Abu Sayeed Cowdhury, Shubhra Paul, Rizwan Ahsan, A. Sarker, Syed Shafi Ahmed Muaz, N. Begum, F. Noman, H. Ahmed
{"title":"Psychological Well-Being of Parents with Hospitalized COVID-19 Infected Children in Bangladesh","authors":"Abu Sayeed Cowdhury, Shubhra Paul, Rizwan Ahsan, A. Sarker, Syed Shafi Ahmed Muaz, N. Begum, F. Noman, H. Ahmed","doi":"10.51407/mjpch.v28i2.192","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.192","url":null,"abstract":"\u0000\u0000\u0000\u0000Objective: Not only has COVID-19 caused unprecedented changes in every sphere of human lives, but it has also simultaneously triggered a wide range of psychological problems within the community. Naturally, parents are prone to being anxious about their children amidst this pandemic. This becomes particularly serious when their children are being affected and hospitalized due to exposure to COVID-19, leading to increased anxiety and depression. Our study aims to assess the level of anxiety and depression and the predictor factors for depression and anxiety among the parents of hospitalized COVID-19-infected children. Method: This cross-sectional study incorporated 160 parents of COVID-19 infected children who were admitted to Mugda Medical College Hospital, Dhaka Shishu (Children) Hospital, and Kurmitola General Hospital between April 2020 and October 2020. Result: The study has revealed that among the 160 participants, every one in five parents (19.37%) was suffering from moderate to severe anxiety, while 43.10% of parents were suffering from moderate and moderately severe depression. More than fifty per cent of the respondents were suffering from minimal anxiety (54.38%), while 43.80% of parents were suffering from minimal depression. City dwellers were more prone to developing both anxiety and depression. Conclusion: About 43.1% of parents suffered from moderate and moderately severe depression, while 54.38% of parents suffered from minimal anxiety. These parents need to be addressed, and proper support & intervention must be ensured.\u0000\u0000\u0000\u0000","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129702372","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":"Endoscopic approach to congenital glottic web: A case series","authors":"Hui Jean Yap, H. Johari, Suzina Sheikh Ab Hamid","doi":"10.51407/mjpch.v28i2.220","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.220","url":null,"abstract":"Congenital glottic web results from the failure of complete canalization of the larynx during embryogenesis. It is an uncommon entity that characteristically presents with a high-pitched soft cry, stridor or dysphonia. The child may be comfortable at birth but a combination of weak cry with respiratory distress should alert the physician to look for possible laryngeal webs. Although rare, a physician should be mindful that congenital glottic web can occur in isolation or present with other synchronous airway anomalies. The choice of surgical approach often depends on the severity of laryngeal web. An endoscopic approach has been suggested for grade I – II webs while open airway reconstruction is used for grade III-IV webs. We hereby present 3 cases of congenital glottic web of different severity managed successfully with minimally invasive endoscopic approach.","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131394078","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}
Nurhani Jauhar, Mohd Syafiq Nazmi Hairani, Mohd Ridzuan Mohd Razi, N. Harith, Halimah Mohamed Noor, Pappathy Vairavan, Reyhanah Mohd Rashid
{"title":"Gingival Manifestations in Childhood Scurvy: A Case Report","authors":"Nurhani Jauhar, Mohd Syafiq Nazmi Hairani, Mohd Ridzuan Mohd Razi, N. Harith, Halimah Mohamed Noor, Pappathy Vairavan, Reyhanah Mohd Rashid","doi":"10.51407/mjpch.v28i2.212","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.212","url":null,"abstract":"Background: In paediatric population of modern developed countries, vitamin C deficiency has become very rare, especially in individuals with no underlying medical conditions. Case Report: This paper aims to report a case of scurvy in a healthy 6-year-old girl who was referred to the Department of Paediatric Dentistry for managing her hypertrophic, spongy, and erythematous gingiva for one week duration. She initially presented with a complaint of pain in her lower limbs and inability to walk. A series of investigations and radiographic examinations were carried out. Malignancy was highly suspicious hence biopsy of the gingiva was performed to confirm the diagnosis. The histopathological examination (HPE), however, interpreted the lesion as gingivitis. The gingival hypertrophy became more progressively worsening clinically. A clinical diagnosis of scurvy was then made after a literature review of her clinical presentations and investigation findings. Empirical vitamin C supplementation was started, and the patient’s condition remarkably improved within 4 days. Conclusion: The clinical manifestation of scurvy can be variable and non-specific. Early recognition is paramount to avoid unnecessary investigations and to initiate vitamin C supplementation.","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127115876","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}
Emie Mading, Mohammad Ikram Ilias, Fahisham Taib, A. H. Samsudin
{"title":"Clinical Profile and Outcome of Children who Underwent Micturating Cystourethrogram : A Tertiary Hospital Experience","authors":"Emie Mading, Mohammad Ikram Ilias, Fahisham Taib, A. H. Samsudin","doi":"10.51407/mjpch.v28i2.216","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.216","url":null,"abstract":"Introduction: Micturating cystourethrogram (MCUG) is the gold standard test for the diagnosis of vesicoureteric reflux (VUR). The study aims to establish the association between the presence of VUR and renal outcomes. Methods: A cross-sectional retrospective study was conducted in children who were referred for MCUG at a tertiary centre over a 10-year period. Baseline characteristic data and the results of renal ultrasound, MCUG, with renal function were compiled and analysed. Fisher Exact test was used to compare between the grade of VUR and renal outcomes. Simple and multiple logistic regressions were used to examine the risk factors that may contribute to the development of VUR. Results: There were 136 children included in total. Forty-five had VUR, (31 [68%] high-grade, 14 [32%] low-grade, respectively). One third (33.3%) were surgically treated, 29 (64.4%) developed chronic kidney disease (CKD), and 18 (40%) developed renal scarring. Children with urinary tract infection (UTI) and hydroureter have 4.19 and 3.40 times the odds of developing VUR, respectively. Conclusion: The presence of hydroureter from ultrasound is a strong indicator of underlying VUR and justifies the rationale of requesting for MCUG, especially for those with recurrent UTI. However, this study failed to demonstrate significant association between the presence of VUR and complications of renal scarring and CKD.","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115754285","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}
Nordiyana Azmi, S. E. Shamim, Azriani Berahim @ Ab. Rahman, N. Ramli, H. Van Rostenberghe, M. I. Ilias
{"title":"Clinical Profiles and Outcomes of Renal Scarring in Children Underwent Dimercaptosuccinic Acid (DMSA) Renal Scan in A Tertiary Hospital","authors":"Nordiyana Azmi, S. E. Shamim, Azriani Berahim @ Ab. Rahman, N. Ramli, H. Van Rostenberghe, M. I. Ilias","doi":"10.51407/mjpch.v28i2.193","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.193","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: Renal scarring, which can be detected by DMSA renal scan, has been demonstrated to cause hypertension, proteinuria and chronic kidney disease (CKD). We reviewed the proportion of renal scarring, risk factors and outcomes among children who were referred for DMSA scan in a tertiary teaching hospital. Methods: All records of children less than 18 years old who underwent DMSA scan over a ten-year period, were reviewed. Among children whose renal cortical defects were confirmed by DMSA scan, data of their risk factors and its outcome were collected manually. Results: Out of 92 children referred for DMSA scan, half were detected to have renal scarring. Vesico-ureteric reflux (VUR) was significantly associated with the development of renal scarring. CKD (27.1%) and hypertension (12.5%) were the commonest complications. The median duration between diagnosis of the complications and detection of renal scarring was 1 year. Conclusion: A high proportion of children undergoing DMSA scans had renal scarring and early development of serious complications was common. \u0000\u0000\u0000\u0000","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"106 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127458143","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}
Nur Jannah Abdul Ghani, A. Nasir, N. Yaacob, Wan Pauzi Wan Ibrahim, A. Wong, N. R. Ibrahim, M. R. Mohd Zain
{"title":"Outcomes and Determinant Factors of Percutaneous Transcatheter Occlusion among Children with Patent Ductus Arteriosus in the East Coast Malaysia: A 10 Year Experience","authors":"Nur Jannah Abdul Ghani, A. Nasir, N. Yaacob, Wan Pauzi Wan Ibrahim, A. Wong, N. R. Ibrahim, M. R. Mohd Zain","doi":"10.51407/mjpch.v28i2.228","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.228","url":null,"abstract":"Introduction: Transcatheter closure was a well-established procedure in patent ductus arteriosus (PDA). The aim of the study was to determine the outcomes, median time and PDAs closure from diagnosis and the predictive factors which influenced the decision for PDA closure. Material and methods: A 10-year retrospective record review was performed involving patients who had undergone transcatheter closure of PDA from January 2007 to January 2017 at a single centre in the North-eastern of Peninsular Malaysia. Descriptive statistics were used to examine all variables. Kaplan-Meier survival analysis was applied to determine median time for diagnosis and transcatheter closure of PDA. Multiple Cox regression analysis was used to identify predictors for early intervention of PDA closure. Results: A total of 123 patients were recruited with 65.9% of them were predominantly female. The age at the time of diagnosis was between 4-day to 14.5-year-old and median age for undergoing the procedure was 2.6-year-old (range:3-month to 15.8-year-old). The PDA size ranged between 0.2-12mm with 59% of the patients had large size PDA. Successful closure rate was achieved in 96.2 % with 3.8 % having very minimal residual shunt at 2 years post procedure. Complications were noted in 17 patients (4.0% major, 9.8% minor). Overall, the median time to diagnose and to close PDA were 6 months and 16.9 months respectively. Earlier intervention was likely to be performed in younger children (p<0.001) with weight of less than 10 kg (p<0.001). Conclusions: Transcatheter device closure was safe and effective in children with PDA with excellent outcome and minimal complication. Age and weight were the determinant factors for early PDA closure.\u0000 ","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"136 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":"127511530","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":"Parents’ Perceived Challenges and Best Practices in Encountering Food Neophobia Among Preschool Children","authors":"Nurul Ain Saipudin, N. Suhairom, N. H. Abd. Wahid","doi":"10.51407/mjpch.v28i2.217","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.217","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: Three objectives of this study were (1) to determine the prevalence of FN; (2) to determine the parents' perceived challenges in having food neophobic children (FN); and (3) to determine the parents' perceived best practices for food neophilic children (FA). Methods: This study adopted a mixed-method approach with a survey questionnaire among 126 parents of 4 to 6 years-old children; and purposive phone interviews to the 6 selected participants. The questionnaire consists of two sections, quantitative and qualitative which are comprised of demographic information, children’s height and weight, Food Neophobia Scales (FNS), and an open-ended questionnaire on parents’ challenges and best practices in FN. Results: The quantitative results reported prevalence of FN was 38.1% in which higher in 5 years, girls and normal-weight children. Qualitative analysis of open-ended questionnaire and interviews outlined three major challenges in FN and three major best practices in FA. Among the reported challenges of FN parents were related to problematic feeding behavior and preferences (37.3%); negative beliefs and perception about new foods (34.5%); and lack of practical skills, ideas and meal strategies (28.2%). Food skills activities with children (38.4%), role modelling (15.8%), and creativity in food design (13.5%) were the best practices reported by FA parents. Conclusion: These results suggest parents require greater knowledge and skills on how to improve children’s eating behaviors. Feeding interventions such as food skills education should focus on providing parents, teachers and health practitioners with practical, emotional, and informational feeding supports to manage FN.\u0000\u0000\u0000\u0000","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128565051","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}
Husna Musa, Aneesa Abdul Rashid, Sultan Farvin Mohamed Sadik, Jun Xi Goh, Geeta Vaani Kesavan, Nurdiyana Nasrudin
{"title":"Factors Associated with Excessive Screen Time Usage among Preschool Children and Risk for Behavior Problems","authors":"Husna Musa, Aneesa Abdul Rashid, Sultan Farvin Mohamed Sadik, Jun Xi Goh, Geeta Vaani Kesavan, Nurdiyana Nasrudin","doi":"10.51407/mjpch.v28i2.183","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.183","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: Children spend a significant amount of screen time despite recommendations by the relevant bodies. Increased screen time in young children has been linked to an increased risk for behaviour issues. This study aims to determine behaviour problems and factors associated with excessive screen time usage among preschool children. Methods: A cross-sectional study was conducted among the parents of children aged 18-60 months in local parenting Facebook groups. Parents responded to an online questionnaire and Preschool Pediatric Symptom Checklist (PPSC) was used to screen risk for behaviour problems. Results: Over two-thirds (77%) of children spent more than one hour of screen time daily. There were significant associations between more than 1 hour of screen time daily and age ≥ 2 years old (OR 1.045, 95% CI 1.021 to 1.070), lesser among females (OR 0.345, 95% CI 0.178 to 0.671) and without gadget ownership (OR 0.74, 95% CI 0.010 to 0.565). Most children had PPSC total scores of less than 9 (75.8%) and there were no significant associations between excessive daily screen time usage with risks for behaviour problems among preschoolers in our study (p= 0.324). Conclusion: We report factors associated with excessive screen time to be; the age of more than 2 years old, the male gender, and children with gadget ownership. We found no significant association with risk for behaviour problems. Longitudinal studies are recommended to investigate the causal relationship between the effects of screen time on children's behaviour. \u0000\u0000\u0000\u0000","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128104245","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}
Chii-chii Chew, Arvinder-Singh Hs, Nor Ros Hanidah Abd Manak, N. Azlan, Akthirah Baina Raida Haron, Sabariah Husin, Suzila Abdullah, Calvyn Han-Xen Ee, Jeyaseelan P. Nachiappan, Sridalila Mohd Noor, A. Hss
{"title":"Medication administration errors reporting by Neonatal Intensive Care Nurses in Malaysia: A nationwide study","authors":"Chii-chii Chew, Arvinder-Singh Hs, Nor Ros Hanidah Abd Manak, N. Azlan, Akthirah Baina Raida Haron, Sabariah Husin, Suzila Abdullah, Calvyn Han-Xen Ee, Jeyaseelan P. Nachiappan, Sridalila Mohd Noor, A. Hss","doi":"10.51407/mjpch.v28i2.179","DOIUrl":"https://doi.org/10.51407/mjpch.v28i2.179","url":null,"abstract":"Aim: To determine the willingness and barriers of Neonatal Intensive Care Unit (NICU)-based nurses in Malaysian hospitals in reporting medication errors. Background: Reporting incidents is important in improving patients’ safety and developing a healthy culture of learning from mistakes. Method: Three self-developed scenarios, ranging from mild, moderate to severe medication administration errors, were used to identify nurses’ willingness to report an error. A validated questionnaire assessing barriers to reporting errors was adapted. The sample size calculated was 139. All 22 NICUs in government-funded hospitals were approached. Nurses were randomly recruited and given a URL to access the online questionnaire. Results: Of 182 nurses from 15 hospitals who participated, 91.2% (n=166) were willing to report medication errors and patient safety was the main concern to report it. Among the nurses (n=16, 8.8%) who chose not to report medication errors, they were worried about getting into trouble (87.5%), information being shared with managers (56.3%), disciplinary actions and medico-legal issues (50.0%). Conclusion: Most NICU nurses were willing to report a medication error, and the barriers to the minority of them not reporting should be given attention. Implications: Reassurance by the managers for not penalizing the nurses who report an error should be emphasized in the incident reporting policy.","PeriodicalId":356217,"journal":{"name":"Malaysian Journal of Paediatrics and Child Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117334896","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}