Journal of Pediatrics & Neonatal Care最新文献

{"title":"A Multicentric study of sleep patterns and electronic media usage in adolescents","authors":"Dr. Swati Y Bhave, Madhureema Neglur, Pooja Baheti, Dr.Shailaja Mane, Dr. Sangeeta Yadav, Dr. Surekha Joshi","doi":"10.15406/jpnc.2023.13.00504","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00504","url":null,"abstract":"Introduction: Adequate healthy sleep is essential for adolescents’ optimal cognitive, and emotional functions and physical health. With media overload and stimuli from electronic gadgets, multitasking and academic stress, students are sleeping for fewer hours, making them one of society's most sleep-deprived age groups. Association of Adolescent and Child Care in India (AACCI) conducts multicentric studies to survey the lifestyles of children and adolescents in India, which include the use of electronic media and sleep patterns. These results are shared with the management, teachers and parents and programs are held for them and the students to make them aware of the importance of improving sleep patterns and proper sleep hygiene and the risks of poor sleep habits. Methods: This paper shows the results of a multicentric college study. This data was collected from participants of AACCI Life Skills Education (LSE) workshops conducted in six different colleges in India during the period 2008 and 2010. A standardized and validated Questionnaire on Life style has been created by AACCI for use in these multicentric surveys The sample comprised 289 college students from six groups – A) and B) 62 First year Junior college from Mumbai (age range 16-18 years; 32 students of high socioeconomic status from an elite college and 30 students from middle socio-economic status), C) 113 First-year medical students from Pune (age range 18-19 years), D) 32 students from Vocational college from Mumbai (age range 19-21 years), E) 40 Final year nursing college From Delhi (age range 19-24) and F) 42 M.Tech Post Graduate (PG) Engineering Hyderabad (age range 20-25 years). Ethical clearance: Ethics approval was obtained from AACCI Institutional ethics committee. Permission and consents: Prior permissions were taken from the college Principals to conduct the workshop, including parental permission for the participants below 18 years of age. Written assent (16-17 years) consent (>18 years) was obtained from the students by including it in the questionnaire form. Statistical analysis: The data has not been analysed statistically, as the sample size at each centre was small and their backgrounds were different. Descriptive comparisons have been made across students’ sleep patterns and electronic usage. Results: Results indicated that students from the younger age group slept longer than those from the older group. Nursing and medical students had less sleep hours due to erratic schedules. PG engineering students had the most regular sleep hours. Regarding electronic devices, PG Engineering students used the computer and internet for >6 hours daily; nurses used the computer internet and mobile the least. Mumbai students watched Television the most while engineering students watched it the least. AACCI conducted workshops for these students to inculcate in them, a healthy lifestyle.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114616957","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":"An analysis of anger expression in participants of a life skill education workshop from a school in Nagpur","authors":"Dr. Swati Y Bhave, M. P., Dr. RG Patil, Dr. Nishikant Kotwal, Dr. TS Jain, Dr. Surekha Joshi","doi":"10.15406/jpnc.2023.13.00503","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00503","url":null,"abstract":"Background: Association Adolescent Child Care in India conducts Life Skills workshop (LSE) for children and adolescents across cities. This paper analyses the data of an anger management session in high school children. Objective: To analyse how anger is expressed in high school children and their families. Teaching various aspects of anger and constructive ways to express anger. Materials & Methods: A customized AACCI worksheet was given to 65 participants aged 13-15 years of age attending LSE workshop in Nagpur, India. Participants were asked how they express their anger; giving four choices and explaining what each is -venting, rationalization, withdrawal, and distraction. They were asked to fill in how their parents, siblings and their significant adult in their life express anger. Chi square test of independence was conducted to understand how children’s anger expression is related to familial expression of anger. Results: In this sample, from children’s data, we found distraction 50%, venting 29%, withdrawal 7% and rationalization 14%. In family patterns of expressing anger, venting was most common- mothers (58%) and fathers (40%). Rationalizing was the second most common way of expressing anger - mothers 31% and fathers 35%. Chi square revealed significant relationships at p<0.00001. Conclusion: Parents need to learn constructive ways of anger expression as role models. This study has shown that parental expression of anger influences children’s expression of anger. This sample of mid adolescence (13-15yrs) uses less impulsive and expressive means of expressing anger, those that reduce conflict situations. Limitations:This is a pilot study, hence sample is small. Larger sample is required for further validation. However we have got statistically significant results.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114272535","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":"Perinatal morbidity and mortality in neonates of mothers with sickle cell disease at the Teaching Hospital of Borgou /Alibori (Benin)-II","authors":"MF Agbeille, TL Bagnan, A. Noudamadjo, M. Vodouhè, MG Kpanidja, J. Chogou, G. Romulus, JD Adedemy, J. Agossou","doi":"10.15406/jpnc.2023.13.00502","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00502","url":null,"abstract":"Introduction: Pregnancy in women with sickle cell disease exposes the neonate to an increased risk of perinatal mortality. Objective: To determine perinatal morbidity and mortality in neonates of mothers with sickle cell disease at the teaching hospital of Borgou/Alibori in northen Benin. Patients and methods: This was a descriptive and observational study conducted in maternity and neonatology departments at the teaching hospital of Borgou/Alibori from January 1, 2015 to August 31, 2019. It included neonates of at least 22 weeks or weighing more than 500g, alive or not at birth from mothers with sickle cell disease. The variables studied were sociodemographic, clinical and evolutionary. The protocol was submitted to the ethics committee of the University of Parakou and obtained its approval under the reference 0289/CLERB-UP/P /SP/R/SA. Results: During the period, 130 pregnant women with sickle cell disease were admitted out of a total of 10,087, representing a frequency of 1.3%. The main perinatal morbidities were: acute fetal distress (10,4%), prematurity and intrauterine growth restriction (49.5%), respiratory distress (40%), bacterial infections (30.5%) and perinatal asphyxia (21.1%). Perinatal deaths occurred in 28 neonates and the perinatal mortality rate was 243.5‰. Conclusion: Acute fetal distress and low birth weight are the main perinatal morbidities observed. Perinatal mortality in these neonates is higher than in the general population in our context. Hence the need for early multi-disciplinary care.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128811081","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":"Sexual dimorphism of papillary number (PN) and main line index (MLI) among autistic patients of West Bengal, India","authors":"B. Dey, D. Chatterjee, Piyali Das, Arup Ratan Bandyopadhyay","doi":"10.15406/jpnc.2023.13.00501","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00501","url":null,"abstract":"Dermatoglyphic traits area well-known clinical marker for several congenital malformations and neurodevelopment disorders. The dermatoglyphic patterns and neural tissues originate from the ectodermic layer within the first and second trimesters of intrauterine life and are unaltered throughout an individual's life. Autism is a complex neurodevelopmental disorder characterized by significant disturbances in social-communicative and behavioral functioning. To the best of our knowledge, the present study is the first attempt to understand the relationshipbetween Papillary Number (PN) and Main Line Index (MLI) as an assessment of Sexual Dimorphism among the Autisticpatients from Bengalee Hindu caste population of West Bengal, India. To achieve this purpose, bilateral palm prints of 100 (67 males and 33 females) diagnosed Autistic patients and 100 (55 males and 45 females) healthy controls without any family history of Autism have been collected from the Bengalee Hindu caste population of West Bengal. All the prints were collected by the standard Ink and Roller Method (Cummins & Midlo, 1961).The result demonstrated that significant (p<0.05) sexual dimorphism on the PN and MLI was found between the Autistic males and Autistic females combing both hands. Nevertheless, the controls never showed any sexual dimorphism in the context of PN and MLI. Therefore, the present study suggests that the sexual dimorphism of the PN and MLI among Autistic patients might be other beneficial dermatoglyphic traits for Autism detection.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131222820","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":"Unilateral pulmonary agenesis, esophageal atresia, and tracheo esophageal fistula: no more a fatal condition","authors":"Lalith Wijesinghe, Debesh C Maji, Nagy Shaker, Madhavan P Nayar, Mohd J Sajwany","doi":"10.15406/jpnc.2023.13.00500","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00500","url":null,"abstract":"The occurrence of unilateral pulmonary agenesis (PA) and esophageal atresia with and without tracheo esophageal fistula (EA/TEF) is exceedingly rare. The common origin of the esophagus and the lungs from the primordial foregut explains this association. This study reports on the accuracy of the preoperative investigations, operative approach, and a review of the literature and our own series.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124769875","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":"Knowledge and practice of caregivers for the management of their febrile children: Bangladesh perspective","authors":"Nure Ishrat Nazme, Sardar Shahnabi Jafran, J. Sultana","doi":"10.15406/jpnc.2023.13.00498","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00498","url":null,"abstract":"Background: Fever is the most common pediatric symptom and one of the most prevalent public health issues, which warrants frequent visits to the doctors. Evidence-based practices are widely lacking due to a scarcity of knowledge regarding the management of febrile children. Objective: This study aims to determine caregivers' knowledge and practices for managing their febrile children and to assess the factors influencing these practices. Method: This cross-sectional study was conducted at two military hospitals in Bangladesh. The study subjects comprised a convenient sample of 350 caregivers attending the OPD with a feverish child under twelve years. Results: Knowledge about fever management was deficient in the majority of participants, in terms of fever definition, the Paracetamol dose, and frequency. Most of the participants were worried about febrile convulsions. Unsatisfactory practices were observed in regards to faulty temperature measurement, giving inadequate fluid to febrile children, and preferring antibiotics to reduce body temperature. Maternal age, education level of the mother, income of the family, number of children, occupation of the mother, type of family, and history of recurrent illness in children were found to be significantly associated with the knowledge and practice level of parents. Conclusion: Poor knowledge and unsatisfactory practice of the parents regarding the management of their febrile children lead to undue concern, which increases the burden on healthcare facilities. It provides insight for healthcare providers to enhance parental expertise by offering evidence-based information and spreading awareness in the community to augment the general outcomes of febrile episodes in children.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128036779","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":"Cystoid macular edema after cataract surgery. Aragua regional ophthalmological center and Maracay Central Hospital","authors":"Yuraima García C, Denys Lander, Juan Schulz, Víctor Santander, Ariacne Carrasquel, Karina Cumana","doi":"10.15406/jpnc.2023.13.00499","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00499","url":null,"abstract":"Cystoid macular edema (CME) is a late complication of cataract surgery. Objective: To evaluate the frequency of cystoid macular edema after cataract surgery at the Regional Ophthalmology Center of Aragua and Hospital Central de Maracay during the period from March to August 2022. A quantitative investigation was developed, with a non-experimental, descriptive design. The study was prospective and longitudinal in a population of 148 patients for a sample of 45 eyes of 45 patients who presented cataracts and underwent surgery using extracapsular extraction and phacoemulsification techniques. Results: 6 cases of CME were presented, representing a frequency of 13%. The average age was 66 ± SD 12.49 years, 50% of the cases were between 65 and 71 years. 67% corresponded to the female sex, with the same frequency of 50% for both eyes. 67% presented corrected visual acuity less than 20/80 at the fourth week, this frequency rising to 83% at the sixth week; 18% presented a central foveal thickness greater than 241 µm in the fourth week, maintaining this value in the sixth. 67% of the patients were operated on by the EECC technique and the rest by FACO. Conclusion: CME is a post-surgical cataract complication, being higher in advanced age, female sex and with the application of the EECC technique. Patients with CME presented progressive deterioration of visual acuity and foveal thickening, observing that the lower the corrected visual acuity, the greater the foveal thickness.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121137122","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":"Retrospective pattern study of pediatric surgical conditions outcome in a tertiary care center","authors":"Bijaylaxmi Behera, G. Kaur, A. Dharmik","doi":"10.15406/jpnc.2023.13.00497","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00497","url":null,"abstract":"Aim: To observe the incidence and outcome of pediatric surgical conditions in a tertiary care center. Method: A retrospective observational study was conducted at Motherhood Chaitanya hospital between January, 2018 to December, 2021 and 118 patients requiring surgery were enrolled during the time frame. These cases were divided into congenital and acquired conditions. Incidence of various surgical conditions in different age groups has been observed. The comparison was made as to which condition is predominantly common in the center. Length of hospital stay was taken into consideration and time taken to initiate enteral feeds and reach full feeds was studied in gastrointestinal (GI) cases. The outcome of 118 cases has been assessed in the form of discharge or death. Results: In this study, a total of 118 patients were enrolled over the specified age time frame from birth to 16 years. The majority of the cases were males and the male to female ratio of 2.8:1. 32.2% of the cases were between 4 to 13 years, the age group most commonly affected. 80 cases accounted for congenital anomalies with inguinal hernia being the most common (18.75%). 31.5% were abscesses requiring drainage among acquired conditions. 50% of total cases were gastrointestinal cases with inguinal hernia having a maximum incidence(25.4%). 32.2% of cases had a hospital stay of 24 to 48 hours. Time taken to initiate feeds was 1.5 days in GI surgeries. Mortality of 2.5% has been observed in this study. Conclusion: Pediatric surgery conditions pose a major health and economic burden to the community so they must be timely identified and treated.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116332209","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":"Breastfeeding practices after caesarean section (C-section) at the Essos Hospital Center","authors":"Anne Esther Njom Nlend, Ludovic Nguessa, A. Sandie","doi":"10.15406/jpnc.2023.13.00496","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00496","url":null,"abstract":"Background: Exclusive breastfeeding is the gold standard for infant feeding; combined with early breastfeeding, it becomes very beneficial for the child and his mother. However, caesarean section can affect its practice. Objective: To evaluate breastfeeding practices after caesarean section in the maternity ward of the Essos Hospital Center. Material and methods: Our retrospective and analytical cross-sectional study went from January 2020 to July 2020. Included in our sample were women who gave live-births by caesarean section at the Essos Hospital Center, whose children were alive. Interviews used a pre-established and pre-tested questionnaire, Data were collected using CSPro software version 7.3.1. The odds ratio with its 95% confidence interval was used to assess the association between the different variables. Any difference was considered statistically significant when the p-value <0.05. Results: We recruited 70 caesarized women, all the mother-child pairs had been separated, and none of the mothers had breastfed early. Furthermore, 42.9% of lactating women had given the breast between 1 and 24 hours after birth, and 52.9% twenty-four hours later. A statistically significant association existed between the duration of separation and the delay in breastfeeding initiation (duration of separation 24h (OR= 0.07; IC= 0.00-0.42; p=0.016); 48h (OR=0, 02; CI=0.00=0.18; p=0.002); 48h-72h (OR=0.03; CI=0.00-0.28; p=0.007)). Conclusion: In this population, caesarean section and mother-child separation played a major negative role by delaying the initiation of breastfeeding.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114613196","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":"The Politeoxygen splitter system (PSS) – a frugal LMIC oxygen delivery technology that expands the utility by up to 700%","authors":"Amadi Ho","doi":"10.15406/jpnc.2023.13.00495","DOIUrl":"https://doi.org/10.15406/jpnc.2023.13.00495","url":null,"abstract":"Background: Oxygen therapy is indispensable in neonatal care requiring prompt commencement when prescribed. This is often hampered by limited availability of oxygen cylinders or concentrators at busy SCBUs in Nigeria. Where available, these two items of oxygen sources overcrowd the SCBU creating movement barriers leading to injuries, neonatal infections from high traffic of dirty cylinders and noise pollution from many concentrators. This presents the urgent need for a low-cost technique that could help to make oxygen easily administered to as many neonates as the need arises simultaneously. Aim: To describe an oxygen splitter system and compare outcomes of oxygen prescription in neonates pre and post-system installation. Methods: Politeoxygen® Splitter System (PSS), a novel oxygen distribution system was designed to eliminate oxygen concentrator and cylinder adverse effects whilst enabling only one oxygen source to support up to eight neonates, simultaneously. Following ethical clearance from Research Ethics Committee of Niger State Ministry of Health, Nigeria, five sets of the device were installed and applied. Records of newborns who received oxygen therapy, pre-PSS installation and post-PSS were retrieved. Time delays to oxygen commencement following prescription were assessed in both groups. Incidences of cylinder falls and obstructions were noted. Results: PSS supported multiple numbers of neonates using one oxygen-source with patient independent humidification and variable flowrates, sharing total flow up to 15 LPM amongst needy neonates as individually required. Six of 105 (6%) newborns received oxygen within 10 minutes of prescription pre-PSS installation, whereas 96% (72/75) post-PSS. The median (range) time delay to commencing oxygen therapy post-PSS was 0(0–90) minutes whereas pre- PSS was 74(0–1110). Conclusion: Unlike pre-PSS group, 100% of post-PSS neonates received oxygen as soon as this was prescribed, leading to prompt therapy initiation and many of them survived. It is author’s opinion that the PSS is recommended to enhance prompt far-reaching oxygen to neonates in poor settings.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125962403","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}