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Journal of Tropical Pediatrics

Ashley Bauman, Kacey Ernst, Mary Hayden, Denise J Roe, Rachel Murray, Maurice Agawo, Stephen Munga, Erik Schmahl, Douglas Taren
Anthropometric measurements, including height and length, are routinely needed for health research worldwide. Measurement boards are the current gold standard for obtaining the height and length of children. In community-based research, however, the size and weight of the measurement boards make them difficult and cumbersome to carry in the field. In addition, children and infants may express an unwillingness to be placed onto the measurement board. Electronic measuring tools commonly used in industry and contracting work are precise and portable...
June 30, 2017: Journal of Tropical Pediatrics
Quique Bassat
No abstract text is available yet for this article.
August 1, 2017: Journal of Tropical Pediatrics
Kamolwish Laoprasopwattana, Jehrabeeyah Binsaai, Pornpimol Pruekprasert, Alan Geater
To determine the indicators of severe bleeding in children with severe dengue viral infection (DVI), the medical records of patients aged <15 years admitted to Songklanagarind Hospital in southern Thailand during 1989-2011 were reviewed. Severe-bleeding DVI was defined as needing blood products transfusion owing to DVI-caused bleeding. Of the 238 children with severe DVI according to the World Health Organization 2009 criteria, 44 (18.5%) had severe bleeding, of whom 28 (63.6%) died. The international normalized ratio (INR) had high correlations with both transaminase enzymes (Spearman correlation, rs = 0...
August 1, 2017: 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...
August 1, 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...
August 1, 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...
August 1, 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...
August 1, 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...
August 1, 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...
August 1, 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...
August 1, 2017: 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...
August 1, 2017: 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...
August 1, 2017: 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...
August 1, 2017: Journal of Tropical Pediatrics
José M Ramos, Sonia Ortiz-Martínez, Deriba Lemma, Matheus M Petros, Carmen Ortiz-Martínez, Abraham Tesfamariam, Francisco Reyes, Isabel Belinchón
Aim: To analyse differences in children and adolescents aged ≤18 years admitted to the leprosy ward in a rural Ethiopian hospital >16 years. Methods: We retrospectively collected data from leprosy admission registry books on patients with leprosy who were admitted to a referral hospital from September 2000 to September 2016. Results: There were 2129 admissions for leprosy during the study period: 180 (8.4%) patients were s ≤ 18 years old...
June 22, 2017: Journal of Tropical Pediatrics
Zubaida Ladan Farouk, Abdussalam Muhammed, Safiya Gambo, Maria Mukhtar-Yola, Shehu Umar Abdullahi, Tina M Slusher
Introduction: Acute bilirubin encephalopathy (ABE) is associated with long-term sequelae (kernicterus). It continues to be a significant issue in our region of Nigeria, accounting for much morbidity and mortality. Herein we report the outcome of neonates with ABE seen at our centre. Methodology: We established a surveillance of children who had ABE and returned to follow-up from prospective cases of ABE (2012-2014). ABE was diagnosed based on a bilirubin-induced neurologic dysfunction score of ≥ 1...
June 12, 2017: Journal of Tropical Pediatrics
Victor C Emordi, Efosa Aisien, Osasumwen T Osagie, Osarumwense D Osifo
Invasive traditional practices which are frequently harmful are common in the care of children including neonates in developing countries. We report two cases of evisceration of intra-abdominal viscera in two neonates subjected to abdominal scarification with razor blades following febrile illnesses. The greater omentum and a loop of jejunum, respectively, were eviscerated. Both were successfully managed and discharged home. Consent was obtained from the parents for the use of the photos. These cases highlight the dangers of invasive traditional practices on neonates and the urgent need for enlightenment campaigns as well as enactment of policies to help protect these children in developing countries...
June 10, 2017: Journal of Tropical Pediatrics
Pedro D Oliveira, Amanda C Kachimarek, Achiléa L Bittencourt
Human T-cell lymphotropic virus type 1 (HTLV-1) is endemic in some regions and its vertical transmission occurs mainly through breastfeeding. About 10% of carriers develop associated diseases including HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP), adult T-cell leukemia/lymphoma (ATL) and infectious dermatitis associated with HTLV-1 (IDH). We searched for available case reports of early-onset HAM/TSP and ATL to evaluate demographic and disease aspects in infantile-juvenile patients. In the reviewed literature, 27 HAM/TSP and 31 ATL cases were found...
June 5, 2017: Journal of Tropical Pediatrics
Abdulkadir Shehibo, Fisseha Admassu, Tiruzer Bekele, Martha Solomon, Liya Solomon, David M Gordon
Orbital pseudotumor is a rare, idiopathic, inflammatory process within the orbit. Early diagnosis is essential to prevent corneal, retinal and extraocular muscle damage. This article describes the presentation and clinical course of a 3-year-old male with bilateral orbital pseudotumor.
June 5, 2017: Journal of Tropical Pediatrics
Nilsa de Deus, Eva João, Assa Cuamba, Marta Cassocera, Leopoldina Luís, Sozinho Acácio, Inácio Mandomando, Orvalho Augusto, Nicola Page
This study aimed to describe the epidemiology of rotavirus infections in Mozambique before vaccine introduction. Between February 2012 and September 2013, stool specimens, demographic and clinical data were collected from 384 children <5 years old hospitalized with acute diarrhea in Mavalane General Hospital and Manhiça District Hospital, southern Mozambique. The samples were tested for rotavirus A using enzyme-linked immunosorbent assay. The overall prevalence of rotavirus infection was 42.4% [95% confidence interval (95CI): 37...
June 5, 2017: Journal of Tropical Pediatrics
Georgie Mathew, Vijay Gupta, Sridhar Santhanam, Grace Rebekah
Background: Extrauterine growth retardation is a common problem in preterm, very-low-birth-weight (VLBW) babies, as well as paucity of growth charts that follow their postnatal growth. Aim: To evaluate and plot postnatal weight gain patterns of preterm VLBW babies of <34 weeks' gestation born at a tertiary care neonatal unit in South India. Methods: Weight gain patterns of all preterm (27 to < 34 weeks' gestation) and VLBW (<1500 g) neonates were used for plotting the centile curves by retrospective review of electronic medical records...
June 3, 2017: Journal of Tropical Pediatrics
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