Journal of mother and child最新文献

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The Involvement of Neonatal Intensive Care Unit and Other Perinatal Factors in Postpartum PTSD After Cesarean Section. 新生儿重症监护室和其他围产期因素在剖宫产术后产后创伤后应激障碍中的作用。
Journal of mother and child Pub Date : 2023-11-03 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-23-00056
Eirini Orovou, Panagiotis Eskitzis, Irina Mrvoljak-Theodoropoulou, Maria Tzitiridou-Chatzopoulou, Christiana Arampatzi, Nikolaos Rigas, Ermioni Palaska, Maria Dagla, Maria Iliadou, Evangelia Antoniou
{"title":"The Involvement of Neonatal Intensive Care Unit and Other Perinatal Factors in Postpartum PTSD After Cesarean Section.","authors":"Eirini Orovou, Panagiotis Eskitzis, Irina Mrvoljak-Theodoropoulou, Maria Tzitiridou-Chatzopoulou, Christiana Arampatzi, Nikolaos Rigas, Ermioni Palaska, Maria Dagla, Maria Iliadou, Evangelia Antoniou","doi":"10.34763/jmotherandchild.20232701.d-23-00056","DOIUrl":"10.34763/jmotherandchild.20232701.d-23-00056","url":null,"abstract":"<p><strong>Background: </strong>The experience of a neonate hospitalised in the Neonatal Intensive Care Unit (NICU) is an understandably traumatic experience for the parents, especially, for the mothers of neonates. This mental distress resulting from preterm birth and/or NICU hospitalisation can be understood as post-traumatic symptomatology, according to the Diagnostic and Statistical Manual-5 version. The aim of this study is to investigate the impact of the admission of a neonate to the NICU (from any reason) on the development of postpartum post-traumatic stress disorder (PTSD) in a sample of women after cesarean sections.</p><p><strong>Material and methods: </strong>A total of 469 women who gave birth with cesarean section from July 2019 to June 2020 participated in this study, from the original sample of 490 women who consented to participate. Data were obtained from the researcher's socio-demographic questionnaire, the past traumatic Life Events Checklist, the perinatal stressor Criterion A, and the Post-Traumatic Stress Checklist from the Diagnostic and Statistical Manual-5 version.</p><p><strong>Results: </strong>A percentage of 46.64% of sample experienced postpartum PTSD. Factors associated with PTSD were placenta previa type4, abruption, bleeding (β = .07, p = .049), premature contractions (β = .08, p = .039), heavy medical history or previous gynecological history and preeclampsia (β = .08, p = .034), abnormal heart rate, premature rupture of membrane, premature contractions, infections (β = .14, p = .004), life of child in danger (β = .12, p = .025), complications involving child (β = .15, p = .002), complications involving both (child and mother) (β = .12, p = .011), traumatic cesarean section (β = .041, p < .001) and prematurity (β = .12, p = .022).</p><p><strong>Conclusions: </strong>Additional measures must be taken for mothers of children who have been admitted to the NICU with psychological support interventions and reassessment of their mental state.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"158-167"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429928","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
Placental Findings in Infants Gestational Age < 34 Weeks and Impact on Short-Term Outcomes. 孕龄<34周婴儿的胎盘检查结果及其对短期结果的影响。
Journal of mother and child Pub Date : 2023-11-03 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20222601.d-23-00017
Krešimir Šantić, Borna Biljan, Martina Kos, Ivana Serdarušić, Jasmina Rajc, Darjan Kardum
{"title":"Placental Findings in Infants Gestational Age < 34 Weeks and Impact on Short-Term Outcomes.","authors":"Krešimir Šantić, Borna Biljan, Martina Kos, Ivana Serdarušić, Jasmina Rajc, Darjan Kardum","doi":"10.34763/jmotherandchild.20222601.d-23-00017","DOIUrl":"10.34763/jmotherandchild.20222601.d-23-00017","url":null,"abstract":"<p><strong>Aim: </strong>To analyse placental changes in infants' gestational age < 34 weeks and its correlation to short-term respiratory outcomes or death until hospital discharge.</p><p><strong>Material and methods: </strong>Information regarding all in-house born preterm infants born before 34 weeks gestation and born from January 2009 until December 2014 were collected and included among others, placental pathology and relevant data on demographics and outcomes of infants.</p><p><strong>Results: </strong>Placental abnormalities was found in 157/253 (65.05%) cases. Acute placental inflammation was found to be the most common in both groups of premature neonates, followed by maternal vascular underperfusion. Maternal vascular underperfusion was significantly more common in GA ≤ 27 weeks compared to infants GA 28-33 weeks (35.2% vs. 13.7%; p = 0.018). Similarly, chronic placental inflammation was more common in infants GA ≤ 27 weeks compared to infants GA 28-33 weeks (14.3% vs. 3.3%; p = 0.014). Infants with placental pathology had a lower median birth weight (1460g vs. 1754g; p = 0.001, and were of shorter median GA at birth (31 vs. 32; p = 0.001). Infants with any placental disease had higher rates of death until hospital discharge (10.2% vs. 3.1%; p = 0.039) and higher rates of any stage of bronchopulmonary dysplasia (41.4% vs. 26.0%; p = 0.013). There were no significant differences in mechanical ventilation rates, duration of mechanical ventilation and duration of supplemental oxygen therapy.</p><p><strong>Conclusion: </strong>Identifiable placental abnormalities were found in most infants born < 34 weeks gestation. Placental pathology is associated with increased rates of bronchopulmonary dysplasia and death until hospital discharge.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"168-175"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429927","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
Clinical Presentation of Inherited Metabolic Diseases in Newborns Hospitalised in an Intensive Care Unit. 重症监护病房住院新生儿遗传代谢性疾病的临床表现。
Journal of mother and child Pub Date : 2023-10-16 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-23-00021
Catarina Teixeira, Catarina Cordeiro, Carla Pinto, Luísa Diogo
{"title":"Clinical Presentation of Inherited Metabolic Diseases in Newborns Hospitalised in an Intensive Care Unit.","authors":"Catarina Teixeira,&nbsp;Catarina Cordeiro,&nbsp;Carla Pinto,&nbsp;Luísa Diogo","doi":"10.34763/jmotherandchild.20232701.d-23-00021","DOIUrl":"10.34763/jmotherandchild.20232701.d-23-00021","url":null,"abstract":"<p><strong>Background: </strong>The first clinical manifestations of inherited metabolic diseases occur in the neonatal period in up to half of cases, often with nonspecific symptoms, making their recognition challenging. This study aimed to characterise inherited metabolic disease cases with neonatal presentation requiring admission to the paediatric intensive care unit in a Portuguese reference centre for inherited metabolic diseases.</p><p><strong>Material and methods: </strong>An observational study with retrospective data collection was performed, including all newborns with an inherited metabolic disease admitted to the pediatric intensive care unit between June 2011 and June 2022. Three 'pathophysiological' groups were defined: cases due to small molecules, energy deficiency and complex molecules.</p><p><strong>Results: </strong>Twenty newborns, with a median age at admission of 7.5 days, were included. Thirteen (65%) were female, sixteen (80%) had a small molecule disorder, and four (20%) had diseases of energy defects. Neurological manifestations were the most common, with most newborns presenting symptomatically in the first week of life. There was no difference between the groups in neurological, cardiac, and hepatic involvement and shock at presentation. A symptom-free interval was more frequent in patients with small molecule disorders than the others (p=0.01). The main metabolic changes found were altered plasma amino acids (n=13) and organic aciduria (n=10), creatine kinase elevation (n=13), hyperlactatemia (n=12), metabolic acidosis with increased anion gap (n=8) and hyperammonaemia (n=7). Newborn screening of metabolites helped make a diagnosis in 60% of cases. Five newborns died due to multiorgan failure (n=3) or refractory cardiogenic shock (n=1), and in one, therapeutic efforts were limited due to an adverse neurological prognosis.</p><p><strong>Conclusion: </strong>Although the symptoms and signs are often nonspecific, we should suspect inherited metabolic disease when a newborn presents with neurological symptoms after a symptom-free period, however short it might be. Newborns with suspected inherited metabolic disease should be evaluated with simple biochemical tests, and newborn screening should be urgently expanded to start specific treatment earlier, reducing mortality and morbidity.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241824","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
Aftermath of Chlamydia Trachomatis - The Tip of an Iceberg in Female Reproductive Health. 沙眼衣原体的后遗症——女性生殖健康的冰山一角。
Journal of mother and child Pub Date : 2023-10-16 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-23-00033
Aparnna Vaikundam Subramanian, Sruthi Nagarajan, Poongodi Santhana Kumarasamy
{"title":"Aftermath of Chlamydia Trachomatis - The Tip of an Iceberg in Female Reproductive Health.","authors":"Aparnna Vaikundam Subramanian,&nbsp;Sruthi Nagarajan,&nbsp;Poongodi Santhana Kumarasamy","doi":"10.34763/jmotherandchild.20232701.d-23-00033","DOIUrl":"10.34763/jmotherandchild.20232701.d-23-00033","url":null,"abstract":"<p><strong>Objective: </strong>The magnitude of infertile couples worldwide was found to be 60-80 million. Genital infection due to Chlamydia trachomatis (C. trachomatis) is one of the most prevalent sexually transmitted infections (STIs) which may present as PID, leading to ectopic pregnancy, infertility or other adverse health outcomes. This study was done to assess the prevalence of C. trachomatis infections among female patients with infertility using real time PCR (RT-PCR) and to compare the findings of molecular testing with hysterosalpingography (HSG) and ultrasonography (USG).</p><p><strong>Material and methods: </strong>50 endocervical swabs were collected from women of reproductive age group attending infertility clinic and stored at -80 ºC. DNA extraction was done with Helini bacterial mini spin kit and tested for C. trachomatis DNA by RT-PCR kit.</p><p><strong>Results: </strong>Of the 50 patients, 43 (86%) had primary infertility, and 7 (14%) had secondary infertility. Three (6%) were positive for C. trachomatis by RT-PCR. Two had primary infertility and one had secondary infertility.</p><p><strong>Conclusion: </strong>Routine screening of C. trachomatis even in high-risk populations is not available in developing countries like India. The World Health Organization recommends syndromic approach for case management. Hence, a cost-effective, highly sensitive and specific test is the pressing priority in resource poor settings.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241823","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
Impact of Maternal Essential Fatty Acid Intake on the Birth Weight of Infants. 母体必需脂肪酸摄入量对婴儿出生体重的影响。
Journal of mother and child Pub Date : 2023-10-16 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-22-00052
Manojna Masina, Srujana Medithi, Arti Muley
{"title":"Impact of Maternal Essential Fatty Acid Intake on the Birth Weight of Infants.","authors":"Manojna Masina, Srujana Medithi, Arti Muley","doi":"10.34763/jmotherandchild.20232701.d-22-00052","DOIUrl":"10.34763/jmotherandchild.20232701.d-22-00052","url":null,"abstract":"<p><strong>Background: </strong>Increased uptake of essential fatty acids during pregnancy through seafood and supplementation has been shown to positively correlate with gestational age and increased infant birth weight. We aimed to evaluate the effect of maternal dietary intake of essential fatty acids, supplementation on gestational period and infant birth weight.</p><p><strong>Materials: </strong>A literature search with the help of various databases such as PubMed, Google Scholar, Web of Science and Scopus was conducted.</p><p><strong>Methods: </strong>Original research articles and intervention-based studies, which involve an association between dietary intake and supplementation of essential fatty acids during full-term pregnancy on human infant birth outcomes and published from 2011 to 2021, were included.</p><p><strong>Results: </strong>In total, there were 21 intervention-based studies, including full-term pregnant women with or without existing comorbidities, which compared essential fatty acids in the form of dietary sources and supplementation with dietary counseling and with or without placebo. The intervention trials included in this review were conducted in developed and developing countries. Half of the pregnant women who enrolled in the study had comorbidities such as diabetes and hypertension, which might increase their risk of adverse maternal and infant birth outcomes. Most of the studies included in the review have reported a positive association between improvised dietary and supplementation intake of essential fatty acids with increased length of gestation, infant birth weight and other parameters such as head circumference, infant birth length and growth velocity.</p><p><strong>Conclusion: </strong>Positive correlations were found between increased consumption of essential fatty acids in food sources and supplements with improvised infant birth weight and gestational period.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241825","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
Cutaneous Manifestations in Patients with Beta-Thalassemia Major. 严重β地中海贫血患者的皮肤表现。
Journal of mother and child Pub Date : 2023-10-08 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-23-00047
Zunaira Zulfiqar, Ayesha Kanwal, Manahil Chaudhry, Muhammad Aadil, Sehrish Qaiser, Ayesha Malik, Mohammad Abdullah
{"title":"Cutaneous Manifestations in Patients with Beta-Thalassemia Major.","authors":"Zunaira Zulfiqar, Ayesha Kanwal, Manahil Chaudhry, Muhammad Aadil, Sehrish Qaiser, Ayesha Malik, Mohammad Abdullah","doi":"10.34763/jmotherandchild.20232701.d-23-00047","DOIUrl":"10.34763/jmotherandchild.20232701.d-23-00047","url":null,"abstract":"<p><strong>Background: </strong>Beta-thalassemia major is a transfusion-dependent thalassemia. Both ongoing disease-related inflammatory processes and chronic transfusions lead to iron overload, which is depicted by hyperferritinemia. We aimed to report the prevalence of various dermatological manifestations in beta-thalassemia major patients and their relationship with serum ferritin levels.</p><p><strong>Material and methods: </strong>This was a cross-sectional study conducted over a period of six months. Beta-thalassemia major patients were consecutively enrolled and examined by a dermatologist who charted any skin conditions, if present. A blood sample was also taken at the same time to check for the serum ferritin levels. Data was analysed using SPSSv25.</p><p><strong>Results: </strong>A total of 113 patients were included in the study. The mean age of the cohort was 9.32 ± 4.54 years. The mean ferritin level for the cohort was 3334 ± 1676 micrograms per litre. Cutaneous manifestations were seen in 89.4% (n = 101) patients with the common ones namely xerosis (44.2%), freckles (39.8%) and pruritus (44.2%). We noted that serum ferritin levels were significantly higher in those with freckles (p = 0.00288). The cause of pruritus does not appear to be jaundice (p = 0.973). Lastly, number of skin conditions were higher in those with onset of blood transfusions at age less than one year (p = 0.0011).</p><p><strong>Conclusion: </strong>Dermatological manifestations are a frequently encountered problem in beta-thalassemia major patients. It is important to examine these patients for various skin disorders periodically as this can help improve their quality of life and reduce dermatological-associated morbidity.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159395","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
Effect of Educational Intervention Based on Self-Efficacy Theory on the Caring Behaviour of Mothers Who Have Children With Cancer. 基于自我效能理论的教育干预对癌症患儿母亲关爱行为的影响。
Journal of mother and child Pub Date : 2023-08-31 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-22-00065
Maryam Barani, Laleh Hassani, Amin Ghanbarnejad, Mohammad Ali Molavi
{"title":"Effect of Educational Intervention Based on Self-Efficacy Theory on the Caring Behaviour of Mothers Who Have Children With Cancer.","authors":"Maryam Barani,&nbsp;Laleh Hassani,&nbsp;Amin Ghanbarnejad,&nbsp;Mohammad Ali Molavi","doi":"10.34763/jmotherandchild.20232701.d-22-00065","DOIUrl":"10.34763/jmotherandchild.20232701.d-22-00065","url":null,"abstract":"Abstract Self-efficacy, as one of the concepts of the empowerment model, plays a role in increasing caring behaviour. Accordingly, our study aimed to evaluate the effect of educational intervention based on self-efficacy theory on the caring behaviour of mothers who have children with cancer. This quasi-experimental study was conducted on all mothers (N = 86) of children with cancer undergoing chemotherapy who were referred to Bandar Abbas Children's Hospital. All mothers participated in 10 training sessions based on the four foundations of self-efficacy theory. The results indicated a significant increase in the mean score of mothers’ self-efficacy at first and second follow-ups respectively by 10.2 and 10.9 after intervention (P < 0.001). Furthermore, the mean score of caring behaviour was increased after the intervention for the first and second follow ups by 24.6 and 25.9 from the baseline respectively (P < 0.001). The results of the present study indicated that an educational program for mothers increased their caring behaviour and self-efficacy with the increase of self-efficacy, mothers’ caring behaviour was promoted. Authorities and practitioners are suggested to pay more attention to designing educational programs based on health models and theories.","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168358","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
Determinants of Childhood Asthma: A Case Control Study from a Tertiary Care Hospital in Bengaluru, South India. 儿童哮喘的决定因素:来自南印度班加罗尔一家三级护理医院的病例对照研究。
Journal of mother and child Pub Date : 2023-08-31 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-22-00059
Andrea Daniella Johnson, Alex Fernando, Maria Lewin, Farah Naaz Fathima
{"title":"Determinants of Childhood Asthma: A Case Control Study from a Tertiary Care Hospital in Bengaluru, South India.","authors":"Andrea Daniella Johnson,&nbsp;Alex Fernando,&nbsp;Maria Lewin,&nbsp;Farah Naaz Fathima","doi":"10.34763/jmotherandchild.20232701.d-22-00059","DOIUrl":"10.34763/jmotherandchild.20232701.d-22-00059","url":null,"abstract":"<p><strong>Background: </strong>Childhood asthma is a common, and often serious, chronic disease with episodic exacerbations in infants and children. There is an increasing trend in the prevalence of childhood asthma in developing countries. Objectives: To identify the determinants of childhood asthma.</p><p><strong>Methods: </strong>A case control study with 30 cases of childhood asthma and 30 gender- and aged-matched controls selected from the paediatric outpatient department and paediatric ward of a tertiary hospital. The primary caregiver was interviewed to capture sociodemographic details, prenatal and birth history, and history of exposure to environmental risk factors. Odds ratios with 95% confidence intervals were calculated to determine the strength of association between childhood asthma and independent co-variates, followed by subgroup multiple logistic regression analysis.</p><p><strong>Results: </strong>We found that children with a parental history of allergy/atopy [OR=2.88 (1.94-4.27), P<0.001], residence in houses located in industrial areas [AOR=2.72 (2.6-323.1), P<0.001], exposure to incense at home [AOR=2.03 (1.14-29.42), P<0.001], or a history of allergic rhinitis [AOR=3.09 (2.22-243.25), P<0.001] had significantly higher odds of developing childhood asthma.</p><p><strong>Conclusion: </strong>Our study found that having homes located in industrial areas, burning incense at home, parental history of allergy, and history of allergic rhinitis in the child are determinants of childhood asthma. The findings from our study can be used to generate awareness regarding risk factors that are linked to childhood asthma.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"107-113"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10540715","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
A Current Management Strategy for Children with Chronic Viral Hepatitis B, Based on International and National Guidelines. 基于国际和国家指南的儿童慢性病毒性乙型肝炎的当前管理策略。
Journal of mother and child Pub Date : 2023-08-31 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-23-00006
Inna M Nesina, Tetyana O Kryuchko, Olha A Poda, Olha Ya Tkachenko, Nataliia V Kuzmenko, Liudmyla M Bubyr
{"title":"A Current Management Strategy for Children with Chronic Viral Hepatitis B, Based on International and National Guidelines.","authors":"Inna M Nesina, Tetyana O Kryuchko, Olha A Poda, Olha Ya Tkachenko, Nataliia V Kuzmenko, Liudmyla M Bubyr","doi":"10.34763/jmotherandchild.20232701.d-23-00006","DOIUrl":"10.34763/jmotherandchild.20232701.d-23-00006","url":null,"abstract":"<p><strong>Background: </strong>Peculiarities of the course of chronic viral hepatitis B in children cause an important medical and social problem of health care, despite the implementation of modern treatment and prevention protocols. Pathogenetic mechanisms of the development and progression of viral hepatitis B infection, the presence of occult poorly diagnosed form, the impossibility of completely eliminating the virus and the specificity of the immune response in children are still not fully solved scientific problems.</p><p><strong>Material and methods: </strong>The aim of this review is to examine current strategies for the diagnosis and treatment of chronic hepatitis B in children, based on international and national guidelines.</p><p><strong>Results: </strong>A detailed analysis of modern guidelines on the course and pathogenesis of viral hepatitis B infection confirms the fact that chronic hepatitis B is characterised by a complex interaction between the immune system of the virus and the patient, whose dynamic balance is not only responsible for the various phases of chronic viral hepatitis B infection but also leads to the result of antiviral treatment.</p><p><strong>Conclusion: </strong>Despite the introduction of vaccination of children against hepatitis B, the level of viral hepatitis B vaccination of children in Ukraine remains insufficient, which leads to the further spread of the infection. Currently available antiviral drugs can provide functional treatment of viral hepatitis B infection in a limited number of patients, but today's Ukrainian realities have caused a change in approach to the treatment and monitoring of patients, which may negatively affect the implementation of the key goals of the World Health Organization Global Strategy on the prevention, diagnosis and treatment of viral hepatitis.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"27 1","pages":"134-141"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168357","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
Applying Vernix Caseosa for Accidental Foetal Lacerations during Caesarean Delivery: A Case Series. 应用Vernix Caseosa治疗剖腹产意外胎儿撕裂:病例系列。
Journal of mother and child Pub Date : 2023-08-31 eCollection Date: 2023-06-01 DOI: 10.34763/jmotherandchild.20232701.d-22-00053
Binarwan Halim, Hilma Putri Lubis, Timothy Adiwinata
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