BMJ Paediatrics Open最新文献

Design and validation of Iranian Child Health-Friendly Neighbourhood checklist: a mixed-methods study. 伊朗儿童健康友好社区核对表的设计与验证：一项混合方法研究。

IF 2 4区医学

BMJ Paediatrics Open Pub Date : 2024-11-14 DOI: 10.1136/bmjpo-2024-002918

Parisa Akhbari, Nastaran Keshavarz Mohammadi, Farid Zayeri, Ali Ramezankhani, Pantea Hakimian, Nasrin Sahamkhadam

{"title":"Design and validation of Iranian Child Health-Friendly Neighbourhood checklist: a mixed-methods study.","authors":"Parisa Akhbari, Nastaran Keshavarz Mohammadi, Farid Zayeri, Ali Ramezankhani, Pantea Hakimian, Nasrin Sahamkhadam","doi":"10.1136/bmjpo-2024-002918","DOIUrl":"10.1136/bmjpo-2024-002918","url":null,"abstract":"Background: A child health-friendly neighbourhood is defined as a neighbourhood where the child's health is provided, protected and promoted. Designing and validation of an assessment tool is required to identify the deficits and strengths of neighbourhoods within the context of each country. This study aimed to design and validate a child health-friendly neighbourhood assessment tool in Tehran.Methods: A mixed-methods approach using semistructured interviews with 31 participants (15 mothers of children under 6 years old and 16 experts) conducted in Tehran between 2021 and 2022. Face validity, content validity and reliability of the checklist were calculated. Highly influenced by the Child Friendly City framework, designing and validation of the checklist was carried out through three phases: (a) identifying the child health-friendly neighbourhood domains and subdomains, (b) drafting the Iranian Child Health-Friendly Neighbourhood checklist and (c) validation of the designed checklist.Results: Following three phases of study, the final version of the checklist consisted of six dimensions, namely green space and park, recreational centre, passage and street, healthcare centre, cultural centre and kindergarten. Each dimension encompassed five domains of facilities and services, accessibility, security, safety and aesthetics and view, with 42 indicators, 77 subindicators and 273 items.Conclusions: The child health-friendly neighbourhood checklist has a more health focus on neighbourhood level and is more contextually specific, relevant and appropriate compared with UNICEF's Child Friendly City framework. It also showed acceptable validity and reliability; therefore, the checklist could be a feasible tool to assess child health-friendly neighbourhoods.","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating awareness and implementation of adrenaline auto-injectors (AAI) via the 'Spare Pens in Schools' scheme in Wales: a cross-sectional pilot study. 调查威尔士通过 "学校备用笔 "计划对肾上腺素自动注射器 (AAI) 的认识和使用情况：一项横断面试点研究。

IF 2 4区医学

BMJ Paediatrics Open Pub Date : 2024-11-13 DOI: 10.1136/bmjpo-2024-002958

Eliana Panayiotou, Athanasios Hassoulas, David Tuthill, Elizabeth Miles, Judith Holloway

{"title":"Investigating awareness and implementation of adrenaline auto-injectors (AAI) via the 'Spare Pens in Schools' scheme in Wales: a cross-sectional pilot study.","authors":"Eliana Panayiotou, Athanasios Hassoulas, David Tuthill, Elizabeth Miles, Judith Holloway","doi":"10.1136/bmjpo-2024-002958","DOIUrl":"10.1136/bmjpo-2024-002958","url":null,"abstract":"Objective: To investigate awareness and implementation of the Spare Pens (ie, adrenaline auto-injectors (AAIs)) scheme in primary and secondary schools in two regions in Wales.Design: A cross-sectional pilot study employing a mixed research methods approach was carried out.Setting and participants: State primary and secondary schools within Swansea and Pembrokeshire regional authorities were invited to take part. For geographical context, Swansea is the second largest city in Wales and is situated in the southwest of the country. Pembrokeshire is located in West Wales, with a large rural population outside of its main towns.Main outcome measures: Awareness and implementation of the Spare Pens in Schools scheme. Additionally, compliance with national guidance was measured by administering a questionnaire capturing data on registers, procedures, storage and training in the use of AAIs.Results: 35 schools (30 primary, 5 secondary) participated, with 11% and 6% reporting awareness and implementation of the scheme, respectively. No significant differences in awareness or implementation of the scheme were revealed for school type or region. Secondary schools reportedly stored more AAI devices compared with primary schools. The location of stored AAIs varied by school type, with 46.7% of primary schools storing AAIs in the classroom while 80% of secondary schools stored AAIs in the school office. Procedures for accessing AAI training differed, with 83% of primary schools receiving training by school nurses and 60% of secondary schools accessing training via an allergy team.Conclusions: The overall poor awareness of the Spare Pens in Schools scheme has resulted in a worrying lack of implementation of generic AAI devices. An urgent review of information dissemination regarding the scheme is required.","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving childhood immunisation in Indonesia: challenges and solutions. 提高印度尼西亚儿童免疫接种率：挑战与解决方案。

IF 2 4区医学

BMJ Paediatrics Open Pub Date : 2024-11-13 DOI: 10.1136/bmjpo-2024-003006

Vernando Yanry Lameky, Sahrir Sillehu

引用次数: 0

Hearing loss in newborn infants with hypoxic ischaemic encephalopathy: protocol for a case-control study. 缺氧缺血性脑病新生儿的听力损失：病例对照研究方案。

IF 2 4区医学

BMJ Paediatrics Open Pub Date : 2024-11-13 DOI: 10.1136/bmjpo-2023-002487

Sujith Pereira, Milton D'costa, Narendra Aladangady

{"title":"Hearing loss in newborn infants with hypoxic ischaemic encephalopathy: protocol for a case-control study.","authors":"Sujith Pereira, Milton D'costa, Narendra Aladangady","doi":"10.1136/bmjpo-2023-002487","DOIUrl":"10.1136/bmjpo-2023-002487","url":null,"abstract":"Introduction: Hypoxic ischaemic encephalopathy (HIE), a condition where the brain does not receive enough oxygen and/or blood flow around the time of birth, is associated with significant morbidity and mortality. Systemic circulation may be affected due to poor myocardial function. The cochlear hair cells are vulnerable to changes in microcirculation, which may occur in HIE predisposing to hearing loss. Therefore, all infants with HIE undergo neurodevelopmental surveillance after discharge to monitor for adverse neurodevelopment including speech and hearing problems. This study will examine the incidence of confirmed hearing loss in newborn infants with any stage of HIE (cases) and compare them with controls.Methods and analysis: All infants diagnosed with any stage of HIE (cases) over a 12-year period (January 2010 to December 2021) will be examined. Controls were newborn infants without HIE who were admitted to the neonatal unit and received intensive care including antibiotics (control group 1) and stable infants in the postnatal ward who received antibiotics (eg, gentamicin) (control group 2). Controls matched for gestation, gender and birth weight will be selected from a similar time period. Infant details and hearing screening data will be gathered from prospectively entered BadgerNet and S4H system databases, respectively. Categorical data will be analysed using the χ2 test. Predictors for hearing loss will be performed using binary logistic regression analysis.Ethics and dissemination: The study is approved by the Health and Care Research Wales (HCRW) Research Ethics Committee and the Health Research Authority (HRA) (reference 21/HRA/4506). The study findings will be presented at national/international conferences and published in peer-reviewed scientific journals.","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children's health and the ocean: a vital connection. 儿童健康与海洋：至关重要的联系。

IF 2 4区医学

BMJ Paediatrics Open Pub Date : 2024-11-07 DOI: 10.1136/bmjpo-2024-003028

Ella M Whitman, Lora E Fleming, Philip J Landrigan

引用次数: 0