Nigerian journal of paediatrics最新文献_第3页

Pott’s disease in a two-year old: a consequence of failed contact tracing 两岁儿童患上波特氏病：接触追踪失败的后果

Nigerian journal of paediatrics Pub Date : 2024-04-09 DOI: 10.4314/njp.v50i4.5

Sunday Anikoh, Uchechukwu Damian Nwaneri, HJohn Omua, A. Sadoh

引用次数: 0

COP27 Climate Change Conference: urgent action needed for Africa and the world COP27气候变化会议:非洲和世界需要采取紧急行动

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.1

C. Ezechukwu

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Dermatological disorders and dermatology-specific quality of life among secondary students in public and private schools in Kwara state, Nigeria 尼日利亚夸拉州公立和私立学校中学生的皮肤病和皮肤病特有的生活质量

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.2

J. Oyedepo, O. Katibi, O. Adedoyin

{"title":"Dermatological disorders and dermatology-specific quality of life among secondary students in public and private schools in Kwara state, Nigeria","authors":"J. Oyedepo, O. Katibi, O. Adedoyin","doi":"10.4314/njp.v49i4.2","DOIUrl":"https://doi.org/10.4314/njp.v49i4.2","url":null,"abstract":"Introduction: Skin problems are very common and often affect people in very visible places leading to significant physical and psychological distress. Adolescents go through physiologic changes in their body during puberty with associated psychosocial changes. Having to live with skin disorders during these years can have life-long impact. This study aimed to describe the spectrum of skin disorders in adolescents attending secondary schools in Kwara state and evaluate the dermatology-specific quality of life of those affected by skin disorders. \u0000Objective: To describe the spectrum of skin disorders among adolescents in secondary schools and evaluate the impact of skin disorders on the dermatology-specific quality of life of those affected. \u0000Methods: This was a descriptive cross-sectional study. We examined 1000 students from 16 public and private secondary schools in Ilorin, Kwara state. Participant selection was done using a multi- staged stratified random sampling method. The impact on quality of life was evaluated with the Children’s Dermatology Life Quality Index (CDLQI) to determine their dermatology-specific Quality of life. Data obtained was analyzed with SPSS version 20 and was presented using tables and figures. \u0000Results: The prevalence of skin disease in the study population was 68.4%. The most common skin disorders in order of decreasing frequency were: acne, pityriasisversicolor, dermatophytoses (Including tinea capits, tinea corporis, tinea pedis, tinea unguium and tinea cruris), pityriasis capitis and traction alopecia. About three- quarters of those with skin disease reported an effect on their quality of life. The most frequent effect on Qol was attributed to the symptoms and feelings elicited by skin disease. \u0000Discussion: This study found a high prevalence of skin disease in adolescents with most of them reporting an effect on their quality of life resulting from their skin problem however this was mostly a mild effect. ","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87067186","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}

引用次数: 0

Urinary abnormalities in asymptomatic secondary school children in Calabar, Nigeria 尼日利亚卡拉巴尔无症状中学生尿路异常

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.5

C. Uzomba, E. Nsa, M. Eyong, N. Ezeh, A. Uzomba, I. Etuk

{"title":"Urinary abnormalities in asymptomatic secondary school children in Calabar, Nigeria","authors":"C. Uzomba, E. Nsa, M. Eyong, N. Ezeh, A. Uzomba, I. Etuk","doi":"10.4314/njp.v49i4.5","DOIUrl":"https://doi.org/10.4314/njp.v49i4.5","url":null,"abstract":"Introduction: Many patients with kidney disease are asymptomatic but may have abnormalities in urine. The aim of this study was to determine the prevalence of urinary abnormalities (UA) in asymptomatic secondary school children in Calabar, Nigeria and its relationship with age, sex, social class, body mass index and blood pressure. \u0000Methodology: It was a descriptive cross sectional study of 407 apparently healthy secondary school children aged 10-18 years recruited by multistage sampling techniques in June-July, 2022. Semi-structured questionnaires were used to obtain their bio-data and clinical history. Subject’s height and weight were measured using a stadiometer and body mass index (BMI) calculated. Blood pressure of each subject was measured using auscultatory method. Early morning urine was obtained from each subject and urinalysis done using dipstick- combi 10. The result of urinalysis was recorded. Data were analyzed using SPSS version 22.0 and p- value ≤ 0.05 was significant. \u0000Results: Out of 407 participants, 162 (39.8%) were males and 245 (60.2%) females giving a M:F ratio 1:1.5. The mean age was 13.5 ± 1.9 years. The prevalence of urinary abnormalities was 115 (28.3%) with many having more than one abnormality. Age group 13-15years were more commonly affected. Nitrituria 75(18.4) was the most frequent urinary abnormality followed by proteinuria 38 (9.3%), leucocytes14 (3.4%) andhaematuria 5(1.2%). There was no glucosuria. Nitrituria was statistically significant among females (p=0.040). Blood pressure, overweight and obesity were not statistically significant in relation to urinary abnormalities. \u0000Conclusion: The prevalence of urinary abnormalities was high among secondary school children but commoner in females and mainly nitrituria, proteinuria, leucocytes and haematuria. We therefore recommend regular screening for urinary abnormalities among secondary school children in our environment for early detection and prevention of renal diseases ","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80013484","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}

引用次数: 0

The obstacles of diagnosing and achieving glycaemic control in breastfeeding infant with type 1 diabetes mellitus with diabetic ketoacidosis- a case report 1型糖尿病合并糖尿病酮症酸中毒的母乳喂养婴儿诊断及控制血糖的障碍1例

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.7

S. Abdullahi, S. Mado, Y. Abubakar, R. Shuaibu

引用次数: 0

Teachers assessment of asthma-friendliness of primary schools in Abuja 教师对阿布贾小学哮喘友好性的评估

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.4

E. Ekop, Adaobi Nkasiobi Azuike

{"title":"Teachers assessment of asthma-friendliness of primary schools in Abuja","authors":"E. Ekop, Adaobi Nkasiobi Azuike","doi":"10.4314/njp.v49i4.4","DOIUrl":"https://doi.org/10.4314/njp.v49i4.4","url":null,"abstract":"Introduction: Children should be protected and safe in school. An important disease like asthma, the leading chronic respiratory disease among children globally, should occupy a place of priority in a school’s health programme. Therefore, the aim of thestudy was to determine how asthma-friendly schools are in Abuja, Nigeria from a teacher’s perspective. \u0000Materials and Methods: This was a cross sectional, questionnaire- based survey carried out among andomly selected teachers in public primary schools. Asthmafriendliness of schools was assessed using the “How asthmafriendly is your school” questionnaire. \u0000Results: Of the 403 teachers who participated in the study, majority were females 249(61.8%), mean age was 35 years SD ±8 years, school settings were mainly urban 14 (58.3%) and majority teachers located in urban settings 251 (62.3%). The teachers scored the schools poorly on questions about availability of school policies on asthma care for the children in or out of emergency situations, quick access to asthma medications at school, availability of a full-time nurse or responsible personnel for children with asthma, training of teachers on asthma and monitoring of Air Quality Index. Adherence was scored high on questions referring to recommendations about keeping the school environment tobacco smoke free and preventing exposures to asthma triggers such as excessive dust. Majority of the schools had a poor asthmafriendliness level 300 (74.4%) based on the teachers report. \u0000Conclusion: Given the importance of asthma among children, concerted efforts should be made to ensure that schools in Abuja, Nigeria are asthma-friendly. This can be achieved by strengthening school health programmes. ","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88032214","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}

引用次数: 0

Epidemiology and severity of bronchial asthma among school-aged children in EnuguState, South-East, Nigeria 尼日利亚东南部埃努古州学龄儿童支气管哮喘的流行病学和严重程度

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.6

D. Adiele, J. Onyia, T. Oguonu, C. Obionu

{"title":"Epidemiology and severity of bronchial asthma among school-aged children in EnuguState, South-East, Nigeria","authors":"D. Adiele, J. Onyia, T. Oguonu, C. Obionu","doi":"10.4314/njp.v49i4.6","DOIUrl":"https://doi.org/10.4314/njp.v49i4.6","url":null,"abstract":"Background: Bronchial asthma is a common chronic respiratory illness affecting all age groups but mainly children and constitutes a major global health problem. Higher prevalence has been noted in highincome countries with reports of increasing prevalence among the population in low-income countries of Asia and Africa. \u0000Objective: To determine the epidemiology of bronchial asthma among school-aged children in rural and urban areas of Enugu State, Nigeria. \u0000Methodology: A cross-sectional descriptive study of children aged 8 to 12 years selected by multistage sampling method from primary schools in the urban and rural communities in Enugu state of Nigeria was performed. Information was obtained from consenting parents/caregivers on probable asthma symptoms/signs using modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. \u0000Result: An overall prevalence of bronchial asthma was 11.3%, with urban and rural areas respective prevalence of 13.1% and 11.2%. More males than females were affected in both communities (urban 13.4% vs 12.8% and rural 11.2% vs. 10.2%) respectively. Daytime wheezes (≤ 3 episodes per week) with school absence were the dominant cause of morbidity. History of atopic diseases was noted in 25.7% urban and 23.4% rural children. \u0000Conclusion: There is a high prevalence of bronchial asthma among school aged children in our community particularly among the urban population. The need for more enlightenment programs for the public on the high prevalence of bronchial asthma in our locality as comparable with Western countries, some of its symptoms and its potential morbidity especially in our school-aged children. This may necessitate some general intervention like education on environmental modification to minimize trigger factors.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87183640","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}

引用次数: 0

Assessment of the risk of stroke in children with sickle cell anemia using transcranial doppler ultrasound with imaging in Northwestern Nigeria 尼日利亚西北部经颅多普勒超声成像评估镰状细胞性贫血儿童卒中风险

Nigerian journal of paediatrics Pub Date : 2023-04-21 DOI: 10.4314/njp.v49i4.3

Jibir Binta Wudil, Wudil J. Usman, I. Muuta, A. O. Oyewole

{"title":"Assessment of the risk of stroke in children with sickle cell anemia using transcranial doppler ultrasound with imaging in Northwestern Nigeria","authors":"Jibir Binta Wudil, Wudil J. Usman, I. Muuta, A. O. Oyewole","doi":"10.4314/njp.v49i4.3","DOIUrl":"https://doi.org/10.4314/njp.v49i4.3","url":null,"abstract":"Background: Stroke is a major cause of morbidity and mortality affecting about 10% of patients with sickle cell anemia (SCA). Transcranial Doppler (TCD) ultrasonography helps to identify children with SCA who are at an increased risk for stroke. This study aimed to determine the risk of stroke in children with SCA in steady state using Transcranial Doppler with Imaging (TCDI) scan abnormalities and the prevalence of TCDI scan abnormalities among children with SCA in northern Nigeria. \u0000Materials and Methods: We conducted acomparative study among 240 persons with SCA who attended a pediatric sickle cell clinic in northern Nigeria and were in steady state condition. We performed a transcranial ultrasound examination and collected blood samples to perform full blood counts and hemoglobin electrophoresis. \u0000Results: Abnormal velocities were obtained in 11 (9.3%) children with SCA; while 16 (13.6%) had conditional velocities and 89 (76.7%) of those had normal velocities in one or more of the four vessels studied. Most of the children in the control group 116 (96.7%) had normal velocities and the difference between the groups was not statistically significant (χ 2 = 0.59, p > 0.05). \u0000Conclusion: The use of TCDI sonography to predict the risk of stroke should be included in the standard of care in children with SCA in Nigeria and should be included in routine evaluation of disease severity in children with SCA ","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"474 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75070732","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}

引用次数: 0

Cord prolapse and the neonatal outcome 脐带脱垂与新生儿结局

Nigerian journal of paediatrics Pub Date : 2022-11-07 DOI: 10.4314/njp.v48i4.7

S. Abraham, S. Ibhanesebhor, Mahitab H Khalil, Rania E Dahab, Dennis Joseph

{"title":"Cord prolapse and the neonatal outcome","authors":"S. Abraham, S. Ibhanesebhor, Mahitab H Khalil, Rania E Dahab, Dennis Joseph","doi":"10.4314/njp.v48i4.7","DOIUrl":"https://doi.org/10.4314/njp.v48i4.7","url":null,"abstract":"Aims and Objectives: The primary objective of this study was to determine the obstetric risk factors and the management protocol of cord prolapse in our unit through analysis of cases diagnosed over a period of 30 months. The secondary objective was to assess the neonatal outcomes that may be associated with cord prolapse. \u0000Materials and Methods: A retrospective analysis for a period of 30 months was done during which there were 24 cases of cord prolapse (0.19% incidence) excluding cord presentations. The obstetric variables, parameters which determine the perinatal outcome were analysed. Statistical analyses were performed with the SPSS, Chi-Square test was used to test the statistical significance. \u0000Results and Conclusion: The mean maternal age was 31.8±5.5 years. In 50% of the cases, labor was induced. The incidence of abnormal fetal presentation was 8%, and in two patients (8%) onset of labor was preterm. The mean diagnosis to delivery interval (DDI) was 15 minutes and 30 seconds; except for one vaginal delivery, all women underwent crash cesarean section delivery. There were no perinatal mortalities noted. It throws light onto whether DDI could be a critical determinant in deciding the neonatal outcome. Maneuvers to relieve pressure on the umbilical cord was followed but poorly documented (25%) as was the communication with the women and their partners. Various neonatal parameters such as the five-minute Apgar score, Cord pH, hypoxia ischemic encephalopathy (HIE), intubation during resuscitation and length of stay were assessed during the study which showed satisfactory neonatal outcomes.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"265 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79752192","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}

引用次数: 0

Prevalence and antimicrobial sensitivity of asymptomatic bacteriuria among sickle cell anaemia patients in Aminu Kano Teaching Hospital, Nigeria 尼日利亚Aminu Kano教学医院镰状细胞贫血患者无症状菌血症的患病率和抗菌药物敏感性

Nigerian journal of paediatrics Pub Date : 2022-11-07 DOI: 10.4314/njp.v48i4.3

Ummah Abdulsalam Ibrahim, I. Mudi, M. Asani, O. Aliu-Isah, Safiyya Garba

{"title":"Prevalence and antimicrobial sensitivity of asymptomatic bacteriuria among sickle cell anaemia patients in Aminu Kano Teaching Hospital, Nigeria","authors":"Ummah Abdulsalam Ibrahim, I. Mudi, M. Asani, O. Aliu-Isah, Safiyya Garba","doi":"10.4314/njp.v48i4.3","DOIUrl":"https://doi.org/10.4314/njp.v48i4.3","url":null,"abstract":"Introduction: Urinary tract infection (UTI) is a common cause of morbidity in children with sickle cell anaemia (SCA) and may present as asymptomatic bacteriuria. Asymptomatic bacteriuria is often under-diagnosed and may lead to long term renal complications. \u0000Aim: This study compared the prevalence of asymptomatic bacteriuria, bacterial isolates and their antimicrobial sensitivity in children with and without SCA seen at Aminu Kano Teaching Hospital. \u0000Subjects and Methods: This cross-sectional study recruited 139 children with SCA in stable state and 139 children without SCA aged 1- 15 years. All children were tested for asymptomatic bacteriuria using clean catch or mid-stream urine samples. Children whose samples yielded significant bacteriuria (≥105cfu/ml) had a repeat urine culture within a week to confirm asymptomatic bacteriuria. \u0000Results: Both study groups had a mean age of 4.25 years ± 3.04, and a male: female ratio of 1.4:1. The prevalence of asymptomatic bacteriuria was higher in children with SCA(5.8%) compared to children without SCA (1.4%). Asymptomatic bacteriuria was more common among females in both study groups. The most common isolate in both groups was E. coli. Majority of the isolates were sensitive to quinolones, gentamycin and nitrofurantoin but resistant to commonly used antibiotics like amoxicillin and cotrimoxazole. \u0000Conclusion: Asymptomatic bacteriuria is more common in children with SCA than those without SCA. Majority of isolated pathogens showed low susceptibility to ampicillin, amoxicillin, cotrimoxazole and nalidixic acid, this implies that the use of these drugs for empirical or first line treatment for UTI in children with SCA should be avoided.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"9 9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80117534","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}

引用次数: 0