Journal of Pediatric Advance Research最新文献

{"title":"Prevalence, Aetiologies and Outcome of Paediatric Medical Emergencies at the Buea and Limbe Regional Hospitals","authors":"Yolande Djike Puepi Fokam","doi":"10.46889/jpar.2024.32046","DOIUrl":"https://doi.org/10.46889/jpar.2024.32046","url":null,"abstract":"Background: Worldwide and particularly in Africa paediatric emergencies are a public health priority. Deaths in hospitals frequently occur within the early hours following admission. The aim of our study was to provide data on the prevalence, aetiologies and outcome of medical paediatric emergencies of children admitted at the emergency, paediatric and intensive care units of the Buea and Limbe Regional hospitals.\u0000\u0000Methodology: We carried out a hospital-based cross-sectional of patients aged 1 month to 15 years admitted at the emergency, paediatric and intensive care units of Buea and Limbe Regional Hospitals from January and March 2023 who had a medical pathology and at least one emergency sign according to the WHO ETAT (convulsion, coma, severe dehydration, respiratory distress, shock, severe anemia). Data was analyzed using Statistical package for social sciences (SPSS) version 25.\u0000\u0000Results: A total of 294 children were enrolled out of 597 paediatric admissions giving a hospital prevalence of medical paediatric emergencies of 49.2%. The sex ratio was 1.4:1 with male predominance. The mean age was 2.7 years and 83% of the children were less than 5 years old. Almost half of the emergencies were convulsion (41.2%), respiratory distress and severe dehydration represented 32.3% and 30.3% respectively. Severe malaria accounted for 61.9% of the aetiologies. The death rate from paediatric medical emergencies was 9.9% and represented 69% of total paediatric deaths in both regional hospitals. Renal injury (p=0.014), severe community acquired pneumonia (p=0.026) and poisoning (p=0.027) were associated with mortality.\u0000\u0000Conclusion: Paediatric medical emergencies constitute a significant proportion of admissions; the most common emergency is convulsion and the main aetiology was severe malaria. Renal injury, poisoning and severe community acquired pneumonia were associated with mortality.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796544","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":"Pediatric Case: Serum Protein Electrophoretic","authors":"Safaa Hadrac","doi":"10.46889/jpar.2024.32045","DOIUrl":"https://doi.org/10.46889/jpar.2024.32045","url":null,"abstract":"Serum protein electrophoresis is a straightforward, dependable and precise technique employed to separate serum proteins. This research aimed to discover abnormal patterns of serum proteins in pediatric cases using capillary electrophoresis and to interpret any detected abnormalities. The research involved 92 serum samples obtained from pediatric patients admitted to Children’s Hospital in Casablanca. The study findings identified distinctive pathological electrophoretic patterns observed in pediatric cases: 36 children showed patterns indicative of inflammatory response, 3 had nephrotic syndrome, 4 had hypogammaglobulinemia, 24 exhibited polyclonal hypergammaglobulinemia and 1 had hypoproteinemia. Additionally, two rare cases of α1-antitrypsin deficiency were highlighted through electrophoresis. Serum protein electrophoresis is highly recommended as a diagnostic tool in children to enhance the accuracy of diagnosing inflammatory diseases, liver disorders and immunodeficiency cases.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"81 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141817353","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":"Outcome of Severe Acute Malnutrition in Children Aged 6-59 Months Before and After the Institution of the Malnutrition Treatment Centre in the Regional Hospital Limbe, Southwest Region of Cameroon","authors":"Naiza Monono","doi":"10.46889/jpar.2024.3204","DOIUrl":"https://doi.org/10.46889/jpar.2024.3204","url":null,"abstract":"Background: Malnutrition occurs when nutrient and energy intake do not meet, or exceed an individual’s requirements to maintain growth, immunity, and organ function. In 2020, among children 0-59 months worldwide, 21.3% (144 million) were stunted and 6.9% (47 million) were wasted. The Malnutrition Treatment Centre’s (MTC) establishment in the Regional Hospital Limbe in 2019 brought major changes in management such as free and continuous supply of therapeutic food and basic drugs, the expertise of a nutritionist and closer follow up of patients after discharge. The aim of this research was to evaluate the outcome of children with severe acute malnutrition aged 6-59 months treated at the MTC differed from those treated before the MTC’s creation.\u0000\u0000Methodology: An analytic cross sectional retrospective study was conducted from February to March 2022. The study period was from March 2016 to February 2019 (before the MTC) and March 2019 to February 2022 (after the MTC). A predesigned data extraction form was used to obtain sociodemographic data of the children and their parents, clinical findings on admission and hospital outcome. The data was entered into CDC Epi info 2.4 and analysed using SPSS. A p-value of <0.05 was considered statistically significant.\u0000\u0000Results: Out of 129 files included in the study, 35 were pre-MTC and 94 after its creation. The hospital prevalence of SAM increased from 4% to 7% after the MTC’s creation. The mean MUAC (mid-upper arm circumference) was 11.1 ± 0.98 cm. Marasmus was the most common form of SAM (90.7%). The most common admission symptoms were fever (74.4%), diarrhoea (47.2%) and vomiting (32.6%). The most common comorbidities were malaria (29.5%), gastrointestinal infection (20.9%), sepsis (18.6%) and pulmonary infection (14%). There was an increase in the recovery rate (from 71.4% to 76.6%) and the rate of weight gain (from 3.5 g/kg/day to 8.7 g/kg/day). There was also a reduction in the death rate (from 14.3% to 9.6%) and length of in-hospital admission (from 10.24 ±5.4 days to 7.3 ±3.6 days)\u0000\u0000Conclusion: The MTC led to an increase in the influx of patients with SAM at the RHL, marasmus was the most common form of SAM. There was an increase in the rate of weight gain, a decreased mortality rate and decreased length of hospital stay, thus revealing the pertinent relevance of the MTC in the management of SAM.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"130 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141656608","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":"Growth Assessment in Exclusively Breastfed Against Mixed Fed Infants in Two Hospitals of Fako Division, Southwest Region, Cameroon","authors":"Naiza Monono","doi":"10.46889/jpar.2024.3203","DOIUrl":"https://doi.org/10.46889/jpar.2024.3203","url":null,"abstract":"Background: Improving breastfeeding rates around the world could save the lives of more than 820,000 children under age 5 every year, the majority (87%) being under 6 months of age. The optimal duration of exclusive breastfeeding is one of the crucial public health issues of WHO. Although breastfeeding provides many health benefits to infants, there is not enough information in our setting to support this assertion.\u0000\u0000Objective: To determine the prevalence of exclusive breastfeeding and evaluate the growth of exclusive breastfed against mixed fed babies in two hospitals of Fako division.\u0000\u0000Materials and Methods: A hospital-based, analytic cross-sectional study was carried out with 186 mother-infant pairs from February to April 2022. Data collection consisted of the administration of a pretested questionnaire and anthropometric measurements were taken. Nutritional status and prevalence of respiratory and gastrointestinal infections were then assessed. Bivariate and Multiple logistic regression analysis was done with p-value set at <0.05. Results: The prevalence of exclusive breastfeeding in our setting was 43% while the prevalence of mixed feeding was 57%. The main reasons for practicing mixed feeding were: maternal school or work resumption (43.4%) and insufficient breastmilk (34%). The most common reason for practicing exclusive breastfeeding was medical advice (70%). On multivariate analysis, having a paid job (OR: 0.44, 95 % C.I: 0.203-0.968, p= 0.04) was the only significant predictor of mixed feeding. The incidence of diarrhea was significantly more prevalent (OR: 7.583, 95% C.I: 2.527-22.753, p=0.00) in mixed fed infants compared to exclusively breastfed infants.\u0000\u0000Conclusion: The prevalence of exclusive breastfeeding in our setting is low so there is need to improve and strengthen breastfeeding education during Antenatal visits. Our findings highlight the importance of breastfeeding to protect against diarrhea-specific morbidity and strengthens the current WHO recommendation of exclusive breastfeeding till 6 months. These results prove the relationship between feeding method and infant morbidity and provides more data with the aim of encouraging more mothers to practice exclusive breastfeeding hence reducing infant morbidity and mortality.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"3 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662744","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":"Scarrifications Hospital Review of a Traditional Method of Managing Paediatric Hepatomegaly and Splenomegaly in Three Hospitals in the Limbe Health District, Cameroon","authors":"Naiza Monono","doi":"10.46889/jpar.2024.3105","DOIUrl":"https://doi.org/10.46889/jpar.2024.3105","url":null,"abstract":"Background: This practice of scarifying children for medical reasons is common in several African communities with its origin lost in antiquity. A few reasons prompt people to get their children scarified and the practice may have fatal outcomes. In Cameroon where no study has been carried out on this aspect, we saw it necessary to review this practice and its outcome.\u0000\u0000Objectives: To assess the prevalence, predisposing factors and outcome of scarification among children less than 15 years old in three hospital settings of the Limbe Health District.\u0000\u0000Methods: A three-month hospital based cross-sectional study was carried out. A structured questionnaire was used to collect data from each participant. Data was analyzed using SPSS version 26 and statistical significance was set at p-value <0.05 at 95% confidence interval.\u0000\u0000Results: Out of 240 participants enrolled in the study males were predominant (59.6%). We had a scarification prevalence of 57.1% with majority scarified before 5years of age. The majority had fever 96.25%, 41.3% had palpitations and 27.9% had left abdominal pain prompting the act. About 69.3% of the participants were scarified below the left nipple, 75.9% had mechanical scars and 98.5% were performed by a herbalist under unsterile conditions.\u0000\u0000Factors prompting scarification were, left abdominal pain, palpitations, having a scarified sibling. While a lower level of education, low-income levels of the carers and generalized body weakness discouraged the act. Among the complications, 0.7% had HIV infection related to the act, 2.2% had infected wounds at the site of the scar and 1.5% death cases were recorded.\u0000\u0000Conclusion: In this study, approximately 6 out of 10 children undergo physical insult to treat a reactional hepatomegaly and splenomegaly by a herbalist under unsterile conditions yet, 1 out of 10 of these children died and 3 out of 10 suffered from complications of the act.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140672893","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":"School Based Physical Activity Intervention to Reduce Obesity and Increase Physical Fitness Obese Elementary Children","authors":"Louise A Kelly","doi":"10.46889/jpar.2024.3104","DOIUrl":"https://doi.org/10.46889/jpar.2024.3104","url":null,"abstract":"Background: The prevalence of obesity is extremely high and increasing in elementary school children in the US, but recent systematic reviews have concluded that there are no simple, generalizable and successful obesity prevention strategies available.\u0000\u0000Objective: To assess whether an 8-week-school-based physical activity intervention would reduce BMI percentiles and improve physical fitness in both normal weight and obese children.\u0000\u0000Material and Methods: One hundred and one children were consented to the study (mean age 8.12 ± 0.10 years). BMI and BMI percentiles for age and gender were determined using EpiInfo. Participants were classified as Obese (OB) (n=48) if they had a BMI percentile of ≥ 95% for their age and gender. Normal weight (NW) was (n=53) classified as having a BMI percentile lower than 75% for age and gender. Intervention consisted of an 8-week enhanced physical activity program in school (100 minutes/week). Physical fitness was assessed using the FITNESSGRAM test battery. Repeated measures GLM was used to assess within and between subjects’ effects from pre- to post-testing.\u0000\u0000Results: GLM showed significant results within subject and between subject for BMI percentile, trunk lifts, push-ups, sit ups, sit and reach and the 1-mile run (p’s <0.01). However, our results also showed that there was a significant reduction in BMI percentile (0.001), weight (p=0.05) and waist/hip ratio (p=0.01) for the obese group.\u0000\u0000Conclusion: Our study demonstrated that an 8-week physical activity intervention was successful in improving physical fitness in NW and OB children. The 8-week program also was successful in reducing BMI percentile in the OB group. Future studies should consider increasing both the duration of the program and the sample size.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":" 0","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211861","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":"Trend and Determinants of Neonatal Mortality at the Buea and Limbe Regional Hospitals, Southwest Region, Cameroon","authors":"N. Monono","doi":"10.46889/jpar.2024.3103","DOIUrl":"https://doi.org/10.46889/jpar.2024.3103","url":null,"abstract":"Background: Over the years the rate of neonatal mortality in low-income settings has been on the increase and most cases of neonatal mortality can be associated with modifiable risk factors. However, the rate of neonatal mortality remains high in Cameroon with the Southwest Region having one of the highest rates of neonatal mortality.\u0000\u0000Objectives: We aimed to determine the trend and determinants of neonatal mortality in Buea and Limbe Regional Hospitals.\u0000\u0000Method and Materials: A hospital based retrospective study of files of neonates was conducted from the 1st of January 2017 to the 31st of December 2022. Socio-demographic, clinical and outcome data were obtained using a data extraction form and analyzed using Statistical Package for Social Science (SPSS) Version 27.\u0000\u0000Results: The trend of neonatal mortality was apparently constant (16.1% and 17.8%) between 2017 to 2022. Birth asphyxia 150(53.4%) was found to be the most common cause of neonatal mortality. Identified determinants were: acute fetal distress (AOR:2.6 [1.333-5.346]), no ANC visit (AOR:13.1 [3.849-44.284]), birth weight less than 2500g (AOR:2.050 [0.039-4.216]), birth weight greater than 4000 g (AOR:2 [1.002-3.43]), Apgar Score ˂ 3 (AOR:99.9 [87.036-100.000]) and Apgar score ˂ 6 (AOR=5.164 [1.768-15.082]).\u0000\u0000Conclusion: Neonatal mortality in our context is still below the expectations of SDG3 with perinatal asphyxia and its related modifiable factors influencing neonatal mortality the most. Therefore, more impactful community education and information sessions to build a positive mind set on pregnant women and their families to reduce neonatal mortality is required from all health sectors.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140248060","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":"Increase in Early Onset Scoliosis Publications in Major Orthopaedic and Spine Journals: 2005-2020","authors":"Robert F Murphy","doi":"10.46889/jpar.2024.3102","DOIUrl":"https://doi.org/10.46889/jpar.2024.3102","url":null,"abstract":"Study Design: Retrospective review\u0000\u0000Purpose: To quantify trends in published research in 8 major orthopaedic and spine journals related to Early Onset Scoliosis (EOS) from 2005-2020. We also investigated publication trends in specific subtopics within EOS research.\u0000\u0000Methods: The electronic archives of 8 journals (Spine, European Spine Journal, Journal of Children’s Orthopaedics, Spine Deformity, Journal of Pediatric Orthopaedics, Journal of Pediatric Orthopaedics B, The Journal of Bone and Joint Surgery-American Volume and The Bone and Joint Journal) were queried for articles published from 2005-2020 containing search terms particular to the following subtopics of EOS research: congenital scoliosis, infantile scoliosis, thoracic insufficiency syndrome, scoliosis casting, Traditional Growing Rod, Vertical Expandable Prosthetic Titanium Rib, Magnetically Controlled Growing Rod and EOS in general. Results were screened to exclude editorials, conference papers and corrections. Included EOS articles were aggregated and analyzed with respect to journal, year of publication and subtopic.\u0000\u0000Results: From 2005-2020, a total of 32,000 publications were identified, of which 1,818 (5.7%) were qualified as EOS articles by the presence of at least one search term. The annual number of EOS articles increased from 60 in 2005 to 157 in 2020 and the annual ratio of EOS articles to total publications increased from 4.1% to 7.9%. Congenital spine-related terms matched to the greatest number of articles, while implant-related terms collectively experienced the greatest percentage increase in matching articles per year.\u0000\u0000Conclusion: The number of EOS articles published in 8 major orthopaedic and spine journals increased in both absolute and relative terms from 2005-2020. Implant-related subtopics saw the greatest increase.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958132","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":"Impact of the COVID-19 Pandemic on Early Intervention Services Use Among Children with Developmental Disabilities","authors":"James P Guevara","doi":"10.46889/jpar.2024.3101","DOIUrl":"https://doi.org/10.46889/jpar.2024.3101","url":null,"abstract":"Early Intervention (EI) is a federally-funded program that provides therapies for children with developmental delays. Due to the COVID-19 pandemic and lockdown restrictions in Philadelphia in 2020, these services made a rapid change to virtual service delivery. We sought to explore the experiences of families in accessing online therapy. We recruited families to participate in a mixed methods study in order to evaluate changes in the initiation and use of EI services pre- and post-pandemic lockdown. Of the 94 who completed surveys, 27 families were purposively sampled for semi-structured telephonic interviews to identify their perceptions of program assistance and needs. Themes developed from these interviews included participant satisfaction with the communication of program changes and concerns related to the effectiveness of virtual EI services. This information can be used in plans for transitioning to hybrid therapy as well as for future pandemics requiring a return to fully virtual services.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"31 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139590913","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":"Computational Analysis of Cardiovascular Effects of COVID-19 Infection in Children","authors":"A. F. Corno","doi":"10.46889/jpar.2023.2204","DOIUrl":"https://doi.org/10.46889/jpar.2023.2204","url":null,"abstract":"Background: The COVID-19 disease can involve any body part; nevertheless, the most serious consequences affect respiratory and cardiocirculatory systems with variable symptoms. Although the effects of COVID-19 are not fully understood yet, clinical evidence has shown that the virus may cause acute myocardial injury and chronic damages to heart and blood vessels. There is no or limited experience on pathophysiological effects of COVID-19 infection in children’s cardiovascular system. The aim of this work is to assess the effects of COVID-19 on the cardiovascular system in children, in terms, e.g., of increased pulmonary resistances, reduced cardiac contraction capacity.\u0000\u0000Methods: We used a computational model based on lumped parameters to describe the whole blood circulation. The model was calibrated to account for data coming from pediatric patients.\u0000\u0000Results: There were total of 17 pediatric patients diagnosed to have COVID-19 infection based on laboratory and clinical findings. The median age was 15 years (range 7 to 17 years), median weight 61 kg (range 25 to 153 kg), median height 165 cm (range 132 to 191 cm) and median body surface area 1.7 (range 0.95 to 2.8). Our results highlighted that the effect of COVID-19 on the cardiovascular system in all children was characterized by the reduction in cardiac blood pressures and volumes. We analyzed in detail two patients showing a correlation between myocardial compromise and severity of the infection.\u0000\u0000Conclusion: Our study demonstrates that COVID-19 infection causes a complex pathophysiological state to the cardiovascular system, both in asymptomatic and symptomatic pediatric patients. This information is very helpful to prevent long term cardiovascular complications of COVID-19 infection in children. A prospective study with regular cardiology follow-up is recommended.","PeriodicalId":354725,"journal":{"name":"Journal of Pediatric Advance Research","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129000574","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}