Nigerian journal of paediatrics最新文献_第5页

Paediatric heart failure in Uyo: A retrospective analysis 尤尤儿童心力衰竭:一项回顾性分析

Nigerian journal of paediatrics Pub Date : 2022-10-26 DOI: 10.4314/njp.v49i3.3

F. Okpokowuruk, K. Bassey, Osafugbe Oghenedoro

{"title":"Paediatric heart failure in Uyo: A retrospective analysis","authors":"F. Okpokowuruk, K. Bassey, Osafugbe Oghenedoro","doi":"10.4314/njp.v49i3.3","DOIUrl":"https://doi.org/10.4314/njp.v49i3.3","url":null,"abstract":"Background/Aim: Paediatric heart failure is a condition that continues to present challenges in management in our environment especially in its treatment and outcomes hence the aim of this study.Materials and Methods: A retrospective analysis of the case notes of all children who were diagnosed and managed for heart failure from January 2019 – October 2021 was undertaken. Data obtained included age, sex, presenting features, primary diagnosis, treatment modalities, duration ofhospital stay and outcomes.Results: A total of 2226 children were admitted over the study period with 67 children diagnosed with heart failure giving a prevalence rate of 3% although only 47 case notes could be retrieved giving a case retrieval rate of 70%. There were 26 (55.3%) males and 21 (44.7%) females (M:F ratio1.2: 1). Mean age of patients was 32.6 months (±52.23) with 28 (59.6%) of them being infants. Bronchopneumonia was the commonest cause of heart failure 31(65.9%) either singly or in combination with acyanotic congenital heart disease followed by severe anaemia in 14 (29.8%). Average duration of hospital stay was 6.9days (±5.08) and average cost of admission was N13,266. Twenty-three patients were discharged (48.9%), while 10 (21.3%) left against medical advice, 2 absconded (4.3%) while 12 (25.3%) died.Conclusion: Heart failure remains an important cause of morbidity and mortality in children in our environment arising from largely preventable causes. Urgent steps such as patient care giver education, immunization and screening for congenital heart disease are needed to reduce its effect on children in our environment.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80455311","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

Maternal and neonatal complications of childbirth among adolescents at the Sylvanus Olympio University Hospital Centre (CHU-SO), Lomé 洛姆罗伊斯希尔瓦努斯奥林匹奥大学医院中心(CHU-SO)青少年分娩时的产妇和新生儿并发症

Nigerian journal of paediatrics Pub Date : 2022-10-26 DOI: 10.4314/njp.v49i3.5

Tchagbele Ouro-Bagna, Douaguibé Baguilane, K. A. R. Segbedji, Bamoye Kamale, Kombieni Kedji, Talboussouma Sollim Myriam, Gbadoe Adama Dodji, Atakouma Yawo Dzayisse, Azoumah Komi Deladem

引用次数: 0

Congenital tuberculosis in an infant of a mother with relapsed multi-drug resistant tuberculosis: A Case report 复发多重耐药结核病母亲所生婴儿先天性结核病1例报告

Nigerian journal of paediatrics Pub Date : 2022-10-26 DOI: 10.4314/njp.v49i3.8

Ogunlesi Tinuade Adetutu, Adenuga Adebunkola Modupe, Kuopniyi Opeyemi Temilola, Ogunlesi Kehinde Adedoyinsola, Akodu Samuel Olufemi

引用次数: 0

Non cardiac central cyanosis in the newborn: A case report of persistent pulmonary hypertension of newborn (PPHN) and review of literature 新生儿非心源性中枢性紫绀:新生儿持续性肺动脉高压(PPHN) 1例并文献复习

Nigerian journal of paediatrics Pub Date : 2022-10-26 DOI: 10.4314/njp.v49i3.9

Arodiwe Ijeoma Ogugua, C. Maduabuchi, Ujunwa Fortune Amauche

引用次数: 0

Clinical experience of medical students in Children Emergency Room: A cross-sectional study at a University hospital in Nigeria 医学生在儿童急诊室的临床经验:尼日利亚一所大学医院的横断面研究

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.3

M. Abiodun, P. Ikhurionan

{"title":"Clinical experience of medical students in Children Emergency Room: A cross-sectional study at a University hospital in Nigeria","authors":"M. Abiodun, P. Ikhurionan","doi":"10.4314/njp.v49i2.3","DOIUrl":"https://doi.org/10.4314/njp.v49i2.3","url":null,"abstract":"Background: The Children Emergency Room (CHER) is a high-volume, fast-paced environment where children present with acute illnesses. With the paradigm shift in educational models towards outcome-based education, teaching and assessment of students must be structured to attain intended learning outcome in every rotation. \u0000Objective: This study assessed the relationship between teaching methods and learners’ satisfaction. We also identified challenges to CHER posting and likely solutions. \u0000Methods: This is a descriptive cross-sectional study, using a semi-structured anonymous feedback form to elicit perception of learning objectives and adequacy of teaching methods in CHER. Adequacy of participation in emergency care was assessed on a 4-point Likert scale. Bivariate analysis for possible determinants of adequate CHER posting satisfaction on a visual analogue scale (VAS) was done. P-value < 0.05 was considered significant. \u0000Results: A total 112 medical students participated in this study; 51.8% of them knew their specific learning objectives on the first day in the unit. The participants’ grand mean score for learning satisfaction in CHER was adequate (2.65±0.24). Their preferred teaching method was Bedside Teaching/ Clerkship (3.01±0.78) but they were dissatisfied with simulations (2.29±0.91) and participation in emergency care (2.19±0.10). Participants in junior posting were more satisfied than those in senior posting (OR =3.45, 95% CI: 1.46- 8.15; p=0.005). A high workload was identified as a challenge. \u0000Conclusion: The overall clinical experience of medical student in CHER is satisfactory. Our study however, shows that there is inadequate simulation-based teaching, case presentation and participation in case management by the medical students. Curriculum reforms may be necessary to address these identified gaps and improve clinical experience of medical students in CHER.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75830782","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 risk factors of acute malnutrition among pre-school children in internally displaced person settlements within Abuja Municipal Area Council 阿布贾市地区委员会境内流离失所者定居点学龄前儿童急性营养不良的流行情况和危险因素

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.5

O. Oyinwola, P. Ahmed, O. Odusanya, Adewumi B Oyasakin

{"title":"Prevalence and risk factors of acute malnutrition among pre-school children in internally displaced person settlements within Abuja Municipal Area Council","authors":"O. Oyinwola, P. Ahmed, O. Odusanya, Adewumi B Oyasakin","doi":"10.4314/njp.v49i2.5","DOIUrl":"https://doi.org/10.4314/njp.v49i2.5","url":null,"abstract":"Background: Malnutrition is pervasive among displaced populations worldwide. Adequate nutrition is essential to the growth and development of all children, particularly in the preschool age. \u0000Methodology: This cross-sectional study was conducted in four internally displaced person (IDP) settlements and their host communities within the Abuja municipal area council between April and May 2019. Using a multistage sampling method, subjects were recruited after parents’ informed consent, from the IDP settlements and equal numbers were drawn from their host communities. The proportion of acute malnutrition using weight for height, MUAC, BMI-for-age Z scores were compared to the 2006 WHO standards. Predictors were determined by logistic regression and statistical significance was set at p less than 0.05. \u0000Results: There were 1,179 children aged six to 59 months recruited in each group. The prevalence of wasting was 7.7% (91), moderate acute malnutrition was 7.2% (85), and severe acute malnutrition was 3.1% (37) among the IDPs while they were 7.1% (84), 6.5% (77) and 2.9% (34) respectively in the host communities. The predictors for wasting in both groups were age below 24months (Adj OR, 95% CI - 3.88, 2.38 - 6.32), low birth weight (Adj OR, 95% CI – 2.70, 1.55 – 4.71) and diarrheal disease (Adj OR, 95% CI - 5.45, 2.38 - 12.44). Location was predictive only in the host communities (Adj OR, 95% CI – 2.69, 1.37 – 5.28). \u0000Conclusion and recommendation: Acute malnutrition was high among the pre-school children in this study. The nutritional needs of displaced children in the FCT should be met and their families educated on prompt recognition and treatment of diarrhoea.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79007604","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

Attention deficit hyperactivity disorder among children with sickle cell anaemia seen at the University of Benin Teaching Hospital, Benin City, Nigeria 尼日利亚贝宁市贝宁大学教学医院镰状细胞贫血患儿的注意缺陷多动障碍

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.2

P. Okunola, I. O. Aina, Y. Israel-aina

{"title":"Attention deficit hyperactivity disorder among children with sickle cell anaemia seen at the University of Benin Teaching Hospital, Benin City, Nigeria","authors":"P. Okunola, I. O. Aina, Y. Israel-aina","doi":"10.4314/njp.v49i2.2","DOIUrl":"https://doi.org/10.4314/njp.v49i2.2","url":null,"abstract":"Background: Attention Deficit Hyperactivity Disorder (ADHD) is a disorder involving persistent and impaired levels of hyperactivity, impulsiveness and lack of attention associated with impairment in executive functioning of affected children. Diagnosis of ADHD in the background of sickle cell anaemia (SCA), a haemoglobinopathy associated with neurological complications may result in significant impairment of the child into adulthood, if not detected early. In view of the fact that ADHD can be managed if diagnosed early prompted the undertaking of this study. \u0000Subjects and Methods: Study was conducted at the Paediatric Haematology Clinic of the University of Benin Teaching Hospital, Benin City. Parents of children with SCA were informed of the study and consent obtained. Demographic characteristics were recorded. Data collection instrument was the Parent Version of the National Institute for Children’s Health Quality (NICHQ) Vanderbilt ADHD Diagnostic Rating Scale (VADRS). Scoring was done for each participant using the scoring instructions for NICHQ VADRS following the DSM-IV criteria. \u0000Results: A total of 103 children with SCA participated in this study. Sixty-two (60.2%) were males while 41 (39.8%) were females. Prevalence of ADHD was 15 (14.6%) with predominantly inattentive sub-type being the commonest. Children with stroke are two times more likely to develop ADHD than those without stroke (Fisher’s exact test = 0.269, 95% CI= 0.589 to 7.558, Odds Ratio=2.55). Age, sex and socioeconomic status did not significantly affect the diagnosis of ADHD. \u0000Conclusion: Prevalence of parentreported ADHD in children with SCA is high, especially in SCA children with stroke than those without stroke.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"7 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89937116","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

Cushing syndrome with chronic kidney disease: A case report 库欣综合征合并慢性肾病1例

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.7

SM Abdullahi, A. Yakubu, S. Mado, H. Ibrahim, Hw Idris, M. Bugaje

引用次数: 0

Effective home treatment of umbilical granuloma using table salt in African children 非洲儿童使用食盐进行脐带肉芽肿的有效家庭治疗

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.1

Tioluwanimi O Ojeola, B. Oyeyemi

{"title":"Effective home treatment of umbilical granuloma using table salt in African children","authors":"Tioluwanimi O Ojeola, B. Oyeyemi","doi":"10.4314/njp.v49i2.1","DOIUrl":"https://doi.org/10.4314/njp.v49i2.1","url":null,"abstract":"Introduction: Following the adoption of home based, table salt treatment for Umbilical granuloma in our practice, we observed that there was a paucity of report on the use of table salt for the treatment of Umbilical granuloma in African children. We report the outcome of treatment of eight children treated with Table salt in our facility. \u0000Methods: We carried out a retrospective review of the medical records of infants who were diagnosed with umbilical granuloma and were managed using table salt in our hospital in 2019 and 2020. Additional data about diagnosis, treatment and outcome were extracted from records of electronic communications via emails and WhatsApp® between the Paediatrician and caregivers of these infants. Written informed consent of caregivers of the infants were obtained and the study received approval of the Research and Ethics Committee of our Hospital. \u0000Results: Nine infants were diagnosed with Umbilical granuloma during the study period but informed consent was obtained for eight of them. All eight children (100%) treated with table salt had resolution of umbilical granuloma confirmed at the end of the treatment period without any adverse event. \u0000Conclusion: Home based, Table salt treatment was found to be safe and effective treatment for umbilical granulomas among the children treated in our facility.","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85217864","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

Knowledge, Attitude and Practices of Breastfeeding among mothers of children six months to three years seen at a tertiary children hospital in Freetown 在弗里敦的一家三级儿童医院，有6个月至3岁儿童的母亲的母乳喂养知识、态度和做法

Nigerian journal of paediatrics Pub Date : 2022-08-30 DOI: 10.4314/njp.v49i2.4

Ell Nellie Valerie Tayo B, Paul Ehidiamen Ikhurionan, Irene Eseohe Akhigbe, A. Mustapha, G. Ofovwe

{"title":"Knowledge, Attitude and Practices of Breastfeeding among mothers of children six months to three years seen at a tertiary children hospital in Freetown","authors":"Ell Nellie Valerie Tayo B, Paul Ehidiamen Ikhurionan, Irene Eseohe Akhigbe, A. Mustapha, G. Ofovwe","doi":"10.4314/njp.v49i2.4","DOIUrl":"https://doi.org/10.4314/njp.v49i2.4","url":null,"abstract":"Introduction Severe acute malnutrition accounts for a significant proportion of admission into the tertiary children’s hospital in Freetown. However, adequate breastfeeding is supposed to protect against severe malnutrition. Against this background, the knowledge, attitude and practice of mothers of children admitted into the hospital, were assed to determine the current state of breastfeeding in Sierra Leone. \u0000Methods: A structured questionnaire specifically designed and pretested was used to gather information on the knowledge, attitude and practice of breastfeeding of mothers with children aged 3 years and below admitted into ODCH between January and April 2021. \u0000Result: Of the 206 mothers studied, 168 (81.6%) were aged 18 to 35 years, 145 (70.4%) married. Thirty-five (17%) respondents had inadequate knowledge, while 61 (29.6%) had poor attitude and 115 (55.8%) poor practice. Factors associated with poor breastfeeding practice include age below 18 years, unmarried mothers and delivery by Caesarian section. Exclusive breastfeeding for 6 months was associated with being married (ρ-0.002). Initiation of breast feeding within 1 hour was associated with being married (ρ-0.001) and vaginal delivery (ρ-0.005) while prelacteal feeding was associated with preterm delivery (ρ-0.020). \u0000Conclusion: Despite a high prevalence of adequate knowledge among mothers of children presenting in the facility, the practice of breast feeding remain poor. There is need to provide support to mothers to appropriately carry out good breast feeding practices especially for younger and unmarried mothers and those who deliver via ceasarean section. \u0000 ","PeriodicalId":19199,"journal":{"name":"Nigerian journal of paediatrics","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88092768","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