Pub Date : 2021-12-31DOI: 10.23937/2469-5769/1510084
M. Ranatunga, TN Doctor
Background: To find the effect that time between dosage of morphine and delivery of the baby has on the incidence of need for neonatal resuscitation. Methods: Retrospective analysis of 659 births at The Northern Hospital, Epping, Victoria, featuring use of morphine in labour. Time between morphine dose and delivery of baby was recorded for each birth, known as the dose-delivery interval (DDI). Four equally distributed categories were created based on quartiles of DDI. Various neonatal outcomes were compared between the groups, including need for resuscitation, and type of resuscitation used. Univariate and multivariate analysis were performed using IBM SPSS version 26. Results: Dose-delivery category 2 (155-314 minutes) was found to have significantly higher odds of requiring neonatal resuscitation (OR 2.08; 95% CI 1.20-3.59 P = 0.009), in addition to specific forms of resuscitation such as tactile stimulation (OR 2.05; 95% CI 1.20-3.51 P = 0.009), continuous positive airway pressure (OR 2.51; 95% CI 1.205.25 P = 0.015) and intermittent positive pressure ventilation (OR 6.67; 95% CI 2.53-17.62 P < 0.001) compared to the longest dose-delivery category (> 526.5 minutes). Subcutaneous morphine was also found to have lower odds of neonatal resuscitation (OR 0.22; 95% CI 0.068-0.69 P = 0.009) and specifically tactile stimulation (OR 0.24; 95% CI 0.08-0.77 P = 0.016) compared to intramuscular morphine. Conclusion: A dose-delivery interval between 155 and 314 minutes may lead to a higher incidence of requirement for resuscitation at birth, in addition to specific types of resuscitation including tactile stimulation, continuous positive airway pressure and intermittent positive pressure ventilation.
目的:探讨吗啡给药时间与分娩时间对新生儿复苏需要发生率的影响。方法:回顾性分析维多利亚埃平北部医院659例分娩中使用吗啡的病例。记录每次分娩的吗啡剂量与分娩之间的时间间隔，称为剂量-分娩间隔(DDI)。根据DDI的四分位数创建了四个平均分布的类别。比较两组新生儿的各种结局，包括复苏的需要和使用的复苏类型。采用IBM SPSS version 26进行单因素和多因素分析。结果:剂量递送类别2(155-314分钟)需要新生儿复苏的几率明显更高(OR 2.08;95% CI 1.20-3.59 P = 0.009)，此外还有特殊形式的复苏，如触觉刺激(OR 2.05;95% CI 1.20-3.51 P = 0.009)，持续气道正压通气(OR 2.51;95% CI 1.205.25 P = 0.015)和间歇正压通气(OR 6.67;95% CI 2.53-17.62 P < 0.001)，与最长剂量递送类别(bb0 56.5分钟)相比。皮下注射吗啡也有较低的新生儿复苏几率(OR 0.22;95% CI 0.068-0.69 P = 0.009)，特别是触觉刺激(OR 0.24;95% CI 0.08-0.77 P = 0.016)。结论:155 ~ 314分钟的给药间隔可能导致出生时复苏需求的发生率较高，除了特定类型的复苏，包括触觉刺激、持续气道正压和间歇正压通气。
{"title":"Dose-Delivery Time Interval of Morphine in Labour and its Impact on the Likelihood of Adverse Neonatal Outcomes","authors":"M. Ranatunga, TN Doctor","doi":"10.23937/2469-5769/1510084","DOIUrl":"https://doi.org/10.23937/2469-5769/1510084","url":null,"abstract":"Background: To find the effect that time between dosage of morphine and delivery of the baby has on the incidence of need for neonatal resuscitation. Methods: Retrospective analysis of 659 births at The Northern Hospital, Epping, Victoria, featuring use of morphine in labour. Time between morphine dose and delivery of baby was recorded for each birth, known as the dose-delivery interval (DDI). Four equally distributed categories were created based on quartiles of DDI. Various neonatal outcomes were compared between the groups, including need for resuscitation, and type of resuscitation used. Univariate and multivariate analysis were performed using IBM SPSS version 26. Results: Dose-delivery category 2 (155-314 minutes) was found to have significantly higher odds of requiring neonatal resuscitation (OR 2.08; 95% CI 1.20-3.59 P = 0.009), in addition to specific forms of resuscitation such as tactile stimulation (OR 2.05; 95% CI 1.20-3.51 P = 0.009), continuous positive airway pressure (OR 2.51; 95% CI 1.205.25 P = 0.015) and intermittent positive pressure ventilation (OR 6.67; 95% CI 2.53-17.62 P < 0.001) compared to the longest dose-delivery category (> 526.5 minutes). Subcutaneous morphine was also found to have lower odds of neonatal resuscitation (OR 0.22; 95% CI 0.068-0.69 P = 0.009) and specifically tactile stimulation (OR 0.24; 95% CI 0.08-0.77 P = 0.016) compared to intramuscular morphine. Conclusion: A dose-delivery interval between 155 and 314 minutes may lead to a higher incidence of requirement for resuscitation at birth, in addition to specific types of resuscitation including tactile stimulation, continuous positive airway pressure and intermittent positive pressure ventilation.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830264","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: 10.23937/2469-5769/1510081
Hernández-Luengo Monserrat, Álvarez-Bueno Celia, Alfonso María Eugenia Visier, Tébar Andrés Redondo, Notario-Pacheco Blanca, Martínez-Vizcaíno Vicente
Background: Excessive screen time has been associated with a deleterious impact on cardiometabolic health and academic achievement in children; however, the evidence supporting these effects depends on the type of electronic device. Objective: To examine the association between the time spent watching television (TV) and using interactive electronic devices (computers, tablets, etc.) with cardiometabolic risk factors and academic achievement in school-aged children (8-11 years). Methods/design: Cross-sectional analysis was conducted using baseline measurements from a cluster randomized trial conducted in children in the 4th and 5th grades of primary education from 10 schools in Cuenca Province, Castilla-La Mancha (Spain). Sociodemographic variables, academic achievements, cardiometabolic risk (CMR) indicators, blood pressure and biochemical determinations were measured. Additionally, screen time was measured as TV viewing, electronic device use and overall screen media use and categorized by exposure time as low (< 2 hours), medium (2-3 hours) or high (> 3 hours). Academic achievement was assessed using academic grades that could range from 0 to 10. ANCOVA analyses adjusted for age, SES and BMI, were used to assess differences in anthropometric variables, metabolic variables, and academic achievement across screen time categories by sex. Results: A total of 560 children (51.96% girls) aged 8 to 11 years were examined. The mean total screen time (h/d) for boys was higher (3.89; 95% CI: 3.65-4.13) than that for girls (3.42; 95% CI: 3.21-3.63). For boys, those who watched TV for > 3 hours had worse mean differences than those in the lower categories of watching television in systolic blood pressure (SBP) in mmHg, (-4.09; 95% CI [-7.82, -0.37], p = 0.026), HDL-c levels in mg/dL (8.18; 95% CI [2.25, 14.11], p = 0.003), glucose levels in mg/dL (0.75; 95% CI [-0.86, 2.36], p = 0.79), metabolic syndrome indices in percentage (-3.79; 95% CI [-7.22, -0.35], p = 0.025), and glycated haemoglobin A1c levels in mg/dL (-0.09; 95% CI [-0.18,-0.00], p = 0.046). In addition, boys and girls in the highest category of TV viewing reported worse scores in mathematics (6.50 [SD 1.81] and 6.11 [SD 1.80], respectively) than their peers. When analysing these variables by use of electronic devices and total screen time, most of these relationships disappeared. Conclusion: Our data show that watching TV is the dimension of screen time that is most consistently associated with increased cardiometabolic risk factors and lower academic performance.
{"title":"Association between Screen Time and Cardiometabolic Risk Factors and Academic Achievement among Children","authors":"Hernández-Luengo Monserrat, Álvarez-Bueno Celia, Alfonso María Eugenia Visier, Tébar Andrés Redondo, Notario-Pacheco Blanca, Martínez-Vizcaíno Vicente","doi":"10.23937/2469-5769/1510081","DOIUrl":"https://doi.org/10.23937/2469-5769/1510081","url":null,"abstract":"Background: Excessive screen time has been associated with a deleterious impact on cardiometabolic health and academic achievement in children; however, the evidence supporting these effects depends on the type of electronic device. Objective: To examine the association between the time spent watching television (TV) and using interactive electronic devices (computers, tablets, etc.) with cardiometabolic risk factors and academic achievement in school-aged children (8-11 years). Methods/design: Cross-sectional analysis was conducted using baseline measurements from a cluster randomized trial conducted in children in the 4th and 5th grades of primary education from 10 schools in Cuenca Province, Castilla-La Mancha (Spain). Sociodemographic variables, academic achievements, cardiometabolic risk (CMR) indicators, blood pressure and biochemical determinations were measured. Additionally, screen time was measured as TV viewing, electronic device use and overall screen media use and categorized by exposure time as low (< 2 hours), medium (2-3 hours) or high (> 3 hours). Academic achievement was assessed using academic grades that could range from 0 to 10. ANCOVA analyses adjusted for age, SES and BMI, were used to assess differences in anthropometric variables, metabolic variables, and academic achievement across screen time categories by sex. Results: A total of 560 children (51.96% girls) aged 8 to 11 years were examined. The mean total screen time (h/d) for boys was higher (3.89; 95% CI: 3.65-4.13) than that for girls (3.42; 95% CI: 3.21-3.63). For boys, those who watched TV for > 3 hours had worse mean differences than those in the lower categories of watching television in systolic blood pressure (SBP) in mmHg, (-4.09; 95% CI [-7.82, -0.37], p = 0.026), HDL-c levels in mg/dL (8.18; 95% CI [2.25, 14.11], p = 0.003), glucose levels in mg/dL (0.75; 95% CI [-0.86, 2.36], p = 0.79), metabolic syndrome indices in percentage (-3.79; 95% CI [-7.22, -0.35], p = 0.025), and glycated haemoglobin A1c levels in mg/dL (-0.09; 95% CI [-0.18,-0.00], p = 0.046). In addition, boys and girls in the highest category of TV viewing reported worse scores in mathematics (6.50 [SD 1.81] and 6.11 [SD 1.80], respectively) than their peers. When analysing these variables by use of electronic devices and total screen time, most of these relationships disappeared. Conclusion: Our data show that watching TV is the dimension of screen time that is most consistently associated with increased cardiometabolic risk factors and lower academic performance.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44056220","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 : 2021-10-08DOI: 10.23937/2469-5769/1510080
K. Segbedji, OB Tchagbele, SM Talboussouma, H. Agrigna, K. Kombieni, Y. Atakouma, K. Azoumah
Introduction: Every newborn at birth needs an adequate essential care provided by qualified personnel in order to reduce neonatal morbidity and mortality. The aim of this study was to evaluate the practice of essential newborn care (ENC) in two tertiary hospitals in the City of Kara (North Togo). Methodology: It was a prospective and descriptive study about ENC, carried out from March 1st to May 30th of 2019. The study was focused on newborns after their immediate vaginal delivery, their mothers and the hospital personnel’s who provided care for them at the hospitals (CHU and CHR) of Kara. Results: The results indicate that 4.0% of skin-to-skin contact was performed; 100% of immediate drying at birth was carried out; 100% of the umbilical cord section was well done; 100% of vitamin K1 well administered; 100% of eye care was given, 49% of early breastfeeding was performed, 85% of the first bath was done 6 hours after childbirth and 15% between 7 and 24 hours of the newborns. Conclusion: Every hospital center has its own way of practicing ENC in the City (Kara). However, in order to decrease newborn mortality, the ENC practices need to be improved in every hospital center in the city.
{"title":"Essential Newborn Care in the Municipality of Kara (North Togo) in 2019","authors":"K. Segbedji, OB Tchagbele, SM Talboussouma, H. Agrigna, K. Kombieni, Y. Atakouma, K. Azoumah","doi":"10.23937/2469-5769/1510080","DOIUrl":"https://doi.org/10.23937/2469-5769/1510080","url":null,"abstract":"Introduction: Every newborn at birth needs an adequate essential care provided by qualified personnel in order to reduce neonatal morbidity and mortality. The aim of this study was to evaluate the practice of essential newborn care (ENC) in two tertiary hospitals in the City of Kara (North Togo). Methodology: It was a prospective and descriptive study about ENC, carried out from March 1st to May 30th of 2019. The study was focused on newborns after their immediate vaginal delivery, their mothers and the hospital personnel’s who provided care for them at the hospitals (CHU and CHR) of Kara. Results: The results indicate that 4.0% of skin-to-skin contact was performed; 100% of immediate drying at birth was carried out; 100% of the umbilical cord section was well done; 100% of vitamin K1 well administered; 100% of eye care was given, 49% of early breastfeeding was performed, 85% of the first bath was done 6 hours after childbirth and 15% between 7 and 24 hours of the newborns. Conclusion: Every hospital center has its own way of practicing ENC in the City (Kara). However, in order to decrease newborn mortality, the ENC practices need to be improved in every hospital center in the city.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41267830","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 : 2021-08-30DOI: 10.23937/2469-5769/1510078
Grotta Anna Maria Della, Boscarelli Alessandro
Nocturnal enuresis is a common condition which may be cause of considerable psychological distress especially in children. Despite poor evidence across the literature, hypnosis could have an important role as first-line treatment option for primary monosymptomatic nocturnal enuresis.
{"title":"The Use of Hypnosis for the Treatment of Nocturnal Enuresis: Myth or Reality?","authors":"Grotta Anna Maria Della, Boscarelli Alessandro","doi":"10.23937/2469-5769/1510078","DOIUrl":"https://doi.org/10.23937/2469-5769/1510078","url":null,"abstract":"Nocturnal enuresis is a common condition which may be cause of considerable psychological distress especially in children. Despite poor evidence across the literature, hypnosis could have an important role as first-line treatment option for primary monosymptomatic nocturnal enuresis.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41940293","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 : 2021-06-11DOI: 10.23937/2469-5769/1510075
Osefori Mada, Doya Leen Jamel, Nezha Bana, Dayoub Adnan
{"title":"Lactate Dehydrogenase Level as an Early Predictor of Transient Tachypnea of the Newborn Duration and Complications","authors":"Osefori Mada, Doya Leen Jamel, Nezha Bana, Dayoub Adnan","doi":"10.23937/2469-5769/1510075","DOIUrl":"https://doi.org/10.23937/2469-5769/1510075","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43499307","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: 10.23937/2469-5769/1510076
FD Akeredolu, R. Akuse, S. Mado, R. Yusuf
Introduction: The role of vitamin D in promoting health and contributing to disease is an emerging area of research interest that has important health care and public health implications. As the health relevance of vitamin D outside bone health is now being explored globally, scanty data is available about the vitamin D status of healthy Nigerian children. Because Infants and young children have a relatively low supply of foods rich in vitamin D and may also have inadequate exposure to sunlight, they are at risk of vitamin D deficiency. We measured and described 25-hydroxyvitamin D levels of apparently healthy young Nigerian children. Subjects and methods: This was a cross sectional, descriptive study involving 112 apparently healthy children living in Zaria, North-West Nigeria which has adequate sunshine all through the year. Serum 25(OH)D concentrations were determined using a vitamin D ELISA kit. A level above 75 nmol/l was used to define vitamin D sufficiency in accordance with the Endocrine Society recommendations. Results: The mean 25-Hydroxyvitamin D level was 58.6 ± 30.5 nmol/l (range: 6.5-146 nmol/l). Only 31 (27.7%) of the children had 25-hydroxyvitamin D levels above 75 nmol/l, while 35 (31.3%) had insufficient (50-75 nmol/l) and 46 (41.0%) had deficient (< 50 nmol/l) serum vitamin D levels. There was no significant difference with regard to sex, age, nutritional and socioeconomical status between the groups. Conclusion: Apparently healthy young Northern Nigerian children had high prevalence of 25-hydroxyvitamin D insufficiency and deficiency. It is recommended that population studies be carried out across Nigeria to define the 25-hydroxyvitamin D levels of Nigerian children and establish predictors or determinants of vitamin D levels in them. This will assist in the development of governmental policies and strategies to prevent, detect, and treat vitamin D deficiency in Nigeria.
{"title":"Serum 25-Hydroxyvitamin D Levels of Apparently Healthy Nigerian Children Aged 1-24 Months","authors":"FD Akeredolu, R. Akuse, S. Mado, R. Yusuf","doi":"10.23937/2469-5769/1510076","DOIUrl":"https://doi.org/10.23937/2469-5769/1510076","url":null,"abstract":"Introduction: The role of vitamin D in promoting health and contributing to disease is an emerging area of research interest that has important health care and public health implications. As the health relevance of vitamin D outside bone health is now being explored globally, scanty data is available about the vitamin D status of healthy Nigerian children. Because Infants and young children have a relatively low supply of foods rich in vitamin D and may also have inadequate exposure to sunlight, they are at risk of vitamin D deficiency. We measured and described 25-hydroxyvitamin D levels of apparently healthy young Nigerian children. Subjects and methods: This was a cross sectional, descriptive study involving 112 apparently healthy children living in Zaria, North-West Nigeria which has adequate sunshine all through the year. Serum 25(OH)D concentrations were determined using a vitamin D ELISA kit. A level above 75 nmol/l was used to define vitamin D sufficiency in accordance with the Endocrine Society recommendations. Results: The mean 25-Hydroxyvitamin D level was 58.6 ± 30.5 nmol/l (range: 6.5-146 nmol/l). Only 31 (27.7%) of the children had 25-hydroxyvitamin D levels above 75 nmol/l, while 35 (31.3%) had insufficient (50-75 nmol/l) and 46 (41.0%) had deficient (< 50 nmol/l) serum vitamin D levels. There was no significant difference with regard to sex, age, nutritional and socioeconomical status between the groups. Conclusion: Apparently healthy young Northern Nigerian children had high prevalence of 25-hydroxyvitamin D insufficiency and deficiency. It is recommended that population studies be carried out across Nigeria to define the 25-hydroxyvitamin D levels of Nigerian children and establish predictors or determinants of vitamin D levels in them. This will assist in the development of governmental policies and strategies to prevent, detect, and treat vitamin D deficiency in Nigeria.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68750723","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 : 2020-12-31DOI: 10.23937/2469-5769/1510072
Aaradhana, K. Bineeta, S. Krishna, S. Rahul
High sensitivity CRP (Hs-CRP) has not been studied in children with dengue so far. We conducted this descriptive cross-sectional study to compare hs-CRP levels between a group of 31 children under 12 year of age with dengue (positive NS1 antigen and/IgM ELISA for dengue) and healthy comparison group and between severe and non-severe dengue cases. Hs-CRP levels were assessed in sera of hospitalized dengue cases and healthy controls. Median (IQR) hs-CRP levels were 46.59 (34.8, 67.0) mg/L and 0.530 (0.00, 2.79) mg/L respectively in dengue cases and healthy controls which was statistically significant (p < 0.001). Median (IQR) hs-CRP levels in severe and non-severe dengue patients were 46.59 (34.77, 68.43) and 46.67 (24.33, 63.79) mg/L respectively which was statistically not significant (p = 0.85). Hs-CRP level was significantly higher in dengue children as compared to healthy controls. But no significant difference in hs-CRP level was found between severe and non-severe dengue patients.
{"title":"The Usefulness of High Sensitivity C-Reactive Protein (hs-CRP) to Differentiate between Severe and Non-Severe Dengue in Children","authors":"Aaradhana, K. Bineeta, S. Krishna, S. Rahul","doi":"10.23937/2469-5769/1510072","DOIUrl":"https://doi.org/10.23937/2469-5769/1510072","url":null,"abstract":"High sensitivity CRP (Hs-CRP) has not been studied in children with dengue so far. We conducted this descriptive cross-sectional study to compare hs-CRP levels between a group of 31 children under 12 year of age with dengue (positive NS1 antigen and/IgM ELISA for dengue) and healthy comparison group and between severe and non-severe dengue cases. Hs-CRP levels were assessed in sera of hospitalized dengue cases and healthy controls. Median (IQR) hs-CRP levels were 46.59 (34.8, 67.0) mg/L and 0.530 (0.00, 2.79) mg/L respectively in dengue cases and healthy controls which was statistically significant (p < 0.001). Median (IQR) hs-CRP levels in severe and non-severe dengue patients were 46.59 (34.77, 68.43) and 46.67 (24.33, 63.79) mg/L respectively which was statistically not significant (p = 0.85). Hs-CRP level was significantly higher in dengue children as compared to healthy controls. But no significant difference in hs-CRP level was found between severe and non-severe dengue patients.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44050114","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 : 2020-06-11DOI: 10.23937/2469-5769/1510063
I. Omeneke, Onankpa Ben Oloche, A. Asmau, J. Bello, Amodu-Sanni Maryam, G. Ilah, O. Busayo, Yunusa Edzu Usman
Objective: Delay in seeking appropriate health care by caregivers is an important modifiable factor which contributes to childhood morbidity and mortality in developing countries. This study was carried out to assess the socio-demographic factors associated with late hospital presentation and outcome of acute febrile illnesses among children aged < 15 years in an emergency unit. Design: Prospective case control study. Setting: Hospital based study in the Emergency Paediatric Unit of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Subjects: Children admitted with acute febrile illnessesfrom October 2017 to March 2018. Cases were children with fever ≥ 3 days to 7 days, controls were those with fever < 3 days before presentation. Socio-demographic and outcome data were obtained. Analysiswas with SPSS version 23 and p < 0.05 was significant. Main outcome measures: Outcome (alive or dead) and duration of admission in days. Results: 124 of 494 admissions were sampled. Cases were more likely to have 3 or more siblings (OR 2.3; CI: 0.975.5), fathers and mothers who lacked formal education (OR 1.9; CI: 1.4-2.6, OR 2.2; CI: 1.6-3.0), and more likely visited patent medicine vendors (OR 1.3; CI: 0.95-1.9). They also had longer duration of admission (OR 8.3; CI: 3.7-18.5) and were more likely to die (OR 3.1; CI: 0.3-30.7). Three of the 4 mortalities had presented late and all were of low social class families. Conclusion: Late presentation was more with the uneducated parents with attendant longer duration of illness and higher mortality probably due to illness severity and lack of amelioration with prior treatment.
{"title":"Delayed Presentation and Outcome of Febrile Children Admitted in a Tertiary Facility in Sokoto, North-Western Nigeria: A Case-Control Study","authors":"I. Omeneke, Onankpa Ben Oloche, A. Asmau, J. Bello, Amodu-Sanni Maryam, G. Ilah, O. Busayo, Yunusa Edzu Usman","doi":"10.23937/2469-5769/1510063","DOIUrl":"https://doi.org/10.23937/2469-5769/1510063","url":null,"abstract":"Objective: Delay in seeking appropriate health care by caregivers is an important modifiable factor which contributes to childhood morbidity and mortality in developing countries. This study was carried out to assess the socio-demographic factors associated with late hospital presentation and outcome of acute febrile illnesses among children aged < 15 years in an emergency unit. Design: Prospective case control study. Setting: Hospital based study in the Emergency Paediatric Unit of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Subjects: Children admitted with acute febrile illnessesfrom October 2017 to March 2018. Cases were children with fever ≥ 3 days to 7 days, controls were those with fever < 3 days before presentation. Socio-demographic and outcome data were obtained. Analysiswas with SPSS version 23 and p < 0.05 was significant. Main outcome measures: Outcome (alive or dead) and duration of admission in days. Results: 124 of 494 admissions were sampled. Cases were more likely to have 3 or more siblings (OR 2.3; CI: 0.975.5), fathers and mothers who lacked formal education (OR 1.9; CI: 1.4-2.6, OR 2.2; CI: 1.6-3.0), and more likely visited patent medicine vendors (OR 1.3; CI: 0.95-1.9). They also had longer duration of admission (OR 8.3; CI: 3.7-18.5) and were more likely to die (OR 3.1; CI: 0.3-30.7). Three of the 4 mortalities had presented late and all were of low social class families. Conclusion: Late presentation was more with the uneducated parents with attendant longer duration of illness and higher mortality probably due to illness severity and lack of amelioration with prior treatment.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41638354","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 : 2020-02-13DOI: 10.23937/2469-5769/1510059
S. Gigi, Z. Sarah, H. Maha, Inad Noora
Objective: Sleep is a prime factor of healthy development and has been associated with emotional, behavioural, and cognitive development. This study investigates sleep parameters and associated sociodemographic characteristics in a population-based online method in Saudi children from infancy to four years of life. Methods: A Brief Infant Sleep Questionnaire (BISQ) for sleep assessment was made available to participants through the web link in Arabic language and were filled by the mothers. The target population were divided into three age groups: 0-11 months, 1-2 years, and 2-4 years. Questions related to demographic factors and sleep problems like bedtime resistance, sleep anxiety, nocturnal awakenings and daytime sleepiness were included. Data were evaluated by logistic regression analysis (p ≤ 0.05) using software R. Results: 1264 individuals participated in the study, which included 51.3% and 48.7% of male and female children respectively. Sleep disorders were significantly associated with age of child, mode of birth, mother’s occupation, family type, parent’s sleep time, sleep onset and sleep duration (P < 0.05). Inadequate bedtime habits and sleep duration below the recommended levels were observed in all age groups. Conclusions: The present study showed the prevalence and association between sleeping patterns and different sleep parameters and could be used to inform future research on how to increase parental knowledge of healthy sleep practices and adequate sleep among young children.
{"title":"Association between Sociodemographic Factors and Sleeping Patterns from Infancy to Four Years of Life in Saudi Community","authors":"S. Gigi, Z. Sarah, H. Maha, Inad Noora","doi":"10.23937/2469-5769/1510059","DOIUrl":"https://doi.org/10.23937/2469-5769/1510059","url":null,"abstract":"Objective: Sleep is a prime factor of healthy development and has been associated with emotional, behavioural, and cognitive development. This study investigates sleep parameters and associated sociodemographic characteristics in a population-based online method in Saudi children from infancy to four years of life. Methods: A Brief Infant Sleep Questionnaire (BISQ) for sleep assessment was made available to participants through the web link in Arabic language and were filled by the mothers. The target population were divided into three age groups: 0-11 months, 1-2 years, and 2-4 years. Questions related to demographic factors and sleep problems like bedtime resistance, sleep anxiety, nocturnal awakenings and daytime sleepiness were included. Data were evaluated by logistic regression analysis (p ≤ 0.05) using software R. Results: 1264 individuals participated in the study, which included 51.3% and 48.7% of male and female children respectively. Sleep disorders were significantly associated with age of child, mode of birth, mother’s occupation, family type, parent’s sleep time, sleep onset and sleep duration (P < 0.05). Inadequate bedtime habits and sleep duration below the recommended levels were observed in all age groups. Conclusions: The present study showed the prevalence and association between sleeping patterns and different sleep parameters and could be used to inform future research on how to increase parental knowledge of healthy sleep practices and adequate sleep among young children.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49230111","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 : 2019-10-16DOI: 10.23937/2469-5769/1510057
Debrnesh Goshiye
Background: Prevention of Mother-to-Child Transmission service is expanded out in accelerated fashion throughout Ethiopia with all public hospitals and health centers. However, published studies on the services’ provision in the country are generally limited. If at all, they did not comprehensively examine quality of the services. Objective: The aim of the study was to assess the quality of Prevention of Mother-to-Child Transmission service at governmental Hospitals of South Wollo Zone, Amhara Region, Ethiopia, 2018. Methods: Convergent parallel mixed study was conducted at governmental hospitals of South Wollo Zone. A total of 202 health professionals were assessed using structured questionnaires’ and 16 mothers were assessed by in-depth interview. The quantitative data were cleaned manually coded and entered into Epi info version 3.1 and analyzed using SPSS version 20. The qualitative data were analyzed by thematic analysis. Result: The overall quality of service on PMTCT was poor (47%). Majority (13) of the clients were satisfied by the service. Almost all respondents (15) were satisfied with PMTCT service providers and majorities (13) of the client were not satisfied with the counseling room privacy. Conclusion and recommendation: The overall quality of PMTCT of HIV is poor. But majority of the client were satisfied with the PMTCT service they got. There is a must for zonal health management and PMTCT focal personnel to ensure availability and use of PMTCT guidelines and sufficient supplies of recommended PMTCT commodities.
背景:预防母婴传播服务在埃塞俄比亚各地的所有公立医院和保健中心加速扩展。但是，发表的关于该国提供服务的研究报告一般有限。如果有的话，他们也没有全面检查服务的质量。目的:本研究的目的是评估2018年埃塞俄比亚阿姆哈拉地区南沃罗区政府医院预防母婴传播服务的质量。方法:在南沃罗区公立医院进行趋同平行混合研究。采用结构化问卷对202名卫生专业人员进行了评估，对16名母亲进行了深度访谈。定量数据清洗后手工编码，录入Epi info 3.1版本，使用SPSS 20版本进行分析。采用专题分析方法对定性数据进行分析。结果:预防母婴传播的整体服务质量较差(47%)。大多数(13)客户对服务感到满意。几乎所有的受访者(15人)对预防母婴传播服务提供者感到满意，而大多数(13人)的来访者对咨询室的隐私不满意。结论与建议:预防母婴传播的总体质量较差。但大多数客户对他们得到的预防母婴传播服务感到满意。区域卫生管理和预防母婴传播协调人员必须确保提供和使用预防母婴传播指南，并确保提供足够的建议预防母婴传播商品。
{"title":"Quality of Prevention of Mother-To-Child Transmission of HIV Service at South Wollo Zone Governmental Hospitals, Amhara Region, Ethiopia, 2018","authors":"Debrnesh Goshiye","doi":"10.23937/2469-5769/1510057","DOIUrl":"https://doi.org/10.23937/2469-5769/1510057","url":null,"abstract":"Background: Prevention of Mother-to-Child Transmission service is expanded out in accelerated fashion throughout Ethiopia with all public hospitals and health centers. However, published studies on the services’ provision in the country are generally limited. If at all, they did not comprehensively examine quality of the services. Objective: The aim of the study was to assess the quality of Prevention of Mother-to-Child Transmission service at governmental Hospitals of South Wollo Zone, Amhara Region, Ethiopia, 2018. Methods: Convergent parallel mixed study was conducted at governmental hospitals of South Wollo Zone. A total of 202 health professionals were assessed using structured questionnaires’ and 16 mothers were assessed by in-depth interview. The quantitative data were cleaned manually coded and entered into Epi info version 3.1 and analyzed using SPSS version 20. The qualitative data were analyzed by thematic analysis. Result: The overall quality of service on PMTCT was poor (47%). Majority (13) of the clients were satisfied by the service. Almost all respondents (15) were satisfied with PMTCT service providers and majorities (13) of the client were not satisfied with the counseling room privacy. Conclusion and recommendation: The overall quality of PMTCT of HIV is poor. But majority of the client were satisfied with the PMTCT service they got. There is a must for zonal health management and PMTCT focal personnel to ensure availability and use of PMTCT guidelines and sufficient supplies of recommended PMTCT commodities.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44615196","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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