International journal of pediatric research最新文献

{"title":"Dose-Delivery Time Interval of Morphine in Labour and its Impact on the Likelihood of Adverse Neonatal Outcomes","authors":"M. Ranatunga, TN Doctor","doi":"10.23937/2469-5769/1510084","DOIUrl":"https://doi.org/10.23937/2469-5769/1510084","url":null,"abstract":"Background: To find the effect that time between dosage of morphine and delivery of the baby has on the incidence of need for neonatal resuscitation. Methods: Retrospective analysis of 659 births at The Northern Hospital, Epping, Victoria, featuring use of morphine in labour. Time between morphine dose and delivery of baby was recorded for each birth, known as the dose-delivery interval (DDI). Four equally distributed categories were created based on quartiles of DDI. Various neonatal outcomes were compared between the groups, including need for resuscitation, and type of resuscitation used. Univariate and multivariate analysis were performed using IBM SPSS version 26. Results: Dose-delivery category 2 (155-314 minutes) was found to have significantly higher odds of requiring neonatal resuscitation (OR 2.08; 95% CI 1.20-3.59 P = 0.009), in addition to specific forms of resuscitation such as tactile stimulation (OR 2.05; 95% CI 1.20-3.51 P = 0.009), continuous positive airway pressure (OR 2.51; 95% CI 1.205.25 P = 0.015) and intermittent positive pressure ventilation (OR 6.67; 95% CI 2.53-17.62 P < 0.001) compared to the longest dose-delivery category (> 526.5 minutes). Subcutaneous morphine was also found to have lower odds of neonatal resuscitation (OR 0.22; 95% CI 0.068-0.69 P = 0.009) and specifically tactile stimulation (OR 0.24; 95% CI 0.08-0.77 P = 0.016) compared to intramuscular morphine. Conclusion: A dose-delivery interval between 155 and 314 minutes may lead to a higher incidence of requirement for resuscitation at birth, in addition to specific types of resuscitation including tactile stimulation, continuous positive airway pressure and intermittent positive pressure ventilation.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830264","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":"Association between Screen Time and Cardiometabolic Risk Factors and Academic Achievement among Children","authors":"Hernández-Luengo Monserrat, Álvarez-Bueno Celia, Alfonso María Eugenia Visier, Tébar Andrés Redondo, Notario-Pacheco Blanca, Martínez-Vizcaíno Vicente","doi":"10.23937/2469-5769/1510081","DOIUrl":"https://doi.org/10.23937/2469-5769/1510081","url":null,"abstract":"Background: Excessive screen time has been associated with a deleterious impact on cardiometabolic health and academic achievement in children; however, the evidence supporting these effects depends on the type of electronic device. Objective: To examine the association between the time spent watching television (TV) and using interactive electronic devices (computers, tablets, etc.) with cardiometabolic risk factors and academic achievement in school-aged children (8-11 years). Methods/design: Cross-sectional analysis was conducted using baseline measurements from a cluster randomized trial conducted in children in the 4th and 5th grades of primary education from 10 schools in Cuenca Province, Castilla-La Mancha (Spain). Sociodemographic variables, academic achievements, cardiometabolic risk (CMR) indicators, blood pressure and biochemical determinations were measured. Additionally, screen time was measured as TV viewing, electronic device use and overall screen media use and categorized by exposure time as low (< 2 hours), medium (2-3 hours) or high (> 3 hours). Academic achievement was assessed using academic grades that could range from 0 to 10. ANCOVA analyses adjusted for age, SES and BMI, were used to assess differences in anthropometric variables, metabolic variables, and academic achievement across screen time categories by sex. Results: A total of 560 children (51.96% girls) aged 8 to 11 years were examined. The mean total screen time (h/d) for boys was higher (3.89; 95% CI: 3.65-4.13) than that for girls (3.42; 95% CI: 3.21-3.63). For boys, those who watched TV for > 3 hours had worse mean differences than those in the lower categories of watching television in systolic blood pressure (SBP) in mmHg, (-4.09; 95% CI [-7.82, -0.37], p = 0.026), HDL-c levels in mg/dL (8.18; 95% CI [2.25, 14.11], p = 0.003), glucose levels in mg/dL (0.75; 95% CI [-0.86, 2.36], p = 0.79), metabolic syndrome indices in percentage (-3.79; 95% CI [-7.22, -0.35], p = 0.025), and glycated haemoglobin A1c levels in mg/dL (-0.09; 95% CI [-0.18,-0.00], p = 0.046). In addition, boys and girls in the highest category of TV viewing reported worse scores in mathematics (6.50 [SD 1.81] and 6.11 [SD 1.80], respectively) than their peers. When analysing these variables by use of electronic devices and total screen time, most of these relationships disappeared. Conclusion: Our data show that watching TV is the dimension of screen time that is most consistently associated with increased cardiometabolic risk factors and lower academic performance.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44056220","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":"Essential Newborn Care in the Municipality of Kara (North Togo) in 2019","authors":"K. Segbedji, OB Tchagbele, SM Talboussouma, H. Agrigna, K. Kombieni, Y. Atakouma, K. Azoumah","doi":"10.23937/2469-5769/1510080","DOIUrl":"https://doi.org/10.23937/2469-5769/1510080","url":null,"abstract":"Introduction: Every newborn at birth needs an adequate essential care provided by qualified personnel in order to reduce neonatal morbidity and mortality. The aim of this study was to evaluate the practice of essential newborn care (ENC) in two tertiary hospitals in the City of Kara (North Togo). Methodology: It was a prospective and descriptive study about ENC, carried out from March 1st to May 30th of 2019. The study was focused on newborns after their immediate vaginal delivery, their mothers and the hospital personnel’s who provided care for them at the hospitals (CHU and CHR) of Kara. Results: The results indicate that 4.0% of skin-to-skin contact was performed; 100% of immediate drying at birth was carried out; 100% of the umbilical cord section was well done; 100% of vitamin K1 well administered; 100% of eye care was given, 49% of early breastfeeding was performed, 85% of the first bath was done 6 hours after childbirth and 15% between 7 and 24 hours of the newborns. Conclusion: Every hospital center has its own way of practicing ENC in the City (Kara). However, in order to decrease newborn mortality, the ENC practices need to be improved in every hospital center in the city.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41267830","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 Use of Hypnosis for the Treatment of Nocturnal Enuresis: Myth or Reality?","authors":"Grotta Anna Maria Della, Boscarelli Alessandro","doi":"10.23937/2469-5769/1510078","DOIUrl":"https://doi.org/10.23937/2469-5769/1510078","url":null,"abstract":"Nocturnal enuresis is a common condition which may be cause of considerable psychological distress especially in children. Despite poor evidence across the literature, hypnosis could have an important role as first-line treatment option for primary monosymptomatic nocturnal enuresis.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41940293","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":"Lactate Dehydrogenase Level as an Early Predictor of Transient Tachypnea of the Newborn Duration and Complications","authors":"Osefori Mada, Doya Leen Jamel, Nezha Bana, Dayoub Adnan","doi":"10.23937/2469-5769/1510075","DOIUrl":"https://doi.org/10.23937/2469-5769/1510075","url":null,"abstract":"","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43499307","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":"Serum 25-Hydroxyvitamin D Levels of Apparently Healthy Nigerian Children Aged 1-24 Months","authors":"FD Akeredolu, R. Akuse, S. Mado, R. Yusuf","doi":"10.23937/2469-5769/1510076","DOIUrl":"https://doi.org/10.23937/2469-5769/1510076","url":null,"abstract":"Introduction: The role of vitamin D in promoting health and contributing to disease is an emerging area of research interest that has important health care and public health implications. As the health relevance of vitamin D outside bone health is now being explored globally, scanty data is available about the vitamin D status of healthy Nigerian children. Because Infants and young children have a relatively low supply of foods rich in vitamin D and may also have inadequate exposure to sunlight, they are at risk of vitamin D deficiency. We measured and described 25-hydroxyvitamin D levels of apparently healthy young Nigerian children. Subjects and methods: This was a cross sectional, descriptive study involving 112 apparently healthy children living in Zaria, North-West Nigeria which has adequate sunshine all through the year. Serum 25(OH)D concentrations were determined using a vitamin D ELISA kit. A level above 75 nmol/l was used to define vitamin D sufficiency in accordance with the Endocrine Society recommendations. Results: The mean 25-Hydroxyvitamin D level was 58.6 ± 30.5 nmol/l (range: 6.5-146 nmol/l). Only 31 (27.7%) of the children had 25-hydroxyvitamin D levels above 75 nmol/l, while 35 (31.3%) had insufficient (50-75 nmol/l) and 46 (41.0%) had deficient (< 50 nmol/l) serum vitamin D levels. There was no significant difference with regard to sex, age, nutritional and socioeconomical status between the groups. Conclusion: Apparently healthy young Northern Nigerian children had high prevalence of 25-hydroxyvitamin D insufficiency and deficiency. It is recommended that population studies be carried out across Nigeria to define the 25-hydroxyvitamin D levels of Nigerian children and establish predictors or determinants of vitamin D levels in them. This will assist in the development of governmental policies and strategies to prevent, detect, and treat vitamin D deficiency in Nigeria.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68750723","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 Usefulness of High Sensitivity C-Reactive Protein (hs-CRP) to Differentiate between Severe and Non-Severe Dengue in Children","authors":"Aaradhana, K. Bineeta, S. Krishna, S. Rahul","doi":"10.23937/2469-5769/1510072","DOIUrl":"https://doi.org/10.23937/2469-5769/1510072","url":null,"abstract":"High sensitivity CRP (Hs-CRP) has not been studied in children with dengue so far. We conducted this descriptive cross-sectional study to compare hs-CRP levels between a group of 31 children under 12 year of age with dengue (positive NS1 antigen and/IgM ELISA for dengue) and healthy comparison group and between severe and non-severe dengue cases. Hs-CRP levels were assessed in sera of hospitalized dengue cases and healthy controls. Median (IQR) hs-CRP levels were 46.59 (34.8, 67.0) mg/L and 0.530 (0.00, 2.79) mg/L respectively in dengue cases and healthy controls which was statistically significant (p < 0.001). Median (IQR) hs-CRP levels in severe and non-severe dengue patients were 46.59 (34.77, 68.43) and 46.67 (24.33, 63.79) mg/L respectively which was statistically not significant (p = 0.85). Hs-CRP level was significantly higher in dengue children as compared to healthy controls. But no significant difference in hs-CRP level was found between severe and non-severe dengue patients.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44050114","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":"Delayed Presentation and Outcome of Febrile Children Admitted in a Tertiary Facility in Sokoto, North-Western Nigeria: A Case-Control Study","authors":"I. Omeneke, Onankpa Ben Oloche, A. Asmau, J. Bello, Amodu-Sanni Maryam, G. Ilah, O. Busayo, Yunusa Edzu Usman","doi":"10.23937/2469-5769/1510063","DOIUrl":"https://doi.org/10.23937/2469-5769/1510063","url":null,"abstract":"Objective: Delay in seeking appropriate health care by caregivers is an important modifiable factor which contributes to childhood morbidity and mortality in developing countries. This study was carried out to assess the socio-demographic factors associated with late hospital presentation and outcome of acute febrile illnesses among children aged < 15 years in an emergency unit. Design: Prospective case control study. Setting: Hospital based study in the Emergency Paediatric Unit of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Subjects: Children admitted with acute febrile illnessesfrom October 2017 to March 2018. Cases were children with fever ≥ 3 days to 7 days, controls were those with fever < 3 days before presentation. Socio-demographic and outcome data were obtained. Analysiswas with SPSS version 23 and p < 0.05 was significant. Main outcome measures: Outcome (alive or dead) and duration of admission in days. Results: 124 of 494 admissions were sampled. Cases were more likely to have 3 or more siblings (OR 2.3; CI: 0.975.5), fathers and mothers who lacked formal education (OR 1.9; CI: 1.4-2.6, OR 2.2; CI: 1.6-3.0), and more likely visited patent medicine vendors (OR 1.3; CI: 0.95-1.9). They also had longer duration of admission (OR 8.3; CI: 3.7-18.5) and were more likely to die (OR 3.1; CI: 0.3-30.7). Three of the 4 mortalities had presented late and all were of low social class families. Conclusion: Late presentation was more with the uneducated parents with attendant longer duration of illness and higher mortality probably due to illness severity and lack of amelioration with prior treatment.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41638354","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":"Association between Sociodemographic Factors and Sleeping Patterns from Infancy to Four Years of Life in Saudi Community","authors":"S. Gigi, Z. Sarah, H. Maha, Inad Noora","doi":"10.23937/2469-5769/1510059","DOIUrl":"https://doi.org/10.23937/2469-5769/1510059","url":null,"abstract":"Objective: Sleep is a prime factor of healthy development and has been associated with emotional, behavioural, and cognitive development. This study investigates sleep parameters and associated sociodemographic characteristics in a population-based online method in Saudi children from infancy to four years of life. Methods: A Brief Infant Sleep Questionnaire (BISQ) for sleep assessment was made available to participants through the web link in Arabic language and were filled by the mothers. The target population were divided into three age groups: 0-11 months, 1-2 years, and 2-4 years. Questions related to demographic factors and sleep problems like bedtime resistance, sleep anxiety, nocturnal awakenings and daytime sleepiness were included. Data were evaluated by logistic regression analysis (p ≤ 0.05) using software R. Results: 1264 individuals participated in the study, which included 51.3% and 48.7% of male and female children respectively. Sleep disorders were significantly associated with age of child, mode of birth, mother’s occupation, family type, parent’s sleep time, sleep onset and sleep duration (P < 0.05). Inadequate bedtime habits and sleep duration below the recommended levels were observed in all age groups. Conclusions: The present study showed the prevalence and association between sleeping patterns and different sleep parameters and could be used to inform future research on how to increase parental knowledge of healthy sleep practices and adequate sleep among young children.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49230111","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":"Quality of Prevention of Mother-To-Child Transmission of HIV Service at South Wollo Zone Governmental Hospitals, Amhara Region, Ethiopia, 2018","authors":"Debrnesh Goshiye","doi":"10.23937/2469-5769/1510057","DOIUrl":"https://doi.org/10.23937/2469-5769/1510057","url":null,"abstract":"Background: Prevention of Mother-to-Child Transmission service is expanded out in accelerated fashion throughout Ethiopia with all public hospitals and health centers. However, published studies on the services’ provision in the country are generally limited. If at all, they did not comprehensively examine quality of the services. Objective: The aim of the study was to assess the quality of Prevention of Mother-to-Child Transmission service at governmental Hospitals of South Wollo Zone, Amhara Region, Ethiopia, 2018. Methods: Convergent parallel mixed study was conducted at governmental hospitals of South Wollo Zone. A total of 202 health professionals were assessed using structured questionnaires’ and 16 mothers were assessed by in-depth interview. The quantitative data were cleaned manually coded and entered into Epi info version 3.1 and analyzed using SPSS version 20. The qualitative data were analyzed by thematic analysis. Result: The overall quality of service on PMTCT was poor (47%). Majority (13) of the clients were satisfied by the service. Almost all respondents (15) were satisfied with PMTCT service providers and majorities (13) of the client were not satisfied with the counseling room privacy. Conclusion and recommendation: The overall quality of PMTCT of HIV is poor. But majority of the client were satisfied with the PMTCT service they got. There is a must for zonal health management and PMTCT focal personnel to ensure availability and use of PMTCT guidelines and sufficient supplies of recommended PMTCT commodities.","PeriodicalId":73466,"journal":{"name":"International journal of pediatric research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44615196","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}