Global pediatrics最新文献_第9页

Determinants of essential newborn care for institutional births in Bangladesh: Findings from the 2019 MICS Survey 孟加拉国机构分娩基本新生儿护理的决定因素：2019年多指标类集调查的结果

Global pediatrics Pub Date : 2025-03-01 Epub Date: 2025-02-04 DOI: 10.1016/j.gpeds.2025.100246

Syeda Sumaiya Efa , Syed Nafi Mahdee , Md Fuad Al Fidah

{"title":"Determinants of essential newborn care for institutional births in Bangladesh: Findings from the 2019 MICS Survey","authors":"Syeda Sumaiya Efa , Syed Nafi Mahdee , Md Fuad Al Fidah","doi":"10.1016/j.gpeds.2025.100246","DOIUrl":"10.1016/j.gpeds.2025.100246","url":null,"abstract":"<div><h3>Background</h3><div>Millions of newborns die globally during the neonatal period. Essential newborn care (ENC) is designed to lower neonatal morbidity and mortality. The current study investigated the association between sociodemographic, antenatal, and delivery care factors that may impact ENC practices for institutional birth in Bangladesh.</div></div><div><h3>Methods</h3><div>The current study utilized publicly available, nationally representative data. A total of 404 participants were considered for analysis. A logistic regression model was developed, with significant variables identified by chi-square tests. A p-value <0.05 was considered statistically significant (α=0.05).</div></div><div><h3>Results</h3><div>Almost half of the participants were <20 years old (241, 59.7 %), half had secondary level education (205, 50.7 %), and one-third were from the poorest wealth quintile (123, 30.4 %). The prevalence of proper ENC was 57 (14.1 %). In 383 (94.8 %) cases, instruments were utilized to cut the umbilical cord, with 271 (67.1 %) showing no application of substances to the cord stump. Following birth, 396 (98.0 %) newborns underwent drying, while 294 (72.8 %) were immediately wrapped. Delayed bathing was observed in 131 (32.4 %) cases, with 359 (89.9 %) initiating breastfeeding. Proper ENC was associated with assistance by skilled birth attendant (SBA) (<em>p</em> = 0.004) and residence (<em>p</em> = 0.047). Higher odds of proper ENC were found among those who received assistance by SBA (AOR: 2.39; 95 % CI: 1.32–4.32; <em>p</em> = 0.004) and belonging to the middle class (AOR: 2.90; 95 % CI: 1.26–6.68; p-value=0.012).</div></div><div><h3>Conclusion</h3><div>Proper ENC in institutional birth is not widely practiced in Bangladesh. Targeted health promotional activities and policies, especially assistance by a SBA and raising awareness among mothers of the poorest families, can help to improve ENC practices during institutional birth.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"11 ","pages":"Article 100246"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The present and the future of point-of-care ultrasound in Pediatric Care 儿科护理点超声的现在和未来

Global pediatrics Pub Date : 2025-03-01 Epub Date: 2025-02-04 DOI: 10.1016/j.gpeds.2025.100245

G. Bausani , AMC Musolino , L. Reali

引用次数: 0

Identifying birth asphyxia risk factors: Case-control study of new-borns delivered at public health institutions in Gedeo Zone, Ethiopia 确定出生窒息危险因素：埃塞俄比亚Gedeo区公共卫生机构新生儿病例对照研究

Global pediatrics Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.gpeds.2024.100242

Getachew Mergia , Getnet Melaku

{"title":"Identifying birth asphyxia risk factors: Case-control study of new-borns delivered at public health institutions in Gedeo Zone, Ethiopia","authors":"Getachew Mergia , Getnet Melaku","doi":"10.1016/j.gpeds.2024.100242","DOIUrl":"10.1016/j.gpeds.2024.100242","url":null,"abstract":"<div><h3>Background</h3><div>Birth asphyxia, a global health issue causing insufficient oxygen supply, causes around 900,000 annual deaths worldwide. This study aimed to identify risk factors for birth asphyxia in new-borns delivered at public health institutions, reducing neonatal mortality.</div></div><div><h3>Methods</h3><div>This study used an institution-based, unmatched case-control study design with a total of 354 new-borns. We used descriptive statistics and a logistic regression model to thoroughly evaluate the data and find characteristics linked with birth asphyxia. The data were given using adjusted odds ratios with 95 % confidence intervals to ensure a thorough understanding of the risk variables involved.</div></div><div><h3>Result</h3><div>The study included 119 cases and 235 controls, with a median maternal age of 27 years. Factors contributing to birth asphyxia included mode of delivery and amniotic fluid color, with caesarean section (AOR: 4.706, 95 % CI: 2.132–10.386) and unclear amniotic fluid (AOR: 4.991, 95 % CI: 2.609–9.547) significantly increasing the odds of asphyxia.</div></div><div><h3>Conclusion</h3><div>This study identified significant factors contributing to birth asphyxia, including Caesarean section mode of delivery and unclear amniotic fluid color. These findings highlight the importance of monitoring and managing delivery methods and amniotic fluid status to reduce the risk of birth asphyxia.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"11 ","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Follow-up of the preterm NICU graduates 新生儿重症监护室早产毕业生的随访

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-12-06 DOI: 10.1016/j.gpeds.2024.100236

Sinan Uslu , Ersin Ulu

引用次数: 0

Erratum Regarding Previously Published Articles 关于以前发表的文章的勘误

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI: 10.1016/j.gpeds.2024.100231

引用次数: 0

Children in jeopardy: Lessons learned from the Middle East Conflict! 处于危险中的儿童：从中东冲突中吸取的教训！

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-09 DOI: 10.1016/j.gpeds.2024.100234

Joseph Haddad

引用次数: 0

Creation of a unique centrally monitored and operated neonatal transport network in a lower and middle-income country: A first of its kind initiative 在一个中低收入国家建立一个独特的中央监控和运营的新生儿转运网络：首创举措

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI: 10.1016/j.gpeds.2024.100232

Ranganatha A Devaranavadagi , Kavya M G , Netra S Kannur , Karthik Nagesh N

{"title":"Creation of a unique centrally monitored and operated neonatal transport network in a lower and middle-income country: A first of its kind initiative","authors":"Ranganatha A Devaranavadagi , Kavya M G , Netra S Kannur , Karthik Nagesh N","doi":"10.1016/j.gpeds.2024.100232","DOIUrl":"10.1016/j.gpeds.2024.100232","url":null,"abstract":"<div><h3>Background</h3><div>With the current growth of many neonatal units in the country, good initial stabilization of sick neonates is possible at peripheral centers. However, poor neonatal transport and retrieval facilities are unfortunately leading to higher preventable mortality and morbidity in neonates arriving at a tertiary care center in poor condition.</div></div><div><h3>Objective</h3><div>To bridge the gap between referring hospital and tertiary care, this quality improvement initiative aimed to create a well-organized ‘network transport system’ for the round-the-clock provision of a city-wide retrieval system.</div></div><div><h3>Methods and intervention</h3><div>Various causes linked to adverse events in the transport and retrieval of sick infants were initially assessed through a ‘fishbone analysis’. A step-wise-driven PDSA cycle was performed. It was realized that a well-organized, centrally controlled network of fully equipped neonatal ambulances with trained personnel for delivering neonatal intensive care on wheels was necessary even in a tier-one city like Bengaluru, India. A network transport and retrieval system for the city of Bengaluru was systematically created, involving 10 partner hospitals in the Manipal group. Training of all personnel involved in transport, creating a good infrastructure of state-of-the-art ambulances, transport incubators with ventilators, remote monitoring systems, and the creation of a centralized helpline with 24/7 response. The facility was named Neonatal Care on Wheels (NOW) and was propagated as a NICU on Wheels.</div></div><div><h3>Results</h3><div>This initiative significantly improved the quality of neonatal transport as well as the stabilization of the neonate before transport.</div></div><div><h3>Conclusion</h3><div>This robust network transport has proven to show improvements in the quality of retrieval and survival similar to that seen in Western countries.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"10 ","pages":"Article 100232"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric RSV infection and respiratory coinfections: Is a link related to clinical severity? Single center retrospective study 小儿 RSV 感染与呼吸道合并感染：是否与临床严重程度有关？单中心回顾性研究

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-10 DOI: 10.1016/j.gpeds.2024.100233

Raffaele Falsaperla , Francesco Gambilonghi , Daria La Cognata , Lucia Giovanna Tardino , Silvia Marino , Patrizia Grassi , Grete Francesca Privitera , Vincenzo Sortino , Martino Ruggieri

{"title":"Pediatric RSV infection and respiratory coinfections: Is a link related to clinical severity? Single center retrospective study","authors":"Raffaele Falsaperla , Francesco Gambilonghi , Daria La Cognata , Lucia Giovanna Tardino , Silvia Marino , Patrizia Grassi , Grete Francesca Privitera , Vincenzo Sortino , Martino Ruggieri","doi":"10.1016/j.gpeds.2024.100233","DOIUrl":"10.1016/j.gpeds.2024.100233","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study was to assess whether there was a difference in terms of severity in paediatric patients assessed for respiratory symptoms in paediatric emergency departments between those who tested positive for RSV and those who presented with viral co-infections in addition to RSV. It was also assessed whether there was a difference between the two groups in terms of need for hospitalisation and ventilation.</div></div><div><h3>Methods</h3><div>This is a single center study from October 2022 to February 2023, compared two groups of patients: those infected with RSV and those coinfected with RSV and other viruses. Parameters examined included the severity of illness, as measured by the Clinical Respiratory Score (CRS), the need for and duration of hospitalization, and the need for ventilation via high flow nasal cannula (HFNC).</div></div><div><h3>Results</h3><div>The correlation with disease severity assessed by CRS in the two groups with RSV only and coinfection was not statistically significant (<em>p</em>-value 0.281). The correlation in the two groups between the need for hospitalization (<em>p-value</em> 1) and the need for ventilation (<em>p-value</em> 0.302) was also not significant. No significant correlation was found between the age of patients and CRS (<em>R</em> = −0.26, <em>p</em> = 0.119) and the age of patients and days of hospitalization (<em>R =</em> −0.013, <em>p =</em> 0.938).</div></div><div><h3>Conclusion</h3><div>These findings highlight the importance of careful management of RSV infections in children. Despite the limitations, the lack of significant differences in disease severity indicates the need to explore additional preventive strategies, such as RSV vaccination, to improve the clinical approach.</div></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"10 ","pages":"Article 100233"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Training in primary care paediatrics: The role of entrustable professional activities 儿科初级保健培训：委托专业活动的作用

Global pediatrics Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1016/j.gpeds.2024.100230

C. Villaizán Pérez , M. Aparicio Rodrigo , F. Fehr

引用次数: 0

Advances in undergraduate and postgraduate education- bedside, simulation and E-learning 本科生和研究生教育的进步--床边、模拟和电子学习

Global pediatrics Pub Date : 2024-09-01 Epub Date: 2024-05-22 DOI: 10.1016/j.gpeds.2024.100188

Edna Roche

{"title":"Advances in undergraduate and postgraduate education- bedside, simulation and E-learning","authors":"Edna Roche","doi":"10.1016/j.gpeds.2024.100188","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100188","url":null,"abstract":"<div><p>Clinical bedside teaching the cornerstone of medical education in the 19<sup>th</sup> century has been shaped and developed by changes in healthcare delivery and work practices. Developing skilled clinicians to work and thrive in these complex environments requires innovative and adaptive strategies. In this rapidly changing environment compounded by a shorter duration of training, there is an increasing focus on the student learner, team-based working and the development of professionalism. The continuum of medical education from undergraduate through postgraduate to continued professional development has been greatly enhanced by the adoption of new strategies and technologies. Simulation is long established in medical education and its benefits well recognised. Technological developments including Artificial Intelligence have supported and enhanced the quality of simulation in medical education. There is a broad range of simulation available with varying degrees of fidelity, as required, culminating in immersive virtual reality. The challenges for medical educators of the Covid-19 pandemic, with closure or restricted access to clinical patients, wards and classrooms, resulted in rapid restructuring of teaching programs and for many to move “on-line”. This resulted in widespread rapid adoption of technologically driven medical education, with E-learning, blended learning and innovative strategies to increase student engagement. The seismic changes in medical education necessitated by the Covid-19 pandemic coupled with the upskilling of medical educators and technological advances, should result in an exciting period of continued innovation in medical education, a second “Golden Era” and enhance medical education for many years to come.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100188"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000563/pdfft?md5=9e15185daaf2f4d24b3f8134d56e9c95&pid=1-s2.0-S2667009724000563-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141095285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0