Virginie MUJINGA MULUMBA, Loukia AKETI PAIZANOS, Freddy BYAMUNGU MBOKO, Joseph SHIKU DIAYISU, Pierre Tshibassu Manianga, J. M. Tamfum
Affiliation: 1Cardio-Pneumology and Infectious Diseases service, Department of Pediatrics, Kinshasa University Clinics, Democratic Republic of the Congo 2Gastroenterology, neurology and endocrinology service, Department of Pediatrics/Kinshasa University Clinics, Democratic Republic of the Congo 3Pediatric Society of Congo-Democratic, Kinshasa, Democratic Republic of the Congo 4Microbiology Service, Department of Clinical Biology/Kinshasa University Clinics and National Institute of Biomedical Research, Democratic Republic of the Congo
{"title":"Epidemiological-Clinical and Evolution Profile of Rotavirus Infection in Four Hospital Structures in Kinshasa","authors":"Virginie MUJINGA MULUMBA, Loukia AKETI PAIZANOS, Freddy BYAMUNGU MBOKO, Joseph SHIKU DIAYISU, Pierre Tshibassu Manianga, J. M. Tamfum","doi":"10.26502/jppch.74050150","DOIUrl":"https://doi.org/10.26502/jppch.74050150","url":null,"abstract":"Affiliation: 1Cardio-Pneumology and Infectious Diseases service, Department of Pediatrics, Kinshasa University Clinics, Democratic Republic of the Congo 2Gastroenterology, neurology and endocrinology service, Department of Pediatrics/Kinshasa University Clinics, Democratic Republic of the Congo 3Pediatric Society of Congo-Democratic, Kinshasa, Democratic Republic of the Congo 4Microbiology Service, Department of Clinical Biology/Kinshasa University Clinics and National Institute of Biomedical Research, Democratic Republic of the Congo","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350620","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}
A. Almudeer, Muneerah Najmi, Easa Magfori, Mohd Salwi
Objective: Consequences of hypothermia is associated with higher mortality and morbidity therefore, thermal control following delivery is an essential of neonatal care. We decided to learn more about thermal regulating procedures in our unit. The goal of this study was to determine the temperature at the time of admission to our neonatal intensive care units (NICUs) and how it relates to death and other morbidity. We also interested to look into the newborn interventions after delivery to control temperature and see how these interventions affect thermal regulation. Methods: Prospective cohort study using perinatal chart review data for all babies admitted to the NICU at King Fahd central hospital in Jazan. 300 babies through period of April 2021 to March 2022. Hypothermia was classified according to WHO definition as mild (36–36.5°C), moderate (32–35.9°C), or severe (32°C) when the temperature dropped below 36.5°C. We used a multivariable logistic regression analysis to investigate the adjusted effect of hypothermia on neonatal mortality and complications The regression analysis results were provided as crude/unadjusted odds ratios (OR) and adjusted odds ratios (AOR) with 95% confidence intervals (CIs). Results: Of the infants included in the dataset Almost half of them (49.3%) had abnormal body temperature, 20.7%, 11.3%, and 17.3% had mild, moderate, and severe hypothermia respectively. Around 20% of newborns were given a bath 2 hours after birth, 36% their head covered with hats, and 21.7% had skin-to-skin contact. The adjusted model found that newborns with severe hypothermia were 0.53 (OR = 0.53; [95% CI: 0.15-1.83]) times likely to die and 2.04 (OR = 2.04; [95% CI: 0.76-5.46]) times likely to develop any complication when compared to newborns without hypothermia. Newborns with low birth weight (OR = 16.5; [95% CI: 1.47-185.7]) and without skin-to-skin contact (OR = 3.27; [95% CI: 1.33-8.04]) were more likely to develop any complication when compared to those with skin-to-skin contact. Conclusion: Hypothermia, low birth weight, abnormal CBC, and absence of skin-to-skin contact all raise the risk of neonatal morbidity, according to this study. According to the study, thermal regulation techniques such as head coverings, skin-to-skin contact, and delayed bathing are not widespread in Saudi Arabian hospitals. These findings call for a review of the procedures or recommendations, as well as an assessment of how well the thermal regulation rules are being followed in NICUs.
{"title":"The Effect of Admission Hypothermia on Newborn","authors":"A. Almudeer, Muneerah Najmi, Easa Magfori, Mohd Salwi","doi":"10.26502/jppch.74050155","DOIUrl":"https://doi.org/10.26502/jppch.74050155","url":null,"abstract":"Objective: Consequences of hypothermia is associated with higher mortality and morbidity therefore, thermal control following delivery is an essential of neonatal care. We decided to learn more about thermal regulating procedures in our unit. The goal of this study was to determine the temperature at the time of admission to our neonatal intensive care units (NICUs) and how it relates to death and other morbidity. We also interested to look into the newborn interventions after delivery to control temperature and see how these interventions affect thermal regulation. Methods: Prospective cohort study using perinatal chart review data for all babies admitted to the NICU at King Fahd central hospital in Jazan. 300 babies through period of April 2021 to March 2022. Hypothermia was classified according to WHO definition as mild (36–36.5°C), moderate (32–35.9°C), or severe (32°C) when the temperature dropped below 36.5°C. We used a multivariable logistic regression analysis to investigate the adjusted effect of hypothermia on neonatal mortality and complications The regression analysis results were provided as crude/unadjusted odds ratios (OR) and adjusted odds ratios (AOR) with 95% confidence intervals (CIs). Results: Of the infants included in the dataset Almost half of them (49.3%) had abnormal body temperature, 20.7%, 11.3%, and 17.3% had mild, moderate, and severe hypothermia respectively. Around 20% of newborns were given a bath 2 hours after birth, 36% their head covered with hats, and 21.7% had skin-to-skin contact. The adjusted model found that newborns with severe hypothermia were 0.53 (OR = 0.53; [95% CI: 0.15-1.83]) times likely to die and 2.04 (OR = 2.04; [95% CI: 0.76-5.46]) times likely to develop any complication when compared to newborns without hypothermia. Newborns with low birth weight (OR = 16.5; [95% CI: 1.47-185.7]) and without skin-to-skin contact (OR = 3.27; [95% CI: 1.33-8.04]) were more likely to develop any complication when compared to those with skin-to-skin contact. Conclusion: Hypothermia, low birth weight, abnormal CBC, and absence of skin-to-skin contact all raise the risk of neonatal morbidity, according to this study. According to the study, thermal regulation techniques such as head coverings, skin-to-skin contact, and delayed bathing are not widespread in Saudi Arabian hospitals. These findings call for a review of the procedures or recommendations, as well as an assessment of how well the thermal regulation rules are being followed in NICUs.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350679","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: A sudden surge of occupation-associated dermatoses among the healthcare workers (HCWs) serving COVID-19 patients have been witnessed recently due to increased usage of PPE (PPE) kits and increased frequency of hygiene practices, with a significant impact on their quality of life and compromised efficacy at work. Hence, this study was conducted to measure the prevalence of occupational dermatoses among HCWs serving Covid-19 patients using PPE kits and hygiene practices and their impact on quality of life.
{"title":"Occupational Dermatoses in Health Care Personnel Using PPE during the COVID Pandemic","authors":"Dinesh P Asati, Kapil Baheti, Maninder Kaur, Suman Patra, Kritika Singhal Singhal","doi":"10.26502/jppch.74050163","DOIUrl":"https://doi.org/10.26502/jppch.74050163","url":null,"abstract":"Background: A sudden surge of occupation-associated dermatoses among the healthcare workers (HCWs) serving COVID-19 patients have been witnessed recently due to increased usage of PPE (PPE) kits and increased frequency of hygiene practices, with a significant impact on their quality of life and compromised efficacy at work. Hence, this study was conducted to measure the prevalence of occupational dermatoses among HCWs serving Covid-19 patients using PPE kits and hygiene practices and their impact on quality of life.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135800134","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: Cerebral Palsy (CP) is a collection of mobility and postural problems. Parents, particularly mothers, care for CP children. Caring for a kid with CP can be physically taxing and cause moms to acquire musculoskeletal ailments. CP moms have a greater risk of musculoskeletal issues than mothers of generally developing children. There is little study on musculoskeletal issues in Bangladeshi moms of CP children. This study examined the frequency and symptoms of musculoskeletal diseases in Bangladeshi moms of CP children.
{"title":"Musculoskeletal Disorders among the Mothers having Children with Cerebral Palsy","authors":"Zannatul Mawa, Mohima Benojir, Ruksana Akter, Shameem Ahammad, Faruq Ahmed, Mohammad Nazmul Hasan, Nadia Afrin Urme, Shahid Afridi","doi":"10.26502/jppch.74050161","DOIUrl":"https://doi.org/10.26502/jppch.74050161","url":null,"abstract":"Background: Cerebral Palsy (CP) is a collection of mobility and postural problems. Parents, particularly mothers, care for CP children. Caring for a kid with CP can be physically taxing and cause moms to acquire musculoskeletal ailments. CP moms have a greater risk of musculoskeletal issues than mothers of generally developing children. There is little study on musculoskeletal issues in Bangladeshi moms of CP children. This study examined the frequency and symptoms of musculoskeletal diseases in Bangladeshi moms of CP children.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445537","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":"Real-World HbF Status in Sickle Cell Disease from an Endemic Zone","authors":"D. Pendharkar, G. Nirmal, Neha Gupta, A. Raj","doi":"10.26502/jppch.74050138","DOIUrl":"https://doi.org/10.26502/jppch.74050138","url":null,"abstract":",","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350489","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}
Ismail Sabry Abdelhady, E. Salama, Ashraf I. Gad, S. Ahmed, Alaa Masry
{"title":"The effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes, in Qatar State","authors":"Ismail Sabry Abdelhady, E. Salama, Ashraf I. Gad, S. Ahmed, Alaa Masry","doi":"10.26502/jppch.74050144","DOIUrl":"https://doi.org/10.26502/jppch.74050144","url":null,"abstract":"","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350556","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":"Primary Central Nervous System Vasculitis in Childhood (cPACNS): A Case Series Study","authors":"Farhad Salehzadeh MD, Adel Ahadi MD, Omid Akbari MD","doi":"10.26502/jppch.74050156","DOIUrl":"https://doi.org/10.26502/jppch.74050156","url":null,"abstract":",","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350712","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}
Our SMART aim is to reduce the UPE rate to less than 1 per 100 ventilator days and sustain it for at least six months within 12 months. We chose the rate of UPE as an outcome measure. We chose Percentage of PICU staff who attended UPE training, Percentage of compliance to nurse assignment based on RAS, percentage of adherence to safety tag, Percentage of adherence to ETT �xation and completion of UPE case analysis form as process measures. We used PDSA as the main strategy to test the changes and implement multiple interventions. Over 32 months of the entire project period, we recorded 10 UPEs events. 80% of patients were one year old or less. 60% of UPEs were with uncuffed ETT, and 80% happened in the early morning between 00:00 and 12:00. 50% needed reintubation, and 80% were discharged. However, 20% died in PICU (2 patients). 3 PDSAs were rolled out during the project and the rate of UPE decreased from 0.4 per 100 ventilation days in the year 2019 to 0.1 per 100 ventilation days in the year 2021 and was sustained for more than six months.
{"title":"Prevention of Unplanned Extubation in PICU: Nurse-led Quality Improvement project","authors":"Hazel Lyn Obina RN, Kathyrine Tayag RN, Hammad Almohileb RRT, Hakem Alomani MD","doi":"10.26502/jppch.74050146","DOIUrl":"https://doi.org/10.26502/jppch.74050146","url":null,"abstract":"Our SMART aim is to reduce the UPE rate to less than 1 per 100 ventilator days and sustain it for at least six months within 12 months. We chose the rate of UPE as an outcome measure. We chose Percentage of PICU staff who attended UPE training, Percentage of compliance to nurse assignment based on RAS, percentage of adherence to safety tag, Percentage of adherence to ETT �xation and completion of UPE case analysis form as process measures. We used PDSA as the main strategy to test the changes and implement multiple interventions. Over 32 months of the entire project period, we recorded 10 UPEs events. 80% of patients were one year old or less. 60% of UPEs were with uncuffed ETT, and 80% happened in the early morning between 00:00 and 12:00. 50% needed reintubation, and 80% were discharged. However, 20% died in PICU (2 patients). 3 PDSAs were rolled out during the project and the rate of UPE decreased from 0.4 per 100 ventilation days in the year 2019 to 0.1 per 100 ventilation days in the year 2021 and was sustained for more than six months.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350567","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":"The Growth and Contribution of the Indian Private Healthcare Sector","authors":"S. Kant, R. Singh Kushwaha, Ankit Kumar","doi":"10.26502/jppch.74050159","DOIUrl":"https://doi.org/10.26502/jppch.74050159","url":null,"abstract":",","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350750","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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