Pediatric health, medicine and therapeutics最新文献

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Pediatric Diabetes and Diabetic Ketoacidosis After COVID-19: Challenges Faced and Lessons Learnt. COVID-19后儿童糖尿病和糖尿病酮症酸中毒:面临的挑战和经验教训。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S384104
Ashish Agarwal, Deepankar Bansal, Karthi Nallasamy, Muralidharan Jayashree, Vijai William
{"title":"Pediatric Diabetes and Diabetic Ketoacidosis After COVID-19: Challenges Faced and Lessons Learnt.","authors":"Ashish Agarwal,&nbsp;Deepankar Bansal,&nbsp;Karthi Nallasamy,&nbsp;Muralidharan Jayashree,&nbsp;Vijai William","doi":"10.2147/PHMT.S384104","DOIUrl":"https://doi.org/10.2147/PHMT.S384104","url":null,"abstract":"<p><p>The coronavirus disease (COVID-19) pandemic affected the management and follow-up of several chronic ailments, including pediatric type 1 diabetes mellitus (T1DM). Restricted access to healthcare and fear of contracting the virus during medical facility visits resulted in poor compliance, irregular follow-up visits, treatment, and delayed diagnosis of complications in pediatric diabetes such as diabetic ketoacidosis (DKA). As such, the incidence of complicated DKA in resource-limited settings is high due to delayed presentation, poor compliance with therapy, and associated comorbidities such as malnutrition and sepsis. The pandemic had only added to the woes. The increased surge in DKA, in the face of limited resources, prompted clinicians to find alternative solutions to manage these children effectively. In this narrative review, we discuss the key challenges faced globally while caring for children with T1DM and DKA during the COVID-19 pandemic, and the lessons learned thereof.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"281-288"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/d4/phmt-14-281.PMC10488656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10221784","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
Treatment Outcome of Jaundice and Its Associated Factors Among Neonates Treated in Neonatal Intensive Care Unit of Comprehensive and Specialized Hospitals of Southern Nations Nationalities and Peoples Region, Ethiopia 2022. 埃塞俄比亚南部民族民族地区综合专科医院新生儿重症监护室新生儿黄疸及相关因素治疗效果分析
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S405453
Christian Kebede, Beletech Fentie, Bethelihem Tigabu
{"title":"Treatment Outcome of Jaundice and Its Associated Factors Among Neonates Treated in Neonatal Intensive Care Unit of Comprehensive and Specialized Hospitals of Southern Nations Nationalities and Peoples Region, Ethiopia 2022.","authors":"Christian Kebede,&nbsp;Beletech Fentie,&nbsp;Bethelihem Tigabu","doi":"10.2147/PHMT.S405453","DOIUrl":"https://doi.org/10.2147/PHMT.S405453","url":null,"abstract":"<p><strong>Introduction: </strong>Jaundice is a common problem that affects up to 50-60% of full-term babies and 80% of preterm babies. It is a benign condition, but sometimes it can cause profound complications and eventually death. Identifying the treatment outcome of jaundice and the factors affecting it is crucial to preventing the death associated with it.</p><p><strong>Objective: </strong>To determine the treatment outcome of jaundice and its associated factors among neonates treated in neonatal intensive care unit of comprehensive and specialized hospitals of SNNPR, Ethiopia, 2022.</p><p><strong>Methods: </strong>An institution-based retrospective follow up study was conducted from April 2018 to April 2022. The data was checked for completeness and then entered into Epi-data version 4.6 and exported to STATA version 17. The results were presented in frequencies and percentages for categorical variables as well as mean and median for continuous variables. A binary logistic regression model was used to estimate the effect of an independent variable and the outcome variable.</p><p><strong>Results: </strong>A total of 423 charts were reviewed, and 416 (98%) were included in the final analysis. Almost 91.3% (95% CI: 88.2, 93.7) of neonates had improved. Factors significantly associated with the treatment outcome were: residence (AOR = 0.36, 95% CI: 0.2, 0.8); origin of admission (AOR = 0.35, 95% CI: 0.2, 0.8); gestational age (AOR = 0.26, 95% CI: 0.1, 0.8); and total serum bilirubin level (AOR = 0.40, 95% CI: 0.2, 0.9).</p><p><strong>Conclusion and recommendation: </strong>Improvement was lower compared to other low and middle-income countries; more emphasis should be given to improving treatment outcomes in hospitals.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"237-247"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/e2/phmt-14-237.PMC10387238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9910790","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
Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey. 埃塞俄比亚婴儿的死亡时间及其预测因素:使用2019年埃塞俄比亚迷你人口健康调查的多层次混合效应参数生存分析
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S402154
Befekadu Oyato, Husen Zakir, Dursa Hussein, Tasfaye Lemma, Mukemil Awol
{"title":"Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey.","authors":"Befekadu Oyato,&nbsp;Husen Zakir,&nbsp;Dursa Hussein,&nbsp;Tasfaye Lemma,&nbsp;Mukemil Awol","doi":"10.2147/PHMT.S402154","DOIUrl":"https://doi.org/10.2147/PHMT.S402154","url":null,"abstract":"<p><strong>Introduction: </strong>Three years ahead of the plan, Ethiopia has met Millennium Development Goal 4 of reducing under-five mortality. Additionally, the nation is on track to achieve the Sustainable Development Goal of putting an end to preventable child mortality. Despite this, recent data from the nation showed that there were 43 infant deaths for every 1000 live births. Moreover, the country has fallen short of the 2015 Health Sector Transformation Plan goal, with an anticipated infant mortality rate of 35 deaths per 1000 live births in 2020. Thus, this study aims to identify the time to death and its predictors among Ethiopian infants.</p><p><strong>Methods: </strong>This study used the 2019 Mini-Ethiopian Demographic and Health Survey data set to conduct a retrospective study. The analysis used survival curves and descriptive statistics. Multilevel mixed-effects parametric survival analysis was applied to identify the predictors of infant mortality.</p><p><strong>Results: </strong>The estimated mean survival time of infants was 11.3 months (95% CI: 11.1, 11.4). Women's current pregnancy status, family size, age of women, previous birth interval, place of delivery, and mode of delivery were significant individual-level predictors of infant mortality. Infants born with less than 24 months' birth interval had a 2.29 times higher estimated risk of death (AHR = 2.29, 95% CI: 1.05, 5.02). Infants born at home were 2.48 times more likely to die than those born in a health facility (AHR = 2.48, 95% CI: 1.03, 5.98). At the community level, women's education was the only statistically significant predictor of infant death.</p><p><strong>Conclusion: </strong>The risk of infant death was higher before the first month of life, typically shortly after birth. Healthcare programs should put a strong emphasis on efforts to space out births and make institutional delivery services more readily accessible to mothers in Ethiopia to address the infant mortality challenges.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"169-183"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/73/phmt-14-169.PMC10224721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598514","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
Current Screening Strategies for the Diagnosis of Adrenal Insufficiency in Children. 儿童肾上腺功能不全诊断的当前筛查策略。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S334576
Sasigarn A Bowden
{"title":"Current Screening Strategies for the Diagnosis of Adrenal Insufficiency in Children.","authors":"Sasigarn A Bowden","doi":"10.2147/PHMT.S334576","DOIUrl":"https://doi.org/10.2147/PHMT.S334576","url":null,"abstract":"<p><p>Adrenal insufficiency can arise from a primary adrenal disorder, secondary to adrenocorticotropic hormone deficiency, or by suppression of hypothalamic-pituitary-adrenal axis due to exogenous glucocorticoids. Diagnosis of adrenal insufficiency is usually delayed because the initial presentation is often subtle and nonspecific. Clinician awareness and recognition is crucial for timely diagnosis to avoid adrenal crisis. Current screening strategies for the diagnosis of adrenal insufficiency in children in various clinical situations are discussed in this review.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"117-130"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/3d/phmt-14-117.PMC10084833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9659668","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
Psychosocial Problems Among Primary School Children in Thailand During the COVID-19 Pandemic, 2022. 2022年2019冠状病毒病大流行期间泰国小学生的社会心理问题
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S396706
Nareerut Pudpong, Sataporn Julchoo, Pigunkaew Sinam, Sonvanee Uansri, Watinee Kunpeuk, Rapeepong Suphanchaimat
{"title":"Psychosocial Problems Among Primary School Children in Thailand During the COVID-19 Pandemic, 2022.","authors":"Nareerut Pudpong,&nbsp;Sataporn Julchoo,&nbsp;Pigunkaew Sinam,&nbsp;Sonvanee Uansri,&nbsp;Watinee Kunpeuk,&nbsp;Rapeepong Suphanchaimat","doi":"10.2147/PHMT.S396706","DOIUrl":"https://doi.org/10.2147/PHMT.S396706","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, primary school children are particularly vulnerable as restriction measures have caused a huge impact on their health and well-being. This study aims to assess the prevalence of mental health among primary school children in Thailand during the COVID-19 pandemic and identify factors associated with psychosocial problems.</p><p><strong>Methods: </strong>A survey was conducted among 701 Thai parents of primary school children from January to March 2022 - when teaching modalities between onsite and online learning were alternated. Parents were requested to assess the mental health of their youngest child at primary school age level. Psychosocial problems were measured by the Strengths and Difficulties Questionnaire (SDQ) with a total score of 40, based on 4 domains (emotion, behavior, hyperactivity, and relationship). Independent variables included (1) parental/household factors, (2) children characteristics, and (3) online learning-related issues. The dependent variable was the prevalence of children with a total score of 14-40, which indicates at risk and/or having mental health problems. The analysis was performed using logistic regression model.</p><p><strong>Results: </strong>Thai parents reported that 41.1% of children had psychosocial problems. Children in a single-parent family (adjusted odds ratio [AOR] = 1.7; 95% confidence interval (CI) = 1.1-2.8), male children (AOR = 1.7, 95% CI = 1.2-2.4), and children who did not receive adequate assistance for online learning from their parents (AOR = 2.1, 95% CI = 1.1-4.0) significantly faced greater odds of mental health problems.</p><p><strong>Conclusion: </strong>The prevalence of Thai primary school children confronting psychosocial difficulties during the COVID-19 pandemic increased, with significant concern. Public health interventions that aim to protect the mental health of primary school children during the pandemic should be introduced and targeted male children and those living with a single parent. Social support that facilitates online learning for children whose parents have limited capacity in supporting them should be implemented.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/25/phmt-14-159.PMC10208240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527565","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
Factors Associated with the Outcome of a Pediatric Patients Admitted to Intensive Care Unit in Resource-Limited Setup: Cross-Sectional Study. 在资源有限的情况下,与入住重症监护病房的儿科患者预后相关的因素:横断面研究。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S389404
Getahun Dendir, Nefsu Awoke, Afework Alemu, Ashagrie Sintayhu, Shamill Eanga, Mistire Teshome, Mahlet Zerfu, Mebratu Tila, Blen Kassahun Dessu, Amelework Gonfa Efa, Amanu Gashaw
{"title":"Factors Associated with the Outcome of a Pediatric Patients Admitted to Intensive Care Unit in Resource-Limited Setup: Cross-Sectional Study.","authors":"Getahun Dendir,&nbsp;Nefsu Awoke,&nbsp;Afework Alemu,&nbsp;Ashagrie Sintayhu,&nbsp;Shamill Eanga,&nbsp;Mistire Teshome,&nbsp;Mahlet Zerfu,&nbsp;Mebratu Tila,&nbsp;Blen Kassahun Dessu,&nbsp;Amelework Gonfa Efa,&nbsp;Amanu Gashaw","doi":"10.2147/PHMT.S389404","DOIUrl":"https://doi.org/10.2147/PHMT.S389404","url":null,"abstract":"<p><strong>Background: </strong>Critical care is a multidisciplinary and interprofessional specialty devoted to treating patients who already have or are at danger of developing acute, life-threatening organ dysfunction. Due to the higher disease load and mortality from preventable illness, patient outcomes in intensive care units are challenging in settings with inadequate resources. This study aimed to determine factors associated with outcomes of pediatric patients admitted to intensive care units.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Wolaita Sodo and Hawassa University teaching hospitals in southern Ethiopia. Data were entered and analyzed using SPSS version 25. Normality tests using the Shapiro-Wilk and Kolmogorov-Smirnov data were normally distributed. The frequency, percentage, and cross-tabulation of the different variables were then determined. Finally, the magnitude and associated factors were first analyzed using binary logistic regression and then multivariate logistic regression. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>A total of 396 Pediatric ICU patients were included in this study, and 165 (41.7%) deaths were recorded. The odds of patients from urban areas (AOR = 45%, CI 95%: 8%, 67% p-value = 0.025) were less likely to die than those in rural areas. Patients with co morbidities (AOR = 9.4, CI 95%: 4.5, 19.7, p = 0.000) were more likely to die than pediatric patients with no co-morbidities. Patients admitted with Acute respiratory distress syndrome (AOR = 12.86, CI 95%: 4.3, 39.2, p = 0.000) were more likely to die than those with not. Pediatric patients on mechanical ventilation (AOR = 3, CI 95%: 1.7, 5.9, p = 0.000) more likely to die than not mechanically ventilated.</p><p><strong>Conclusion: </strong>Mortality of paediatric ICU patients was high (40.7%) in this study. Co-morbid disease, residency, the use of inotropes, and the length of ICU stay were all statistically significant predictors of death.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"71-79"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/d5/phmt-14-71.PMC9987449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9451121","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: 1
Parenteral Nutrition in Pediatric Patients with Neurodisability: Current Perspectives. 小儿神经功能障碍患者的肠外营养:当前观点。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S366635
Emily White, Mohamed Mutalib
{"title":"Parenteral Nutrition in Pediatric Patients with Neurodisability: Current Perspectives.","authors":"Emily White,&nbsp;Mohamed Mutalib","doi":"10.2147/PHMT.S366635","DOIUrl":"https://doi.org/10.2147/PHMT.S366635","url":null,"abstract":"<p><p>Pediatric neurodisability describes functional limitations in children with varied severity and complexity often attributed to brain or neuromuscular abnormalities. The life expectancy of children with neurodisability is improving, but many will require significant medical support. The gastrointestinal tract is usually affected in children with neurodisability and can lead to a wide range of symptoms. In gastrointestinal (GI) dystonia, a newly coined term, feeding will trigger a distressing dystonia and symptoms can improve with cessation of feed. Parenteral nutrition (PN) is often viewed as a viable option in severe GI dystonia or when enteral feeding does not support sufficient nutrition. The use of PN in children with severe neurodisability is complex. It involves an intricate interplay between medical, psychological and ethical factors. In the absence of a universally agreed guidance on the use of PN in this cohort, paediatricians should maintain the individual need of the child at the centre of the decision-making process and work closely with families and other healthcare professionals before initiating or withholding PN in children with severe neurodisability. In this article, we discuss the complex and multifaceted approach to the use of PN in children with severe neurodisability and aimed to explore the medical, psychological and ethical aspect dilemmas facing clinicians looking after children with declining gut function who may require PN support.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/db/phmt-14-11.PMC9912341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10703617","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
Diagnostic and Management Strategies of IgA Vasculitis Nephritis/Henoch-Schönlein Purpura Nephritis in Pediatric Patients: Current Perspectives. IgA血管炎肾炎/Henoch-Schönlein儿童紫癜性肾炎的诊断和治疗策略:目前的观点。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S379862
Mario Sestan, Marija Jelusic
{"title":"Diagnostic and Management Strategies of IgA Vasculitis Nephritis/Henoch-Schönlein Purpura Nephritis in Pediatric Patients: Current Perspectives.","authors":"Mario Sestan,&nbsp;Marija Jelusic","doi":"10.2147/PHMT.S379862","DOIUrl":"https://doi.org/10.2147/PHMT.S379862","url":null,"abstract":"<p><p>IgA vasculitis (IgAV) or Henoch-Schönlein purpura (HSP) is the most common vasculitis in children, and nephritis (IgAVN or HSPN) is the most important and only chronic manifestation of the disease. Despite this, there are no diagnostic criteria and we rely on the European League Against Rheumatism/Paediatric Rheumatology International Trials Organization/Paediatric Rheumatology European Society-endorsed Ankara 2008 classification criteria in our daily practice. Basic investigations that should be done in every patient with IgAVN include blood pressure measurement, estimated glomerular filtration rate and urinalysis. Kidney biopsy is still the gold standard for the diagnosis of IgAVN since noninvasive confirmation of nephritis is still pending. According to the Single Hub and Access point for pediatric Rheumatology in Europe (SHARE) recommendations, the first-line treatment for with mild forms of IgAVN is oral glucocorticoids, for patients with moderate IgAVN parenterally administrated glucocorticoids in pulsed doses, while initial treatment for patients with the most severe forms of IgAVN include pulsed doses of glucocorticoids in combination with intravenous cyclophosphamide pulses. New therapeutic options are currently being tested, aiming to reduce the production of galactose-deficient IgA<sub>1</sub> and autoantibodies or suppress the alternative or lectin complement pathway and blocking mesangial cell activation.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"89-98"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/49/phmt-14-89.PMC10008002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9465795","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
Evidence-Based Consensus Recommendations for Skin Care in Healthy, Full-Term Neonates in India. 印度健康足月新生儿皮肤护理循证共识建议
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S414091
Piyush Gupta, Karthik Nagesh, Pankaj Garg, Jayakar Thomas, Pradeep Suryawanshi, Giridhar Sethuraman, Rashna Dass Hazarika, Rahul J Verma, C Suresh Kumar, Shantha Kumari, Sunil Taneja, Vaishali Chavhan, Priti Thakor, Ankita Pandita
{"title":"Evidence-Based Consensus Recommendations for Skin Care in Healthy, Full-Term Neonates in India.","authors":"Piyush Gupta,&nbsp;Karthik Nagesh,&nbsp;Pankaj Garg,&nbsp;Jayakar Thomas,&nbsp;Pradeep Suryawanshi,&nbsp;Giridhar Sethuraman,&nbsp;Rashna Dass Hazarika,&nbsp;Rahul J Verma,&nbsp;C Suresh Kumar,&nbsp;Shantha Kumari,&nbsp;Sunil Taneja,&nbsp;Vaishali Chavhan,&nbsp;Priti Thakor,&nbsp;Ankita Pandita","doi":"10.2147/PHMT.S414091","DOIUrl":"https://doi.org/10.2147/PHMT.S414091","url":null,"abstract":"<p><strong>Purpose: </strong>Neonatal skin care practices guided by personal experience and preferences might be substantially different across different hospital settings. The aim of this consensus recommendation is to provide clinical practice guidance to healthcare practitioners on evidence-based neonatal skin care practices from delivery-to-discharge, in hospital settings.</p><p><strong>Patients and methods: </strong>A Scientific Advisory Board meeting on \"Evidence-based Neonatal Skin Care Practices and Protocols\" was held in December 2020 with an expert panel comprising neonatologists, pediatricians, obstetricians and gynecologists and pediatric dermatologist. Comprehensive literature search was performed up to 23 March 2021 using PubMed and Google Scholar to retrieve relevant evidence.</p><p><strong>Results: </strong>Recommendations were developed on critical aspects of skin care in healthy full-term neonates including cleansing at birth, skin-to-skin care, cord care, diaper area care, initial and routine bathing, cleansers and emollients use, and criteria to choose appropriate skin care products. Recommendations include inclusion of skin assessment in routine neonatal care, first bath timing after cardio-respiratory and thermal stabilization, 6-24 hours after birth; bathing with water alone or adding a mild liquid cleanser could be considered appropriate as it does not impact the developing skin barrier; use of emollients is recommended for neonates with higher risk of development of eczema to maintain and enhance skin barrier function and integrity; and inclusion of skin care advice in neonatal discharge checklist. Importance of rigorous quality control, high-quality clinical trials for assessment of baby products, usage of products that are formulated appropriately for newborns, and full label transparency for baby products were highlighted. The panel identified gaps in literature and discussed the scope for future research.</p><p><strong>Conclusion: </strong>These recommendations may help to standardize evidence-based skin care for healthy full-term neonates in Indian hospital settings to improve the quality of care that neonates receive in hospital and facilitate improvement in overall neonatal health outcomes.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"249-265"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/76/phmt-14-249.PMC10465361.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Magnet Ingestion with Delayed Presentation: Case Series from Tertiary Center in Saudi Arabia. 儿童磁铁摄入延迟表现:来自沙特阿拉伯第三中心的病例系列。
Pediatric health, medicine and therapeutics Pub Date : 2023-01-01 DOI: 10.2147/PHMT.S411079
Abdulaziz Alareefy, Esam Barnawi, Rawan Alrashed, Abdulelah Alamri, Ahmed M Aleidan, Mazen Alghofaily, Mayada Alkhelaif, Sara Kanfar
{"title":"Pediatric Magnet Ingestion with Delayed Presentation: Case Series from Tertiary Center in Saudi Arabia.","authors":"Abdulaziz Alareefy,&nbsp;Esam Barnawi,&nbsp;Rawan Alrashed,&nbsp;Abdulelah Alamri,&nbsp;Ahmed M Aleidan,&nbsp;Mazen Alghofaily,&nbsp;Mayada Alkhelaif,&nbsp;Sara Kanfar","doi":"10.2147/PHMT.S411079","DOIUrl":"https://doi.org/10.2147/PHMT.S411079","url":null,"abstract":"<p><p>Swallowing foreign bodies is common in young kids, especially those aged 6 months to 6 years. Magnet ingestion is a hazardous health issue that extremely jeopardizes the most vulnerable group, children, to risks of intestinal obstruction and worse, perforation. We, hereby, report 3 cases of magnet ingestion in the pediatric age group who had multiple beaded magnets stuck inside their GI tract over a variable period of 1 to 10 months before their presentation to the Emergency Department, King Fahad Medical City Riyadh, Saudi Arabia.</p>","PeriodicalId":74410,"journal":{"name":"Pediatric health, medicine and therapeutics","volume":"14 ","pages":"231-236"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/7d/phmt-14-231.PMC10378458.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10285805","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}
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