to show the strength of association and the p-value <0.05 was used to declare as statistical significance in the multivariable analysis. Results: Out of 300 (293) records were reviewed with a response rate of 97.6%. Almost all of the respondents were female 279 (93%) also about half (48%) of the respondents were orthodox in religion and a few (3.4%) of them have had primary education. More than half the exposed infants’ age was b/n 13-18 months. Moreover, about 65.5% of guardians were well awared about preventive treatment. The strongest independent predictors of poor adherence to Preventive Therapy are not able to read [OR=0.153 (0.027-0.863) P< 0.330], long procedure in getting the drug (OR=9.913[2.825, 34.731], p=<0.000), Shortage of drug availability [OR=9.91 (2.829-34.73), P< 0.000], missed dose greater than three doses [OR=2.69 (1.17-6.26), p=<0.022], Persistent diarrhoea [OR=4.324 (1.067-17.530), p=0.040] were associated with Preventive Therapy among HIV exposed children. Conclusion: Preventive Therapy in study area was found to be relatively high and long procedure, shortage of preventive drug and persistent diarrhea were found to be significant predictors of Preventive Therapy, Hence, to avert this, accessing drugs, treating persistent diarrhea and decreasing waiting time were plays unfold role to increases uptake of Preventive Therapy.
尽管世界卫生组织普遍推荐预防性治疗，但只有56%的接受抗逆转录病毒治疗的儿科接受这种干预。本研究的目的是确定预防性治疗的规模及其在伊卢阿伯特地区公立医院艾滋病毒暴露儿童中有效实施的挑战。资料:采用标准的结构化问卷和对主要照顾者的访谈，对300名儿童进行回顾性队列研究。清除数据并输入Epi-info 3.1版本，导出到SPSS 24版本进行进一步分析，并使用二元逻辑回归来调查与预防性治疗摄取相关的因素。将双变量分析中p值<0.2的变量纳入多变量分析。以95%置信区间的比值比表示关联强度，以p值<0.05表示多变量分析具有统计学显著性。结果:共查阅病历300份(293份)，回复率为97.6%。几乎所有的受访者都是女性，279人(93%)，约一半(48%)的受访者信仰正统宗教，其中少数(3.4%)接受过小学教育。超过一半的暴露婴儿的年龄在13-18个月之间。此外，约65.5%的监护人了解预防治疗。预防治疗依从性差的最强独立预测因子是无法阅读[OR=0.153 (0.027-0.863) P< 0.330]、获得药物的程序长(OR=9.913[2.825, 34.731]， P =<0.000]、药物供应短缺[OR=9.91 (2.829-34.73)， P< 0.000]、错过剂量大于3剂[OR=2.69 (1.17-6.26)， P =<0.022]、持续性腹泻[OR=4.324 (1.067-17.530)， P =0.040]与HIV暴露儿童预防治疗相关。结论:研究区预防治疗费用较高且疗程较长，预防药物短缺和持续性腹泻是预防治疗的重要预测因素，为避免这种情况，获取药物、治疗持续性腹泻和减少等待时间对提高预防治疗的接受度起着重要作用。
{"title":"Preventive treatment adherence and challenges in its effectiveimplementation among HIV exposed children in the public hospitals inIlubabor zone: Retrospective follow-up study","authors":"Dessalegn Nigatu","doi":"10.35248/2385-4529.21.8.36","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.36","url":null,"abstract":"Introduction: Despite World health organization universal recommendation of Preventive Therapy, only 56% of pediatrics on ART receiving this intervention. The aim of this study was to determine the magnitude of Preventive Therapy and challenges in its effective implementation among HIV exposed children in Ilu Ababor zone public hospitals. Materials: A facility based retrospective cohort study was used among 300 children’s’ reviewing records by standard structured questionnaires and interviewing their primary caregivers. Data were cleared and entered into Epi-info version 3.1 and exported into SPSS version 24 for further analysis and a binary logistic regression was used to investigate factors associated with uptake of Preventive Therapy. Variables with p-value <0.2 in bivariable analysis were entered into the multivariable analysis. Odds ratio with 95% confidence interval was estimated to show the strength of association and the p-value <0.05 was used to declare as statistical significance in the multivariable analysis. Results: Out of 300 (293) records were reviewed with a response rate of 97.6%. Almost all of the respondents were female 279 (93%) also about half (48%) of the respondents were orthodox in religion and a few (3.4%) of them have had primary education. More than half the exposed infants’ age was b/n 13-18 months. Moreover, about 65.5% of guardians were well awared about preventive treatment. The strongest independent predictors of poor adherence to Preventive Therapy are not able to read [OR=0.153 (0.027-0.863) P< 0.330], long procedure in getting the drug (OR=9.913[2.825, 34.731], p=<0.000), Shortage of drug availability [OR=9.91 (2.829-34.73), P< 0.000], missed dose greater than three doses [OR=2.69 (1.17-6.26), p=<0.022], Persistent diarrhoea [OR=4.324 (1.067-17.530), p=0.040] were associated with Preventive Therapy among HIV exposed children. Conclusion: Preventive Therapy in study area was found to be relatively high and long procedure, shortage of preventive drug and persistent diarrhea were found to be significant predictors of Preventive Therapy, Hence, to avert this, accessing drugs, treating persistent diarrhea and decreasing waiting time were plays unfold role to increases uptake of Preventive Therapy.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015765","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 : 2021-01-01DOI: 10.35248/2385-4529.21.8.39
Tariku Gidada
Background: Birth weight is an important indicator to judge the survival chances of the new-born. Many of the new-born die during their first year of life because of low birth weight as they become the victims of protein energy malnutrition and infection. Low birth weight has intergeneration effect in Ethiopia. However, no other study has been conducted on status of birth weight in the study area. Hence, the need to conduct this study was to provide current information about the birth weight and associated factors among neonates born in public health institutions in Nekemte town, East Wollega zone, Oromia, west Ethiopia. Objective: To assess neonatal birth weight and its associated factors among births at public health institutions providing delivery service in Nekemte town. Method: A community based cross-sectional study was conducted among 340 mothers who gave birth in Nekemte town in the public health institutions from September 10/2014 to December 10/2014. Simple random sampling was used to identify study unit. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique and the neonate was weighted recorded. Logistic regression analyses method was used to check associations and control confounding. Result: 62(18.2%) neonates born with low birth weight. Hypertension [AOR =1.64;95% ,CI=(1.543, 2.39)], gestational age less than 37 weeks[AOR =12.08, 95% CI=(1.020 , 2.354)], family size [AOR= 5.719, 95%,CI= (1.660,3.703)], birth spacing duration [AOR=4.1828,95% CI=(1.086, 3.389)], HIV/AIDS [(AOR= 4.072,95%CI=1.842, 2.005], source of drinking water[AOR 2.485;95%, CI=1.053, 5.865)], were some of the major risk factors revealed to affect birth weight. Conclusion: The prevalence of low birth weight was high in the study area. The finding of this study revealed that: birth spacing, HIV/AIDS, source of drinking water, family size, and hypertension during pregnancy were significantly associated with birth weight. Thus, since the low birth weight has intergenerational effect, an organized effort should be made at all levels to improve the birth weight of neonates.Keywords: Pingchan granule; Motor function; Non-motor function; Sleep; Autonomic function; Psychological disorders; Quality of life.
{"title":"Low Birth Weight and Its Associated Factors among Neonates Born in the Public Health Institutions of Nekemte Town, East Wallaga Zone, West Oromia, Ethiopia","authors":"Tariku Gidada","doi":"10.35248/2385-4529.21.8.39","DOIUrl":"https://doi.org/10.35248/2385-4529.21.8.39","url":null,"abstract":"Background: Birth weight is an important indicator to judge the survival chances of the new-born. Many of the new-born die during their first year of life because of low birth weight as they become the victims of protein energy malnutrition and infection. Low birth weight has intergeneration effect in Ethiopia. However, no other study has been conducted on status of birth weight in the study area. Hence, the need to conduct this study was to provide current information about the birth weight and associated factors among neonates born in public health institutions in Nekemte town, East Wollega zone, Oromia, west Ethiopia. Objective: To assess neonatal birth weight and its associated factors among births at public health institutions providing delivery service in Nekemte town. Method: A community based cross-sectional study was conducted among 340 mothers who gave birth in Nekemte town in the public health institutions from September 10/2014 to December 10/2014. Simple random sampling was used to identify study unit. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique and the neonate was weighted recorded. Logistic regression analyses method was used to check associations and control confounding. Result: 62(18.2%) neonates born with low birth weight. Hypertension [AOR =1.64;95% ,CI=(1.543, 2.39)], gestational age less than 37 weeks[AOR =12.08, 95% CI=(1.020 , 2.354)], family size [AOR= 5.719, 95%,CI= (1.660,3.703)], birth spacing duration [AOR=4.1828,95% CI=(1.086, 3.389)], HIV/AIDS [(AOR= 4.072,95%CI=1.842, 2.005], source of drinking water[AOR 2.485;95%, CI=1.053, 5.865)], were some of the major risk factors revealed to affect birth weight. Conclusion: The prevalence of low birth weight was high in the study area. The finding of this study revealed that: birth spacing, HIV/AIDS, source of drinking water, family size, and hypertension during pregnancy were significantly associated with birth weight. Thus, since the low birth weight has intergenerational effect, an organized effort should be made at all levels to improve the birth weight of neonates.Keywords: Pingchan granule; Motor function; Non-motor function; Sleep; Autonomic function; Psychological disorders; Quality of life.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70015869","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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