Ethiopian Journal of Pediatrics and Child Health最新文献

{"title":"Barriers to optimal use of continuous positive airway pressure machines in preterm babies with respiratory distress syndrome at a Tertiary Referral Hospital in Addis Ababa, Ethiopia","authors":"Gashaw Arega, Henok Tadele, A. Demtse","doi":"10.4314/ejpch.v18i1.3","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.3","url":null,"abstract":"Background: Neonatal mortality is a significant contributor to under-five mortality in low-income countries like Ethiopia, carrying  neonatal mortality of 30 per 1000 live births. Preterm newborns with respiratory distress can be effectively managed with a Continuous  Positive Airway pressure machine. It is recommended as an essential lifesaving intervention by the World Health Organization. The study  aimed to assess barriers to the optimal use of continuous positive airway pressure machines in preterm babies by Pediatrics residents at  a tertiary referral hospital. \u0000Methods: A hospital-based cross-sectional study was carried out among pediatric residents at Tikur Anbessa  Specialized Hospital from September to October 2021. The data were collected through a self-administered structured questionnaire and  analyzed using SPSS version 25. A Pvalue <0.05 was considered statistically significant. \u0000Results: One hundred twelve pediatrics residents  were included; 41(36.6%) were females and 89 (79.5 %) were aged between 25-30 years and 106 (94.6%) had NICU experience of less than  one year. Forty-one (36.6%) had a moderate level of practicing continuous positive airway pressure safety checklists. There was a  statistically significant difference in the practice of CPAP safety checklist usage with the year of residency (P= 0.001). A majority, 90  (80.4%), of `pediatrics residents used locally-made improvised water bottle systems as bubble continuous positive airway pressure  machines. The perceived barriers to continuous positive airway pressure machine use included lack of commercial bubble machine, 77  (85.5%), unavailability of oxygen, and lack of appropriately sized nasal prongs. \u0000Conclusion: Lack of commercial continuous positive airway  pressure machines and essential equipment were the reported barriers. Tackling the perceived barriers would contribute to the  national effort to decrease neonatal mortality and achieve Sustained Development-3  ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130573174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment outcome from severe acute malnutrition among children 6 to 59 months admitted to Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia","authors":"Abrham Bire, Mekdes Shifeta","doi":"10.4314/ejpch.v18i1.5","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.5","url":null,"abstract":"Background:  Malnutrition continues to be a long-term year-round phenomenon, threatening under 5 children unacceptably the most. It  is responsible for 25,000 children’s hospitalization per month and nearly 50% of all under-5 mortalities in Ethiopia. The national burden  of SAM highlights the importance of addressing predictors of recovery rates. \u0000Methodology: An institution-based retrospective cohort study was implemented from a period of august 2020- august 2021. Data were  collected using a structured questionnaire and entered and analyzed using SPSS 25. The output of both bivariate and multivariate logistic  regression analysis was presented using an odd ratio and 95% CI. A p-value of less than 0.05 was taken as statistically significant. \u0000Results: Among the total study cases of 241 children, 192(79.7%) records were recovered, 15 (6.2%) died, and 20(8.3%) were defaulted.  The majority of the children, 155(64.3%) had nonedematous malnutrition. The independent predictors of mortality were pneumonia  (AOR=6.57), hypovolemic shock (AOR=0.05), presence of both pneumonia and gastroenteritis (AOR=4,463), getting third-line antibiotics  (AOR=0.23), fourth-line antibiotics (AOR=0.15) and hospital stay more than 28 days (AOR=0.12). \u0000Conclusion: The finding of this study  attested that recovery and death rates are within the national standard. As many of the death occurred within the first week of admission,  due attention should be given to SAM patients from the first minutes of arrival. Reduction in length of the hospital stays, and  early recognition and management of complications have been unveiled to further upgrade the recovery rate.  ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130959730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symmetric peripheral gangrene in a child with Plasmodium falciparum malaria and Sepsis: A case Report","authors":"Hawi Mohammed, M. Shimels","doi":"10.4314/ejpch.v18i1.7","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.7","url":null,"abstract":"Symmetric peripheral gangrene is a rare clinical syndrome manifesting with bilateral distal ischemic injury leading to gangrene in the absence of large vessel obstruction or vasculitis. Factors responsible for symmetric peripheral gangrene are many and it usually follows  diseases like malaria. We reported a 6 year female child presented with fever, chills and leg swelling and admitted with the diagnosis of  severe falciparum malaria, cellulitis and sepsis. On third day, she developed symmetric peripheral gangrene of lower extremities. It needs  high index of suspicion to detect symmetric peripheral gangrene early and to offer early prompt treatment of underlying causes. ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126295574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of pediatric residents’ knowledge, attitude, and practice regarding oxygen therapy and its complications at Tikur Anbessa Specialized Hospital and St. Paul Hospital Millennium Medical College, Ethiopia","authors":"K. Beza, E. K. Etissa, Hanna Gebre, R. A. Kebede","doi":"10.4314/ejpch.v18i1.4","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.4","url":null,"abstract":"Background: Oxygen therapy is beneficial, but too much of it or any oxygen therapy errors could be dangerous. Proper knowledge,  appropriate practice, and favorable attitudes are important aspects of treatment. Hence, this study aimed to assess the knowledge,  attitude, and practice of pediatric residents about oxygen therapy, its complications, and associated factors. \u0000Methodology: A cross-sectional study was conducted among pediatric residents at Tikur Anbessa Specialized Hospital and St. Paul  Hospital, Millennium Medical College in Addis Ababa, Ethiopia, from June to August 2021. using a self-administered questionnaire. Level  of knowledge, attitude, and practice was grouped by Bloom’s original cut-off points. A multinomial logistic regression model was fitted to  identify significant predictor variables at a 5% level of significance. \u0000Results: Of 141 pediatric residents who responded, this study  found 17.7%, 40.4%, and 19.1% prevalence of good knowledge, attitude, and practice, respectively. On the chi-square test, the total  duration of service as a general practitioner and the year of residency were significantly associated with knowledge and attitude (P values  = 0.027 and 0.037, respectively). Residents' knowledge level and year of residency were found to be independently associated with  oxygen administration practice. The odds of residents with good knowledge having good practice than poor practice is 8 times  (adjusted odds ratio: 7.90, 95% CI 1.15-45.25, P-value =0.035) higher than residents with poor knowledge levels and year of residency was  also a significant predictor of practice level (adjusted odds ratio: 0.24, 95% CI 0.06-0.94, P-value =0.042). \u0000Conclusions: - The majority of  participants had a positive attitude and had moderate to inadequate knowledge of oxygen administration. Their practice, on the other  hand, was generally poor. Regular education and training in oxygen administration can help them improve their knowledge. ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123979307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of hepatic subcapsular hematoma presenting with severe anemia in a 20-hour old term newborn: case report","authors":"Gashaw Arega, A. Demtse, Yosef Belayhun, Fathia Oumer","doi":"10.4314/ejpch.v17i2.7","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.7","url":null,"abstract":"Hepatic subcapsular hematoma is an extremely rare clinical condition in the neonatal period. Being a life-threatening emergency, it requires prompt diagnosis and management. In a newborn presented with severe anemia, hypovolemic shock, and abdominal distention with hemoperitoneum without any identifiable risk factors hepatic subcapsular hematoma should be considered. Newborns may develop catastrophic acute and long-term complications if the diagnosis is not made timely. Obstetricians, pediatricians, neonatologists and pediatric surgeons should have a high of the index of suspicion of hepatic subcapsular hematoma in newborns to avoid delay in the diagnosis and to reduce neonatal morbidity and mortality. \u0000Here, we report a 20 hour’s old male term newborn diagnosed with Hepatic Subcapsular Hematoma after he presented with progressive abdominal distension and severe anemia. Abdominal ultra-sound showed a well-defined round heterogenic echogenic liver mass and massive intra-peritoneal fluid collection. The newborn was managed in the Neonatal Intensive Care Unit with Fresh Frozen Plasma transfusion, Whole blood transfusion and vitamin K administration, and discharged im-proved after a week. A high index of clinical suspicion is necessary to avoid delayed diagnosis and life-threatening complications among health professionals in the neonatal intensive care unit.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128425442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A critical analysis into the National Children’s Policy of Ethiopia vis-à-vis the situation of vulnerable children","authors":"Bewunetu Zewude, Getahun Siraw","doi":"10.4314/ejpch.v17i2.8","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.8","url":null,"abstract":"The problems of children living in difficult circumstances, including street children, can be better addressed when treated under a policy framework with carefully stipulated strategies. Although a separate policy of street children is lacking, Ethiopia has tried to mainstream the issues of vulnerable children under the two relevant policies of National Children’s Policy and National Social Protection Policy. Whereas the issue of vulnerable children has been slightly discussed under the umbrella of people in need of social protection, detailed discussion along with clearly stipulated implementation strategies for children in difficult circumstances has been issued in the National Children’s Policy of Ethiopia. A critical analysis of the policy has been made in this paper with special focus on policy issues of children in difficult circumstances and implementation strategies designed to improve their situation. The analysis was undertaken using normative policy analysis approach by focusing on the substantive contents of the policy with value neutrality. The paper involves a brief overview of the contents of the policy, and critical examination of the policy from the vantage points of its underlying assumptions, cost-effectiveness, equity, feasibility, acceptability from the public, stakeholders’ participation, and consideration of the situation of children living in diverse contexts. In addition, it includes criticism of the policy and its implementation strategies. Ultimately, the paper ends with suggesting substantive recommendations that would assist the policy to better achieve its objectives and become compatible with changing scenarios at local, national, and global levels.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126719995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of knowledge and practice of gynecology/obstetrics residents and midwives towards essential newborn care At Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia","authors":"D. Debie, Bethlehem Belay, Melat Tesfaye","doi":"10.4314/ejpch.v17i2.6","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.6","url":null,"abstract":"Background: A time-bound and chronologically ordered series of medical interventions that a baby receives at birth are referred to as the \"essential newborn protocol.\" This period of immediate care is critical for the babies' subsequent well-being and adaptation. However, there are still reports of health workers lacking good knowledge and practice with newborn care, which was not investigated in our hospital. \u0000Methods: A hospital-based cross-sectional study was conducted in TASH with 114 selected gynecology and obstetrics residents and midwives. Using the SPSS version 25 software package, continuous data were described using the mean and standard deviation, while categorical data were de-scribed using frequency and percentage. To identify factors related to knowledge and practice, multivariable binary logistic regression analyses were used. \u0000Result: Eighty-eight residents and 26 midwives were included. Nearly a quarter (24.6%) of participants had good knowledge about essential newborn care. Regarding knowledge level by profession, 31.8% of the residents had good knowledge of essential newborn care, and all the midwives had poor knowledge. The odds of having good knowledge of ENC were 96.3% lower for first-year residents and 90.5% lower for second-year residents as compared to year four. Untrained participants had an 84 percent lower chance of having good knowledge of essential newborn care than trained participants. Regarding practice level by profession, more than two-thirds of 68 (77.3%) residents and 21 (80.8%) midwives had sufficient skill in essential newborn care. \u0000Conclusion: A substantial number of healthcare providers lacked essential newborn care knowledge and practice. The availability of service or on-the-job training, as well as the year of residency, were factors influencing newborn care knowledge. In-service training, encouraging supervision, and provisions should be reinforced to improve newborn care activities.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114339447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Referral pattern of children with cardiac diseases: a cross-sectional review of referral documents in three teaching hospitals in Addis Ababa","authors":"T. Aklilu","doi":"10.4314/ejpch.v17i2.2","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.2","url":null,"abstract":"Background: Patients with hemodynamically significant structural heart lesions often become inoperable if early referral and intervention is not done. Contrarily, referring patients with hemo-dynamically-insignificant lesions congest the already busy tertiary centers. The study aim was to determine the proportion of hemodynamically significant cases with delayed presentation and their determinant factors. \u0000Methods: A cross-sectional study design was used to collect data from 369 referral slips sampled using a single population proportion formula (95% CI, 5% margin of error, and 50% cases coming with a referral paper). Data was analyzed using SPSS software package version 25. Binary logistic regression analysis was done to determine factors associated with referral either to the Tikur Anbessa hospital versus Saint Paul and Yekatit 12 hospitals. Odds ratio with their corresponding confidence interval was used to assess the significance of association and statistically significant associations were declared at p-value < 0.05. \u0000Result: The overall magnitude of delayed presentation beyond 1 year of age among patients with hemodynamically-significant lesions was 54%. Saint Paul and Yekatit-12 hospitals combined had higher referral from primary institutions (AOR=2.68 95% CI-1.64-4.38, p<0.001). Tikur Anbessa hospital had higher referral of congenital heart disease and retention of feedback referral slips compared to the two hospitals (AOR=1.86, 95% CI-1.02-3.41, p=0.004) and (AOR=2.78, 95% CI-1.65-4.69, p<0.001). If the referring health worker was a specialist, and initial symptom was chronic and poly, the likely-hood of being referred to Tikur Anbessa Specialized hospital was higher (AOR=10.34, 95% CI-2.20-48.69, p=0.003) and 1.97, 95% CI-1.21-3.22, p=0.007) respectively. The time lapse between referral and reaching at the referral destination was longer in cases referred to TASH (AOR=2.91,95% CI-1.74-4.88), p<0.001). Feedback slips were sent back to the referring health facilities in only 3% of cases. \u0000Conclusion: Delayed presentation of patients with hemodynamically significant cardiac lesions was tremendous. and unsent or retained feedback referral slips were significant. Future research should focus on active searching for causes of delayed presentation using a well-designed and validated tool.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114807782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern, outcome, and associated factors of renal disease among hospitalized children at public hospitals in Bahir Dar Town, North-Western Ethiopia","authors":"Yenework Tafere Simeneh, Yalemwork Anteneh Yimer, Zemenu Shiferaw Yadita","doi":"10.4314/ejpch.v17i2.5","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.5","url":null,"abstract":"Background: Renal diseases are major causes of morbidity and mortality in hospitalized pediatric patients. Data on the spectrum of renal disorders and their outcomes are scarce in Ethiopia, in the Amhara region particularly. Hence, this study aimed to assess the pattern, outcome, and associated factors of renal disease among hospitalized pediatric renal patients in the Amhara region, North-west Ethiopia, 2020. \u0000Methods: Institution-based review of medical records of renal disease subjects was conducted from September 1-15, 2020. All (107) pediatric patients who were diagnosed and hospitalized with renal disease from January 1/2019 to August 30/2020 were studied. A checklist was used to review medical records. Analysis was done using the SPSS version 23. Descriptive and summary statistics were carried out. Chi-squared test was used to assess the association between dependent and independent variables. \u0000Result: Glomerulonephritis was the common cause of renal admissions (59.8%) and 40% of them had renal failure. Multi-organ failure and sepsis were causes of death for 12.1% of patients. Acute kidney injury (X2=4.484, p <0.05), chronic kidney disease (X2=6.617, p< 0.05), multi-organ failure (X2=48.57, p< 0.05), Sepsis (X2=45.29, p< 0.05), hospital stay >2 weeks (X2=23.2, p<0.05), electrolyte abnormalities (X2=17.87, p<0.05), and seizure (X2=45.15, p<0.05) had statistical as-sociations with poor outcome of renal disease. \u0000Conclusion: Glomerulonephritis was the common cause of renal admissions. Sepsis and multi-organ failure were common causes of death. The complications, hospital stay >2 weeks, electrolyte abnormality, and seizure had an association with the outcome of renal disease. Hence, this study suggests that early diagnosis and management of renal failures and complications, and shortening hospital stay enhance the outcome of renal disease.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130722663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of the performance of automated GeneXpert in childhood tuberculosis in Addis Ababa, Ethiopia: a retrospective cross-sectional study","authors":"Yiheyis Genetu, Bethelhem Belay, W. Abebe","doi":"10.4314/ejpch.v17i2.4","DOIUrl":"https://doi.org/10.4314/ejpch.v17i2.4","url":null,"abstract":"Background: Approximately 81% of all childhood tuberculosis cases occur among 22 high-burden countries and Ethiopia ranks eighth among these high burden countries. The GeneXpert Mycobacterium tuberculosis DNA and resistance to rifampicin (MTB/RIF) test can detect pediatric tuberculosis and its multidrug-resistant form with very high sensitivity and specificity, but limited data exists on its use in our country. We aimed to evaluate the effectiveness of the GeneXpert assay in comparison to children with a clinical diagnosis of Tuberculosis. \u0000Methods: A descriptive retrospective study on 144 TB-diagnosed children younger than 15 years was conducted at Tikur-Anbessa specialized hospital and Yekatit 12-referral hospital, pediatrics departments, Addis Ababa, Ethiopia. The performance of the GeneXpert test was evaluated by re-vising the charts of patients who have begun anti-tuberculosis treatment. We extracted information from the chart review of 144 eligible children who were diagnosed with tuberculosis and began anti-TB treatment from February 2014 to July 2016. \u0000Result: In the study, 144 patients with clinical diagnosis of tuberculosis were included, and 23% of them also had concurrent HIV infection. Equal numbers of male and female were present; 48.6% were from Addis Ababa. Thirty-four patients (23.6%) were missing their childhood vaccinations. The GeneXpert assay detected disease in only 24 (16.7%) of clinically diagnosed pediatric tuberculosis patients. \u0000Conclusion: Although the GeneXpert assay is helpful in the diagnosis of pediatric tuberculosis, most patients were still receiving treatment even after a negative GeneXpert test, necessitating the need for a more sensitive test.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134630222","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}