{"title":"Paediatric gastroenteritis disease characteristics, management and seasonal variation in one region of Ireland: prospective study.","authors":"Zakaria Barsoum","doi":"10.24911/SJP.106-1598092241","DOIUrl":"https://doi.org/10.24911/SJP.106-1598092241","url":null,"abstract":"<p><strong>Background: </strong>Acute gastroenteritis (GE) is a clinical syndrome and harbours a significant global burden. Nosocomial acquisition of gastroenteritis results in a significant economic burden. We aim to determine gastroenteritis frequency, disease severity, nosocomial acquisition and clinical spectrum in our region for 2016-2017.</p><p><strong>Methods: </strong>This is a prospective study of all children up to 3 years of age who presented to Mayo University Hospital with vomiting and diarrhoea, from 18 November 2016 to 18 November 2017. All children had their clinical severity of gastroenteritis assessed using the internationally recognised Vesikari scoring system.</p><p><strong>Results: </strong>A total of 159 cases were detected, 157 were studied, 87 were male (55%) and 90 were severe (57%). Nosocomial gastroenteritis is rare (2 cases) (1.1%); 129 cases were admitted and the majority of paediatric gastroenteritis cases (68%) stayed between 1 and 2 days. Diarrhoea was noted in all cases, vomiting in 130 cases (82%), fever in 136 cases (86%) and dehydration in 89 cases (56%). Oral rehydration therapy was successful in 33 cases (21%). The fourth week of June was the peak week of the year for gastroenteritis (7 cases). The largest number of presentations with GE was noted in May (20 cases), followed by December and June (18 cases each) with the largest number of severe GE noted in June (12 cases), followed by December and May (11 cases each).</p><p><strong>Conclusion: </strong>Diarrhoea is the most predominant feature of gastroenteritis. Acute viral gastroenteritis occurs throughout the year. Seasonal variations of gastroenteritis were noted throughout the year. Nosocomial infection is rare.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361493/pdf/sjp-22-77.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40605199","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":"Neurological diseases at the Pediatric Neurology Clinic in a semi-urban Nigerian tertiary hospital.","authors":"Olufemi Samuel Akodu, Tinuade Adetutu Ogunlesi, Abiodun Folashade Adekanmbi, Fatai Adekunle Gbadebo","doi":"10.24911/SJP.106-1588669565","DOIUrl":"https://doi.org/10.24911/SJP.106-1588669565","url":null,"abstract":"<p><p>Neurological diseases in children may be associated with mortality and long-term morbidity when they recover from acute ailments. The pattern of neurological disorders in an outpatient service may highlight the burden of these diseases. The objective of the present study is to describe the pattern of neurological disorders at the Pediatric Neurology Clinic of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. A retrospective analysis of consecutive patients in a Pediatric Neurology Clinic of OOUTH, from 1st January 2011 till 31st December 2014, was carried out. A total of 4,476 patients attended the pediatric outpatient unit. Of these, 433 children had neurological disorders with a prevalence of 9.67%. The most frequent pediatric neurological disorders included seizure disorders (37.7%), cerebral palsy (37.7%), and central nervous system infections with complications (6.2%). The subjects with cerebral palsy were the youngest, while the subjects with seizures were the oldest. This study emphasizes that neurological disease contributes substantially to childhood morbidity in a semi-urban African tertiary hospital.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361490/pdf/sjp-22-83.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40607712","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}
Rabab Elahssan, Farhana Shariff, Michael OGrady, Taha Ibrahim Yousif
{"title":"Telehealth application in Sudan: requirements and potential benefits.","authors":"Rabab Elahssan, Farhana Shariff, Michael OGrady, Taha Ibrahim Yousif","doi":"10.24911/SJP.106-1591278403","DOIUrl":"https://doi.org/10.24911/SJP.106-1591278403","url":null,"abstract":"<p><p>Telehealth (TH) is defined as the entire spectrum of activities used to deliver care remotely. It could either be provider-to-patient or provider-to-provider communications. TH can take place synchronously (via telephone and video), asynchronously (via patient portal messages, e-consults), and through virtual agents (chat) and wearable devices. It has been used to support access to specialised medical advice in remote areas in many countries all over the world. We discuss the potential use of TH Clinics in Sudan and propose guidance for establishing such services. The current pandemic of SARS-COVID-19 has increased the pressure on most health systems. This has challenged and urged for significant changes in the way we provide health care for both COVID and non-COVID cases. There is a great potential for improvement in services in many countries including Sudan with the use of TH.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361489/pdf/sjp-22-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40605190","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":"The cause of severe hypercalcaemia resistant to pamidronate treatment: subcutaneous fat necrosis with no visible skin lesion.","authors":"Saime Ergen Dibeklioğlu, Veysel Nijat Baş, Emine Esin Yalınbaş, Sermin Tok Umay","doi":"10.24911/SJP.106-1602681630","DOIUrl":"https://doi.org/10.24911/SJP.106-1602681630","url":null,"abstract":"<p><p>Subcutaneous fat necrosis (SCFN) is an uncommon cause of neonatal hypercalcaemia. It is usually seen in neonates after a complicated delivery within the first month of life. While uncommon, hypercalcaemia can be fatal. It is characterised by red-purple plaques in fatty points along with firm subcutaneous nodules. Rarely, SCFN may cause severe hypercalcaemia with no visible skin lesion. In this rare case, we report severe infancy hypercalcaemia without characteristic skin lesion on first physical examination, unresponsive to hydration, diuretic, prednisolone and standard dose of pamidronate treatment. As timely diagnosis and treatment are so important, this complication should be kept in mind even in such clinical presentations.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361483/pdf/sjp-22-98.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40605200","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}
Hana Brozikova, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, Stepan Kutilek
{"title":"Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura.","authors":"Hana Brozikova, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, Stepan Kutilek","doi":"10.24911/SJP.106-1576094862","DOIUrl":"https://doi.org/10.24911/SJP.106-1576094862","url":null,"abstract":"<p><p>Henoch-Schönlein purpura (HSP) is the most common vasculitis in childhood and is clinically characterised by purpura, abdominal pain, arthritis and renal involvement. Scarcely, some patients with HSP may not always show visible rash and can present with insidious abdominal symptoms. We present two patients: an 8-year-old boy who was initially considered as having infectious diarrhoea and mesenteric lymphadenitis, then intussusception, appendicitis, appendicopathia oxyuriaca and post-operative ileus. However, he was finally diagnosed with HSP, as the typical rash appeared 10 days after onset of abdominal symptoms. The second patient was a 5-year-old boy with recurrent vomiting, abdominal pain and mild dehydration, where swollen joints and typical rash appeared on day 3. Both patients were successfully managed with orally administered corticosteroids. The patients did not have any further consequences of HSP.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 2","pages":"179-184"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983764/pdf/sjp-22-179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101235","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}
Shailvi Singhal, Poonam Sherwani, Khanak K Nandolia
{"title":"Diversified migrational abnormalities in a child with seizure: imaging findings.","authors":"Shailvi Singhal, Poonam Sherwani, Khanak K Nandolia","doi":"10.24911/SJP.106-1604464537","DOIUrl":"https://doi.org/10.24911/SJP.106-1604464537","url":null,"abstract":"","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"116-118"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361495/pdf/sjp-22-116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40605191","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":"Moving forwards amidst the griefs.","authors":"Mustafa Abdalla M Salih, Mohammed Osman Swar","doi":"10.24911/SJP.106-1656828897","DOIUrl":"https://doi.org/10.24911/SJP.106-1656828897","url":null,"abstract":"","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 1","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361487/pdf/sjp-22-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40607710","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}
Nosaiba Saeed O Mohammed Ahmed, Egbal Abbashar Al Gamar
{"title":"Mother's Knowledge and Attitude Regarding Recognition of Neonatal Danger Signs-Sudan 2017","authors":"Nosaiba Saeed O Mohammed Ahmed, Egbal Abbashar Al Gamar","doi":"10.24911/sjp.1061524987299","DOIUrl":"https://doi.org/10.24911/sjp.1061524987299","url":null,"abstract":"Mother's Knowledge and Attitude Regarding Recognition of Neonatal Danger Signs-Sudan 2017 ________________________________________ Abstract Neonates are at risk for various health problems; morbidity and mortality occur significantly in developing countries. Reducing neonatal morbidity and mortality requires the immediate caregivers recognition of suggestive danger signs in the neonates. Generally, reducing neonatal morbidity and mortality requires immediate caregivers recognition of suggestive danger signs in the neonates and visiting the nearby clinic(2).The study aim was to assess mothers' knowledge and attitudes regarding the recognition of neonatal danger signs. This is a descriptive cross-sectional hospital-based study conducted at three hospitals located in Khartoum State. The data were collected using a structured interview questionnaire, from a sample which consisted of 188 participants. The collected data were then analyzed by the Statistical Package of Social Science version (21). The data were presented in tables and figures, and p-value was used to test the association between the variables of the study (significant association was considered to be (0.05) or less).The results revealed that a great majority of the study population (about 72%)of the respondent had very poor knowledge about neonatal danger signs. Fever was the commonest danger sign recognized by most of the participant. Most of the study population had positive attitudes towards initiating the management of neonatal risk signs which include: neonatal jaundice (82%), hypothermia (52.66%), convulsion (71.8%) and fast, difficult breathing (75%) at home. The results also showed that more than half of the participant (54.8%) had negative attitudes regarding the management of diarrhea at home. The study concluded that the majority of mothers under study had very poor knowledge about neonatal danger signs. Key terms: Neonate, danger signs, management of neonatal risk.","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","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":"69326546","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":"About the Cover.","authors":"","doi":"10.24911/SJP.106-1674122235","DOIUrl":"https://doi.org/10.24911/SJP.106-1674122235","url":null,"abstract":"","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 2","pages":"123-124"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983765/pdf/sjp-22-122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9377479","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}
Sulafa Khalid M Ali, Salah Hamid Mohamed, Hamida Mohammedain, Asmaa Mohamed Al Haj
{"title":"Echocardiographic surveillance of rheumatic heart disease in West and North Darfur compared with Kassala State: socioeconomic or genetic differences?","authors":"Sulafa Khalid M Ali, Salah Hamid Mohamed, Hamida Mohammedain, Asmaa Mohamed Al Haj","doi":"10.24911/SJP.106-1657904885","DOIUrl":"https://doi.org/10.24911/SJP.106-1657904885","url":null,"abstract":"<p><p>Rheumatic heart disease (RHD), a preventable complication of group A beta-haemolytic streptococcal infection, is highly prevalent in Sudan. Echocardiographic (echo) screening has an established role in disease surveillance. This study aims to measure the echo prevalence of RHD using handheld echo (HHE) in West and North Darfur and Kassala states and initiate control programs. School children 10-18 years of age were selected from the three states and HHE screening was performed by trained paediatric residents supervised by cardiologists using a pre-tested protocol. Health worker training and public awareness sessions were carried out. The study was conducted between November 2020 and December 2021. In West Darfur, 1,547 children were screened, echo prevalence was found to be 17.4/1,000, and 22% had moderate to severe disease. In North Darfur, 800 children were screened and echo prevalence was 16.2/1,000, 23% had moderate to severe disease while in Kasala 2,225 children were screened and the prevalence was 3.1/1,000 and all cases were mild. One hundred and fifty-eight health workers were trained and 20,150 people benefited from health education sessions. The prevalence of RHD in Darfur is 5 times more than in Kassala. This may reflect socioeconomic and genetic differences between the two regions. RHD control in Darfur needs to be consolidated, and echo surveillance is an important tool for early detection and the institution of secondary prophylaxis.</p>","PeriodicalId":74884,"journal":{"name":"Sudanese journal of paediatrics","volume":"22 2","pages":"131-137"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9983766/pdf/sjp-22-131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849694","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}