Current Issue : October - December Volume : 2019 Issue Number : 4 Articles : 5 Articles
Background: The prevalence of asthma and obesity have increased over the last decades. A possible association\nbetween these two chronic illnesses has been suggested, since the prevalence of asthmatic symptoms rises with\nincreasing Body Mass Index (BMI). However, asthma is only one of several possible causes of shortness of breath in\nobese children. The aim of this study is to evaluate the prevalence of overtreatment with asthma medication in a\ncohort overweight/obese children with respiratory symptoms visiting a pediatric outpatient clinic......................
Objective: To know recommendations on breastfeeding by Mexican pediatricians.\nMethods: Cross-sectional, descriptive study conducted through a\nsurvey of Mexican pediatricians. Results: Two hundred and fifty-four pediatricians\n(range 27 to 72 years) were surveyed. Most of them worked in public\nhospital or private practice or both. Among them 94.5% recommended newborn\nearly contact with mother and 54.3% rooming. Exclusive breastfeeding\nwas suggested by 89.8%, out of them 51.9% for 6 months. Breastfeeding on\ndemand was counseled by 88.2% and 84.6% without fixed schedules. Pacifier\nuse was rejected by 86.6%. 51.2% used iron supplements and 59.5% used other\nvitamins. Stopping breastfeeding in special situations was suggested by\n87.4%; of them, 86.6% in case of infection with AIDS; 74.4% if the mother\nused drugs; 74.4% by infection with hepatitis B virus; 49.6% in case of mastitis;\n17.3% in newborns with jaundice; and 18.5% in other situations. Finally,\n93.3% of pediatricians surveyed reported interest in breastfeeding; 54.7% obtained\ninformation in medical journals; 54.7% through medical courses, and\n31.9% in books. 58.3% of respondents oriented on breastfeeding according to\nWHO recommendations; 31.5% did so regularly and 10.2% did not. Conclusions:\nPediatricians play a major role in breastfeeding promotion, but their\nformation is scarce and they are not prepared to counsel patients. Governments\nof developing countries should promote breastfeeding to ensure the\nhealth and proper development of infants....
Gravesâ?? disease is the most common cause of hyperthyroidism. Adequate\nmanagement is an area of controversy, especially when it comes to children.\nThe objective of our study was to assess the outcome of Gravesâ?? disease\ntreatment in Albert Royer Children Hospital of Dakar. This was a retrospective\nstudy conducted from 2001 to 2015, and which involved all children between\n0 to 15 years of age who were being monitored in the Albert Royer National\nChildren Hospital. The evolutionary modalities were: stability, remission,\nfailure, relapse, lost to follow-up and death. The data were analyzed with\nSPSS software version 20.0. For the comparisons, the KHI 2 or Fisher test was\nused with a significance threshold (p < 0.05). During the study period, 88\nchildren were enrolled. The average age was 8.6 years [ranging from 8\nmonths to 15 years]. The consultation delay was 11.36 months. In our study,\n61.4% of the patients were regular in the follow-up, the observance was good\nin 40.9% of the cases and 19 patients (21.6%) were lost to follow-up. Clinical\ncourses of 69 children after treatment with Carbimazole for 37 months were\npromising in 21 cases (30.43%), with 17 cases of remission (24.63%) and 4\ncases of stability (5.8%). Age older than 10, the initial ATD dose greater than\n1 mg/kg/day and the initial free T4 lower than 50 pmol/l were significantly\nassociated with remission with a p value of 0.01; 0.024 and 0.004....
Background: Inappropriate complementary feeding practice could result in child illness, sub-optimal growth and\ndevelopment. Evidence shows a huge burden of inappropriate complementary feeding practice from global to\nnational level. But studies regarding predictors of inappropriate complementary feeding practices were scarce\nespecially in the study area. Therefore, the aim of this study was to determine predictors and community level\nfactors associated with inappropriate complementary feeding practice among children age 6 to 23 months in\nWonago district, South Ethiopia.\nMethods: A community based unmatched case-control study design complemented by a qualitative and dietary\ndata was employed among children in Wonago district from April- 07 to June- 06, 2017. A total of 372 study\nsubjects were enrolled to the study by stratified sampling technique. Data were checked, coded and entered to Epi\ndata and exported to SPSS for analysis. Univariate, bivariable and multivariable logistic regressions analyses were\napplied. A p- value < 0.05 was considered as statistical significant level.\nResults: Paternal household decision making on feeding(AOR = 4.65, 95% CI = (1.69, 12.81)), family priority to elders\nduring feeding(AOR = 2.35, 95% CI = (1.08, 5.14)), absence of nearby health facility(AOR = 4.15, 95% CI = (1.63, 10.55)),\nunplanned pregnancy (AOR = 3.45, 95% CI = (1.21, 9.85)), missing ANC(AOR = 2.71, 95% CI = (1.48, 4.96)) and\nmissing EPI service utilization (AOR = 2.43, 95% CI = (1.34, 4.38)) were independent predictors of inappropriate\ncomplementary feeding practices. Whereas; lack of awareness, short birth spacing practice, poverty and feeding\nculture were community related factors. The nutrient density of complementary foods were below WHO desired\ndensity level except for energy, protein and vitamin C.\nConclusions: Inappropriate complementary feeding practice was related to household feeding cultures, health\nservice access and utilization and community related factors like awareness, poverty and low birth spacing.\nComplementary foods were found to have lower nutrient density than desired by WHO. Promoting communityâ??s\nhealth service utilization and increasing awareness regarding complementary feeding were recommended....
Background: Current guidelines for management of respiratory distress syndrome (RDS) recommend continuous\npositive airway pressure (CPAP) as the primary mode of respiratory support even in the most premature neonates,\nreserving endotracheal intubation (ETI) for rescue surfactant or respiratory failure. The incidence and timing of ETI in\npractice is poorly documented.\nMethods: In 27 Level III NICUs in the US (n = 19), Canada (n = 3) and Poland (n = 5), demographics and baseline\ncharacteristics, respiratory support modalities including timing of ETI, administration of surfactant and caffeine/other\nmethylxanthines, and neonatal morbidities were prospectively recorded in consecutive preterm neonates following\nwritten parental consent. Infants were divided into three groups according to gestational age (GA) at birth, namely\n26-28, 29-32 and 33-34 weeks. Statistical comparisons between groups were done using Chi-Square tests.\nResults: Of 2093 neonates (US = 1507, 254 Canada, 332 Poland), 378 (18%) were 26-28 weeks gestational age (GA),\n835 (40%) were 29-32 weeks, and 880 (42%) were 33-34 weeks........................
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