Sri Lanka Journal of Child Health最新文献_第6页

Retrospective study on endoscopic findings of gastritis in children attending the gastrointestinal tract endoscopic unit of Assiut University Children Hospital over a 15-year-period 对阿苏特大学儿童医院胃肠道内窥镜室 15 年间就诊儿童胃炎内窥镜检查结果的回顾性研究

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10588

Naglaa Hassan Abu Faddan, Hamada Mohamed Reyad, Amira M. Shalaby

{"title":"Retrospective study on endoscopic findings of gastritis in children attending the gastrointestinal tract endoscopic unit of Assiut University Children Hospital over a 15-year-period","authors":"Naglaa Hassan Abu Faddan, Hamada Mohamed Reyad, Amira M. Shalaby","doi":"10.4038/sljch.v52i4.10588","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10588","url":null,"abstract":"Background: Children with gastritis typically exhibit recurrent stomach pain and dyspepsia or vomiting.Objectives: To assess the frequency, clinical manifestations, endoscopic pictures, aetiology and outcome of gastritis in children who visited the gastrointestinal tract (GIT) endoscopic unit of Assiut University Children Hospital.Method: This was a retrospective, crosssectional study conducted at Assiut University Children Hospital GIT Endoscopic Unit from 1st January 2005 to 31st December 2019.Results: Upper GI endoscopy, done in all cases, showed that 66 (8.1%) had erythematous gastric mucosa, 106 (13%) had nodular gastric mucosa, 212 (25.9%) had erythematous gastric mucosa and hyperaemia, 147 (18%) had erythematous gastric mucosa and nodularity, 156 (19.1%) had hyperaemic mucosa and petechiae, 77 (9.5%) had hyperaemic mucosa and erosion, and 53 (6.5%) had multiple erosions and ulcers.Conclusions: Gastritis represented 9.4% of children who underwent upper GI endoscopy. Helicobacter pylori was the commonest cause with high recurrence. Patients presented with recurrent GI bleeding, and those with erythematous hyperaemic mucosa on endoscopy showed recurrence compared to their counterparts.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"82 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600197","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

Successful re-vascularisation following renal angioplasty in a child with Takayasu arteritis 高安动脉炎患儿肾血管成形术后成功再通血管

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10591

Sikha Agarwal, Shreepal Jain, S. Venkatesh

引用次数: 0

Liver dysfunction in children with scrub typhus: association with severity of illness and outcome 恙虫病患儿的肝功能异常：与病情严重程度和预后的关系

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10614

Sandeep Kumar, Sowmya Manda Sai, S. Shashidhara, P. Kini, Shrikiran Aroor, Suneel C Mundkur

{"title":"Liver dysfunction in children with scrub typhus: association with severity of illness and outcome","authors":"Sandeep Kumar, Sowmya Manda Sai, S. Shashidhara, P. Kini, Shrikiran Aroor, Suneel C Mundkur","doi":"10.4038/sljch.v52i4.10614","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10614","url":null,"abstract":"Background: Liver dysfunction is a common finding in children with scrub typhus. Adult literature has found a significant association between the extent of liver dysfunction and severity of illness and outcome. However, very few studies are available on children.Objectives: To study the extent of liver dysfunction in children with scrub typhus and its association with severity of illness and outcome.Method: It was a retrospective descriptive study conducted on children diagnosed with scrub typhus admitted to a tertiary care centre in south India from January 2016 to December 2020. Children from 1 month to 18 years of age were included. Demographic data, clinical details, laboratory parameters, course of illness and outcome data were collected and analysed. Results: Study population included 143 cases of scrub typhus. Mean age of the study population was 8.4 ± 4.4 years with a male: female ratio of 1.2:1. Fever was present in 100%, myalgia in 54.5%, decreased appetite in 54.5%, jaundice in 8.4% and hepatomegaly in 71.3% of children. Abnormal liver function tests were present in 75.5% children. Elevated aspartate transaminase (AST) was seen in 75.5%, elevated alanine transaminase (ALT) in 67.1%, hypoalbuminaemia in 47.5% and severe hypoalbuminaemia (<2.5g/dL) in 29.4%. Complications included meningitis (13.3%), shock (7.6%), meningoencephalitis (2.7%) and acute respiratory distress syndrome (2%). There were 2 (1.3%) deaths. Children with complications had higher AST (p <0.01), ALT (p = 0.018), low serum albumin (p<0.001) and prolonged international normalised ratio (INR) (p =0.003).Conclusions: Abnormal liver function tests were present in 75.5% of children with scrub typhus. Children with complications of scrub typhus had significantly higher median AST levels, ALT levels, low serum albumin levels and prolonged INR compared to children with no complications","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"18 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598557","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

Length of stay and hospitalisation rates in Indonesian patients with paediatric hepatitis A: 2015-2021 印度尼西亚儿童甲型肝炎患者的住院时间和住院率：2015-2021 年

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10616

Andraina, A. Juliansen, M. G. Vanessa, G. Octavius, R. Heriyanto, M. Muljono, C. L. Budiputri

{"title":"Length of stay and hospitalisation rates in Indonesian patients with paediatric hepatitis A: 2015-2021","authors":"Andraina, A. Juliansen, M. G. Vanessa, G. Octavius, R. Heriyanto, M. Muljono, C. L. Budiputri","doi":"10.4038/sljch.v52i4.10616","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10616","url":null,"abstract":"Objective: To describe the trend in hepatitis-A virus (HAV)-related hospitalisations in children and analyse the association of demographic, clinical and laboratory manifestations with length of stay (LOS) of HAV infection.Method: A retrospective study was conducted in Siloam Hospitals Indonesia. Inclusion criteria were hospitalised paediatric hepatitis A patients aged 3-17 years from 2015-2021. Another viral hepatitis was excluded. Total 58 samples were divided into non-prolonged group (LOS<5 days) and prolonged group (LOS≥5 days). Demographic data, clinical manifestations and laboratory parameters were collected and analysed using SPSS. Correlations with p <0.05 were considered significant.Results: Hospitalisation rate pattern showed two peaks in 2016 and in 2019. The monocyte-to-leucocyte ratio (MLR), blood urea nitrogen (BUN), and creatinine were significantly associated with LOS in bivariate analysis. Medians of MLR and BUN were higher in the prolonged group (0.23; 17) than in the non-prolonged group (0.19; 15.98). Median of creatinine was lower in the prolonged group (0.55) than in the non-prolonged group (0.74). Multivariate analysis found that dark urine was less likely to have a prolonged LOS (OR: 0.23; 95% CI 0.06-0.91, p = 0.04).Conclusions: Dark urine was a protective factor for prolonged LOS. Independently, higher BUN and higher MLR were risk factors for prolonged LOS.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"135 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598953","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

A case of neonatal association of cystic fibrosis with cholestatic jaundice and intestinal hypoganglionosis 一例新生儿囊性纤维化合并胆汁淤积性黄疸和肠道功能减退症病例

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10590

Aditi Rawat, Sagar A. Karotkar, M. Lakra, Kiran Khedkar, B. Lakhkar

引用次数: 0

An unusual case of arthropod dermatosis: A disorder of Cydnidae pigmentation (the burrowing bug) 节肢动物皮肤病的一个不寻常病例：穴居昆虫色素沉着症

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10572

Apparanjitha V. Ramanan, A. P. Krithika, S. Sundari

引用次数: 0

Neonate of Jehovah witness parents 耶和华见证人父母的新生儿

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10539

Anil Kallesh, Vikram Sakleshpur Kumar, S. R. Dhananjaya, Shivaraj Gowda

引用次数: 0

Usage patterns of electronic devices for communication and prevalence of nomophobia among General Certificate of Education Advanced Level students in Colombo, Sri Lanka 斯里兰卡科伦坡普通教育证书高级水平学生使用电子设备进行交流的模式和 "恐名症 "的流行程度

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10618

H. G. Liyanaarachchi, D. Samaranayake, H. L. Vinod, M. S. Jayawardana, V. P. Wickramasinghe

{"title":"Usage patterns of electronic devices for communication and prevalence of nomophobia among General Certificate of Education Advanced Level students in Colombo, Sri Lanka","authors":"H. G. Liyanaarachchi, D. Samaranayake, H. L. Vinod, M. S. Jayawardana, V. P. Wickramasinghe","doi":"10.4038/sljch.v52i4.10618","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10618","url":null,"abstract":"Introduction: Nomophobia is becoming an increasing concern as a result of inappropriate use of electronic communication devices.Objectives: To describe the pattern of use of electronic communication devices and the prevalence of nomophobia among General Certificate of Education (GCE) Advanced Level (A/L) students in Colombo Educational Zone.Method: This descriptive cross-sectional study was carried out from January to March 2020 in six of the randomly selected government and government approved private schools within the Colombo Education Zone. A self-administered questionnaire including a culturally adapted nomophobia-questionnaire was used. Data were analysed using SPSS-20.Results: Of 337 students, 336 (99.7%) were regularly using a device for communication, the most preferred (n=319) being mobile phone; 213 owned a mobile phone; 60.4% were spending ≥2 hours/day with these devices, 10.1% spending >5 hours/day. Common uses of devices were listening to music (96.7%), taking photos (85.4%), sending text messages (84.8%) and academic activities (84.5%). Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively. Prevalence of severe nomophobia was significantly higher in females (p<0.001) and those studying in grade 13 (p=0.036), government schools (p=0.002), Sinhala-medium (p=0.017) and Science stream (p=0.024).Conclusions: Among GCE A/L students in Colombo, Sri Lanka, 99.7% were regularly using a device for communication. Prevalence of moderate and severe nomophobia was 49.8% and 34.2% respectively.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"62 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598433","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

Slow verses rapid advancement of enteral feed in preterm neonates of 28-34 weeks of gestational age with abnormal antenatal umbilical artery Doppler: A randomised controlled trial 对孕龄 28-34 周、产前脐动脉多普勒检查异常的早产新生儿进行慢速与快速肠内喂养对比：随机对照试验

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10638

L. Kasula, Rakesh Kotha, Alimelu Madireddy

{"title":"Slow verses rapid advancement of enteral feed in preterm neonates of 28-34 weeks of gestational age with abnormal antenatal umbilical artery Doppler: A randomised controlled trial","authors":"L. Kasula, Rakesh Kotha, Alimelu Madireddy","doi":"10.4038/sljch.v52i4.10638","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10638","url":null,"abstract":"Background: Necrotising enterocolitis (NEC) is the commonest and most serious gastrointestinal neonatal emergency. In preterm infants with evidence of abnormal Doppler flow velocities in the fetal umbilical artery, suboptimal intestinal perfusion is postulated to increase the risk of feed intolerance and NEC.Objectives: To compare the effect of slow versus rapid enteral feeding in preterm neonates with abnormal antenatal umbilical artery Doppler.Method: This is a randomised controlled trial; we randomised into a slow and a fast group; we randomised separately into subcategories based on the weight. Sample size was calculated as 82. Data analysis was done using SPSS version 23. For group comparisons of categorical data, Chi-squared test was used. If expected frequency in the contingency tables was <5 for more than 25% cells, Fisher’s exact test was used. For non-parametric continuous data Mann-Whitney test was applied. Statistical significance was kept at p<0.05 and power at 80%.Results: In neonates with slow and rapid feeding with birth weight <1250g, percentage of 2b (30% and 26.7% respectively) was more compared to other stages, whereas in group with birth weight ≥1250g rapid feeding group Ia (14.3%) was more in slow feeding group and 1a and 2a equal in rapid feeding group with no statistical significance. The mean duration of stay hospital was less in rapid feeding group in both birth strata. The sepsis percentage was more in the slow feeding group. Regarding mortality in both groups, there was no statistical difference.Conclusions: In this study the type of feeding did not affect NEC or feeding intolerance in preterm infants. Rapid feeding had a significant impact on sepsis and length of stay in preterm infants.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"132 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598980","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

Does anaemia increase the risk of acute lower respiratory tract infections in children aged 1-5 years? 贫血是否会增加 1-5 岁儿童患急性下呼吸道感染的风险？

Sri Lanka Journal of Child Health Pub Date : 2023-12-05 DOI: 10.4038/sljch.v52i4.10581

Jayasekara Mudiyanselage Dinesh Kumara, Manori Gamage

{"title":"Does anaemia increase the risk of acute lower respiratory tract infections in children aged 1-5 years?","authors":"Jayasekara Mudiyanselage Dinesh Kumara, Manori Gamage","doi":"10.4038/sljch.v52i4.10581","DOIUrl":"https://doi.org/10.4038/sljch.v52i4.10581","url":null,"abstract":"Introduction: Anaemia is a major problem in children aged 1-5 years. Lower respiratory tract infection (LRTI) is defined as inflammation of the respiratory tract below the level of the larynx and is a common cause of admission to paediatric units in Sri Lanka. It is reported that anaemic children have a high risk of developing LRTIs.Objectives: To identify the association between anaemia and increased risk of developing LRTI in children aged 1-5 years presenting to a selected children's hospital in Sri Lanka.Method: A case-control study was conducted in all paediatric medical wards and intensive care units in Sirimavo Bandaranayake Children's Hospital, Peradeniya, from November 2022 to March 2023. Children aged 1-5 years admitted with LRTI were selected as cases. Children aged 1-5 years admitted without features of respiratory tract infection were selected as controls to match the age and sex of the cases. Data were collected from a questionnaire to parents and also from patient records. Data were analysed using SPSS version 22.Results: A total of 272 children was included in the study. Anaemia was found in 56.6% of cases and 44.9% of controls. The mean haemoglobin (Hb) levels of the cases and controls were 10.00±0.899 and 10.16±0.8032 respectively. Among cases, there were 57.4% of hypochromic-microcytic peripheral smears. Frequency of anaemia was significantly higher among cases as compared to controls (Odds ratio 1.605; CI: 1.025- 2.590, p-value= 0.045).Conclusions: The frequency of anaemia was significantly higher among cases as compared to controls. Anaemic children were 1.6 times more prone to get LRTI.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"29 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600871","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