Journal of pediatrics, perinatology and child health最新文献

{"title":"Failure to Adjust CT Scanners to Pediatric Settings is a Major Cause of Unnecessary Radiation Exposure to Children","authors":"Jianna J. Lin, Jeremy Zhang, Lucille Anzia, Laura L. Hayes","doi":"10.26502/jppch.74050166","DOIUrl":"https://doi.org/10.26502/jppch.74050166","url":null,"abstract":"CT scans are an indispensable tool for evaluating head injuries and neurological symptoms, yet they are the leading contributor to medical radiation exposure in the United States. High levels of such exposure pose significant health risks for children, whose developing bodies are less resilient to radiation injury. Here we review mean radiation dose (Total Exam DLP) and CTDlvol from head CT scans of 149 cases to assess for factors thought to be potential contributors to excess radiation exposure. Such factors included scan indication (trauma, shunts, other head complaints), number of repeat scans, and the type of facility the scan was performed (adult vs. pediatric). Analyses revealed that among scans performed to evaluate head trauma or routine indications (e.g. headache, vomiting focal neurologic deficits), the mean radiation dose a administered was significantly higher in adults hospitals when compared to pediatric hospitals. Findings highlight the importance of ensuring appropriate dose settings to increase the safety of CT scans for children. Based on our results identifying suboptimal scanner settings as a fundamental cause of excess radiation exposure, the evidence supports adjusting protocols to appropriate settings as the most effective method of reducing excess radiation exposure to children receiving head CT scans.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060165","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":"Prognostic of Sepsis in a Congolese Pediatric Emergency Service Using PSOFA Score: A Prospective Study","authors":"Jacques Balekelayi wa Balekelayi, Valérie Bolingo Bola, Stéphanie Mikalo Mbambi, Joseph Mabiala Bodi, Victoire Audray Bikoumou","doi":"10.26502/jppch.74050162","DOIUrl":"https://doi.org/10.26502/jppch.74050162","url":null,"abstract":"Prognostic","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445107","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":"Severe Intraventricular Hemorrhage is Associated with Lung Injury in Preterm Infants on Mechanical Ventilation.","authors":"Monika Piatek, Elie G Abu Jawdeh, Peter Giannone, Brandon Miller, Aric Schadler, Mina Hanna","doi":"10.26502/jppch.74050168","DOIUrl":"10.26502/jppch.74050168","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to better understand the relationship between intraventricular hemorrhage and the risk of development of early lung disease in extremely low birth weight infants. We hypothesize that infants with severe intraventricular hemorrhage have higher respiratory severity scores than infants with mild/no intraventricular hemorrhage within the first 7 days of life.</p><p><strong>Methods: </strong>This was a single center retrospective study conducted on subjects born between 01/01/2018 and 06/30/2021 at the University of Kentucky Children's Hospital NICU. We enrolled preterm infants with gestational age of less than 30 weeks and birth weight of less than 1000 grams who were placed on mechanical ventilation on admission.</p><p><strong>Results: </strong>We found a clinically significant increasing trend of respiratory severity scores within the first week of life in the group of infants with severe intraventricular hemorrhage.</p><p><strong>Conclusion: </strong>This study is first to show that severe intraventricular hemorrhage is associated with higher respiratory severity scores predicting early lung injury in the extremely low birth weight infants placed on a mechanical ventilator within the first 7 days of life.</p>","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"7 4","pages":"229-234"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467375","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}

{"title":"A Rare Case of Childhood Hepatitis A Infection with Bilateral Pleural Effusion Acalculous Cholecystitis and Massive Ascites","authors":"Ranjum, Naina Nanda, Nitya Sehgal, Susheel kumar saini, Vinay Gahlot, Keerthana Anigani, Tushar Jagat, Ajay kumar saini, S. Kumari","doi":"10.26502/jppch.74050140","DOIUrl":"https://doi.org/10.26502/jppch.74050140","url":null,"abstract":"Hepatitis A virus infections are mostly asymptomatic or mildly symptomatic in pediatric population. Generally this disease has a benign course and resolves spontaneously. However, intrahepatic and extrahepatic manifestations can complicate typical course of acute hepatitis A in children. Pleural effusion, acalculous cholecystitis and ascites are extremely rare extrahepatic complications. Pleural effusion or ascites does not change the prognosis or require any invasive treatment usually. We report a case of 8 years old boy presented with both pleural effusion and gross ascites accompanying hepatitis A infection. Diagnosis was done using serological testing and imaging studies. He was treated with supportive management only with full recovery after 4 weeks.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350501","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":"Epidemiological-Clinical and Evolution Profile of Rotavirus Infection in Four Hospital Structures in Kinshasa","authors":"Virginie MUJINGA MULUMBA, Loukia AKETI PAIZANOS, Freddy BYAMUNGU MBOKO, Joseph SHIKU DIAYISU, Pierre Tshibassu Manianga, J. M. Tamfum","doi":"10.26502/jppch.74050150","DOIUrl":"https://doi.org/10.26502/jppch.74050150","url":null,"abstract":"Affiliation: 1Cardio-Pneumology and Infectious Diseases service, Department of Pediatrics, Kinshasa University Clinics, Democratic Republic of the Congo 2Gastroenterology, neurology and endocrinology service, Department of Pediatrics/Kinshasa University Clinics, Democratic Republic of the Congo 3Pediatric Society of Congo-Democratic, Kinshasa, Democratic Republic of the Congo 4Microbiology Service, Department of Clinical Biology/Kinshasa University Clinics and National Institute of Biomedical Research, Democratic Republic of the Congo","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350620","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 Effect of Admission Hypothermia on Newborn","authors":"A. Almudeer, Muneerah Najmi, Easa Magfori, Mohd Salwi","doi":"10.26502/jppch.74050155","DOIUrl":"https://doi.org/10.26502/jppch.74050155","url":null,"abstract":"Objective: Consequences of hypothermia is associated with higher mortality and morbidity therefore, thermal control following delivery is an essential of neonatal care. We decided to learn more about thermal regulating procedures in our unit. The goal of this study was to determine the temperature at the time of admission to our neonatal intensive care units (NICUs) and how it relates to death and other morbidity. We also interested to look into the newborn interventions after delivery to control temperature and see how these interventions affect thermal regulation. Methods: Prospective cohort study using perinatal chart review data for all babies admitted to the NICU at King Fahd central hospital in Jazan. 300 babies through period of April 2021 to March 2022. Hypothermia was classified according to WHO definition as mild (36–36.5°C), moderate (32–35.9°C), or severe (32°C) when the temperature dropped below 36.5°C. We used a multivariable logistic regression analysis to investigate the adjusted effect of hypothermia on neonatal mortality and complications The regression analysis results were provided as crude/unadjusted odds ratios (OR) and adjusted odds ratios (AOR) with 95% confidence intervals (CIs). Results: Of the infants included in the dataset Almost half of them (49.3%) had abnormal body temperature, 20.7%, 11.3%, and 17.3% had mild, moderate, and severe hypothermia respectively. Around 20% of newborns were given a bath 2 hours after birth, 36% their head covered with hats, and 21.7% had skin-to-skin contact. The adjusted model found that newborns with severe hypothermia were 0.53 (OR = 0.53; [95% CI: 0.15-1.83]) times likely to die and 2.04 (OR = 2.04; [95% CI: 0.76-5.46]) times likely to develop any complication when compared to newborns without hypothermia. Newborns with low birth weight (OR = 16.5; [95% CI: 1.47-185.7]) and without skin-to-skin contact (OR = 3.27; [95% CI: 1.33-8.04]) were more likely to develop any complication when compared to those with skin-to-skin contact. Conclusion: Hypothermia, low birth weight, abnormal CBC, and absence of skin-to-skin contact all raise the risk of neonatal morbidity, according to this study. According to the study, thermal regulation techniques such as head coverings, skin-to-skin contact, and delayed bathing are not widespread in Saudi Arabian hospitals. These findings call for a review of the procedures or recommendations, as well as an assessment of how well the thermal regulation rules are being followed in NICUs.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350679","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":"Occupational Dermatoses in Health Care Personnel Using PPE during the COVID Pandemic","authors":"Dinesh P Asati, Kapil Baheti, Maninder Kaur, Suman Patra, Kritika Singhal Singhal","doi":"10.26502/jppch.74050163","DOIUrl":"https://doi.org/10.26502/jppch.74050163","url":null,"abstract":"Background: A sudden surge of occupation-associated dermatoses among the healthcare workers (HCWs) serving COVID-19 patients have been witnessed recently due to increased usage of PPE (PPE) kits and increased frequency of hygiene practices, with a significant impact on their quality of life and compromised efficacy at work. Hence, this study was conducted to measure the prevalence of occupational dermatoses among HCWs serving Covid-19 patients using PPE kits and hygiene practices and their impact on quality of life.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135800134","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":"Musculoskeletal Disorders among the Mothers having Children with Cerebral Palsy","authors":"Zannatul Mawa, Mohima Benojir, Ruksana Akter, Shameem Ahammad, Faruq Ahmed, Mohammad Nazmul Hasan, Nadia Afrin Urme, Shahid Afridi","doi":"10.26502/jppch.74050161","DOIUrl":"https://doi.org/10.26502/jppch.74050161","url":null,"abstract":"Background: Cerebral Palsy (CP) is a collection of mobility and postural problems. Parents, particularly mothers, care for CP children. Caring for a kid with CP can be physically taxing and cause moms to acquire musculoskeletal ailments. CP moms have a greater risk of musculoskeletal issues than mothers of generally developing children. There is little study on musculoskeletal issues in Bangladeshi moms of CP children. This study examined the frequency and symptoms of musculoskeletal diseases in Bangladeshi moms of CP children.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445537","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":"Real-World HbF Status in Sickle Cell Disease from an Endemic Zone","authors":"D. Pendharkar, G. Nirmal, Neha Gupta, A. Raj","doi":"10.26502/jppch.74050138","DOIUrl":"https://doi.org/10.26502/jppch.74050138","url":null,"abstract":",","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350489","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 effect of Epidural Analgesia on Maternal and Early Neonatal Outcomes, in Qatar State","authors":"Ismail Sabry Abdelhady, E. Salama, Ashraf I. Gad, S. Ahmed, Alaa Masry","doi":"10.26502/jppch.74050144","DOIUrl":"https://doi.org/10.26502/jppch.74050144","url":null,"abstract":"","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350556","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}