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International Journal of Pediatrics

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https://www.readbyqxmd.com/read/29333171/exclusive-breastfeeding-practice-and-associated-factors-among-mothers-attending-private-pediatric-and-child-clinics-addis-ababa-ethiopia-a-cross-sectional-study
#1
Laykewold Elyas, Amha Mekasha, Amha Admasie, Etagegnehu Assefa
Background: The prevalence of exclusive breastfeeding (EBF) is globally low (35%) in sub-Saharan Africa, whereas it is 58% in Ethiopia. Exclusive breastfeeding has the potential to prevent 11.6% of under-five deaths in developing countries. Therefore, the main objective of this study was to assess the exclusive breastfeeding practice and associated factors on mothers attending private pediatric and child clinics in Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study design was used...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/29234355/treatment-of-community-acquired-pneumonia-are-all-countries-treating-children-in-the-same-way-a-literature-review
#2
REVIEW
Daniele Donà, Dora Luise, Liviana Da Dalt, Carlo Giaquinto
Background: Pneumonia represents an important threat to children's health in both developed and developing countries. In the last 10 years, many national and international guidelines on the treatment of pediatric CAP have been published, in order to optimize the prescription of antibiotics and limit their cost and side effects. However, the practical implementation of these guidelines is still limited. Main Text: We analyzed the current recommendations for the therapy of pediatric community-acquired pneumonia (CAP) that all converge on the identification of aminopenicillins and beta-lactams as the optimal treatment for CAP...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/29181038/implementing-an-oxygen-supplementation-and-monitoring-protocol-on-inpatient-pediatric-bronchiolitis-an-exercise-in-deimplementation
#3
Brian LeCleir, Leslie Jurecko, Alan T Davis, Nicholas J Andersen, Dominic Sanfilippo, Surender Rajasekaran, Anthony Olivero
Aim: Our goal in this study is to evaluate the effectiveness of our oxygen (O2) protocol to reduce length of stay (LOS) for children hospitalized with bronchiolitis. Methods: In this retrospective cohort study, the outcomes of children ≤ 24 months old that were admitted with bronchiolitis and placed on the O2 protocol were compared to historical controls. The primary outcome was hospital length of stay. Secondary outcomes were duration of O2 supplementation, rates of pediatric intensive care unit transfer, and readmission...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/29085432/the-fatty-acid-profile-in-patients-with-newly-diagnosed-diabetes-why-it-could-be-unsuspected
#4
C Castro-Correia, S Sousa, S Norberto, C Matos, V F Domingues, M Fontoura, C Calhau
CONTEXT: Several studies have shown a link between proinflammatory activity and the presence or deficit of some fatty acids. Inflammation is associated with several diseases including diabetes. OBJECTIVE: To characterize and compare the fatty acids profiles in children with inaugural type 1 diabetes, diabetic children (at least 1 year after diagnosis), and healthy children. DESIGN: Plasma fatty acids profiles in children with inaugural diabetes, children with noninaugural diabetes, and controls, all of whom were prepubescent with a BMI < 85th percentile, were evaluated...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/29075300/adherence-to-integrated-management-of-childhood-illnesses-guideline-in-treating-south-sudanese-children-with-cough-or-difficulty-in-breathing
#5
Jonathan Izudi, Stanley Anyigu, David Ndungutse
BACKGROUND: Pneumonia substantially kills children aged 2-59 months in South Sudan. However, information on health workers adherence to Integrated Management of Childhood Illnesses (IMCI) guideline in treating children with cough/difficulty in breathing remains scarce. This study assessed factors associated with adherence to IMCI guideline in Aweil East County, South Sudan. METHODS: This cross-sectional study involved 232 health workers from 36 health facilities...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28932247/risk-factors-for-acute-unintentional-poisoning-among-children-aged-1-5-years-in-the-rural-community-of-sri-lanka
#6
M B Kavinda Chandimal Dayasiri, Shaluka F Jayamanne, Chamilka Y Jayasinghe
BACKGROUND: Acute poisoning in children is a major preventable cause of morbidity and mortality in both developed and developing countries. However, there is a wide variation in patterns of poisoning and related risk factors across different geographic regions globally. This hospital based case-control study identifies the risk factors of acute unintentional poisoning among children aged 1-5 years of the rural community in a developing Asian country. METHODS: This hospital based case-control study included 600 children...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28932246/implementation-and-evaluation-of-an-intervention-for-children-in-afghanistan-at-risk-for-substance-use-or-actively-using-psychoactive-substances
#7
Abdul Subor Momand, Elizabeth Mattfeld, Brian Morales, Manzoor Ul Haq, Thom Browne, Kevin E O'Grady, Hendrée E Jones
The present study examined the impact of a novel intervention for children at risk for substance use or actively using substances that was provided to 783 children between 4 and 18 years of age in Afghanistan. They received the Child Intervention for Living Drug-free (CHILD) protocol while in outpatient or residential treatment. CHILD included age-appropriate literacy and numeracy, drug education, basic living safety, and communication and trauma coping skills. A battery of measures examined multiple child health domains at treatment's start and end and 12 weeks later...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28855919/case-control-pilot-study-on-acute-diarrheal-disease-in-a-geographically-defined-pediatric-population-in-a-middle-income-country
#8
Ana E Farfán-García, Chengxian Zhang, Aamer Imdad, Monica Y Arias-Guerrero, Nayibe T Sánchez-Alvarez, Rikhil Shah, Junaid Iqbal, Maria E Tamborski, Oscar G Gómez-Duarte
INTRODUCTION: Acute diarrheal disease (ADD) is a common cause of morbidity and mortality in children under 5 years of age. Understanding of the etiology of ADD is lacking in most low and middle income countries because reference laboratories detect limited number of pathogens. The objective of this study was to determine the feasibility to conduct a comprehensive case-control study to survey diarrheal pathogens among children with and without moderate-to-severe ADD. MATERIALS AND METHODS: Microbiology and molecular-based techniques were used to detect viral, bacterial, and parasitic enteropathogens...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28785286/corrigendum-to-perceived-body-image-eating-behavior-and-sedentary-activities-and-body-mass-index-categories-in-kuwaiti-female-adolescents
#9
Lemia H Shaban, Joan A Vaccaro, Shiryn D Sukhram, Fatma G Huffman
[This corrects the article DOI: 10.1155/2016/1092819.].
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28751920/common-clinical-characteristics-and-rare-medical-problems-of-fragile-x-syndrome-in-thai-patients-and-review-of-the-literature
#10
Chariyawan Charalsawadi, Juthamas Wirojanan, Somchit Jaruratanasirikul, Nichara Ruangdaraganon, Alan Geater, Pornprot Limprasert
Background. Clinical characteristics of fragile X syndrome (FXS) have been well documented in Caucasians, whereas in Asians they have rarely been described. Those that have been conducted used small cohorts that utilized DNA for diagnosis and larger cohorts that utilized cytogenetics for diagnosis. This study is to describe clinical characteristics of FXS in a large cohort of Thai patients diagnosed by standard molecular methods. Methods. Seventy-seven index cases and 46 affected relatives diagnosed with FXS were recruited into the study...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28634495/choking-hazards-are-current-product-testing-methods-for-small-parts-adequate
#11
Athena Neofotistos, Nancy Cowles, Ragini Sharma
Choking on small parts remains one of the leading causes of death and injury in infants and toddlers. The current method of testing for small parts, created by the Consumer Product Safety Commission (CPSC), has become outdated and has yet to be changed despite the many deaths and injuries of children. The method uses a device called the small parts test fixture (SPTF) that is supposed to mimic the size of a fully expanded throat of a toddler. If a product does not fit inside the cavity of the SPTF, then it is deemed safe to play with because it "will not fit" in the esophagus of a child...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28567061/therapeutic-hypothermia-in-asphyxiated-neonates-experience-from-neonatal-intensive-care-unit-of-university-hospital-of-marrakech
#12
F M R Maoulainine, M Elbaz, S Elfaiq, G Boufrioua, F Z Elalouani, M Barkane, Nadia El Idrissi Slitine
INTRODUCTION: Therapeutic hypothermia (TH) is now recommended for the treatment neonates with hypoxic-ischemic encephalopathy (HIE). This treatment protocol is applied in our department since June 2012. The aim of this study is to report the first experience with head cooling in asphyxiated neonates in Morocco. PATIENTS AND METHODS: Prospective study of newborns admitted for HIE from July 18, 2012, to May 15, 2014, in Neonatal Intensive Care Unit (NICU) of Mohamed VI University Hospital...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28421117/chronic-pain-in-children-a-look-at-the-referral-process-to-a-pediatric-pain-clinic
#13
Giovanni Cucchiaro, Jennifer Schwartz, Alec Hutchason, Beatriz Ornelas
We reviewed the referral pattern of children with chronic pain to a specialized pediatric pain clinic. Data were obtained from referring physicians and medical records and during an interview with patients and their parents by physicians and a psychologist. We analyzed the following: referral diagnosis, demographics, duration of symptoms, number of physicians previously consulted, school attendance, sports activities, presence of psychological disorders, final team diagnosis, and outcomes. Children had been experiencing pain for 34 ± 55 months...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28377789/plant-poisoning-among-children-in-rural-sri-lanka
#14
M B Kavinda Chandimal Dayasiri, Shaluka F Jayamanne, Chamilka Y Jayasinghe
Plant poisoning is a common presentation in paediatric practice and an important cause of preventable mortality and morbidity in Sri Lanka. The burden of plant poisoning is largely underexplored. The current multicenter study based in rural Sri Lanka assessed clinical profiles, poison related factors, clinical management, complications, outcomes, and risk factors associated with plant poisoning in the paediatric age group. Among 325 children, 57% were male with 64% being below five years of age. 99.4% had ingested the poison...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28356915/role-of-parental-smoking-in-severe-bronchiolitis-a-hospital-based-case-control-study
#15
Rubina Farzana, Mujibul Hoque, Mohammad Shah Kamal, Md Moseh Uddin Choudhury
Objective. Bronchiolitis is one of the commonest causes of hospitalization of infants and young children in Bangladesh. About 21% of under 5 children attending different hospitals of Bangladesh have bronchiolitis. Fifty percent (50%) men and three percent (3%) women of Bangladesh are smokers. Parental smoking is an important risk factor for both susceptibility and severity of bronchiolitis. The aim of this study was to find out the role of parental smoking in severe bronchiolitis. Design. Case-control study...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28348605/associations-between-parental-and-friend-social-support-and-children-s-physical-activity-and-time-spent-outside-playing
#16
Constantinos A Loucaides, Niki Tsangaridou
The purpose of this study was to examine the structural validity of a parent and a child questionnaire that assessed parental and friends' influences on children's physical activity and investigate the associations between the derived factors, physical activity, and time spent outside. Children (N = 154, mean age = 11.7) and 144 of their parents completed questionnaires assessing parental and friends' influences on children's physical activity. Children wore a pedometer for six days. Exploratory factor analyses revealed four factors for the parental and five for the child's questionnaire that explained 66...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28348604/urinary-lactate-dehydrogenase-activity-and-its-isozyme-patterns-in-kawasaki-disease
#17
Yoichi Kawamura, Seiichiro Takeshita, Takashi Kanai, Mari Takizawa, Yusuke Yoshida, Yuki Tsujita, Shigeaki Nonoyama
Abnormal urinary findings, such as sterile pyuria, proteinuria, and microscopic hematuria, are often seen in the acute phase of Kawasaki disease (KD). We investigated the potential significance of urinary lactate dehydrogenase (U-LDH) activity and its isozyme patterns in KD. Total U-LDH activity and its isozymes (U-LDH1-5) levels were compared among 120 patients with KD, 18 patients with viral infection (VI), and 43 patients with upper urinary tract infection (UTI) and additionally compared between intravenous immunoglobulin (IVIG) responders (n = 89) and nonresponders (n = 31) with KD...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28348603/prevalence-and-associated-factors-of-peer-victimization-bullying-among-grades-7-and-8-middle-school-students-in-kuwait
#18
Ahmad J Abdulsalam, Abdullah E Al Daihani, Konstantinos Francis
Background. Peer victimization (bullying) is a universal phenomenon with detrimental effects. The aim of this study is to determine the prevalence and factors of bullying among grades 7 and 8 middle school students in Kuwait. Methods. The study is a cross-sectional study that includes a sample of 989 7th and 8th grade middle school students randomly selected from schools. The Revised Olweus Bully/Victim Questionnaire was used to measure different forms of bullying. After adjusting for confounding, logistic regression identified the significant associated factors related to bullying...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28286528/evaluation-of-a-pilot-project-to-introduce-simulation-based-team-training-to-pediatric-surgery-trauma-room-care
#19
Markus Lehner, Ellen Heimberg, Florian Hoffmann, Oliver Heinzel, Hans-Joachim Kirschner, Martina Heinrich
Introduction. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. Methods. In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28286527/interactive-palliative-and-end-of-life-care-modules-for-pediatric-residents
#20
Mindy K Ross, Ami Doshi, London Carrasca, Patricia Pian, JoAnne Auger, Amira Baker, James A Proudfoot, Mark S Pian
Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency's second-year curriculum...
2017: International Journal of Pediatrics
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