Academic journal of pediatric and neonatology最新文献

Parents’ Knowledge, Attitudes and Beliefs Regarding Fever in Children: A Cross-Sectional Study In Qatar 父母对儿童发烧的知识、态度和信念：卡塔尔的一项横断面研究

Academic journal of pediatric and neonatology Pub Date : 2021-08-03 DOI: 10.19080/ajpn.2021.10.555842

R. Elajez

{"title":"Parents’ Knowledge, Attitudes and Beliefs Regarding Fever in Children: A Cross-Sectional Study In Qatar","authors":"R. Elajez","doi":"10.19080/ajpn.2021.10.555842","DOIUrl":"https://doi.org/10.19080/ajpn.2021.10.555842","url":null,"abstract":"Background: Fever phobia remains extremely widespread which significantly affect home management and antipyretics use. We aimed to explore the knowledge, attitudes and beliefs of parents in Qatar about fever in children. Methods: Survey-based, cross-sectional study including parents accompanying their children to Pediatric Emergency Center Al-Sadd; the most populated pediatric emergency centre in Qatar. The survey developed from previously validated similar studies in addition to the recent guidelines. The Surveys were collected over six months (October 2019 till March 2020). Results: Most of the participants are mothers (71.8%), and more than half of them have one or two children (57.8%). Two-third of the parents (65.8%) defined fever correctly as core temperature ≥38 °C. Eighty parents (20%) reported not having a thermometer, and they depend on touching the child by hand to determine the presence of fever. Almost all parents (95.7%) believed that under treatment of fever could cause harm, where seizure was the most commonly predicted fever’s complication (66.5%). Majority of parents (71%) believed that every child with fever needs antipyretic even if doing-well. Parents used to give antipyretics as syrups in 62.5% while 30% preferred giving both syrups and suppositories together. In addition to antipyretics administration, 48.5% use home remedies (i.e. cold sponges) while 42.5% they seek physician assistance. Conclusion: Parental knowledge of fever and its management were found to be deficient, which concur with existing literature in other regions. Clinicians should play a significant role to instruct parents with accurate information about childhood fever and its home management whenever possible.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49618329","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}

引用次数: 1

Technological Advances in The Dental Management of Patients with Lesch-Nyhan Syndrome: A Case Report Lesch-Nyhan综合征患者口腔管理的技术进展：一例报告

Academic journal of pediatric and neonatology Pub Date : 2021-03-31 DOI: 10.19080/ajpn.2021.10.555839

Eftychia Pappa

引用次数: 0

Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate 口服葡萄糖凝胶治疗新生儿低血糖及延迟新生儿沐浴对院内纯母乳喂养率的影响

Academic journal of pediatric and neonatology Pub Date : 2021-02-04 DOI: 10.19080/AJPN.2021.10.555832

R. Alissa

{"title":"Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate","authors":"R. Alissa","doi":"10.19080/AJPN.2021.10.555832","DOIUrl":"https://doi.org/10.19080/AJPN.2021.10.555832","url":null,"abstract":", Abstract Background: World Health Organization recommends exclusive breastfeeding in the first 6 months of an infant’s life. Exclusive breastfeeding is the use of human milk as the only food source. Exclusive breastfeeding at the time of infant’s discharge from Mother-Baby unit increases the likelihood of exclusive breastfeeding throughout the neonatal period. A recent study demonstrated that the use of oral dextrose gel as first-line treatment for neonatal hypoglycemia stabilized blood glucose and reduced transferring the neonates to specialized units to receive intravenous dextrose. Additionally, delaying the initial newborn bath has been shown to increase the likelihood of exclusive breastfeeding at hospital discharge due to the lack of interruption in breastfeeding initiation and skin-to-skin care. Research Aim: To improve in-hospital exclusive breastfeeding rate by adopting the use of oral dextrose gel for neonatal hypoglycemia and by delaying newborn baths to12 hours of life and beyond. Method: We implemented oral dextrose gel in March 2015 and adopted newborn bath delay to 12 hours of life and beyond in May 2015. Newborns who were exclusively breastfed at discharge from Mother-Baby unit, qualified for the study. We determined the core measure PC-05 (the in-hospital exclusive breastfeeding rate) in the 8 months before and after interventions. Result: The rate of exclusive breastfeeding increased from 20.7% in the 8 months before the first intervention to 32.8% in the 8 months after the second intervention. Conclusion: Implementation of oral dextrose gel for neonatal hypoglycemia and delay initial newborn bath were associated with improving our in-hospital exclusive breastfeeding rate.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46157360","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}

引用次数: 0

The Effect of Scalp Acupuncture on Sleeping Disorders in Autism 头皮针刺对自闭症患者睡眠障碍的影响

Academic journal of pediatric and neonatology Pub Date : 2020-07-21 DOI: 10.19080/AJPN.2020.10.555831

C. Yau

引用次数: 0

Pattern and Severity of Vaso Occlusive Crisis in Paediatric Sickle Cell Anaemia Patient 小儿镰状细胞性贫血患者血管闭塞危象的模式和严重程度

Academic journal of pediatric and neonatology Pub Date : 2020-06-01 DOI: 10.19080/AJPN.2020.09.555828

Aworanti Oladapo

{"title":"Pattern and Severity of Vaso Occlusive Crisis in Paediatric Sickle Cell Anaemia Patient","authors":"Aworanti Oladapo","doi":"10.19080/AJPN.2020.09.555828","DOIUrl":"https://doi.org/10.19080/AJPN.2020.09.555828","url":null,"abstract":"Background: Sickle cell anemia (SCA) remains an inherited disease of public health significance in sub-Saharan Africa with Nigeria accounting for the significant burden of the disease globally. Acute painful crisis/event remains the hallmark of the disease with significant impact on physical and psychosocial wellbeing of both the children and the parents/caregivers despite advancement in care. The pattern and severity of acute painful event/VOC among children living with sickle cell anaemia were evaluated with a view to understand the manifestations of SCA in this group of patients. Methods: This was a prospective cross-sectional study and involved patients who presented at the emergency room, or out-patient unit of the Paediatrics Department of the Lagos University Teaching Hospital, Idi-Araba Lagos with acute painful crisis over a nine-month period (March 2015 - November 2015). Result: The participants was 8±7 years with male to female ratio of 1.1. The distribution of pain with respect to anatomic sites were the extremities extremities and other sites 27 (25.5%), abdomen 13(12.3%) and chest 12(11.3%). Sixty-six (62.3%) children with SCA presented with moderate pain intensity, 30% with severe pain intensity and 4.7% with mild pain intensity. Most of the children presented at the hospital within four days of pain onset. Conclusion : The commonest site of pain among children living with homozygous sickle cell anaemia is in the extremities. Most patients presented within the first four days of onset of pain and with moderate intensity.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43956448","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}

引用次数: 1

Effects of Student-Teacher Relationships on the Problem Behavior Trajectories of Children and Adolescents 师生关系对儿童青少年问题行为轨迹的影响

Academic journal of pediatric and neonatology Pub Date : 2020-05-04 DOI: 10.19080/AJPN.2020.09.555826

Jane J. Lee

引用次数: 0

Mechanical Insufflator-Exsufflator Maneuver no Collapse, so Says Electrical Impedance Tomography 机械吸气-呼气操作不会塌陷，电阻抗断层扫描说

Academic journal of pediatric and neonatology Pub Date : 2020-04-16 DOI: 10.19080/AJPN.2020.09.555824

M. S. Nascimento

引用次数: 0

Influenza Infection Leading to Cardiac Complications 流感感染导致心脏并发症

Academic journal of pediatric and neonatology Pub Date : 2020-04-13 DOI: 10.19080/AJPN.2020.09.555823

Supriya Bisht

引用次数: 0

The Outcome of Primary Anastomosis and the Long Term Follow Up of Preterm Infants Undergoing Surgery for Necrotizing Enterocolitis 早产儿坏死性小肠结肠炎一期吻合的疗效及远期随访

Academic journal of pediatric and neonatology Pub Date : 2020-04-06 DOI: 10.19080/AJPN.2020.09.555821

Y. Sweed

{"title":"The Outcome of Primary Anastomosis and the Long Term Follow Up of Preterm Infants Undergoing Surgery for Necrotizing Enterocolitis","authors":"Y. Sweed","doi":"10.19080/AJPN.2020.09.555821","DOIUrl":"https://doi.org/10.19080/AJPN.2020.09.555821","url":null,"abstract":"Objective: To investigate the safety and effectiveness of primary anastomosis (PA) in infants with complicated necrotizing enterocolitis (NEC) and the short and long-term outcomes, including the neurodevelopmental outcomes. Methods: A retrospective analysis of medical records of all infants diagnosed with NEC in the years 2000-2016. Long-term outcome data were taken from medical records and parental questionnaires. Results: Of 98 infants diagnosed with NEC, 40 were surgically treated (22 PA, 9 stoma, 9 peritoneal drainage (PD)). PA had shorter length of parenteral nutrition (20 vs. 34 days, p= 0.215), antibiotic treatment (10 vs. 14 days, p=0.053) and hospitalization (48 vs. 106 days, p=0.026) compared to stoma. Stoma group infants who needed more than one surgical intervention due to complications was three times higher (66% vs 22%, p= 0.038) and 57% of stoma infants developed short bowel syndrome compared to 33% of PA infants. There was no statistically significant difference between PA and stoma in mortality rate (27% vs 22%, p=1.00). Normal development at 1-2 years after discharge was found in 40% of PA and 14% of stoma. Severe neurodevelopmental impairment (NDI) was more common in stoma (70%) than in PA (20%). 70% of PA infants were integrated into a regular education framework compared to 28% of stoma. Conclusion: safe and effective surgical technique in the management of complicated NEC, with the same mortality rate as stoma, but, with lower morbidity in the short term and better long-term neurodevelopmental outcomes.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46922755","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}

引用次数: 0

Does Ultrasounding Children Referred for Appendicitis Aid the Choice to Operate? 儿童阑尾炎超声检查有助于选择手术吗？

Academic journal of pediatric and neonatology Pub Date : 2020-04-06 DOI: 10.19080/AJPN.2020.09.555822

Matthew L. M. Jones

{"title":"Does Ultrasounding Children Referred for Appendicitis Aid the Choice to Operate?","authors":"Matthew L. M. Jones","doi":"10.19080/AJPN.2020.09.555822","DOIUrl":"https://doi.org/10.19080/AJPN.2020.09.555822","url":null,"abstract":"Purpose: To determine whether the use of ultrasound (USS) assists in the diagnosis of appendicitis in paediatric patients. Method: A retrospective study of patients <14 years, referred to paediatric surgery with possible appendicitis from Jul 2015 to Nov 2016. Groups were based on the decision to admit with or without USS and their Alvarado scores (AS). Diagnosis was confirmed by histopathology. Outcomes were missed appendicitis, negative appendicectomy rate (NAR), and specificity of diagnosis. Results: 234 patients were included. 126 (54%) underwent appendicectomy and 102 (44%) had appendicitis. USS was performed in 163 patients (70%) and was 83% sensitive and 87% specific. Clinical diagnosis had greater specificity with USS 88% (CI 95%, 80-93) than without USS 59% (39-78). There was no significant difference in the NAR with USS (18%) and without (20%). All 29 patients AS 9-10 had appendicitis of these 15 (52%) had USS prior to theatre. None of the 30 patients AS 0-3 had appendicitis. In the group of 98 patients AS 6-8, those 59 who had an USS had a NAR of 2.86% and specificity of 96% (80-100), compared to NAR of 20% and specificity of 36% (11-69) in the 39 patients without. Conclusion: USS aids diagnostic accuracy through increasing the specificity, it does not benefit in AS ≥9 and ≤3 where the diagnosis is clinically evident. Consideration should be made to reduce these USS to lessen referral delay, hospital expense and misleading clinical decision-making. USS appears most useful in patients AS 6-8, with improved outcomes identified.","PeriodicalId":93160,"journal":{"name":"Academic journal of pediatric and neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45652403","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}

引用次数: 0