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International Journal of Pediatrics

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https://www.readbyqxmd.com/read/28191019/associated-factors-and-standard-percentiles-of-blood-pressure-among-the-adolescents-of-jahrom-city-of-iran-2014
#1
Yaser Sarikhani, Seyed Taghi Heydari, Fatemeh Emamghorashi, Fatemeh Jafari, Reza Tabrizi, Saeed Karimpour, Ahmad Kalateh Sadati, Maryam Akbari
Background. High blood pressure in adults is directly correlated with increased risk of cardiovascular diseases. Hypertension in childhood and adolescence could be considered among the major causes of this problem in adults. This study aimed to investigate the factors associated with hypertension among the adolescents of Jahrom city in Iran and also standard percentiles of blood pressure were estimated for this group. Methods. In this community-based cross-sectional study 983 high school students from different areas of the city were included using a multistage random cluster sampling method in 2014...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28167968/prevalence-response-to-cysticidal-therapy-and-risk-factors-for-persistent-seizure-in-indian-children-with-neurocysticercosis
#2
Animesh Kumar, Anirban Mandal, Sheela Sinha, Amitabh Singh, Rashmi Ranjan Das
Background. Neurocysticercosis (NCC) is the commonest cause of childhood acquired epilepsy in developing countries. The use of cysticidal therapy in NCC, except "single lesion NCC," is still debated in view of its doubtful usefulness and potential adverse effects. Methods. Children presenting with first episode of seizure or acute focal neurological deficit without fever were screened for NCC and received appropriate therapy (followup done for 1 year to look for the response and side effects). Results. The prevalence of NCC was 4...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28163726/can-a-risk-factor-based-approach-safely-reduce-screening-for-retinopathy-of-prematurity
#3
K M Friddle, B A Yoder, M E Hartnett, E Henry, R J DiGeronimo
Objective. Current American retinopathy of prematurity (ROP) screening guidelines is imprecise for infants ≥ 30 weeks with birth weights between 1500 and 2000 g. Our objective was to evaluate a risk factor based approach for screening premature infants at low risk for severe ROP. Study Design. We performed a 13-year review from Intermountain Health Care (IHC) data. All neonates born at ≤32 weeks were reviewed to determine ROP screening and/or development of severe ROP. Severe ROP was defined by stage ≥ 3 or need for laser therapy...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28127311/text-message-reminders-increase-appointment-adherence-in-a-pediatric-clinic-a-randomized-controlled-trial
#4
Chia-Lei Lin, Nila Mistry, Jordana Boneh, Hong Li, Rina Lazebnik
Background. High no-show rates can burden clinic productivity and affect patient care. Although multiple studies have shown that text messages improve appointment adherence, very little research has focused on low-income and predominantly African American populations in resident clinic settings. Objectives. To determine whether incorporating a text message reminder reduces the no-show rate at an urban, pediatric resident clinic. Methods. A randomized controlled trial was conducted at a tertiary level ambulatory pediatric practice between August 2014 and February 2015...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28115948/rubella-and-congenital-rubella-syndrome-in-the-philippines-a-systematic-review
#5
REVIEW
Anna Lena Lopez, Peter Francis N Raguindin, Maria Asuncion Silvestre, Xenia Cathrine J Fabay, Ariel B Vinarao, Ricardo Manalastas
Background. As part of regional elimination efforts, rubella-containing vaccines (RCV) have recently been introduced in the Philippines, yet the true burden of rubella and congenital rubella syndrome (CRS) in the country is largely unknown. Objective. To provide baseline information on rubella and CRS prior to routine vaccine introduction in the Philippines. Methods. We conducted a systematic literature review on rubella and CRS in the Philippines, including a cross-sectional study conducted in 2002 among 383 pregnant women attending the obstetric outpatient clinic of the Philippine General Hospital to assess rubella susceptibility of women of childbearing age...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28042301/perceived-body-image-eating-behavior-and-sedentary-activities-and-body-mass-index-categories-in-kuwaiti-female-adolescents
#6
Lemia H Shaban, Joan A Vaccaro, Shiryn D Sukhram, Fatma G Huffman
Background. The State of Kuwait has a growing obesity epidemic in both genders and all age groups; however, obesity rates in the young seem to be rising. Methods. We conducted a cross-sectional survey in 169 Kuwaiti female adolescents attending both private and public schools spanning the six governorates in the State of Kuwait in order to explore female adolescents' self-image, body dissatisfaction, type of school (private versus public), TV viewing, and computer games and their relationship to body mass index...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28018433/viral-agents-causing-acute-respiratory-infections-in-children-under-five-a-study-from-eastern-india
#7
Pravakar Mishra, Lipika Nayak, Rashmi Ranjan Das, Bhagirathi Dwibedi, Amitabh Singh
Background. Acute respiratory infections (ARIs) are important cause of mortality and morbidity in children under five in developing country. Methods. This observational study was conducted over two-year period in a tertiary care teaching hospital of Eastern India. Nasal and throat swabs were collected, transported to the laboratory at 2-8°C in viral transport media, and then processed for detection of viruses using mono/multiplex real-time polymerase chain reaction. Results. A total of 300 children aged 2-60 months with ARIs were included...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28003834/discharge-against-medical-advice-at-neonatal-intensive-care-unit-in-gujarat-india
#8
Bhanu Devpura, Pranav Bhadesia, Somashekhar Nimbalkar, Sandeep Desai, Ajay Phatak
Objective. We explored reasons for discharged against medical advice (DAMA) of neonates from a neonatal intensive care unit (NICU) through in-depth interviews of the parents/guardians. Methods. Of 456 babies admitted to NICU during April 2014 to March 2015, 116 babies were DAMA. Parents of randomly selected 50 babies of these 116, residing within 50 kilometers, were approached for in-depth interviews at their homes. Audio recordings were done and manually transcribed, analyzed in detail to explore common threads leading to DAMA...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27999601/reservoir-cannulas-for-pediatric-oxygen-therapy-a-proof-of-concept-study
#9
Grace Wu, Alec Wollen, Robert M DiBlasi, Stephen Himley, Eugene Saxon, Glenn Austin, Jaclyn Delarosa, Rasa Izadnegahdar, Amy Sarah Ginsburg, Darin Zehrung
Hypoxemia is a complication of pneumonia-the leading infectious cause of death in children worldwide. Treatment generally requires oxygen-enriched air, but access in low-resource settings is expensive and unreliable. We explored use of reservoir cannulas (RCs), which yield oxygen savings in adults but have not been examined in children. Toddler, small child, and adolescent breathing profiles were simulated with artificial lung and airway models. An oxygen concentrator provided flow rates of 0 to 5 L/min via a standard nasal cannula (NC) or RC, and delivered oxygen fraction (FdO2) was measured...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27994626/congenital-lumbar-hernia-a-15-year-experience-at-a-single-tertiary-centre
#10
K N Rattan, Arushi Agarwal, Ankur Dhiman, Ananta Rattan
Aim. Congenital lumbar hernia is an uncommon anomaly with only few cases reported in the English literature. This study was done to study the incidence, age at presentation, sex, associated anomalies, surgical management, and postoperative morbidity and mortality of congenital lumbar hernia in pediatric patients. Methods. Retrospective analysis of all patients of CLH over a period of 15 years (January 2000 to December 2015) was analyzed. Results. A total of 14 patients were encountered in this series. All presented within first 2 years of age...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27990166/morbidity-and-mortality-in-preterm-infants-following-antacid-use-a-retrospective-audit
#11
Natasha Singh, Aparna Dhayade, Abdel-Latif Mohamed, Tejasvi Vasant Chaudhari
Background and Objectives. Antacids are often prescribed to preterm infants due to misdiagnosis of gastro-oesophageal reflux. This suppresses gastric acidity, a major defence mechanism against infection. This study aims to determine if ranitidine and omeprazole use in very low birth weight (VLBW) neonates, <1500 grams, is associated with increased risk of late onset sepsis, necrotising enterocolitis (NEC), and mortality. Methods. Retrospective analysis was conducted on neonates, <1500 grams, born and admitted into the Neonatal Intensive Care Unit at The Canberra Hospital during the period from January 2008 to December 2012...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27990165/factors-associated-with-successful-mentoring-of-parents-addressing-childhood-obesity-a-mixed-methods-approach
#12
Gabriela Abigail Villanueva, Byron Alexander Foster
Objective. Parents mentoring other parents as a behavioral intervention for child obesity is novel with limited data describing the experience and dynamics of this approach. This study aimed to describe the experiences of parent mentors and the self-efficacy and attitudes of their mentees in the context of a clinical trial for childhood obesity. Methods. The context for this study was a randomized clinical trial using either parent mentors or a community health worker engaging parents of obese children in behavioral change over six months...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27974897/process-mapping-in-a-pediatric-emergency-department-to-minimize-missed-urinary-tract-infections
#13
Morgan Black, Valene Singh, Vladimir Belostotsky, Madan Roy, Deborah Yamamura, Kathryn Gambarotto, Keith Lau, April J Kam
Urinary tract infections (UTIs) are common in young children and are seen in emergency departments (EDs) frequently. Left untreated, UTIs can lead to more severe conditions. Our goal was to undertake a quality improvement (QI) initiative to help minimize the number of children with missed UTIs in a newly established tertiary care pediatric emergency department (PED). A retrospective chart review was undertaken to identify missed UTIs in children < 3 years old who presented to a children's hospital's ED with positive urine cultures...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27974896/echocardiography-as-a-screening-test-for-myocardial-scarring-in-children-with-hypertrophic-cardiomyopathy
#14
Gregory Compton, Lynne Nield, Andreea Dragulescu, Lee Benson, Lars Grosse-Wortmann
Introduction. Hypertrophic cardiomyopathy (HCM) is burdened with morbidity and mortality including tachyarrhythmias and sudden cardiac death. These complications are attributed in part to the formation of proarrhythmic scars in the myocardium. The presence of extensive LGE is a risk factor for adverse outcomes in HCM. Late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (cMRI) is the standard for the noninvasive evaluation of myocardial scars. However, echocardiography represents an attractive screening tool for myocardial scarring...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27867399/biodemographic-analysis-of-factors-related-to-perinatal-mortality-in-portugal-1988-2011
#15
Vicente Fuster
Background. The purpose of this paper is to determine the relative mortality risks at delivery and during the first week of life with regard to maternal and foetal characteristics. Methods. Yearly individual digital records on live births and early neonatal mortality were used to infer the possible factors involved in perinatal deaths. Results. The results show that the number of births per year declined with time throughout the period studied. At the same time, rates decreased in 66.4% for stillbirths and in 70...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27795715/is-the-presence-of-the-father-of-the-baby-during-first-prenatal-ultrasound-study-visit-associated-with-improved-pregnancy-outcomes-in-adolescents-and-young-adults
#16
Sara H Lee, Rina Lazebnik, Margaret Kuper-Sassé, Noam Lazebnik
This study examined whether the presence of the father of the baby (FOB) at the first prenatal ultrasound study (US) visit of pregnant adolescents and young adults (AYA) is a marker for improved pregnancy outcomes. Charts of 400 pregnant AYA aged 14-22 years seen at an academic maternity hospital were assessed retrospectively for support persons brought to prenatal US visits. Logistic regression analysis was used to examine the association between FOB presence and gestational age and birth weight. Of 400 charts with support person recorded, 298 charts with first US visit data, singleton birth, and complete gestational data available were analyzed...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27777589/spirulina-supplements-improved-the-nutritional-status-of-undernourished-children-quickly-and-significantly-experience-from-kisantu-the-democratic-republic-of-the-congo
#17
Féfé Khuabi Matondo, Kikuni Takaisi, Adolphine Bedi Nkuadiolandu, Aimé Kazadi Lukusa, Michel Ntetani Aloni
Aim. Despite high levels of malnutrition, there is still very little information on the nutritional benefits of Spirulina, a natural alga that provides essential amino acids, rare essential lipids, and numerous minerals and vitamins, to undernourished children in the world. Methods. We carried out a prospective study of 50 children aged between six and 60 months. The intervention group consisted of 16 children who received 10 g of Spirulina daily, as well as the local diet administered by the nutritional centre, and the control group of 34 children who just received the local diet...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27698673/suboptimal-clinical-documentation-in-young-children-with-severe-obesity-at-tertiary-care-centers
#18
Cassandra C Brady, Vidhu V Thaker, Todd Lingren, Jessica G Woo, Stephanie S Kennebeck, Bahram Namjou-Khales, Ashton Roach, Jonathan P Bickel, Nandan Patibandla, Guergana K Savova, Imre Solti, Ingrid A Holm, John B Harley, Isaac S Kohane, Nancy A Crimmins
Background and Objectives. The prevalence of severe obesity in children has doubled in the past decade. The objective of this study is to identify the clinical documentation of obesity in young children with a BMI ≥ 99th percentile at two large tertiary care pediatric hospitals. Methods. We used a standardized algorithm utilizing data from electronic health records to identify children with severe early onset obesity (BMI ≥ 99th percentile at age <6 years). We extracted descriptive terms and ICD-9 codes to evaluate documentation of obesity at Boston Children's Hospital and Cincinnati Children's Hospital and Medical Center between 2007 and 2014...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27656219/nutritional-status-and-intestinal-parasite-in-school-age-children-a-comparative-cross-sectional-study
#19
Berhanu Elfu Feleke
Background. The objectives of this study were to determine the burden of underweight and intestinal parasitic infection in the urban and rural elementary school children. Methods. A comparative cross-sectional study design was conducted. Binary logistic regression was used to identify the determinants of malnutrition or intestinal parasites. Two independent samples' t-test was used to identify the effect of malnutrition on school performance or hemoglobin level. Results. A total of 2372 students were included...
2016: International Journal of Pediatrics
https://www.readbyqxmd.com/read/27651803/evaluating-bone-health-in-egyptian-children-with-forearm-fractures-a-case-control-study
#20
Abeer El-Sakka, Cristina Penon, Adham Hegazy, Salwa Elbatrawy, Amr Gobashy, Alvaro Moreira
Objective. To determine the likelihood of vitamin D deficiency and low bone mineral density in Egyptian children with forearm fractures. Methods. A case control study of 46 children aged 3 to 10 years with or without forearm fractures. Validated questionnaires were used to assess calcium and vitamin D intake as well as sun exposure. Serum calcium, phosphorus, alkaline phosphatase, and 25-hydroxy-vitamin D were collected. Bone mineral density was evaluated using dual-energy X-ray absorptiometry. Results. Compared to the Control group, calcium and vitamin D intake was lower in the Cases group (p = 0...
2016: International Journal of Pediatrics
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