Pediatrics & therapeutics : current research最新文献

{"title":"Development of resilience assessment scale for children admitted with chronic diseases","authors":"Manmeet Kaur","doi":"10.4172/2161-0665-C1-043","DOIUrl":"https://doi.org/10.4172/2161-0665-C1-043","url":null,"abstract":"","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70487677","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":"Factors Associated with Exclusive Breastfeeding at Primary Health Care in Indonesia","authors":"A. Kumala","doi":"10.4172/2161-0665.1000337","DOIUrl":"https://doi.org/10.4172/2161-0665.1000337","url":null,"abstract":"Background: Breastfeeding is recommended as the best form of infant feeding. In Indonesia, despite a high percentages of women (96%) who breastfeed their children, only 42% of infants aged under 6 months are exclusively breastfed. It is important to understand the factors that influence exclusive breastfeeding so that intervention can be directed precisely.Method: We conducted a cross-sectional study of mother who had 7 to 12 months old infants in Puskesmas Curug, Indonesia (2012). Data were collected by face-to-face interviews using a structured questionnaire. Chisquare was used to find risk factors associated with exclusive breastfeeding.Results: Of 60 mothers, 51.2% did exclusive breastfeeding. Factors known to influence exclusive breastfeeding were early breastfeeding initiation (p=0.002), health counselling (p<0.001) and knowledge (p=0.004). Mother’s education and occupation were not associated with exclusive breastfeeding.Conclusion: Opportunities exist for increasing health counselling in primary healthcare in Indonesia to motivate mothers to do exclusive breastfeeding.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0665.1000337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49200312","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":"Diagnostic errors and critical thinking","authors":"R. Sulayman","doi":"10.4172/2161-0665-C1-041","DOIUrl":"https://doi.org/10.4172/2161-0665-C1-041","url":null,"abstract":"","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43552865","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":"Video games for women′s health behavioral change","authors":"A. Helm, D. Greenberg","doi":"10.4172/2161-0665-C1-045","DOIUrl":"https://doi.org/10.4172/2161-0665-C1-045","url":null,"abstract":"Objective: This study was designed with an objective of observing Calretinin as Immunohistochemical marker for aganglionosis and for detection of ganglion cells in the affected areas for more accurate and better diagnosis of the disease. Study Design: It was an observational, descriptive study. Setting: It was carried out at Department of Morbid Anatomy and Histopathology in University of Health Sciences (UHS) Lahore. Period: The study commenced in March 2016 after approval of the synopsis by the Advance Studies and Research Board of UHS and was successfully completed in December 2016. Methodology: Biopsy Specimens of colon which were considered for the study were collected from 73 patients from Mayo Hospital, Lahore with well-established histopathologically diagnosed HSCR. Results: 52/73 (71.23%) of the patients were male and 21/73 (28.77%) were female. The mean age was 12.52±9.21 months. In agreement with clinico-pathologic examination and sign and symptoms, 69/73 (94.5%) cases had long standing constipation, 68/73 (93.2%) cases had vomiting, 47/73 (64.4%) cases had fever, 31/73 (42.5%) cases had a failure to thrive, 63/73 (86.3%) of the patients had palpable abdominal masses and 20/73 (27.4%) cases had enterocolitis. Ganglion cells were present in 42/73 (57.53%) and absent in 31/73(42.47%) respectively. Convincing association of Ganglion cells was seen with history of enterocolitis, vomiting and chronic inflammation, (p-value < 0.05). Conclusion: It was consummated that Calretinin provides a reliable and very cost effective adjunctive test to be used routinely with H&E in diagnosing HSCR and consequently waiving off the need for unnecessary surgeries and repeated biopsies.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70487737","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":"Effectiveness of Diversional Activity on Pain and Anxiety during Venipuncture among Children in a Selected Hospital Dehradun, Uttarakhand","authors":"Supriya Singh, S. Chanu, Atul Chaudhary","doi":"10.4172/2161-0665.1000334","DOIUrl":"https://doi.org/10.4172/2161-0665.1000334","url":null,"abstract":"Background: Hospitalization is stressful condition for children of all age groups. Venipuncture is one of the common painful procedures performed in hospital. Pediatric patients are often subjected to unexpected medical procedures that cause pain and anxiety.Statement of the problem: “A study to assess the effectiveness of Diversional Activity on pain and anxiety during venipuncture among children in a selected Hospital of Dehradun, Uttarakhand”.Objectives: To determine the effectiveness of diversional activity on pain and anxiety during venipuncture among children in both experimental and control group and to find the association between level of pre interventional anxiety and pain of children with their personal profile.Methodology: A quantitative research approach with quasi experimental, two group pre-test post-test design for anxiety and post-test only design for pain was used. The study was conducted in pediatric areas of Himalayan Hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subjects. Data was collected from 69 children (34 in control group and 35 in experimental group) by using children’s fear scale to measure anxiety and Wong Baker Face Pain scale to measure pain.Results: The mean post interventional anxiety score of children in experimental group was 1.2 ± 0.54 which was significantly lower than the control group 3.4 ± 0.5. The mean post interventional pain score of children in experimental group was 4.5 ± 1.9 which was significantly lower than the control group 9.1 ± 1.3. Comparison of mean post interventional anxiety of experimental and control group was done by using independent ‘t’ test and calculated ‘t’ value was 8.4 which was found statistically significant at p<0.05. Comparison of mean pain score of children in experimental group and control group was computed by using independent ‘t’ test and calculated ‘t’ value was 5.54 and also found statistically significant at p<0.05.Conclusion: On the basis of findings the investigator concluded that the diversional activity was effective in reducing anxiety and pain during venipuncture.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"7 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0665.1000334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42482209","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":"A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge Regarding“ Home Management of Side Effects of Chemotherapy” among Parents","authors":"Rajvinder Kaur, S. Chanu, D. Sorte","doi":"10.4172/2161-0665.1000333","DOIUrl":"https://doi.org/10.4172/2161-0665.1000333","url":null,"abstract":"Objective: The first objective of the study is to determine effectiveness of structured teaching programme on knowledge regarding home management of side effects of chemotherapy among parents. The second objective of the study is to find association between the pretest knowledge levels of parents with selected demographic variables.Methodology: A quantitative research approach with quasi-experimental, one group pretest posttest design was used. The population for the study was parents of children receiving chemotherapy and the sample in the study was 51 parents of children receiving chemotherapy at cancer research institute, Himalayan hospital, SRHU. On the first day written consent was taken from the participants and collected the data by using tool 1-(demographic variables) and tool-2 (structured knowledge questionnaire) interview schedule. Same day structured teaching programme was given in the form of intervention. On the 7th day posttest was done by using same tool.Results: The mean post-test knowledge score of parents is 22.45 ± 1.73 which was significantly higher than the pretest knowledge score 16.21 ± 1.99 there was a significant improvement in the knowledge of parents regarding home management of side effects of chemotherapy. Paired ‘t’ test was calculated to find the significant difference between means of pretest and posttest knowledge scores. The calculated ‘t’ value was 17.37 which is more than the table value 2.009. (df=50 at p<0.05). Chi-square test was performed to find association, only one variable relation with child was significant.Conclusion: It was concluded that the structured teaching programme on home management of side effects of chemotherapy was effective in increasing knowledge of parents.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44683503","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":"Clinical and Demographic Profile of Pediatric Patients with Dengue Fever Admitted in Three Hospitals in Tagbilaran City","authors":"A. Oncog, Jeia Pondoc","doi":"10.4172/2161-0665.1000332","DOIUrl":"https://doi.org/10.4172/2161-0665.1000332","url":null,"abstract":"Objective: To determine the epidemiological and clinical features of pediatric patients with laboratory confirmed dengue infection in Bohol. Methodology: This is a retrospective epidemiological study. The charts of children 0-14 years of age who were admitted to Gov. Celestino Gallares Memorial Hospital, Ramiro Community Hospital and Medical Mission Group- Cooperative Hospital for laboratory-confirmed dengue disease from January 2010 to December 2012 were reviewed. The age, gender, residence, clinical signs and symptoms, as well as outcome on discharge were noted and tabulated. Frequencies and percentages were computed for nominal data. Results: There were 540 patients enrolled in the study. Results showed that dengue infection was most prevalent in children 4 to 7 years old. Dengue infection was also noted to be more frequent among female children. Tagbilaran City has the highest incidence of dengue disease in the province. Hepatomegaly, abdominal pain, vomiting and headache were the most common signs and symptoms. Most of the patients had either Classical Dengue Fever or Dengue Hemorrhagic Fever Grade I. All patients with Dengue Hemorrhagic Fever Grade IV died. Conclusion: Among patients with laboratory-confirmed dengue infection in Bohol, the highest proportion was noted among children 4 to 7 years old. Females were more often afflicted with dengue than males. Coastal towns had higher incidence of dengue compared to inland towns. The most common signs and symptoms on admission were hepatomegaly, abdominal pain, vomiting and headache. Majority of children with dengue had either Classical Dengue Fever or Dengue Hemorrhagic Fever Grade I. All patients with Dengue Hemorrhagic Fever Grade IV died.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136255","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":"Magnitude of Stunting and its Determinants among Children Aged 06-59 Months in Semen Bench Woreda, Genja District-A Community Based Cross-Sectional Study in South West Ethiopia, 2017","authors":"A. Meleko, Yordanos Bekele, Samrawit Sileshi, Abeba Daniel, Abebaw Addisu, D. Getachew, Teshome Ayele","doi":"10.4172/2161-0665.1000329","DOIUrl":"https://doi.org/10.4172/2161-0665.1000329","url":null,"abstract":"Background: Children are most vulnerable to stunting in developing countries because of inadequate health services, poor water and sanitation, poor maternal and child care practices and insufficient access to food. Malnutrition in Ethiopia, in the form of stunting is higher than other forms of malnutrition among under five children. Objective: To assess magnitude of stunting and its determinants among children aged 06-59 Months in Semen Bench Woreda, Genja District, South West Ethiopia. Methods: A Community based cross-sectional study was conducted from March 7 to May 28, 2017 in Genja district, southwest Ethiopia. Data were collected using structured questionnaires and measuring height of children. Bivariate and multivariate regression analyses were used using SPSS version 21 software to see the relevant associations. Descriptive statistics, binary and multivariable logistic regressions were done to identify factors associated with. P<0.05 were used to declare statistical significance. Anthropometric data were also converted into indices of nutritional status using Emergency Nutrition Assessment (ENA) for SMART. Results: A total of 309 households were included in the study giving the response rate 100%. The prevalence of stunting among children 6-59 month in Genja district was 23%. From its 3.6% of them were severely stunted whereas 19.4% was moderately stunted. In multivariate analysis income and history of diarrhea were independent predictors of stunting with p- value <0.05. Children who had no history of diarrhea in the past had 0.6 lower odds of stunting than their counterpart (AOR=0.63, (CI; 1.03, 3.44)) and also children’s whose family had income between 500-1000 had 0.8 lower odds off stunting than their counterpart (AOR=0.84, (CI; 0.2, 0.92)). Conclusion and recommendation: Prevalence of stunting among children aged 6-59 months was to some extent high in contrast to other studies and government plan. Thus, it is indispensable to strengthen health promotion actions and social, educational and income-generating investments for preventing and fighting these nutritional ailments, which are still significantly present in this study area.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46873946","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":"Prevalence and Factors Associated with HIV and Hepatitis B and Hepatitis C Co Infection in Children Attended at the Hubert Koutoukou Maga National University Teaching Hospital (CNHU-HKM) of Cotonou","authors":"M. d’Almeida, Lutecia Guidibi-Zohoun, D. Adedemy, H. F. Lalya, Hosmine Gbogbo, S. Koumakpai-Adeothy","doi":"10.4172/2161-0665.1000330","DOIUrl":"https://doi.org/10.4172/2161-0665.1000330","url":null,"abstract":"Background: Viral hepatitis B and C share the same transmissions route with HIV. This fact could explain the relative high prevalence of HIV and Hepatitis B and C virus co-infection. Objective: The purpose of this study is to determine HIV and Hepatitis B and C virus co-infection frequency among HIV infected children's cohort at Cotonou National Teaching Hospital and identify predicting factors of this coinfection. Materials and methods: Authors performed a descriptive, cross-sectionnal and analytic study covering the periood of 1st of May to 31st of August at the Cotonou National Teaching Hospital which is a tertiary hospital dedicated to HIV infected children follow up and management. Recruitment was exhaustive and sociodemographic, clinical and biological data (Ag HBs, ac HBc) were registered. Results: 31 cases of co-infection were registered among 234 HIV infected children (13.2%). HIV/VHB coinfection was encountered in 12.8% of cases and HIV/VHC co-infection in 0.4%. Through univariate analysis history of blood transfusion was an associated factor and through multivariate analysis, predicting factors of that co-infection were length of HAART (p=0.0375), children's hepatitis B immunization status (p=0.0461) and history of blood transfusion (p=0.0162). Conclusion: This work will contributes to reinforce regular screening of hepatitis B and C co-infection among HIV infected children before HAART initiation and also serve as tool for advocacy for hepatitis B immunization at birth in our country.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":"2017 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42513592","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":"Assessment of Pain in Children Hospitalized in the Emergency Department, Vietnam National Children’s Hospital","authors":"V. Do, Toan N. Pham, H. Dinh, Xuan Thi Do, H. T. Le, Oanh Nguyen, D. N. Le, Vera Komisarjevsky, J. Partridge","doi":"10.4172/2161-0665.1000328","DOIUrl":"https://doi.org/10.4172/2161-0665.1000328","url":null,"abstract":"Background: Assessment of pain in emergency settings can be difficult, particularly in young children. However, it is essential to the appropriate management and treatment in children. Objective: To assess pain levels in pediatric patients admitted to an emergency department using standardized pain assessment tools. Methods: Descriptive, cross-sectional study of 1840 children hospitalized in the Emergency and Poison Control Department of the Vietnam National Children’s Hospital in Hanoi, Vietnam from 12/2014 to 3/2015. On admission and again at 6 hours, nurses or physicians assessed pain levels using the Wong-Baker Faces scale for children 3 years of age. Time of first analgesic administration (paracetamol or opioids) and basic demographic data were prospectively recorded on standard datasheets. Results: We enrolled 1840 children (66% male, 34% female) during the 4 months study period. Of this total, 1221 (66.7%) were 1 months to 3 years in age. On admission, no pain was noted in 356 (19.3%), mild pain in 746 (40.5%), moderate pain in 681(37%), and severe pain in 42 (2.3%). On admission, the mean pain score was (2.92 ± 1.94 on admission. After 6 hours, 820 (44.6%) children were pain-free and 755 (41%) had mild pain, with mean pain scores of 1.59 ± 1.79. Analgesics were not administered to children with no pain; analgesics were administered to 3.8% and 26% of patients with moderate or severe pain, respectively. There was no difference in the pain level by age groups or gender. Only 2.3% patients received analgesics, all of these had moderate or severe pain scores. Conclusions: Pain scales are useful in stratifying pain in children so that analgesics can be appropriately administered to those with the most acute pain. Pain scores can guide emergency physicians to treat nonverbal patients most in need of analgesics.","PeriodicalId":91373,"journal":{"name":"Pediatrics & therapeutics : current research","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43501412","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}