scholarly journals Reality and some Factors Related to Treatment Adherence in HIV/AIDS Children at Outpatient Clinic, Vietnam National Children’s Hospital

Author(s):  
Thi Ngoc Tran ◽  
Thien Hai Do ◽  
Thi Duyen Tran ◽  
Le Chinh Nguyen

Purpose: To characterize the prevalence and factors associated with ARV adherence in HIV/AIDS-infected children at outpatient clinics, Vietnam National Children's Hospital. Methods: A cross-sectional study was conducted at outpatient clinics, Vietnam National Children's Hospital in 2019. Results: The study results showed that 63% of  HIV/AIDS infected children adhered to treatment and 37% of them did not adhere to ARV. The study investigated the relevance of 11 factors and found 5 factors related to pediatric noncompliance, including a short treatment period of less than 1 year (OR: 17.1; 95% CI: 2,26-75,5 and p < 0,01); waiting time for taking drugs is too long (OR: 19.3; 95% CI: 7.9-50.9 and p < 0.01); main caregivers aged ≥ 50 (OR = 42.3; 95% CI from 17.9-120.1 and p < 0.01. Conclusions: The prevalence of ARV adherence in HIV/AIDS-infected children was 63%. Counseling intervention models to improve drug treatment compliance should be concentrated on newly infected children, treatment duration less than 1 year and their primary caregivers over 50 years old.

2018 ◽  
Vol 71 (3) ◽  
pp. 934-941
Author(s):  
Tânia Alteniza Leandro ◽  
Viviane Martins da Silva ◽  
Marcos Venícios de Oliveira Lopes ◽  
Nirla Gomes Guedes ◽  
Marília Mendes Nunes ◽  
...  

ABSTRACT Objective: To determine the strength of the association between the clinical indicators of Impaired Comfort and the evaluation sector in the hospital, age group and sex of patients with cancer. Method: Cross-sectional study, conducted in a children’s hospital, with 192 children and adolescents. For the collection, we used an instrument developed for the study. Results: The majority of the sample was male, with mean age of 11 years. The indicators most evidenced among the hospitalized patients were Crying, Report of lack of satisfaction with the situation, Report of feeling cold, and Report of feeling uncomfortable. Crying and Fear were more prevalent in children compared with adolescents, and boys were the ones that verbalized the most the Report of lack of satisfaction with the situation. Conclusion: This study enabled determining the strength of the association of the indicators of Impaired Comfort expressed by children and adolescents with cancer.


2021 ◽  
Vol 319 ◽  
pp. 01007
Author(s):  
Aiat Allah Skiredj ◽  
Fadoua Boughaleb ◽  
Loubna Aqqaoui ◽  
Toualouth Lafia ◽  
Assia Mouad ◽  
...  

Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries. Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded. Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.


2017 ◽  
Vol 4 (2) ◽  
pp. 317
Author(s):  
Haleema Nuwera ◽  
Anitha S. Prabhu

Background: HIV an abbreviation of human immunodeficiency virus, infection of which in most advanced stage leads to AIDS. HIV/AIDS is both global public health problem and young people are at the centre of global HIV/AIDS pandemic. Lack of information and understanding about HIV/AIDS, increases their susceptibility towards the disease. Hence, this study was conducted to assess the knowledge of HIV/AIDS among the X grade students as well as to know the differences in knowledge across gender.Methods: A cross sectional study was conducted among 250 students studying in X grade of 3 private schools located in Mangalore city, selected by multistage cluster sampling. The study was conducted for duration of 2 weeks using a predesigned and pre-structured questionnaire. Ethical approval from the institution and necessary permission from school authority was obtained prior to initiation of study. Results: Mean age of the study participants was 15.40±0.615. Females were predominant in the age group of 14 and 16 years (100.0% and 53.40% respectively). Majority of them had adequate knowledge of full form of HIV (94.4%), virus as causative agent (85.6%), awareness symbol of HIV/AIDS (86.8%), modes of transmission of HIV (871.6%). Poor knowledge was observed in areas of prevention (60.4%), actions that does not transmit HIV infection (58.0%), availability of blood tests (58.0%) and drugs (42.4%). Males had better knowledge in various areas when compared to females.Conclusions: Stringent efforts are required to improve the knowledge of HIV/AIDS by health education camps and school teachers need to be trained to enhance the knowledge of students.


Author(s):  
Thi Huyen Tran ◽  
Vu Hung Cao ◽  
Van Hoc Tran ◽  
Danh Ngon Nguyen

Purpose: To assess treatment compliance and follow-up appointment of children with epilepsy at the Vietnam National Children’s Hospital in 2019. Method: A cross-sectional descriptive study was conducted on pediatric patients and primary caregivers came for examination and treatment at the Neurology Department, Vietnam National Children’s Hospital from January 2019 to December 2019. Results: Mean age was 74.3 ± 45.1 (month age). The most common age group was the 2-6 year old group (40.5%), the lower rate was the 6-12 year old group (30.0%), and rest groups was the low rate. The male: female ratio is 1.43:1. Most of the main caregivers are parents (92.5%). Average treatment time was 20.4 ± 15.7 months, the rate of good adherence to treatment 43.5%, 31.5% of children had  moderated adhering to treatment and 25.0% had poor adhering to treatment. Within 6 months, 40.5% of children re-examined on time. The reasons for not complying with on-time re-examination were mainly due to the caregiver's busy work or the child was busy at school (37.8%) and the distance from home to hospital (26.1%). Conclusions: The percentage of patients who complied with treatment and re-examination was not high. Factors that were statistically significant for children's non-compliance were: health insurance level, age of onset, duration of treatment, and frequency of attacks following treatment.


2019 ◽  
Vol 59 (3) ◽  
pp. 32-38
Author(s):  
Rafael Dantas Santana ◽  
Carolina Saraiva Nunes Pinho ◽  
Francisco Marto Leal Pinheiro Junior ◽  
Fabrício Maicy Bezerra ◽  
Malena Gadelha Cavalcante ◽  
...  

Introduction: The Generalized Anxiety Disorder (GAD) is a chronic worrying disorder, which causes social and occupational impairment. Objective: The aim of this study was to estimate the prevalence of GAD among people living with HIV/AIDS (PLWHA) and to determine the associated socio-demographic and clinical factors. Methodology: We conducted a cross-sectional study between September 2014 and April 2015 at four HIV outpatient clinics in Fortaleza, Northeastern Brazil. We surveyed 257 individuals living with HIV/AIDS, aged > 18-years, of both sexes. Four modalities of instruments were used to collect the data: a socio-demographic questionnaire; the Mini International Neuropsychiatric Interview; the Hamilton’s Anxiety Scale; and chart data. Results: GAD prevalence was 14%. Female sex, CD4 200-500 versus < 200, CD4 > 500 versus < 200 and being homeless were associated in the multivariate model. Conclusion: The study demonstrates the necessity of proactively addressing mental health as well as physical health issues in HIV+ individuals.


Author(s):  
Hien Pham Thu

SUMMARY Objectives: The study aim was to describe clinical and paraclinical characteristics of Chlamydia trachomatis pneumonia in children under 6 months of age at National Children’s Hospital. Methods: This cross-sectional study included 71 cases of C. trachomatis pneumonia in Respiratory Department, National Children’s Hospital between 1 September 2017 and 31 August 2018. Results: Important features of C. trachomatis pneumonia in children under 6 months of age include persistent cough, nasopharyngitis, conjunctivitis, history of vaginal birth, mother’s history of vaginosis during pregnancy. Absolute eosinophil counts greater than 300/mm3 may suggest C. trachomatis pneumonia. Conclusion: Clinical manifestations of pneumonia due to C. trachomatis pneumonia are persistent cough, nasopharyngitis, conjunctivitis, mother’s history of vaginosis during pregnancy. A higher than 300 eosinophils/mm3 is strongly associated with C. trachomatis pneumonia.


2021 ◽  
Vol 28 (11) ◽  
pp. 1626-1632
Author(s):  
Abdur Rehman ◽  
Waqas Imran Khan ◽  
Ahmad Iqbal Quddusi ◽  
Aashee Nadeem ◽  
Nazia Fatima ◽  
...  

Objective: To find out the frequency of hypoglycemia among infants of diabetic mothers (IDMs) and factors affecting it. Study Design: Descriptive Cross Sectional study. Setting: Department of Neonatology, The Children’s Hospital and Institute of Child Health, Multan, Pakistan. Period: September 2019 t0 June 2020. Material & Methods: A total of 186 IDMs admitted to department of neonatology during the study period were enrolled. Bed side blood glucose (BG) was measured using “Accu Chek Performa Blood Glucose Meter” at 0, 2, 4, 6, 8, 12, 18 and 24 hours of life. All IDMs (Infants of Diabetic Mothers) were labeled either gestational diabetes mellitus (GDM) or pre GDM (pre-GDM). IDMs noted to have hypoglycemia during 1st 24 hours of life were described as hypoglycemic and others were labeled as normoglycemic IDMs. Results: Hypoglycemia was noted among 77 (41.4%) IDMs. Duration of disease was significantly more among mothers of hypoglycemic infants (27.62+28.8months vs. 19.69+24.41 months, p=0.0444). Significantly more large for gestational age (LGA) IDMs were found to be hypoglycemic in comparison to normoglycaemic ones (32.5% vs. 16.5%, p=0.0110). Among a total of 77 IDMs noted to have hypoglycemia, 34 (44.1%) were born to mothers who had GDM while remaining 43 (55.9%) were born to pre-GDM mothers. Significantly more IDMs were preterm among pre-GDM mothers when compared to GDM mothers (53.5% vs. 23.5%, p=0.0077). Conclusion: Hypoglycemia is frequent problem among IDMs. Increased duration of diabetes among mothers, LGA as well as preterm IDMs are found to have significantly increased risk of developing hypoglycemia.


2018 ◽  
Vol 44 (1) ◽  
Author(s):  
Hyppolite K. Tchidjou ◽  
Maria Fenicia Vescio ◽  
Jessica Serafinelli ◽  
Rosaria Giampaolo ◽  
Alessandro Jenkner ◽  
...  

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