Pub Date : 2024-05-06DOI: 10.23937/2469-5769/1510128
Steeve Minto’o, Fifi C. Loembe, Sylvie Mpira, Jean Koko, Simon J. Ategbo
Background: Malaria is a parasitic, life-threatening, vector-borne disease that is a significant public health problem in sub-Saharan Africa. The disorganization of health systems characterized the COVID-19 pandemic period. We aimed to assess the impact of these induced changes on adolescent malaria. Methods: We conducted a longitudinal study during the 2021 year in our pediatric ward. We enrolled all patients treated for malaria based on a positive thick smear and rapid diagnostic test for malaria. We noted the age, the delay to consultation, the signs at admission, the haemogram test, the parasites count, and the duration of stay. Results: Of 1734 inpatients, 689 (39.7% (95% CI [37.4%-42%]) were for malaria, including 128 adolescents. We rated 417 (24.3%; 95% CI [22.3%-26.3%]) cases of severe malaria, including 94 (73.4%; 95% IC [65.8-81.1%]) adolescents. The median delay to consultation for adolescents was 2 days vs children 3 days p=0.004. Admission signs were leads by fever (98%), prostration (38%) and pallor (32%). The median length of hospital stay for adolescents was 3 days vs children 4 days (p=0.0263). Adolescent status was associated with more severe forms (OR=2.04 95% CI [1.33-3.13]) and more cerebral forms (OR=3.8 95% CI [2.6-5.6]). Conclusions: The post-COVID-19 era was marked by a higher incidence of malaria and severe forms in adolescents, primarily cerebral malaria. Due to potential sequelae, they need a follow-up to estimate the real aftermaths of the pandemic on the children population.
背景：疟疾是一种威胁生命的寄生虫病，由病媒传播，是撒哈拉以南非洲地区的重大公共卫生问题。在 COVID-19 大流行期间，卫生系统混乱不堪。我们旨在评估这些诱发变化对青少年疟疾的影响：我们在 2021 年期间在儿科病房开展了一项纵向研究。我们登记了所有根据疟疾厚涂片和快速诊断检测阳性结果接受疟疾治疗的患者。我们记录了患者的年龄、就诊延迟时间、入院时的体征、血图检测、寄生虫计数和住院时间：在 1734 名住院患者中，有 689 人（39.7%，95% CI [37.4%-42%]）因疟疾住院，其中包括 128 名青少年。我们评定了 417 例（24.3%；95% CI [22.3%-26.3%]）重症疟疾病例，其中包括 94 例（73.4%；95% IC [65.8-81.1%]）青少年。青少年就诊时间的中位数为 2 天，而儿童为 3 天，P=0.004。入院体征以发热（98%）、虚弱（38%）和苍白（32%）为主。青少年的中位住院时间为 3 天，儿童为 4 天（P=0.0263）。青少年与更严重的症状（OR=2.04 95% CI [1.33-3.13]）和更严重的脑部症状（OR=3.8 95% CI [2.6-5.6]）相关：后COVID-19时代的特点是青少年疟疾和重症疟疾发病率较高，主要是脑型疟疾。由于存在潜在的后遗症，因此需要进行跟踪调查，以估计大流行对儿童造成的真正后遗症。
{"title":"Severe Malaria in Adolescents in the Post-COVID-19 Era, at the University Hospital of Libreville","authors":"Steeve Minto’o, Fifi C. Loembe, Sylvie Mpira, Jean Koko, Simon J. Ategbo","doi":"10.23937/2469-5769/1510128","DOIUrl":"https://doi.org/10.23937/2469-5769/1510128","url":null,"abstract":"Background: Malaria is a parasitic, life-threatening, vector-borne disease that is a significant public health problem in sub-Saharan Africa. The disorganization of health systems characterized the COVID-19 pandemic period. We aimed to assess the impact of these induced changes on adolescent malaria.\u0000Methods: We conducted a longitudinal study during the 2021 year in our pediatric ward. We enrolled all patients treated for malaria based on a positive thick smear and rapid diagnostic test for malaria. We noted the age, the delay to consultation, the signs at admission, the haemogram test, the parasites count, and the duration of stay.\u0000Results: Of 1734 inpatients, 689 (39.7% (95% CI [37.4%-42%]) were for malaria, including 128 adolescents. We rated 417 (24.3%; 95% CI [22.3%-26.3%]) cases of severe malaria, including 94 (73.4%; 95% IC [65.8-81.1%]) adolescents. The median delay to consultation for adolescents was 2 days vs children 3 days p=0.004. Admission signs were leads by fever (98%), prostration (38%) and pallor (32%). The median length of hospital stay for adolescents was 3 days vs children 4 days (p=0.0263). Adolescent status was associated with more severe forms (OR=2.04 95% CI [1.33-3.13]) and more cerebral forms (OR=3.8 95% CI [2.6-5.6]).\u0000Conclusions: The post-COVID-19 era was marked by a higher incidence of malaria and severe forms in adolescents, primarily cerebral malaria. Due to potential sequelae, they need a follow-up to estimate the real aftermaths of the pandemic on the children population.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.23937/2469-5769/1510119
Hayli Çiğdem Müge, Kösem Dilek DEMİR, Bor Neşe ATAMAN, Avci Mehmet ZEKİ, Gökdoğan Mira Rana
Objective: It was conducted as a descriptive study to determine the effect of daytime sleepiness experienced by adolescents between the ages of 13-18 on the quality of life. Methods: The data needed for the research were gathered online between 22 October 2022 and 25 February 2023. Adolescents aged 13 to 18-years-old made up the research study. Epworth Sleepiness Scale (ESS) and Quality of Life Scale (SF-36) were used in collecting research data for 420 adolescents between the ages of 13 and 18 years who participated voluntarily and were selected by convenience sampling method from improbable samples, with written consent from their parents, by online survey method. The statistical analysis of the data obtained in the study was performed using the SPSS 26.0 data analysis program, and the independent sample t-test, anova analysis, and pearson correlation analysis were used. Results: It was determined that 37% of adolescents between the ages of 13 and 18 were 17-18 years-old, 57.5% were female, and 55.6% had completed high school. According to the gender and education level of the adolescents between the ages of 13 and 18, no significant difference was found in the scores of the epworth sleepiness scale and the sub-dimensions (physical role difficulty, emotional role difficulty, vitality, mental health, social functionality, pain, and general health perception) of the youth of quality of life scale (p > 0.05). The correlation between diurnal sleepiness and adolescents’ quality of life was found to be significant (p < 0.01). Conclusion: It has been determined that the relationship between the quality of life and the daytime sleepiness experienced by adolescents. In accordance with the research results, it can be suggested to evaluate the sleep patterns and solutions of daytime sleepiness of adolescents aged 13 to 18 and to enhance the quality of life of sleep of children and families by developing sleep solutions for adolescents with daytime sleepiness.
{"title":"The Effect of Daytime Sleepiness Experienced by Adolescents Aged 13-18 on Quality of Life","authors":"Hayli Çiğdem Müge, Kösem Dilek DEMİR, Bor Neşe ATAMAN, Avci Mehmet ZEKİ, Gökdoğan Mira Rana","doi":"10.23937/2469-5769/1510119","DOIUrl":"https://doi.org/10.23937/2469-5769/1510119","url":null,"abstract":"Objective: It was conducted as a descriptive study to determine the effect of daytime sleepiness experienced by adolescents between the ages of 13-18 on the quality of life. Methods: The data needed for the research were gathered online between 22 October 2022 and 25 February 2023. Adolescents aged 13 to 18-years-old made up the research study. Epworth Sleepiness Scale (ESS) and Quality of Life Scale (SF-36) were used in collecting research data for 420 adolescents between the ages of 13 and 18 years who participated voluntarily and were selected by convenience sampling method from improbable samples, with written consent from their parents, by online survey method. The statistical analysis of the data obtained in the study was performed using the SPSS 26.0 data analysis program, and the independent sample t-test, anova analysis, and pearson correlation analysis were used. Results: It was determined that 37% of adolescents between the ages of 13 and 18 were 17-18 years-old, 57.5% were female, and 55.6% had completed high school. According to the gender and education level of the adolescents between the ages of 13 and 18, no significant difference was found in the scores of the epworth sleepiness scale and the sub-dimensions (physical role difficulty, emotional role difficulty, vitality, mental health, social functionality, pain, and general health perception) of the youth of quality of life scale (p > 0.05). The correlation between diurnal sleepiness and adolescents’ quality of life was found to be significant (p < 0.01). Conclusion: It has been determined that the relationship between the quality of life and the daytime sleepiness experienced by adolescents. In accordance with the research results, it can be suggested to evaluate the sleep patterns and solutions of daytime sleepiness of adolescents aged 13 to 18 and to enhance the quality of life of sleep of children and families by developing sleep solutions for adolescents with daytime sleepiness.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"123 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.23937/2469-5769/1510118
Desai Manali Ulhas
{"title":"COVID-19 in Children: A Review of Epidemiology, Mode of Transmission, Clinical Presentation, Diagnosis, and Management","authors":"Desai Manali Ulhas","doi":"10.23937/2469-5769/1510118","DOIUrl":"https://doi.org/10.23937/2469-5769/1510118","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" 1223","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139136039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-31DOI: 10.23937/2469-5769/1510120
Avery Emily
Background: Apnea of prematurity is one of the most common challenges in preterm infants, contributing to the U.S.’s high infant mortality rate. There is a growing need for alignment of remote patient monitoring techniques and at-home care for infants diagnosed with apnea of prematurity, especially in the South where accessibility to health services is lacking. Methods: A comprehensive literature review of journal articles and research studies published between 2018 and 2023 was conducted through searching reputable databases including PubMed, Google Scholar, Scopus, New England Journal of Medicine, and ScienceDirect. All articles were assessed for relevance and English language. The analysis adhered to a robust set of inclusion criteria to establish credibility, validity, reliability, and transferability. Results: This analysis revealed health care accessibility challenges associated with living in the South, which contribute to excess infant deaths above the national average. It also revealed that standardized guidelines for apnea of prematurity management through at-home cardiorespiratory monitors are lacking, and the scarcity of clinical and emotional support post-discharge causes parental worry and unnecessary visits to the hospital. Because of the current requirement for meeting with providers in person, excess clinic visits also occur. Additional strategies to improve accessibility and coordination of care are greatly needed. Conclusion: The further integration of remote patient monitoring into the home setting for infants diagnosed with apnea of prematurity is recommended to reduce costly hospital visits, increase accessibility of care, diminish parental stress, and increase parental emotional support. Future research should investigate how the incorporation of a trained clinical care team into the interpretation of cardiorespiratory monitors provides benefits to infants and their families.
{"title":"Apnea of Prematurity in the Southern U.S.: The Role of Remote Patient Monitoring Once Discharged to Home","authors":"Avery Emily","doi":"10.23937/2469-5769/1510120","DOIUrl":"https://doi.org/10.23937/2469-5769/1510120","url":null,"abstract":"Background: Apnea of prematurity is one of the most common challenges in preterm infants, contributing to the U.S.’s high infant mortality rate. There is a growing need for alignment of remote patient monitoring techniques and at-home care for infants diagnosed with apnea of prematurity, especially in the South where accessibility to health services is lacking. Methods: A comprehensive literature review of journal articles and research studies published between 2018 and 2023 was conducted through searching reputable databases including PubMed, Google Scholar, Scopus, New England Journal of Medicine, and ScienceDirect. All articles were assessed for relevance and English language. The analysis adhered to a robust set of inclusion criteria to establish credibility, validity, reliability, and transferability. Results: This analysis revealed health care accessibility challenges associated with living in the South, which contribute to excess infant deaths above the national average. It also revealed that standardized guidelines for apnea of prematurity management through at-home cardiorespiratory monitors are lacking, and the scarcity of clinical and emotional support post-discharge causes parental worry and unnecessary visits to the hospital. Because of the current requirement for meeting with providers in person, excess clinic visits also occur. Additional strategies to improve accessibility and coordination of care are greatly needed. Conclusion: The further integration of remote patient monitoring into the home setting for infants diagnosed with apnea of prematurity is recommended to reduce costly hospital visits, increase accessibility of care, diminish parental stress, and increase parental emotional support. Future research should investigate how the incorporation of a trained clinical care team into the interpretation of cardiorespiratory monitors provides benefits to infants and their families.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"72 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130380","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}
This retrospective study reviewed the charts of children with epilepsy who were followed up in the pediatric neurology clinic of King Fahad Hospital in Al-Baha region, Saudi Arabia, between January 2015 and August 2022. Children between 1 to 14 years of age who had epilepsy, as per the International League against Epilepsy (ILAE) definition, and received anti-seizure medication with a seizure-free period of at least two months before breakthrough seizure episode, were included in the study. Participants under one or more than fourteen years of age, those without a seizure-free period of at least two months before a breakthrough seizure episode, and patients with insufficient information were excluded.
{"title":"The Frequency and Precipitating Factors for Breakthrough Seizures in Children with Epilepsy","authors":"Aldosari Abdullah, Alghamdi Ahmed, Alharthi Ayidh, Albuhayri Abdullah, Ghurab Suhaib, Alghamdi Mohammed, Aldosari Mufleh","doi":"10.23937/2469-5769/1510117","DOIUrl":"https://doi.org/10.23937/2469-5769/1510117","url":null,"abstract":"This retrospective study reviewed the charts of children with epilepsy who were followed up in the pediatric neurology clinic of King Fahad Hospital in Al-Baha region, Saudi Arabia, between January 2015 and August 2022. Children between 1 to 14 years of age who had epilepsy, as per the International League against Epilepsy (ILAE) definition, and received anti-seizure medication with a seizure-free period of at least two months before breakthrough seizure episode, were included in the study. Participants under one or more than fourteen years of age, those without a seizure-free period of at least two months before a breakthrough seizure episode, and patients with insufficient information were excluded.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136154607","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 : 2023-06-30DOI: 10.23937/2469-5769/1510113
R. Randriamanga, Rlh Rakotomalala, HL Rakotomamonjy, A. Robinson
{"title":"Appearance of Bronchiolitis in Children with Congenital Heart Disease","authors":"R. Randriamanga, Rlh Rakotomalala, HL Rakotomamonjy, A. Robinson","doi":"10.23937/2469-5769/1510113","DOIUrl":"https://doi.org/10.23937/2469-5769/1510113","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47532279","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}
{"title":"Study of Auditory Function Changes in Patients with Down Syndrome","authors":"Nezha Zoya Ismail, Youssef Youssef, Alizadeh Yaser","doi":"10.23937/2469-5769/1510114","DOIUrl":"https://doi.org/10.23937/2469-5769/1510114","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41873712","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 : 2023-01-30DOI: 10.23937/2469-5769/1510110
Lim Marissa Elizabeth L, Anacleto Francisco Jr E
{"title":"Effect of Music on Infant Stress as Measured by Cortisol Levels and Premature Infant Pain Profile: A Systematic Review with Meta-analysis","authors":"Lim Marissa Elizabeth L, Anacleto Francisco Jr E","doi":"10.23937/2469-5769/1510110","DOIUrl":"https://doi.org/10.23937/2469-5769/1510110","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49205848","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 : 2023-01-30DOI: 10.23937/2469-5769/1510108
RT Andrianarivony, R. Randriamanga, RL Tsifiregna, L. Ravelomanana, N. Razafiarisoa
{"title":"Risk Factor of Cerebral Vasculopathy in Children with Sickle Cell Disease in Madagascar","authors":"RT Andrianarivony, R. Randriamanga, RL Tsifiregna, L. Ravelomanana, N. Razafiarisoa","doi":"10.23937/2469-5769/1510108","DOIUrl":"https://doi.org/10.23937/2469-5769/1510108","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46861451","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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