Pub Date : 2019-01-03DOI: 10.12974/2311-8687.2017.05.5
Sisay wasinad
{"title":"Prevalence and Associated Factors to Uvula Cutting on Under Five Children in Amhara Region, Debre Birhan Town, 2016/ 2017","authors":"Sisay wasinad","doi":"10.12974/2311-8687.2017.05.5","DOIUrl":"https://doi.org/10.12974/2311-8687.2017.05.5","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45610829","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 : 2019-01-03DOI: 10.12974/2311-8687.2017.05.01.2
Cassandra D. Chaney
{"title":"The Double ABCX Model, Family Stress Theory, Risk, Protection, and Resilience in the Movie “Precious”","authors":"Cassandra D. Chaney","doi":"10.12974/2311-8687.2017.05.01.2","DOIUrl":"https://doi.org/10.12974/2311-8687.2017.05.01.2","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49461778","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 : 2019-01-03DOI: 10.12974/2311-8687.2017.05.01.4
D. Kanduc
{"title":"Peptide Sharing between Parvovirus B19 and DNA Methylating/ Histone Modifying Enzymes. A Potential Link to Childhood Acute Lymphoblastic Leukemia","authors":"D. Kanduc","doi":"10.12974/2311-8687.2017.05.01.4","DOIUrl":"https://doi.org/10.12974/2311-8687.2017.05.01.4","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42007287","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 : 2019-01-03DOI: 10.12974/2311-8687.2018.06.2
Cassandra D. Chaney, Juan J. Barthelemy
{"title":"Child Sexual Abuse and Institutional Shame in Black Churches","authors":"Cassandra D. Chaney, Juan J. Barthelemy","doi":"10.12974/2311-8687.2018.06.2","DOIUrl":"https://doi.org/10.12974/2311-8687.2018.06.2","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41901809","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 : 2019-01-03DOI: 10.12974/2311-8687.2017.05.01.1
A. Ruggiero
{"title":"Pain in Paediatric Oncology and Spontaneous Drawing: Clinical and Psychological Concerns The Experience of Pain in Children with Cancer","authors":"A. Ruggiero","doi":"10.12974/2311-8687.2017.05.01.1","DOIUrl":"https://doi.org/10.12974/2311-8687.2017.05.01.1","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44727911","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 : 2019-01-03DOI: 10.12974/2311-8687.2018.06.1
M. Soo, Clinical Senior
{"title":"Childhood Nasopharyngeal Carcinoma (NPC): A Review of Clinical-Imaging Features and Recent Trends in Management","authors":"M. Soo, Clinical Senior","doi":"10.12974/2311-8687.2018.06.1","DOIUrl":"https://doi.org/10.12974/2311-8687.2018.06.1","url":null,"abstract":"","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43749638","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 : 2018-05-03DOI: 10.12974/2311-8687.2018.06.4
E. Napoleone, A. Lavalle, C. Scasserra, M. Rossi, G. Bucaneve, R. Rocchi, M. Ricci
Background and aims: Inhaled Steroids (IS) are used inappropriately for children who have been "over prescribed" for conditions such as colds, coughs and sore throats. This practice is not always based on scientific evidence. IS have a modest effectiveness in preventing both recurrent wheezing, viral and bronchiolitis in children. The aim of the study is to monitor the use of IS with careful analysis of the risk / benefit factor of the treatment, through accuracy of diagnosis, the therapeutic appropriateness and the safe use of these medications. Methods: In this epidemiological / observational (case-study) and active observational project, the prescribing data for children (0-14 yrs) were collected and processed by Family Pediatricians (FPs). The activities have been divided into four sections: 1) Elaboration of the prescriptive data (year 2015-retrospective) 2) Training / information events for FPs and families on the correct use of IS (year 2016) 3) Elaboration of the prescriptive data of the same FPs after the training year (year 2017-prospective) 4) Comparison of the prescriptive data of IS in the age group of 0 - 14 years in the years 2015 and 2017 (before and after the training phase) Results: After the training phase: the prevalence of use of IS decreased from 20.71% to 15.15% ; the percentage of the appropriate prescriptions increased from 30.65% to 58.02% ; the percentage of the inappropriate prescriptions decreased from 68.67 % to 38.66%; the prevalence of inappropriate prescriptions decreased : a) in the 0-4 yrs from 70.24% to 39.30%; b) in the 5-10 yrs from 66.31% to 35.95%, and c) in the 11-14 yrs from 69.80% to 35.04%; the percentage of inappropriate expenditure decreased from 67.31% to 37.63%; the percentages of inappropriate prescriptions decreased for Beclomethasone from 71.47% to 38.29%, for Budesonide from 69.82% to 43.29%, for Fluticasone from 53.84% to 19.01% and for Flunisolide from 70.45% to 56.93% ; the total number of pieces prescribed decreased from 4.338 to 3.148. Conclusions: We have highlighted that through training courses for Family Pediatricians and a correct information to families a significant improvement in the use of Inhaled Steroids can be achieved.
{"title":"REDS (Respiratory Drugs Survey) Study. Active Surveillance of Respiratory Drugs and in Particular of Inhaled Steroids (IS) in the Paediatric Age","authors":"E. Napoleone, A. Lavalle, C. Scasserra, M. Rossi, G. Bucaneve, R. Rocchi, M. Ricci","doi":"10.12974/2311-8687.2018.06.4","DOIUrl":"https://doi.org/10.12974/2311-8687.2018.06.4","url":null,"abstract":"Background and aims: Inhaled Steroids (IS) are used inappropriately for children who have been \"over prescribed\" for conditions such as colds, coughs and sore throats. This practice is not always based on scientific evidence. IS have a modest effectiveness in preventing both recurrent wheezing, viral and bronchiolitis in children.\u0000The aim of the study is to monitor the use of IS with careful analysis of the risk / benefit factor of the treatment, through accuracy of diagnosis, the therapeutic appropriateness and the safe use of these medications.\u0000Methods: In this epidemiological / observational (case-study) and active observational project, the prescribing data for children (0-14 yrs) were collected and processed by Family Pediatricians (FPs). The activities have been divided into four sections:\u00001) Elaboration of the prescriptive data (year 2015-retrospective)\u00002) Training / information events for FPs and families on the correct use of IS (year 2016)\u00003) Elaboration of the prescriptive data of the same FPs after the training year (year 2017-prospective)\u00004) Comparison of the prescriptive data of IS in the age group of 0 - 14 years in the years 2015 and 2017 (before and after the training phase)\u0000Results: After the training phase: the prevalence of use of IS decreased from 20.71% to 15.15% ; the percentage of the appropriate prescriptions increased from 30.65% to 58.02% ; the percentage of the inappropriate prescriptions decreased from 68.67 % to 38.66%; the prevalence of inappropriate prescriptions decreased : a) in the 0-4 yrs from 70.24% to 39.30%; b) in the 5-10 yrs from 66.31% to 35.95%, and c) in the 11-14 yrs from 69.80% to 35.04%; the percentage of inappropriate expenditure decreased from 67.31% to 37.63%; the percentages of inappropriate prescriptions decreased for Beclomethasone from 71.47% to 38.29%, for Budesonide from 69.82% to 43.29%, for Fluticasone from 53.84% to 19.01% and for Flunisolide from 70.45% to 56.93% ; the total number of pieces prescribed decreased from 4.338 to 3.148.\u0000Conclusions: We have highlighted that through training courses for Family Pediatricians and a correct information to families a significant improvement in the use of Inhaled Steroids can be achieved. ","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46505941","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 : 2016-09-04DOI: 10.12974/2311-8687.2016.04.02.3
B. Ganguly, N. Kadam
Background: Socioeconomic factors play an important role in predicting the health of people of a nation. Inequity in income and distribution of materials and services, and social exclusion make a nation hollow from within. Benefits of national facilities and supply do not reach many communities of uneducated and low-profile population. Recognition of social determinants of children’s health, and acting upon the issues through legislation and policies would promise to build a healthy nation with people of standard health. Method: Information has been collected from the literature available on social determinants and child health, and key challenging areas have been identified for opportunities of intervention. Result: Persistent poverty and lack of education pose significant negative impact in segregation and marginalization in society, schools and workplaces. Children of such underprivileged class are either deprived of food, education and parents’ care, or leave home for sheltering on street in quest of facilities for meeting their daily needs. In such inadequate circumstances, these children often become victims of violence, crime and abuse. Girls are trafficked and sold for prostitution. Though such children develop a strong survival spirit, their health is seriously affected by extremes of societal and environmental conditions. Conclusion: Improvement in income and education can control intergenerational inequity in life-course and professional achievements. Integration of social pediatrics for measuring the impact of social determinants, which is already prevalent in many developed countries, would be important to lower the extent of illness. This present report describes societal factors affecting children’s health in India, government policies conceived and their success-to-date in curbing the figures of child morbidity and mortality.
{"title":"Understanding Social Determinants for Children in Difficult Circumstances: An Indian Perspective","authors":"B. Ganguly, N. Kadam","doi":"10.12974/2311-8687.2016.04.02.3","DOIUrl":"https://doi.org/10.12974/2311-8687.2016.04.02.3","url":null,"abstract":"Background: Socioeconomic factors play an important role in predicting the health of people of a nation. Inequity in income and distribution of materials and services, and social exclusion make a nation hollow from within. Benefits of national facilities and supply do not reach many communities of uneducated and low-profile population. Recognition of social determinants of children’s health, and acting upon the issues through legislation and policies would promise to build a healthy nation with people of standard health.\u0000Method: Information has been collected from the literature available on social determinants and child health, and key challenging areas have been identified for opportunities of intervention.\u0000Result: Persistent poverty and lack of education pose significant negative impact in segregation and marginalization in society, schools and workplaces. Children of such underprivileged class are either deprived of food, education and parents’ care, or leave home for sheltering on street in quest of facilities for meeting their daily needs. In such inadequate circumstances, these children often become victims of violence, crime and abuse. Girls are trafficked and sold for prostitution. Though such children develop a strong survival spirit, their health is seriously affected by extremes of societal and environmental conditions.\u0000Conclusion: Improvement in income and education can control intergenerational inequity in life-course and professional achievements. Integration of social pediatrics for measuring the impact of social determinants, which is already prevalent in many developed countries, would be important to lower the extent of illness. This present report describes societal factors affecting children’s health in India, government policies conceived and their success-to-date in curbing the figures of child morbidity and mortality. ","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66337270","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 : 2016-09-04DOI: 10.12974/2311-8687.2016.04.02.4
M. Gutierrez, G. Matzumura, D. Olivos, C. Loza, F. Rivera, V. Webb
Objective: Describe the trend in mortality and identify risk factors for diminished survival in preterm very low birth infants (VLBW) born at the Hospital Nacional Cayetano Heredia (HNCH) between 2002 and 2011. Methods: Retrospective cohort that includes 549 VLBW babies born at the HNCH registered on a database created for a multicentric network between 2002 and 2011. The chi-square test was used to determine associated factors with mortality (p<0.05). Survival analysis was performed using the Kaplan-Meier curves with primary outcome being death during hospital stay. Log rank test and Wilcoxon test were then applied to these curves. A multivariate analysis using the Cox Model was performed. Results: Overall mortality rate was 40.80%, 60.71% of which was attributed to early mortality and 39.29% to late mortality. Associated factors were gestational age (HR: 0.85; IC 95%: 0.18-0.90; p<0.0001), prenatal steroids (HR: 1.46; IC 95% 1.09-1.95; p< 0.011), neonatal resuscitation (HR: 1.50; IC 95% 1.06-2.13; p<0.021), early sepsis (HR: 1.52; IC 95%: 1.01-2.28; p<0.043), respiratory distress syndrome (RDS) (HR: 8.47; IC 95%: 3.50-20.46; p<0.0001) and CPAP (continuous positive airway pressure) (HR: 0.25; IC 95%: 0.18-0.34; p<0.0001). Factors associated with neonatal survival were gestational age, neonatal resuscitation, early sepsis, RDS and CPAP. Conclusion: Mortality in VLBW infants has declined considerably in this Peruvian hospital in the 2002-2011 period. The risk factor with the highest association to mortality in this population was RDS.
{"title":"Mortality Associated Factors in VLBW Preterm Newborns between 2002-2011 in a Peruvian Hospital","authors":"M. Gutierrez, G. Matzumura, D. Olivos, C. Loza, F. Rivera, V. Webb","doi":"10.12974/2311-8687.2016.04.02.4","DOIUrl":"https://doi.org/10.12974/2311-8687.2016.04.02.4","url":null,"abstract":"Objective: Describe the trend in mortality and identify risk factors for diminished survival in preterm very low birth infants (VLBW) born at the Hospital Nacional Cayetano Heredia (HNCH) between 2002 and 2011.\u0000Methods: Retrospective cohort that includes 549 VLBW babies born at the HNCH registered on a database created for a multicentric network between 2002 and 2011. The chi-square test was used to determine associated factors with mortality (p<0.05). Survival analysis was performed using the Kaplan-Meier curves with primary outcome being death during hospital stay. Log rank test and Wilcoxon test were then applied to these curves. A multivariate analysis using the Cox Model was performed.\u0000Results: Overall mortality rate was 40.80%, 60.71% of which was attributed to early mortality and 39.29% to late mortality. Associated factors were gestational age (HR: 0.85; IC 95%: 0.18-0.90; p<0.0001), prenatal steroids (HR: 1.46; IC 95% 1.09-1.95; p< 0.011), neonatal resuscitation (HR: 1.50; IC 95% 1.06-2.13; p<0.021), early sepsis (HR: 1.52; IC 95%: 1.01-2.28; p<0.043), respiratory distress syndrome (RDS) (HR: 8.47; IC 95%: 3.50-20.46; p<0.0001) and CPAP (continuous positive airway pressure) (HR: 0.25; IC 95%: 0.18-0.34; p<0.0001). Factors associated with neonatal survival were gestational age, neonatal resuscitation, early sepsis, RDS and CPAP.\u0000Conclusion: Mortality in VLBW infants has declined considerably in this Peruvian hospital in the 2002-2011 period. The risk factor with the highest association to mortality in this population was RDS.","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66337324","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 : 2016-09-04DOI: 10.12974/2311-8687.2016.04.02.2
M. Ratliff, A. Unterberg, H. Bächli
Here we present a case of a 2-month-old child with an atretic encephalocele and large persistent parietal foramina. The course was unusual in that the parietal foramina significantly increased in size over a relatively short time. At the age of three months the child required surgery because of the increasing skull defect. During surgery the cause of the growing skull defect was revealed as a medial atretic encephalocele with enlarged parietal foramina. Large parietal foramina are a rare clinical entity with a prevalence ranging from 1:15.000 to 1:25.000. The skull defect is usually identified on physical examination and confirmed radio graphically. We assume that the mechanism underlying the growing bone defect is identical to that of a growing skull fracture. To our knowledge this is the only reported case of an infant with a growing skull defect requiring surgery due to an atretic encephalocele protruding through a growing parietal foramina.
{"title":"Growing Skull Defect in an Infant with a Rare Combination of a Foramen Parietale Permagna and an Atretic Cephalocele","authors":"M. Ratliff, A. Unterberg, H. Bächli","doi":"10.12974/2311-8687.2016.04.02.2","DOIUrl":"https://doi.org/10.12974/2311-8687.2016.04.02.2","url":null,"abstract":"Here we present a case of a 2-month-old child with an atretic encephalocele and large persistent parietal foramina. The course was unusual in that the parietal foramina significantly increased in size over a relatively short time.\u0000At the age of three months the child required surgery because of the increasing skull defect. During surgery the cause of the growing skull defect was revealed as a medial atretic encephalocele with enlarged parietal foramina.\u0000Large parietal foramina are a rare clinical entity with a prevalence ranging from 1:15.000 to 1:25.000. The skull defect is usually identified on physical examination and confirmed radio graphically.\u0000We assume that the mechanism underlying the growing bone defect is identical to that of a growing skull fracture. To our knowledge this is the only reported case of an infant with a growing skull defect requiring surgery due to an atretic encephalocele protruding through a growing parietal foramina. ","PeriodicalId":91713,"journal":{"name":"International journal of pediatrics and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66337208","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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