scholarly journals Relative Humidity Affects Acute Otitis Media Visits of Preschool Children to the Emergency Department

2021 ◽  
pp. 014556132110091
Author(s):  
Ying-Fang Jiang ◽  
Wen-Wei Luo ◽  
Xin Zhang ◽  
Dong-Dong Ren ◽  
Yi-Bo Huang
Keyword(s):  
Emergency Department ◽  
Preschool Children ◽  
Relative Humidity ◽  
Otitis Media ◽  
Meteorological Factors ◽  
Acute Otitis Media ◽  
Emergency Department Visits ◽  
Preschool Age ◽  
School Age Children ◽  
Cross Sectional

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.

Meteorological factors, air pollutants, and emergency department visits for otitis media: a time series study

2017 ◽  
Vol 61 (10) ◽  
pp. 1749-1764 ◽  
Author(s):  
Massimo Gestro ◽  
Vincenzo Condemi ◽  
Luisella Bardi ◽  
Claudio Fantino ◽  
Umberto Solimene
Keyword(s):  
Emergency Department ◽  
Time Series ◽  
Otitis Media ◽  
Air Pollutants ◽  
Meteorological Factors ◽  
Emergency Department Visits ◽  
Time Series Study ◽  
Series Study

scholarly journals Kepercayaan Diri Ibu Berhubungan dengan Perkembangan Anak Usia Pra Sekolah

2020 ◽  
Vol 8 (2) ◽  
pp. 169
Author(s):  
Selpina Embuai ◽  
Moomina Siauta
Keyword(s):  
Preschool Children ◽  
Child Development ◽  
Preschool Age ◽  
School Age Children ◽  
School Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Confidence ◽  
Preschool Age Children ◽  
The Relationship

Ibu memiliki peranan yang sangat penting dalam setiap tahap perkembangan anak. Gangguan perkembangan bicara dan bahasa dialami oleh 8% anak usia prasekolah. Kepercayaan ibu akan kemampuannya untuk merawat anak-anaknya sangatlah diperlukan. Akibat dari kurangnya kepercayaan diri ibu akan mempengaruhi perkembangan anaknya. Tujuan penelitian adalah diketahuinya hubungan kepercayaan diri ibu dengan perkembangan anak usia prasekolah di Kelurahan Benteng Kecamatan Nusaniwe Kota Ambon. Metode : Jenis penelitian adalah cross sectional. Populasinya adalah seluruh anak prasekolah di kelurahan benteng dengan jumlah sampel sebesar 107 orang. Teknik pengambilan sampel dilakukan dengan cara purposive sampling. Uji yang digunakan adalah Chi Square. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitasnya. Hasil Penelitian menunjukkan bahwa jumlah ibu yang memiliki kepercayaan diri yang tinggi (50.5%) juga memiliki anak dengan tingkat perkembangan yang normal (61.7%). Hasil penelitian juga menunjukkan bahwa adanya hubungan antara kepercayaan diri ibu dengan perkembangan anak usia prasekolah (p = 0.001). Kepercayaan diri ibu memiliki peranan penting dan sangat berpengaruh terhadap perkembangan anak usia pra sekolah. Kata kunci: anak usia pra sekolah, kepercayaan diri ibu, perkembangan anak, anak usia pra sekolah THE RELATIONSHIP BETWEEN MOTHER CONFIDENCE WITH DEVELOPMENT OF PRE-SCHOOL AGE CHILDREN ABSTRACTMothers have a very important role in each stage of child development. Speech and language developmental disorders are experienced by 8% of preschool age children. A mother's trust in her ability to care for her children is needed. As a result of lack of confidence in the mother will affect the development of their children. The purpose of this study was to determine the relationship of maternal confidence with the development of preschool age children in Benteng Subdistrict, Nusaniwe Subdistrict, Ambon City. Method: This type of research is cross sectional. The population is all preschool children in Benteng village with a total sample of 107 people. The sampling technique is done by purposive sampling. The test used is Chi Square. The instrument used was a questionnaire that had been tested for validity and reliability. The results showed that the number of mothers who had high self-confidence (50.5%) also had children with normal developmental levels (61.7%). The results also showed that there was a relationship between maternal confidence with the development of preschool children (p = 0.001). Mother's confidence has an important role and is very influential in the development of pre-school age children. Keywords: child development,, mother's confidence, pre-school age children

Caregivers’ Feeding Behavior, Children's Eating Behavior, and Weight Status among Children of Preschool Age in China

2020 ◽  
Author(s):  
Jing Yuan ◽  
Xun Jiang ◽  
Tongyu Zhu ◽  
Yuhai Zhang ◽  
Yue Wang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Feeding Behavior ◽  
Eating Behavior ◽  
Emotional Eating ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Weight Concerns ◽  
Feeding Behaviors ◽  
Cross Sectional

Abstract Background Childhood overweight and obesity have become significant public health challenges worldwide. This study aimed to explore whether caregivers’ feeding behavior and children’s eating behavior were associated with the weight status of preschool children in China.Methods A cross-sectional questionnaire was administered to 912 caregivers of preschool children from April to July 2016. Caregivers’ feeding behaviors were assessed by the Chinese Preschooler’s Caregiver Feeding Behavior Scale (CPCFBS). Children’s eating behaviors were evaluated using the Chinese Preschooler’s Eating Behavior Questionnaire (CPEBQ). After controlling for demographic characteristics, multiple linear regression and logistic regression analyses were performed to evaluate the relationship between caregivers’ feeding behavior, children's eating behavior, and children's body mass index (BMI). Results The results showed that weight concerns on the part of caregivers (β=0.53) and food responsiveness on the part of children (β=0.93) were positively correlated with children’s BMI, whereas caregivers’ responsibility for feeding (β=-0.68) and children’s external eating (β=-0.53) were negatively correlated with BMI. Among caregiver feeding behaviors, weight concerns (OR=4.54, P<0.001) and behavior-restricted feeding (OR=0.29, P<0.001) were positively correlated with children’s BMI. A child’s food responsiveness (OR=4.04, P<0.001) was also positively correlated with his/her BMI, while the child’s satiety responsiveness (OR=0.42, P<0.001) and emotional eating habits (OR=0.56, P<0.001) were negatively correlated with overweight/obesity status. Conclusions Our study demonstrated that children’s eating behavior and caregivers’ feeding behavior were associated with weight status among preschool children in China. Behavior interventions on caregivers as well as their children may prevent or reduce weight problems in preschool children. Trial registration This study was not a clinical experiment.

scholarly journals Adjacent Primary Care May Reduce Less Urgent Pediatric Emergency Department Visits

2020 ◽  
Vol 11 ◽  
pp. 215013272092627
Author(s):  
Julia Ellbrant ◽  
Jonas Åkeson ◽  
Helena Sletten ◽  
Jenny Eckner ◽  
Pia Karlsland Åkeson
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Patient Characteristics ◽  
Pediatric Emergency ◽  
Emergency Department Visits ◽  
University Hospital ◽  
Pediatric Emergency Department ◽  
Hospital Data ◽  
Cross Sectional ◽  
Ed Visits

Aims: Pediatric emergency department (ED) overcrowding is a challenge. This study was designed to evaluate if a hospital-integrated primary care unit (HPCU) reduces less urgent visits at a pediatric ED. Methods: This retrospective cross-sectional study was carried out at a university hospital in Sweden, where the HPCU, open outside office hours, had been integrated next to the ED. Children seeking ED care during 4-week high- and low-load study periods before (2012) and after (2015) implementation of the HPCU were included. Information on patient characteristics, ED management, and length of ED stay was obtained from hospital data registers. Results: In total, 3216 and 3074 ED patient visits were recorded in 2012 and 2015, respectively. During opening hours of the HPCU, the proportions of pediatric ED visits (28% lower; P < .001), visits in the lowest triage group (36% lower; P < .001), patients presenting with fever ( P = .001) or ear pain ( P < .001), and nonadmitted ED patients ( P = .033), were significantly lower in 2015 than in 2012, whereas the proportion of infants ≤3 months was higher in 2015 ( P < .001). Conclusions: By enabling adjacent management of less urgent pediatric patients at adequate lower levels of medical care, implementation of a HPCU outside office hours may contribute to fewer and more appropriate pediatric ED visits.

scholarly journals Diagnostic methods for acute otitis media in 1 to 12 year old children: a cross sectional study in primary health care

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Pär-Daniel Sundvall ◽  
Chrysoula E. Papachristodoulou ◽  
Lena Nordeman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Otitis Media ◽  
Clinical Skills ◽  
Acute Otitis Media ◽  
Cross Sectional Study ◽  
Diagnostic Methods ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

Abstract Background Otoscopy alone has low sensitivity and specificity for acute otitis media (AOM). Otomicroscopy and pneumatic methods are superior to otoscopy. However, these methods require clinical skills. The use of different diagnostic methods for AOM differs between countries and has not been evaluated in Sweden since new guidelines were introduced in 2010. This study aimed to describe the extent of which diagnostic methods and written advice were used for AOM in children 1 to 12 years old. Methods In this cross-sectional study all general practitioners (GPs) and specialist trainees in primary care (STs) at 27 primary health care centres in Sweden were asked to complete a self-administrated questionnaire including diagnostic approach and the management of AOM; 75% (111/148) responded to the questionnaire. Outcome Measures: GPs versus STs and their gender, the use of otoscopy, pneumatic otoscopy, otomicroscopy, tympanometry and written advice. Logistic regressions were used to evaluate the association between GPs versus STs and their gender and the use of diagnostic methods and written advice. Results To diagnose AOM, 98% of the GPs and STs often or always used otoscopy, in addition to this 17% often or always used otomicroscopy, 18% pneumatic otoscopy and 11% tympanometry. Written advice to parents was provided often or always by 19% of the GPs and STs. The GPs used otomicroscopy more often than STs, adjusted OR 4.9 (95% CI 1.5–17; p = 0.011). For the other diagnostic methods, no differences were found. Female GPs and STs provided written advice more often than male GPs and STs, OR 5.2 (95% CI, 1.6–17; p = 0.0061), adjusted for GP versus ST. Conclusions Otoscopy was by far the most commonly used method for the diagnosis of AOM. Female GPs and STs provided written advice more frequently than did their male colleagues. GPs used the significantly better method otomicroscopy more often than STs, therefore, it is important to emphasise teaching of practical skills in otomicroscopy in the specialist training programme for general practice. A correct diagnosis is important for avoiding potentially harmful antibiotic treatments, antimicrobial resistance and possible delay of other diagnoses.

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