ntroduction Breast self-examination is one of the most effective measures strongly recommended for the prevention of breast cancers by means of early detection. Material and method An institution and self-administered questionnaire based cross-sectional survey was conducted among female students of the Université Officielle de Ruwenzori (UOR), Butembo city, in the Democratic Republic of Congo (DRC) during the academic period 2018 to 2019. Results 215 female students out of 358 were included (response rate: 60.00%). Age mean and median were 22.74 years (95%CI: 22.25-23.24) and 22.00 years respectively. Most of them belonged to Nande/Yira tribe (81.55%; 95%CI: 75.61%-86.31%), the Faculty of Medicine (56.34%; 95%CI: 49.55%-62.90%) and catholic religion (53.49%; 95%CI: 46.75%-60.11%). The absolute majority of them had a basic knowledge about breast self-examination (BSE) (79.44%; 95%CI: 73.45%-84.37%) while only a slight majority has performed BSE at least once (55.71%; 95%CI: 48.88%-62.34%). Only the course of study (Medicine), residence (Butembo city), having basic knowledge about breast cancers and BSE impacted significantly on practice of BSE (Pearson chi2 p-values of 0.028, 0.037, 0.003 and 0.000 respectively). Finally, logistic regressions showed that only basic knowledge about BSE was associated with its practice. The relationship was strong (OR: 6.641; 95%CI: 2.823-15.620). Conclusion The large majority of UOR’s female students have basic knowledge about breast cancers and BSE. However, this fact is not automatically translated in a good appropriate health behavior meaning BSE. More effective sensitization has to be done in order to fix this health problem.
{"title":"Breast self examination by female students of the universite officielle de ruwenzori, butembo city, democratic republic of Congo","authors":"Kambale Mastaki J, Kalondero J, Munzombo T, Mutume Kabila T, Ngwala Ngwala B","doi":"10.15406/jpnc.2020.10.00415","DOIUrl":"https://doi.org/10.15406/jpnc.2020.10.00415","url":null,"abstract":"ntroduction Breast self-examination is one of the most effective measures strongly recommended for the prevention of breast cancers by means of early detection. Material and method An institution and self-administered questionnaire based cross-sectional survey was conducted among female students of the Université Officielle de Ruwenzori (UOR), Butembo city, in the Democratic Republic of Congo (DRC) during the academic period 2018 to 2019. Results 215 female students out of 358 were included (response rate: 60.00%). Age mean and median were 22.74 years (95%CI: 22.25-23.24) and 22.00 years respectively. Most of them belonged to Nande/Yira tribe (81.55%; 95%CI: 75.61%-86.31%), the Faculty of Medicine (56.34%; 95%CI: 49.55%-62.90%) and catholic religion (53.49%; 95%CI: 46.75%-60.11%). The absolute majority of them had a basic knowledge about breast self-examination (BSE) (79.44%; 95%CI: 73.45%-84.37%) while only a slight majority has performed BSE at least once (55.71%; 95%CI: 48.88%-62.34%). Only the course of study (Medicine), residence (Butembo city), having basic knowledge about breast cancers and BSE impacted significantly on practice of BSE (Pearson chi2 p-values of 0.028, 0.037, 0.003 and 0.000 respectively). Finally, logistic regressions showed that only basic knowledge about BSE was associated with its practice. The relationship was strong (OR: 6.641; 95%CI: 2.823-15.620). Conclusion The large majority of UOR’s female students have basic knowledge about breast cancers and BSE. However, this fact is not automatically translated in a good appropriate health behavior meaning BSE. More effective sensitization has to be done in order to fix this health problem.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44091501","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 : 2020-05-29DOI: 10.15406/jpnc.2020.10.00417
Abera Mersha, Shitaye Shibiru, Agegnehu Bante
Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. Some studies were conducted, but most are retrospective and record reviews. Besides, there is limited study in country-Ethiopia. Therefore, this study aimed to assess the recent status of low fifth-minute Apgar scores and factors affecting in the study setting. Methods: A facility-based cross-sectional study was conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. Study participants were selected using a systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist were used to collect the data. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ratio was computed in the binary logistic regression model. In this study, P-value, < 0.05 was considered to declare factors as a statistically significant association. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should be recommended.
{"title":"Meconium-stained liquor and low birth weight increases the odds of low fifth-minute apgar scores in public health facilities of arba minch town, southern Ethiopia: a cross-sectional study","authors":"Abera Mersha, Shitaye Shibiru, Agegnehu Bante","doi":"10.15406/jpnc.2020.10.00417","DOIUrl":"https://doi.org/10.15406/jpnc.2020.10.00417","url":null,"abstract":"Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. Some studies were conducted, but most are retrospective and record reviews. Besides, there is limited study in country-Ethiopia. Therefore, this study aimed to assess the recent status of low fifth-minute Apgar scores and factors affecting in the study setting. Methods: A facility-based cross-sectional study was conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. Study participants were selected using a systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist were used to collect the data. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ratio was computed in the binary logistic regression model. In this study, P-value, < 0.05 was considered to declare factors as a statistically significant association. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should be recommended.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47083643","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 : 2020-05-21DOI: 10.15344/2455-2364/2020/166
Melisa Santos-Tonche, Regina Alonso-Tovar, Juan Parra-Ávila, M. C. Portillo-Téllez, Juan Mayo-Carrillo, F. Uribe-Salas
The perception of the body weight of the children by fathers, especially by mothers, has also been analyzed. Parents' knowledge of both the low weight of children and overweight and obesity has consequences for children's health due to the possibility of establishing preventive measures at an early age. However, it has been reported by studies done in different countries that a high proportion of parents do not recognize excess of weight in themselves and neither among their children [10-13]. Reasons have been given to explain this inability of parents to recognize that there is excess weight in their children such as refusal to admit the existence of problems with weight or a loss of sensitivity in the perception of excess weight due to that this is so frequent that it has become a phenomenon that is perceived as normal [14]. The purpose of this work was to evaluate a) the distribution of mother’s perception of children’s BMI categories and its relationship Introduction
{"title":"Maternal Perception of School-age Children's Weight in Piedras Negras, Coahuila: A Pilot Study","authors":"Melisa Santos-Tonche, Regina Alonso-Tovar, Juan Parra-Ávila, M. C. Portillo-Téllez, Juan Mayo-Carrillo, F. Uribe-Salas","doi":"10.15344/2455-2364/2020/166","DOIUrl":"https://doi.org/10.15344/2455-2364/2020/166","url":null,"abstract":"The perception of the body weight of the children by fathers, especially by mothers, has also been analyzed. Parents' knowledge of both the low weight of children and overweight and obesity has consequences for children's health due to the possibility of establishing preventive measures at an early age. However, it has been reported by studies done in different countries that a high proportion of parents do not recognize excess of weight in themselves and neither among their children [10-13]. Reasons have been given to explain this inability of parents to recognize that there is excess weight in their children such as refusal to admit the existence of problems with weight or a loss of sensitivity in the perception of excess weight due to that this is so frequent that it has become a phenomenon that is perceived as normal [14]. The purpose of this work was to evaluate a) the distribution of mother’s perception of children’s BMI categories and its relationship Introduction","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42598177","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 : 2020-05-16DOI: 10.15344/2455-2364/2020/165
C. Devulapalli
Seasonal coronaviruses that cause innocent colds in children lead to the formation of antibodies that last for 1-3 years. One of the four seasonal coronaviruses, human coronavirus NL63 (HCoV-NL63), also uses ACE2 as a receptor [1,2]. This virus causes infection in the flu season. It is estimated that 5 % of influenza-like illness is due to NL63 [1,2]. The virus especially affects children and can cause bronchiolitis resulting often in hospitalizations [15-18]. Maternal antibodies seem to protect infants up to the age of three months, and most children seroconvert within the first 20 months of life [18].
{"title":"Immune Responses to Coronaviruses with Emphasis in Children","authors":"C. Devulapalli","doi":"10.15344/2455-2364/2020/165","DOIUrl":"https://doi.org/10.15344/2455-2364/2020/165","url":null,"abstract":"Seasonal coronaviruses that cause innocent colds in children lead to the formation of antibodies that last for 1-3 years. One of the four seasonal coronaviruses, human coronavirus NL63 (HCoV-NL63), also uses ACE2 as a receptor [1,2]. This virus causes infection in the flu season. It is estimated that 5 % of influenza-like illness is due to NL63 [1,2]. The virus especially affects children and can cause bronchiolitis resulting often in hospitalizations [15-18]. Maternal antibodies seem to protect infants up to the age of three months, and most children seroconvert within the first 20 months of life [18].","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44046046","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 : 2020-04-30DOI: 10.15406/JPNC.2020.10.00410
S. Antoun, S. Sabbagh
Objective: A Brief Resolved Unexplained Event (BRUE) is a common condition in infancy. However, no epidemiological study has been undergone in Lebanon. This study aims to establish the prevalence and the characteristics of the population hospitalized after a BRUE. Material and methods: A single-center retrospective study performed from 1998 to 2018 included 156 hospitalized infants, aged less than one year old, in a tertiary medical center. Data were collected from hospital archives. Results: Most infants (92.9%) hospitalized after a BRUE were aged less than 6 months old, with a slight masculine predominance (52.6%). No pathognomonic symptom was identified. In terms of recurrence of the initial episode, it occurred in 55.1% of the cases. A transfer to a reanimation unit took place in 35.9% of patients, with an average stay of 6.3 days. Two infants were deceased and six were readmitted for the same chief complaint. Final confirmed diagnosis was a Gastro-Esophageal Reflux (GER) in 60.9%. Consequently, a milk change occurred in 17.9% and a GER treatment in 65.4%. Conclusion: Infants younger than one year and hospitalized for a BRUE present a majority of confirmed GER diagnosis, and seem to have an excellent prognosis.
{"title":"Brief resolved unexpected event: prevalence, etiology and epidemiologic characteristics in Lebanon. a retrospective study of hospitalizations in a tertiary-care center","authors":"S. Antoun, S. Sabbagh","doi":"10.15406/JPNC.2020.10.00410","DOIUrl":"https://doi.org/10.15406/JPNC.2020.10.00410","url":null,"abstract":"Objective: A Brief Resolved Unexplained Event (BRUE) is a common condition in infancy. However, no epidemiological study has been undergone in Lebanon. This study aims to establish the prevalence and the characteristics of the population hospitalized after a BRUE. Material and methods: A single-center retrospective study performed from 1998 to 2018 included 156 hospitalized infants, aged less than one year old, in a tertiary medical center. Data were collected from hospital archives. Results: Most infants (92.9%) hospitalized after a BRUE were aged less than 6 months old, with a slight masculine predominance (52.6%). No pathognomonic symptom was identified. In terms of recurrence of the initial episode, it occurred in 55.1% of the cases. A transfer to a reanimation unit took place in 35.9% of patients, with an average stay of 6.3 days. Two infants were deceased and six were readmitted for the same chief complaint. Final confirmed diagnosis was a Gastro-Esophageal Reflux (GER) in 60.9%. Consequently, a milk change occurred in 17.9% and a GER treatment in 65.4%. Conclusion: Infants younger than one year and hospitalized for a BRUE present a majority of confirmed GER diagnosis, and seem to have an excellent prognosis.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45108316","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 : 2020-04-25DOI: 10.15344/2455-2364/2020/164
C. Devulapalli
There is an increasing proportion of applications for basic benefit due to EoE in children when the diet should be free of wheat for a certain period or on a permanent basis. Patients with this condition are often in the testing phase where several other foods are eliminated, as part of the elimination diet [4-6]. Elimination of certain foods can lead to histological and symptomatic improvement. However, identifying which foods should be eliminated in the diet can be challenging. Although the condition is chronic, many have long and good periods. It is currently unclear how long patients should have such a strict elimination diet. The severity of the symptoms rarely justifies a very restrictive diet [3]. Dietary treatment in children must be done in close collaboration with the clinical nutritionist since restrictive diets can be difficult to follow and lead to reduced quality of life and malnutrition. Treatment must be tailored and individualized.
{"title":"Dietary Treatment in Children with Eosinophilic Oesophagitis","authors":"C. Devulapalli","doi":"10.15344/2455-2364/2020/164","DOIUrl":"https://doi.org/10.15344/2455-2364/2020/164","url":null,"abstract":"There is an increasing proportion of applications for basic benefit due to EoE in children when the diet should be free of wheat for a certain period or on a permanent basis. Patients with this condition are often in the testing phase where several other foods are eliminated, as part of the elimination diet [4-6]. Elimination of certain foods can lead to histological and symptomatic improvement. However, identifying which foods should be eliminated in the diet can be challenging. Although the condition is chronic, many have long and good periods. It is currently unclear how long patients should have such a strict elimination diet. The severity of the symptoms rarely justifies a very restrictive diet [3]. Dietary treatment in children must be done in close collaboration with the clinical nutritionist since restrictive diets can be difficult to follow and lead to reduced quality of life and malnutrition. Treatment must be tailored and individualized.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46996791","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 : 2020-04-20DOI: 10.15406/JPNC.2020.10.00412
Mesfin Wudu Kassaw, A. Abebe, B. Abate, Ayelign Mengesha, Alemu Birara Zemariam
Introduction: Birth of abnormal child is a stressful situation for mothers and for the society. Globally, about 8 million children were born each year with congenital abnormalities. Out of this, 3.3 million children died before the age of five years while 3.2 million survivors suffer from severe mental or physical disability. As it was a major global concern, the trends of congenital anomaly were also altered using advancing technology during antenatal care in diagnosing and treating the defects. Methods: The review has one objective, and the search strategy were performed based on the review question or objective. The search of articles was performed by 5 investigators. Electronic databases mainly PubMed and google scholar were used for published studies. Gray literatures like research and trials registers, thesis and dissertations catalog, and organizational reports were also scrutinized independently using the search logic grid by all authors. Ethics and dissemination: This review used published data, and the ethical approval was not applicable. This systematic review and meta-analysis were aimed to indicate the burden of structural congenital anomaly in eastern Africa for policy makers. The result also indicated for the region, and will be released online to make it available for all countries. Results: The pooled proportion of structural congenital anomaly in eastern Africa was 4.54 per 1000 with 95% CI of (4.23-4.85). Of the researches included in this review the maximum proportion of structural congenital anomaly was 6.08 per 1000 children and the minimum structural congenital anomaly was 3.97 per 1000 children. Conclusions: According to the findings of this meta-analysis, the pooled proportion of structural congenital anomalies is high in relative to WHO’s worldwide structural congenital anomaly report. Congenital anomaly imposed huge financial, social and psychological costs on individuals, and heath care systems annually. Therefore, promotion of maternal health with an emphasis on ANC follow-up would be essential to decrease the prevalence of birth anomaly. Protocol registration: The protocol for this review has been published in the PROSPERO, International Prospective Register of systematic reviews at (http://www.crd.york.ac.uk/PROSPERO with a protocol identification number of CRD42019123190.
{"title":"Proportion of structural congenital anomaly in eastern Africa; A systematic review and meta-analysis","authors":"Mesfin Wudu Kassaw, A. Abebe, B. Abate, Ayelign Mengesha, Alemu Birara Zemariam","doi":"10.15406/JPNC.2020.10.00412","DOIUrl":"https://doi.org/10.15406/JPNC.2020.10.00412","url":null,"abstract":"Introduction: Birth of abnormal child is a stressful situation for mothers and for the society. Globally, about 8 million children were born each year with congenital abnormalities. Out of this, 3.3 million children died before the age of five years while 3.2 million survivors suffer from severe mental or physical disability. As it was a major global concern, the trends of congenital anomaly were also altered using advancing technology during antenatal care in diagnosing and treating the defects. Methods: The review has one objective, and the search strategy were performed based on the review question or objective. The search of articles was performed by 5 investigators. Electronic databases mainly PubMed and google scholar were used for published studies. Gray literatures like research and trials registers, thesis and dissertations catalog, and organizational reports were also scrutinized independently using the search logic grid by all authors. Ethics and dissemination: This review used published data, and the ethical approval was not applicable. This systematic review and meta-analysis were aimed to indicate the burden of structural congenital anomaly in eastern Africa for policy makers. The result also indicated for the region, and will be released online to make it available for all countries. Results: The pooled proportion of structural congenital anomaly in eastern Africa was 4.54 per 1000 with 95% CI of (4.23-4.85). Of the researches included in this review the maximum proportion of structural congenital anomaly was 6.08 per 1000 children and the minimum structural congenital anomaly was 3.97 per 1000 children. Conclusions: According to the findings of this meta-analysis, the pooled proportion of structural congenital anomalies is high in relative to WHO’s worldwide structural congenital anomaly report. Congenital anomaly imposed huge financial, social and psychological costs on individuals, and heath care systems annually. Therefore, promotion of maternal health with an emphasis on ANC follow-up would be essential to decrease the prevalence of birth anomaly. Protocol registration: The protocol for this review has been published in the PROSPERO, International Prospective Register of systematic reviews at (http://www.crd.york.ac.uk/PROSPERO with a protocol identification number of CRD42019123190.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47979994","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 : 2020-04-20DOI: 10.15406/JPNC.2020.10.00413
R. K. Lang'at, Samwel Odiwour, M. Omondi
Childhood immunization remains one the primary health care core component and the most effective public health interventions for controlling and eliminating life-threatening vaccine preventable diseases in the world. According to 2014 Kenya National Demographic and Health Survey (KDHS), a few children of ages 12 to 23 months in Kenya presented below average in terms of vaccination coverage of children who are fully immunized. Delayed vaccinations would increase the risk for vaccine preventable diseases in the community, therefore the information obtained from this study is to help policy makers come up with sound strategies to increase immunization coverage from 57%- 90% as recommended by World Health Organization. The broad objective of the study was to determine reasons influencing low vaccination coverage between children of ages 12 to 23 months in Narok South sub-county, Narok County in Kenya. This is to contribute to the reduction of morbidity and mortality caused by infectious diseases of public health importance related to vaccine preventable disease. Methods: This was a cross-sectional descriptive study. The study used mixed methods, both quantitative and qualitative. A structured questionnaire was used to collect data on social demographic and social cultural factors, maternal health care utilization and knowledge. Key informative Interviews and Focus Group Discussions were used to collect qualitative data on 454 mothers/caretakers with children aged between 12-23 months reached in Narok South sub county. Results: The total number of mothers/caregivers who were interviewed were 454, with a response of 100%. Results of immunization coverage; BCG 73%, OPV1 59%, OPV2 51%, OPV3 49%, Penta1 58%, Penta2 51%, Penta3 50%, Measles 54% and Fully Immunized Children 47%. Further, 47% of the children in the sub-county were fully immunized and 53% were unimmunized. The SD mean for mothers/caregivers and children 31.4 and 17.0 respectively and over 70% of the mothers/caregivers had no formal education. There were significant association predictors with immunization coverage included maternal education (X2 =11.75, df=4 p value=0.02), distance to health facility (X2 =62.30, df=2 p value=0.00), also, there was strong significant association with childbirth ranking (OR=1.218, p value=0.04). Bivariate analysis, there was an association with mothers/caregivers’ who had more than one visits with fully immunized children (χ2=13.54, df =2 and p value =0.001), source of the immunization information OR=0.75 and p value=0.02 and, ultimately, there was association between mother’s/caregiver place of delivery with non-fully immunized children (X2=74.40,df=1 p value=0.01). Predictors of non-fully immunized children in the study population were; place of delivery, family size, education level, source of income, none attendance of Antenatal clinics, distance to the health facility, source of the vaccination information was associated with incomplete fully immunized chi
{"title":"Determinants of low immunization coverage among children aged 12-23 months in narok south narok county kenya","authors":"R. K. Lang'at, Samwel Odiwour, M. Omondi","doi":"10.15406/JPNC.2020.10.00413","DOIUrl":"https://doi.org/10.15406/JPNC.2020.10.00413","url":null,"abstract":"Childhood immunization remains one the primary health care core component and the most effective public health interventions for controlling and eliminating life-threatening vaccine preventable diseases in the world. According to 2014 Kenya National Demographic and Health Survey (KDHS), a few children of ages 12 to 23 months in Kenya presented below average in terms of vaccination coverage of children who are fully immunized. Delayed vaccinations would increase the risk for vaccine preventable diseases in the community, therefore the information obtained from this study is to help policy makers come up with sound strategies to increase immunization coverage from 57%- 90% as recommended by World Health Organization. The broad objective of the study was to determine reasons influencing low vaccination coverage between children of ages 12 to 23 months in Narok South sub-county, Narok County in Kenya. This is to contribute to the reduction of morbidity and mortality caused by infectious diseases of public health importance related to vaccine preventable disease. Methods: This was a cross-sectional descriptive study. The study used mixed methods, both quantitative and qualitative. A structured questionnaire was used to collect data on social demographic and social cultural factors, maternal health care utilization and knowledge. Key informative Interviews and Focus Group Discussions were used to collect qualitative data on 454 mothers/caretakers with children aged between 12-23 months reached in Narok South sub county. Results: The total number of mothers/caregivers who were interviewed were 454, with a response of 100%. Results of immunization coverage; BCG 73%, OPV1 59%, OPV2 51%, OPV3 49%, Penta1 58%, Penta2 51%, Penta3 50%, Measles 54% and Fully Immunized Children 47%. Further, 47% of the children in the sub-county were fully immunized and 53% were unimmunized. The SD mean for mothers/caregivers and children 31.4 and 17.0 respectively and over 70% of the mothers/caregivers had no formal education. There were significant association predictors with immunization coverage included maternal education (X2 =11.75, df=4 p value=0.02), distance to health facility (X2 =62.30, df=2 p value=0.00), also, there was strong significant association with childbirth ranking (OR=1.218, p value=0.04). Bivariate analysis, there was an association with mothers/caregivers’ who had more than one visits with fully immunized children (χ2=13.54, df =2 and p value =0.001), source of the immunization information OR=0.75 and p value=0.02 and, ultimately, there was association between mother’s/caregiver place of delivery with non-fully immunized children (X2=74.40,df=1 p value=0.01). Predictors of non-fully immunized children in the study population were; place of delivery, family size, education level, source of income, none attendance of Antenatal clinics, distance to the health facility, source of the vaccination information was associated with incomplete fully immunized chi","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47288242","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}
hematology, pediatric neurology, pediatric metabolism & endocrinology, pediatric chest, pediatric nephrology, pediatric surgery, pediatric infectious diseases, pediatric allergy, immunology and rheumatology, and others [3,4,11]. In addition, the International Disease Classification Number One (ACODE ICD 10) field in the emergency file (CD) of the health insurance database was used. The diagnosis was divided into the 12 groups based on the diagnostic classification used by many domestic researchers [12-13]. If children received more than one diagnosis, a primary diagnosis was assigned in the following order: respiratory disease (croup, pneumonia, bronchitis, bronchiolitis, acute otitis media and acute laryngitis), gastrointestinal diseases (gastritis, colitis, hepatitis and pancreatitis) and infectious disease (enterovirus infection, influenza and fever). Data of distributions of variables were reported as percentages and means ± standard deviation (SD). the frequency distribution, percentage, and average are used to describe the emergency medical use of children.
{"title":"Clinical Characteristics of Children Admitted to the Pediatric Emergency Department Referred from Outpatient Departments","authors":"Ying-Ju Chen, Chun-Yu Chen, Wen-Chieh Yang, Han-Ping Wu","doi":"10.15344/2455-2364/2020/163","DOIUrl":"https://doi.org/10.15344/2455-2364/2020/163","url":null,"abstract":"hematology, pediatric neurology, pediatric metabolism & endocrinology, pediatric chest, pediatric nephrology, pediatric surgery, pediatric infectious diseases, pediatric allergy, immunology and rheumatology, and others [3,4,11]. In addition, the International Disease Classification Number One (ACODE ICD 10) field in the emergency file (CD) of the health insurance database was used. The diagnosis was divided into the 12 groups based on the diagnostic classification used by many domestic researchers [12-13]. If children received more than one diagnosis, a primary diagnosis was assigned in the following order: respiratory disease (croup, pneumonia, bronchitis, bronchiolitis, acute otitis media and acute laryngitis), gastrointestinal diseases (gastritis, colitis, hepatitis and pancreatitis) and infectious disease (enterovirus infection, influenza and fever). Data of distributions of variables were reported as percentages and means ± standard deviation (SD). the frequency distribution, percentage, and average are used to describe the emergency medical use of children.","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46853819","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 : 2020-03-13DOI: 10.15344/2455-2364/2020/162
B. Gafsi, S. Toumi, A. Zouaoui, K. Moula, A. Ksia, M. Gahbiche
This is an observational prospective single-center study, conducted during four months (January-April 2018) in the operating unit of the pediatric surgery department in Fattouma Bourguiba Hospital, Monastir. It is a first phase evaluation of professional practices. During this phase no training was done about the prescription of preoperative tests (neither for the surgeons nor the anesthetist doctors). Abstract
{"title":"Systematic Preoperative Complementary Tests in Elective Minor and Medium Pediatric Surgery: Is it Time to Revalue?","authors":"B. Gafsi, S. Toumi, A. Zouaoui, K. Moula, A. Ksia, M. Gahbiche","doi":"10.15344/2455-2364/2020/162","DOIUrl":"https://doi.org/10.15344/2455-2364/2020/162","url":null,"abstract":"This is an observational prospective single-center study, conducted during four months (January-April 2018) in the operating unit of the pediatric surgery department in Fattouma Bourguiba Hospital, Monastir. It is a first phase evaluation of professional practices. During this phase no training was done about the prescription of preoperative tests (neither for the surgeons nor the anesthetist doctors). Abstract","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49536210","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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