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Journal of Tropical Pediatrics

Salome Henry, Helen Trotman
AIM: This study aimed to determine challenges associated with neonatal transport in Jamaica, a resource-limited setting. METHODS: This was a prospective descriptive study of neonates transported to the University Hospital of the West Indies (UHWI) over a 15 month period. Data on the clinical status of the neonates before, during and at the end of transport, as well as on accompanying staff and equipment, were collected. Neonatal demographics, reason for transfer and outcome at 48 h and at discharge were also collected...
January 14, 2017: Journal of Tropical Pediatrics
Neeraj Gupta, Puneet Jain, Kuldeep Singh, Shilajit Bhattacharya
No abstract text is available yet for this article.
January 14, 2017: Journal of Tropical Pediatrics
Andreas Chiabi, Clarence Mbanga, Evelyn Mah, Felicitee Nguefack Dongmo, Seraphin Nguefack, Florence Fru, Virginie Takou, Angwafo Fru
BACKGROUND: Mortality associated with severe acute malnutrition (SAM) could be reduced by screening malnourished children for those most vulnerable to death. We compared the weight-for-height Z score (WHZ) and mid-upper arm circumference (MUAC) as predictors of mortality in children with SAM. METHODS: We conducted a retrospective study spanning over 8 years, using records of children aged 6-59 months, hospitalized for SAM and discharged alive or who died during hospitalization...
January 12, 2017: Journal of Tropical Pediatrics
Akash Ranjan Singh, Atul Kharate, Prashant Bhat, Arun M Kokane, Surya Bali, Swaroop Sahu, Manoj Verma, Mukesh Nagar, Ajay Mv Kumar
OBJECTIVE: We assessed uptake of isoniazid preventive therapy (IPT) among child contacts of smear-positive tuberculosis (TB) patients and its implementation challenges from healthcare providers' and parents' perspectives in Bhopal, India. METHODS: A mixed-method study design: quantitative phase (review of programme records and house-to-house survey of smear-positive TB patients) followed by qualitative phase (interviews of healthcare providers and parents). RESULTS: Of 59 child contacts (<6 years) of 129 index patients, 51 were contacted...
January 12, 2017: Journal of Tropical Pediatrics
Vishnu S Nair, Venkatesh Chandrasekaran, Barath Jagadisan, Niranjan Biswal
An 18-month-old male infant was referred to us with pruritus from 6 months of age. He was being managed as atopic eczema with emollients and antihistamines without any response to treatment. On examination, he was found to have extensive scratch marks, mild hepatomegaly and no icterus. Blood investigations were suggestive of anicteric cholestatic liver disease. Liver biopsy was suggestive of progressive familial intrahepatic cholestasis type 3. He showed symptomatic improvement after starting ursodeoxycholic acid and fat-soluble vitamins and is under follow up...
January 12, 2017: Journal of Tropical Pediatrics
Chukwunonso E C C Ejike
Despite four decades of research, there is no systematic review and trend analysis on paediatric (pre)hypertension in Nigeria. This article reviewed data from cross-sectional studies on the subject. From the initial 9334 articles identified, 30 studies that met the inclusion criteria were systematically reviewed. Data from studies that defined hypertension as blood pressure (BP) greater than the 95th percentile for age, height and sex gave a prevalence of 8.2% [95% confidence interval (CI): 3.6-28.2%] for prehypertension and 5...
January 12, 2017: Journal of Tropical Pediatrics
Mario Enrique Rendón-Macías, Edwin Alfonso Valencia-Ramón, Arturo Fajardo-Gutiérrez
We analyzed clinical and epidemiological characteristics of Burkitt lymphoma (BL) in two defined socioeconomic regions in Mexico: high socioeconomic region (HSER; with two political jurisdictions) and low socioeconomic region (LSER; with three jurisdictions). Of the 63 cases registered in the Childhood Cancer Registry (1996-2013), 45 (71.4%) were from HSER and 18 (28.6%) from LSER. The incidence was higher in the LSER (3.1 vs. 1.4 cases per million children/year). The sporadic form and Stages III/IV predominated in both regions...
January 12, 2017: Journal of Tropical Pediatrics
By Ashish R Dongara, Dipen V Patel, Somashekhar M Nimbalkar, Nirav Potana, Archana S Nimbalkar
: Peripherally inserted central catheter (PICC) and umbilical venous catheter (UVC) in terms of success rate, complications, cost and time of insertion in neonatal intensive care were compared. Neonates requiring vascular access for minimum 7 days were included. Sample size of 72 per group was determined. Trial was registered at Clinical Trials Registry of India (CTRI/2015/02/005529). Success rates of the UVC and PICC were 68.1% and 65.3%, respectively (p = 0.724). Mean (SD) time needed for PICC and UVC insertion was 34...
January 10, 2017: Journal of Tropical Pediatrics
Paula Mayara Matos Fialho, Carlos Roberto Silveira Correa, Susana Zevallos Lescano
OBJECTIVE: This study described the prevalence of IgG class antibodies against Toxocara spp. and their association with urticaria in 2- to 12-year-old children. METHODS: This population-based cross-sectional study was conducted between May 2012 and September 2014. The study sample comprised 168 children. Blood samples were collected to verify the presence of toxocariasis by using ELISA to detect IgG antibodies. The guardians of the children were interviewed to characterize the presence or absence of other diseases, such as urticaria...
January 10, 2017: Journal of Tropical Pediatrics
Biljana Medjo, Marina Atanaskovic-Markovic, Dimitrije Nikolic, Snezana Radic, Ivana Lazarevic, Ivana Cirkovic, Slobodanka Djukic
BACKGROUND: Mycoplasma pneumoniae (MP) is a common cause of community-acquired pneumonia in children, and it has been associated with wheezing. The aim of this study was to examine the serum level of interleukin (IL)-4 and IL-10 in children with Mycoplasma pneumoniae pneumonia (MPP) and to analyse them in relation to the presence of wheezing. METHODS: The study included 166 children with radiologically confirmed pneumonia. MP infection was confirmed by enzyme-linked immunosorbent assay (ELISA) serum MP-IgM and MP-IgG test and throat swab MP DNA with real-time polymerase chain reaction...
January 5, 2017: Journal of Tropical Pediatrics
Suchismita Mishra, Yadlapalli S Kusuma, Bontha V Babu
BACKGROUND: Accelerating reduction in infant and other child mortality rates calls for comprehensive child survival strategies. Early recognition of illness and timely seeking of treatment are critical elements to prevent child deaths, and cultural explanation for these care-seeking behaviours is important. The present article reports (i) mothers' recognition of illness and (ii) triggers of treatment related to some childhood illnesses among a migrant tribal community living in Bhubaneswar city, India...
December 30, 2016: Journal of Tropical Pediatrics
By Subhashchandra Daga, Hemant Joshi, Prashant Gunjal, Sameer Mhatre
OBJECTIVES: The objectives of this study are (i) to evaluate the feasibility of using an inexpensive air pump to maintain reliable oxygen concentration in a continuous positive airway pressure (CPAP) system and (ii) to evaluate whether an inexpensive air pump can maintain infant 02 sats >90%. METHODS: This prospective study, which included 19 babies in pilot phase and 90 during extension phase, was conducted at a neonatal intensive care unit in a resource-poor academic medical center in India...
December 26, 2016: Journal of Tropical Pediatrics
Douglas Simkiss
No abstract text is available yet for this article.
December 24, 2016: Journal of Tropical Pediatrics
Chandrika Azad, Ravinder Kaur, Dharmendra Kumar Singh, Adhi Arya
Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained...
December 24, 2016: Journal of Tropical Pediatrics
Sinan Uslu, Umut Zubarioglu, Sehrinaz Sozeri, Mesut Dursun, Ali Bulbul, Evrim Kiray Bas, Ebru Turkoglu Unal, Aysegul Uslu
BACKGROUND: The aim of this study was to describe the effect of factors on time to reach a pulse oxygen saturation (SpO2) level of 90% in preterm infants in the delivery room. METHODS: Preterm (<35 gestational age) infants who did not require supplemental oxygen were included in the study. Continuous recordings were taken by pulse oximetry during the first 15 min of life. RESULTS: Of 151 preterm infants, 79 (52.3%) were female and 126 (83...
December 24, 2016: Journal of Tropical Pediatrics
Yiglet Mebrat, Wondwossen Amogne, Amha Mekasha, Rudolph L Gleason, Daniel Seifu
HIV- and highly active antiretroviral therapy (HAART)-associated elevations in oxidative stress likely play a role in incomplete immune reconstitution, opportunistic infections and non-AIDS co-morbidities. We aimed to test the hypothesis that children living with HIV exhibit elevated markers of oxidative stress and reduced antioxidant profiles and that HAART-therapy will exacerbate these differences. HIV-positive HAART-naïve (n = 50) and HAART-treated (n = 50) and HIV-negative control (n = 50) participants, 3-15 years of age, were recruited from Black Lion Hospital in Ethiopia...
December 10, 2016: Journal of Tropical Pediatrics
Candice J McNeil, Avinash K Shetty
In February 2016, the World Health Organization declared Zika virus (ZIKV) infection a public health emergency of international concern, given the precipitous spread of the virus across the Americas. Unlike arboviruses such as Chikungunya and Dengue, which have also recently emerged in the western hemisphere, ZIKV was identified in communities where concurrent neurologic conditions such as microcephaly and Guillain-Barre (GB) syndrome were occurring at alarming rates. Thus, investigations to systematically evaluate the link between ZIKV, congenital malformations (including microcephaly) and GB syndrome remain a top priority...
December 5, 2016: Journal of Tropical Pediatrics
Nahida Z Walli, Emmanuel K Munubhi, Said Aboud, Karim P Manji
OBJECTIVE:  To evaluate vitamin D levels/deficiency among malnourished children <5 years admitted at a tertiary care center, the Muhimbili National Hospital, Dar es Salaam, Tanzania. Children with malnutrition may have co-existing vitamin D deficiency (VDD), which may be severe. METHODS:  Serum vitamin D and alkaline phosphatase were evaluated, and X-ray of the wrist was carried out on 134 children. RESULTS:  VDD was found in 41 of 134 children (30...
October 29, 2016: Journal of Tropical Pediatrics
Roshni Julia Rajan, Promila Mohanraj, Winsley Rose
Basidiobolomycosis is an uncommon cutaneous zygomycete infection typically seen in immunocompetent individuals. Diagnosis can be made by biopsy and fungal culture of the lesion. Treatment with Potassium iodide and co-trimoxazole is simple and effective. Early and accurate diagnosis of basidiobolomycosis is essential to avoid dissemination and mortality. We present a case with basidiobolomycosis resembling Fournier's gangrene.
October 29, 2016: Journal of Tropical Pediatrics
Johanna Thomson, Myrto Schaefer, Belen Caminoa, David Kahindi, Northan Hurtado
Neonatal deaths comprise a growing proportion of global under-five mortality. However, data from the highest-burden areas is sparse. This descriptive retrospective study analyses the outcomes of all infants exiting the Médecins sans Frontières-managed neonatal unit in Aweil Hospital, rural South Sudan from 2011 to 2014. A total of 4268 patients were treated over 4 years, with annual admissions increasing from 687 to 1494. Overall mortality was 13.5% (n = 576), declining from 18.7% to 11.1% (p for trend <0...
October 27, 2016: Journal of Tropical Pediatrics
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