Journal of pediatrics, perinatology and child health最新文献

{"title":"Epidemio-Clinical Profile of Newborns Transfereed to University Clinics of Kinshasa and Poor Prognosis Factors","authors":"Onésime KAMOLO MBAKALANGA, Thérèse BISELELE BAKABUMVUA, Francine MASSAY MABENGANA","doi":"10.26502/jppch.74050164","DOIUrl":"https://doi.org/10.26502/jppch.74050164","url":null,"abstract":"Introduction: Neonatal mortality remains high in our environment and several factors contribute to this increase, notably transfer conditions. The objective was to study the conditions of transfer of newborns in Kinshasa in order to reveal the inadequacies and thus assess their impact on neonatal morbidity and mortality.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"8 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":"135800755","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":"Bernese Periacetabular Osteotomy in Patients with Hip Dysplasia Secondary to Cerebral Palsy and Developmental Dysplasia of the Hips","authors":"Si Heng Sharon Tan, James Hoipo Hui, Andrew Kean Seng Lim","doi":"10.26502/jppch.74050165","DOIUrl":"https://doi.org/10.26502/jppch.74050165","url":null,"abstract":"Purpose: The current study aims to evaluate the outcomes of the Bernese periacetabular osteotomy when performed for children and adolescents with hip dysplasia secondary to cerebral palsy. The secondary aim of the study was to compare the outcomes of the Bernese periacetabular osteotomy when performed for hip dysplasia secondary to cerebral palsy as opposed to developmental dysplasia of the hips.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"140 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":"136258870","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":"Physical Rehabilitation Based on International Classification of Functioning, Disability and Health (ICF) Model of a Child with Arthrogryposis Multiplex Congenita","authors":"Faruq Ahmed, Z. Mawa, Mohammad Nazmul Hasan, Suria Akter, Md Shujayt Gani, Chowdhury Muhsinin Mosharofy Aroshi","doi":"10.26502/jppch.74050135","DOIUrl":"https://doi.org/10.26502/jppch.74050135","url":null,"abstract":"Background: Arthrogryposis Multiplex Congenita (AMC) is a condition used to portray inborn contractures with at least two different body limbs behind a general predominance of 1 out of 3000 at live births. The aim of the study was to provide information about appropriate physical rehabilitation protocol using ICF model for the child with AMC. Case Description: The reported case for the study was 13 years old girl born with suffering from AMC. During pregnancy period mother had history of malnutrition and prolong labour pain was present and child had deformity at different joints. Child was not able to sit properly except modified cross sitting, stand or walk due to deformities. Patient had no history of operation and serial plaster casts for this deformed condition. She was residential students and attended the inclusive school where he participated in a regular special education program. He took routine based individual physiotherapy, occupational therapy and hippotherapy intervention. The Child and her mother gave consent and agreed to participate in this observational case report study for 12 months. Purposive sampling technique was applied considering the inclusion and exclusion criteria. The research was carried out between July 2021 and June 2022. Measurement tools were used ICF model, prone positioning time, passive ROM and muscle strength. This article enlightens rehabilitation treatment strategies for child with AMC. Conclusion: Physical therapy of AMC children ought to be multi-focused, continual and holistic. Early way to deal with physiotherapist limits the complexity following AMC. Early physiotherapy treatments can help in delaying the early requirement of surgical management during formative age.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350428","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":"Safety and Effectiveness of Electroconvulsive Therapy in Anorexia Nervosa and Depression – A Case Report","authors":"Smallenburg L C S, Van der Heijden C L L, Schaapherder J M, Wagemaker F, Mihaescu R, Bogers J P A M","doi":"10.26502/jppch.74050108","DOIUrl":"https://doi.org/10.26502/jppch.74050108","url":null,"abstract":"Background: Anorexia nervosa (AN) mainly affects adolescents and young adults. AN is highly associated with comorbid psychiatric disorders such as depress-sion, which makes treatment difficult. Pharmacolo-gical options are limited because selective serotonin re-uptake inhibitors (SSRIs) are less effective in underweight individuals. Electroconvulsive therapy (ECT) is an important treatment option in these patients. Is this caution justified? Case presentation: We describe a 21-year-old woman with restrictive AN and depression, with suicidality. Trials of psychotherapy for depression and various antidepressants were unsuccessful and her condition deteriorated. She was admitted to hospital several times because of the precarious state of her health due to the eating disorder and serious suicide attempts. ECT was started because of the severe suicidality and her restrictive eating pattern. There were no complications, and the eating disorder and depression improved relatively soon after the start of treatment. ECT provided a breakthrough in the treatment of an unresponsive, life-threatening situation, such that follow-up therapy could be started. The eating disorder regressed several months after ECT. Conclusions: Case reports have their limitations and there is no unequivocal evidence that ECT is effective for AN with comorbid depression. Yet the literature suggests that ECT should be considered in a life-threatening situation or when treatment possibilities are exhausted. AN and underweight are not contraindications for ECT, although medical screening before treatment is highly recommended. The long-term effectiveness of ECT has yet to be established. Desensitization and Reprocessing;","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350624","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":"Retrograde Intramedullary Nailing for Bado Types Proximal Pediatric Ulna Fractures: Different Surgical Techniques","authors":"G. Thürig, I. Raabe, M. Maniglio, P. Vial, M. Tannast, E. Gautier","doi":"10.26502/jppch.74050111","DOIUrl":"https://doi.org/10.26502/jppch.74050111","url":null,"abstract":"Introduction: Monteggia fracture is defined as a fracture of the proximal third of the ulna with associated dislocation of the radial head. According to the Bado classification, 4 types are differentiated. These fracture types are rare in both adults and children, reaching an incidence of 1.5 - 3% of all pediatric forearm fractures. Anatomic reduction and retention of ulnar fracture and radial head dislocation is the primary aim. If surgery is indicated, various methods can be used. However, it is not known whether one is superior to the other. In very proximal ulnar fracture with radial head dislocation, it is not known whether retrograde nailing provides effective retention of the fracture. Our hypothesis is that closed retrograde nailing is a safe method in the treatment of proximal Bado type I-III in children. Materials and Methods: For this retrospective case series, all pediatric patients were included who suffered a proximal Bado fracture between November 2000 and August 2019. Demographics, injury patterns, details of surgical treatment, and radiographs were obtained from medical records. Results:","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350680","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":"Diarrhoeal Disease in Relation to Childhood Malnutrition and Its Impact on Socio-economic Condition in Emerging Countries Like Bangladesh","authors":"Reema Afroza Alia, Nayeema Sadia, Nazma Parvin Shammy, Ferdous Ara Tithy, R. Shelim, R. Parvin","doi":"10.26502/jppch.74050120","DOIUrl":"https://doi.org/10.26502/jppch.74050120","url":null,"abstract":"Despite a drop in the previous three decades, diarrhoeal illness remains a significant worldwide cause of young fatalities. Childhood rotavirus, diarrhoea, climatic variables, and malnutrition all have a significant link. Conversely, in the recent decade, a major nutritional transition (reduced undernutrition) was reported in under 5 children, particularly in developing countries such as Bangladesh, with a concurrent increasing trend of rotavirus infection. Given the pathophysiology of rotavirus, there might be a connection between this dietary change, climate, and other man-made variables in metropolitan places like Dhaka, Bangladesh, in increasing rotavirus infection. Despite great socioeconomic development and a decade of measures targeted at alleviating it, malnutrition among children under the age of five remains a serious issue in Bangladesh. Despite the fact that various studies have been undertaken to determine the key risk factors for malnutrition, none of them have examined the significance of low birth weight (LBW) 36%. In recent decades, Bangladesh has seen a significant decrease in the number of children dying from diarrhoea. Despite being a resource-constrained, highly populated nation, Bangladesh has been able to accomplish a considerable decrease in pediatric diarrhoea mortality over the last few decades. Improving hand hygiene habits, increasing zinc coverage for diarrhoea therapy, and sustaining nutritional improvement are some of the challenges that remain to further reduce the burden of disease and death caused by diarrhoea. Continuous engagement with NGOs and the commercial sector, as well as the adoption of pluralistic health system platforms for preventive and curative service delivery, are essential to extend intervention coverage and speed the end of children's diarrhoeal deaths in Bangladesh.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350735","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":"Assessing the Accessibility and Healthcare Quality of Maternal and Child Health Services in Health Facilities of Kasai Province in the Democratic Republic of the Congo: A Cross-Sectional Study","authors":"Britou Ndela, P. Ngwala, A. N’siala, A. Kalonji, Felix Minuku, Nancy Ntatukidi, Harmonie Bokole, Jean-Jacques Masumbuku, N. M. Kintaudi, B. Mandja","doi":"10.26502/jppch.74050121","DOIUrl":"https://doi.org/10.26502/jppch.74050121","url":null,"abstract":"Background: The Democratic Republic of the Congo (DRC) is among the five countries with the highest global maternal mortality ratio (MMR) and the highest under-five mortality rate (U5MR) worldwide. One of the 14 provinces in the DRC that have high U5MR and MMR is Kasai. Despite this overriding concern, assessment of the maternal and child situation in this province remains poorly reported. Objectives: this study aimed to assess the accessibility, availability, and quality of maternal and child health services in Kasai province. Methods: A total of 49 health facilities (HFs) in 18 health zones in Kasai province participated in our cross-sectional survey. To collect quantitative and qualitative data, we conducted documentary review, interviews, and direct observation of HFs. Furthermore, the relationship between variables was analyzed by Pearson’s chi-squared test. Results: Nearly 54% of the population in surveyed HFs had geographical access to maternal and child health services, and most of the medical services were unaffordable. Only 11.8% and 7.6% of the HFs offered basic and comprehensive emergency obstetric care (EmOC), with no high-quality level of care. The low availability and quality of EmOC were caused by the insufficiency of necessary inputs and personnel for maternal and child health services in the majority of HFs. Conclusions: The situation of maternal and child health services is extremely precarious in Kasai province in the DRC. Rehabilitation of infrastructure, dotation of equipment, regular supply of medicines, and strengthening of human resource capacity are required to improve the EmOC coverage.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350288","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":"Neonatal Outcome in Pregnant Women with Confirmed COVID-19 Infection during the Last Two Weeks of a Viable Pregnancy: A Retrospective Data Analysis","authors":"Dr. Khalil Mohd Khalil Salameh, Dr. Rajesh Pattu Valappil, Dr. Anvar Paraparambil Vellamgot, Dr. Sarfrazul Abedin, Dr. Naser Abulgasim Elkabir, Dr. Esam Mohamed Elhadi Elhaji, Dr. Lina Hussain M Habboub, Dr. Samer Alhoyed","doi":"10.26502/jppch.74050136","DOIUrl":"https://doi.org/10.26502/jppch.74050136","url":null,"abstract":"Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated disease manifestations and detrimental effects on their obstetric and neonatal outcomes. Previous studies have demonstrated that pregnant women with COVID-19 had similar clinical manifestations as nonpregnant women. However, there is not enough knowledge about the outcomes of neonates born to infected women although it has been reported that maternal pneumonia results in unfavorable obstetrical outcomes, including the premature rupture of membranes (PROM), intrauterine fetal demise (IUFD), intrauterine growth restriction (IUGR), and neonatal death. This retrospective study analyzes the clinical characteristics of all women with confirmed COVID-19 infection who gave birth in AWH, Qatar, as well as the possible adverse neonatal outcomes associated with maternal COVID-19 infection. Objective: To identify adverse neonatal outcomes in mothers with confirmed COVID-19 infection during the last two weeks of a viable pregnancy. Methods: This retrospective study included newborn babies born to mothers diagnosed with COVID-19 infection between 1 April 2021 and 23 May 2021 at AWH, Hamad Medical Corporation. Data: Clinical characteristics, investigation results, and course of treatment were gathered from medical records for both mothers and babies. Results: Out of 108 babies born to COVID-19-infected mothers, 47 (43.5%) were identified with adverse neonatal outcomes. Prematurity (28.7%), low birth weight (26%), respiratory distress (33.3%), and neonatal depression (8.3%) were the most commonly associated outcomes. Eight out of 108 babies (7.4%) tested positive for COVID-19, with 4.6% incidence of vertical transmission and 2.8% transient viremia. Using logistic regression analysis, maternal pneumonia and CT values were found to be statistically significant factors for premature delivery but were not significantly associated with neonatal infection. However, maternal ferritin levels significantly predicted neonatal positive PCR results. Conclusion: Our data support the possibility of the intrauterine transmission of SARS-CoV-2 even in asymptomatic women. Studies with a larger number of subjects are recommended for identifying the biological mechanisms involved.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350439","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 Unusual Presentation of Joubert Syndrome in an Infant: A Case Study","authors":"Susheel kumar saini, A. Singla, Vayom Thapar, Ajay kumar saini, S. Kumari","doi":"10.26502/jppch.74050114","DOIUrl":"https://doi.org/10.26502/jppch.74050114","url":null,"abstract":"Joubert syndrome (JS) is a rare autosomal recessive disorder which show’s cerebellar vermis hypoplasia with a complex brainstem malformation. Joubert syndrome is characterized by episodes of abnormal respiratory pattern, oculomotor findings, hypotonia, ataxia, developmental retardation. Axial magnetic resonance images of brain show characteristic molar tooth sign. This syndrome is difficult to diagnose clinically because of its variable phenotype. The exact diagnosis is often not made for several years after birth. We report an unusual presentation of Joubert syndrome in a 5 month old boy who presented to the pediatric outpatient clinic with developmental delay, increase in tone of body and abnormal head size. MRI Brain showed molar tooth configuration of superior cerebellar peduncles, the fourth ventricle shaped like a bat wing and hypoplasia of the vermis which resulted in median approach of the two cerebellar hemispheres.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350698","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":"Psychosocial Factors Affecting the Association between a Healthy Lifestyle Behavior Intervention and Depressive Symptoms in Low-Income Overweight or Obese Mothers with Young Children: A Mediational Analysis.","authors":"Lorraine B Robbins,&nbsp;Mei-Wei Chang,&nbsp;Jiying Ling,&nbsp;Roger Brown","doi":"10.26502/jppch.74050090","DOIUrl":"https://doi.org/10.26502/jppch.74050090","url":null,"abstract":"<p><strong>Background: </strong>Depressive symptoms are particularly prevalent among low-income overweight or obese mothers with young children, indicating the importance of understanding and addressing this serious health condition. Although lifestyle behavior interventions are promising for alleviating depressive symptoms in low-income overweight or obese mothers with young children, mechanisms underlying the association between these interventions and depressive symptoms in this priority population remain unknown.</p><p><strong>Objective: </strong>A secondary analysis of data from a randomized controlled trial that tested a 16-week community-based lifestyle behavior intervention for low-income overweight or obese mothers with young children was conducted to examine whether autonomous motivation, coping self-efficacy, and emotional coping mediated the association between the intervention and depressive symptoms.</p><p><strong>Methods: </strong>The analysis included 338 participants who completed data collection at baseline and immediately after the intervention. Participants responded to validated surveys measuring autonomous motivation, coping self-efficacy, emotional coping, and depressive symptoms. To test mediation effects, composite indicator structural equation modeling was performed adjusting for baseline measures. The proportion of maximum possible (POMP) scores in the outcome variable per unit change in the predictor variables was used to calculate effect size.</p><p><strong>Results: </strong>The intervention alleviated depressive symptoms (<i>B</i> = -2.42, <i>p</i> = 0.015, POMP = -4.31%), and coping self-efficacy negatively and fully mediated the association between the intervention and depressive symptoms (<i>B</i> = -1.42, <i>p</i> = 0.002, POMP = -2.53%). Autonomous motivation and emotional coping were not significant mediators.</p><p><strong>Conclusions: </strong>Interventions aimed to alleviate depressive symptoms in low-income overweight or obese mothers with young children should include strategies to improve coping self-efficacy. However, continued research is needed to identify other mechanisms that may be contributing to the effect of lifestyle behavior interventions on depressive symptoms in this at-risk group. This information can then be used to simplify and strengthen the interventions and potentially lead to effective dissemination and implementation.</p>","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"6 1","pages":"54-69"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39873884","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}