scholarly journals Pertussis in Children: Clinical and Epidemiological Features, the Possibilities of Vaccine Preventio

2022 ◽  
Vol 20 (6) ◽  
pp. 56-62
Author(s):  
Y. A. Bogvilenе ◽  
G. P. Martynova ◽  
S. V. Evreimova ◽  
B. L. Komarova ◽  
A. V. Karasev
Keyword(s):  
Whooping Cough ◽  
Molecular Genetic ◽  
Genetic Research ◽  
Age Groups ◽  
First Year ◽  
Social Significance ◽  
High Coverage ◽  
Epidemiological Features ◽  
Focus Of Infection ◽  
First Year Of Life

Relevance. Despite the specific immunization carried out, pertussis still has great medical and social significance for pediatricians, since it continues to remain a common bacterial infection, involving children of different age groups in the epidemic process. The lack of persistent immunity to whooping cough, combined with a high susceptibility index, contributes to an increase in the incidence among schoolchildren and adolescents, who are diagnosed only during epidemiological and laboratory examinations, and who, in most cases, serve as sources of infection for young children. Aim. To study the clinical and epidemiological features of whooping cough in children aged 0 to 14 years hospitalized in an infectious diseases hospital under conditions of mass vaccine prevention, as well as to identify the features of the disease in vaccinated people using the example of an outbreak of the disease in an organized group. Materials and methods. A retrospective analysis of 164 case histories of children diagnosed with Pertussis hospitalized in the infectious hospital of the Regional Interdistrict Children’s Clinical Hospital № 1 in Krasnoyarsk in 2015–2019, as well as 25 outpatient records of patients identified during the epidemiological investigation of the focus of infection in December 2019 was carried out. For the etiological interpretation of the diagnosis of whooping cough, a comprehensive laboratory examination was carried out using bacteriological, serological and molecular genetic research methods. Results. According to official statistics, in the Krasnoyarsk territory in 2019, among children with pertussis, patients aged 7 to 17 prevailed (38,7%). At the same time, in the age structure of patients hospitalized in a hospital, the primary importance was occupied by children of the first year of life, unvaccinated against this disease. Most of them were diagnosed with a moderate form of the disease with frequent development of complications from the respiratory and nervous systems. At the same time, among schoolchildren and adolescents, as a rule, who have received a completed course of vaccination, there is an atypical, erased course of the disease, while the difficulties of its diagnosis lead to a high incidence of pertussis in children of the first year of life who have not yet been protected by vaccination. Conclusions. Despite the high coverage of decreed groups with preventive vaccinations against whooping cough in the Krasnoyarsk territory, an assessment of the state of specific immunity based on the results of a serological survey conducted in 2019 revealed 50.6% of seronegative individuals already at the age of 3–4 years, which confirms the need to improve the schemes immunization against this disease; and inclusion of pertussis vaccination in the regional immunization schedule.

scholarly journals Dendritic cells in the mucosa of the human trachea are not regularly found in the first year of life

Thorax ◽  
2001 ◽  
Vol 56 (6) ◽  
pp. 427-431 ◽  
Author(s):  
T Tschernig ◽  
A S Debertin ◽  
F Paulsen ◽  
W J Kleemann ◽  
R Pabst
Keyword(s):  
Dendritic Cells ◽  
Sudden Death ◽  
Respiratory Tract ◽  
Age Groups ◽  
First Year ◽  
Tracheal Mucosa ◽  
Transmission Electron ◽  
Human Airways ◽  
Tract Infections ◽  
First Year Of Life

BACKGROUNDDendritic cells (DCs) in the mucosa of the respiratory tract might be involved in the early development of pulmonary allergy or tolerance. To date, little is known about when the first DCs occur in human airways.METHODSSpecimens of the distal trachea from patients who had died from sudden death in the first year of life (n=29) and in older age groups (n=59) as well as from those who had died from respiratory tract infections in the first year of life (n=8) were examined by immunohistochemistry. Transmission electron microscopy was performed in additional samples from two adults.RESULTSIn the sudden death subgroup DCs were absent in 76% of those who died in the first year of life but were present in 53 of the 59 older cases. All infants who had died of respiratory infectious diseases had DCs in the tracheal mucosa.CONCLUSIONSMature DCs are not constitutively present in the human tracheobronchial mucosa in the first year of life, but their occurrence seems to be triggered by infectious stimuli. These data support the hypothesis that DCs play a crucial role in immunoregulation in early childhood.

scholarly journals The intensity of natural selection in man

1912 ◽  
Vol 85 (581) ◽  
pp. 469-476 ◽  
Keyword(s):  
Natural Selection ◽  
Death Rate ◽  
Age Groups ◽  
First Year ◽  
Human Beings ◽  
High Infant Mortality ◽  
Total Death ◽  
Selective Death ◽  
First Year Of Life ◽  
Varying Environment

(1) In a paper communicated to the Royal Society in 1899, and later in greater elaboration published in ‘Biometrika,’ 1901, it has been shown on the basis of the inheritance of longevity that the selective death-rate in man amounted to at least 60 per cent. to 80 per cent. of the total death-rate. The matter has been recently reconsidered by Prof. Ploetz, who, dealing with material wholly different from that of Beeton and Pearson came to similar conclusions. The point is a very vital one, for, combined with: (i) the heredity of physical and mental characters in man, and (ii) the demonstration that the longer-lived have more offspring, we reach a definite knowledge that Darwinism does apply, and very intensely applies, even to man under civilised conditions. The difficulty of a direct investigation of the problem lies in securing uniformity of environment. W e have to demonstrate that when under the same environment there is a heavier death-rate among a given group of human beings, then among the survivors of this group in a given later period the death-rate will be lessened. Now each group of individuals we attempt to deal with has its own environment, and if that is a bad environment we should expect to find a heavy death-rate both at the earlier and later periods; this obviously must obscure the action of natural selection. For example in districts with a high infant mortality we might expect a high child mortality, say deaths from two to five years of life, because a bad environment sends up the intensity of both. The correlation between deaths in the first year of life (0—1) and in the next four years of life (1—5) for a given district will certainly be positive if no correction be made for varying environment. Quite recently this matter has been discussed by determining the correlation between the ages 0—1 and 1—5 in the administrative counties of England and Wales. As ( a ) the group 0—1 was not followed to 1—5, but the deaths in these age-groups for the same years were dealt with, and ( b ) no allowance whatever was made for the differential environment of the administrative counties, it is difficult to find any real bearing of the data on the problem of natural selection in man.

P01-303-Vegetative status in infants of high-risk for schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 305-305
Author(s):  
M.A. Kalinina ◽  
G.N. Schimonova
Keyword(s):  
High Risk ◽  
Mental State ◽  
Motor Development ◽  
Prognostic Significance ◽  
Age Groups ◽  
Control Group ◽  
First Year ◽  
Autonomic Tone ◽  
Autonomic Disorders ◽  
First Year Of Life

IntroductionThe study of clinical features and prognostic significance of autonomic disorders are among the most pressing problems of modern medicine.ObjectivesDynamically within 5 years were observed 50 children at high risk for schizophrenia and 40 children with hypoxic-ischemic encephalopathy of the general population. Aims. Evaluation of prognostic significance of autonomic disorders in infancy for mental health in older age groups.MethodsAll patients were examined by clinical methods and EEG, neurosonografia, original screening tables for early childhood.ResultsIn the first year of life in children at high risk for schizophrenia observed mental and motor development within the syndrome of PDD.In infancy the vagotonic orientation prevailed 72, 5%. By 3 years it changed to the amphotonic orientation reaching 76, 0% of children, while the 10, 0% acquired sympathotony, the rest remained vagotonic.The mental state of 37 children to 5 years qualified as schizotipical disorder (F 21.8). In 13 children it was diagnosed schizophrenia, children's type (F20.8). Frequent and sudden changes in the type of tonus correlated with the deterioration of the mental state of a different nature.In the control group at the first year of life prevailed vagotonic orientation, which gradually to age of one year changed by eutonic. During the first 3–5 months of infancy revealed some unstable circulatory, sleep disorders.ConclusionsThe instability of autonomic tone and an abundance of vegetative violations indicate the risk of mental pathology.

scholarly journals Effectiveness of Rotarix® vaccine in Africa in the first decade of progressive introduction, 2009-2019:  systematic review and meta-analysis

2020 ◽  
Vol 5 ◽  
pp. 187
Author(s):  
Nickson Murunga ◽  
Grieven P. Otieno ◽  
Marta Maia ◽  
Charles N. Agoti
Keyword(s):  
Meta Analysis ◽  
Age Groups ◽  
Developed Countries ◽  
Point Estimate ◽  
First Year ◽  
Full Dose ◽  
Newcastle Ottawa Scale ◽  
Group A ◽  
First Year Of Life

Background: Randomized controlled trials of licensed oral rotavirus group A (RVA) vaccines, indicated lower efficacy in developing countries compared to developed countries. We investigated the pooled effectiveness of Rotarix® in Africa in 2019, a decade since progressive introduction began in 2009. Methods: A systematic search was conducted in PubMed to identify studies that investigated the effectiveness of routine RVA vaccination in an African country between 2009 and 2019. A meta-analysis was undertaken to estimate pooled effectiveness of the full-dose versus partial-dose of Rotarix® (RV1) vaccine and in different age groups. Pooled odds ratios were estimated using random effects model and the risk of bias assessed using Newcastle-Ottawa scale. The quality of the evidence was assessed using GRADE. Results: By December 2019, 39 (72%) countries in Africa had introduced RVA vaccination, of which 34 were using RV1. Thirteen eligible studies from eight countries were included in meta-analysis for vaccine effectiveness (VE) of RVA by vaccine dosage (full or partial) and age categories. Pooled RV1 VE against RVA associated hospitalizations was 44% (95% confidence interval (CI) 28-57%) for partial dose versus 58% (95% CI 50-65%) for full dose. VE was 61% (95% CI 50-69%), 55% (95% CI 32-71%), 56% (95% CI 43-67%), and 61% (95% CI 42-73%) for children aged <12 months, 12-23 months, <24 months and 12-59 months, respectively. Conclusion: RV1 vaccine use has resulted in a significant reduction in severe diarrhoea in African children and its VE is close to the efficacy findings observed in clinical trials. RV1 VE point estimate was higher for children who received full dose than those who received partial dose, and its protection lasted beyond the first year of life.

STUDIES IN SICKLE CELL ANEMIA

PEDIATRICS ◽  
1954 ◽  
Vol 14 (3) ◽  
pp. 209-214
Author(s):  
ROLAND B. SCOTT ◽  
LELABELLE C. FREEMAN ◽  
ANGELLA D. FERGUSON
Keyword(s):  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Sickle Cell Trait ◽  
Age Groups ◽  
Test Group ◽  
Progressive Increase ◽  
First Year ◽  
Older Children ◽  
Low Incidence ◽  
First Year Of Life

This survey of 1100 Negro children in various age categories was undertaken to determine the effect of age upon the appearance of the sickling phenomenon from infancy throughout childhood. The general incidence of sickling in 1100 Negro children including sickle cell anemia and sickle cell trait was 7.4%. The data on the incidence of the asymptomatic sickling trait and of sickle cell anemia are summarized by age and sex in Tables I and II. We encountered 22 cases of sickle anemia, seven of which were previously undiagnosed and unknown. Sixteen cases of sickle cell anemia in males and six in females were encountered in the total test group, comprising 651 males and 449 females. This investigation disclosed 60 subjects bearing the asymptomatic sickling trait. There were 40 and 20 instances of asymptomatic sickling observed in 635 males and 443 females, respectively. When the sexes were divided into two age categories (1 month through 4 years and 5 years through 16 years), there was an actual decrease in the incidence of sickling in the girls and an increase in the sickling phenomenon in the boys. We have no explanation for this finding. The overall incidence of the sickling trait for both sexes in all age groups represents no significant deviation from a 1:1 ratio. The data available from this study failed to disclose a definite progressive increase in the incidence of sickling in the age groups studied. Quantitatively the general transition from the low incidence of sickling in the newborn (3.4%) to the higher occurrence in older children (7.5%) apparently takes place during the first year of life. Additional studies of both a qualitative and quantitative nature and involving a detailed age breakdown during the first year of life would probably elucidate this period of transition.

Abstract 150: Determining Changes in Contractility, Myofilament Expression and Myofilament Sensitivity in the Developing Human Ventricle

2012 ◽  
Vol 111 (suppl_1) ◽  
Author(s):  
Brian H Crawford ◽  
Talib Saafir ◽  
Gitanjali Baroi ◽  
Ming Shen ◽  
Ronald Joyner ◽  
...  
Keyword(s):  
Troponin I ◽  
Troponin T ◽  
Heart Defects ◽  
Age Groups ◽  
First Year ◽  
Ventricular Cells ◽  
Developmental Age ◽  
Significant Difference ◽  
First Year Of Life ◽  
Left Heart Syndrome

As pediatric cardiac surgery is increasingly performed in the first year of life, the need for understanding contractility regulation becomes increasingly important. We examined contractility and myofilament changes in ventricular biopsies removed as part of the surgical correction of congenital heart defects from newborns (NB) (hypoplastic left heart syndrome, < 1 wk old) and infants (IF) (tetralogy of Fallot, 3-12 mo old). Sarcomere shortening and calcium (Ca) transients were measured in isolated ventricular cells stimulated at 0.5 and 1 Hz. Increasing pacing frequency caused a significant increase in sarcomere shortening (p< 0.05)in only the IF, but the Ca transient amplitude was relatively unchanged in both groups. Consistent with work in the developing rat heart, we found an isoform switch with increasing developmental age in myofilament proteins, troponin T (TnT) and troponin I (TnI). Western blot analysis revealed that total TnI (the sum of cardiac TnI (cTnI) and slow skeletal TnI (ssTnI)) was not significantly different between the two age groups. However, when comparing only the cTnI isoforms, we found that the NB had a significantly lower levels compared to the IF (11556±789 a.u. vs. 21770±1700 a.u., p<0.001). Analysis of the RT-PCR revealed nearly significant lower levels of TnT isoform 1 in the IF group than the NB group (p=0.078), no significant difference in the levels of TnT isoform 2 (p= 0.536), and significantly higher levels of TnT isoform 3 in the IF group than the NB group (p= 0.039). We also observed developmental changes in myofilament sensitivity to calcium as assessed by measuring the gradient of the fura-2 cell length trajectory on phase-plane diagrams during the late relaxation of the twitch contraction. These results collectively suggest that contractility and myofilament changes, or the lack of changes, may serve as targets for clarifying elements associated with cardiac dysfunction in the developing human ventricle.

scholarly journals Neonatal Immunity toBordetella pertussisInfection and Current Prevention Strategies

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Carolina Argondizo-Correia ◽  
Ana Kelly Sousa Rodrigues ◽  
Cyro Alves de Brito
Keyword(s):  
Early Life ◽  
Whooping Cough ◽  
Vaccine Coverage ◽  
First Year ◽  
Prevention Strategies ◽  
Qualitative And Quantitative ◽  
Effective Strategies ◽  
Bacterial Agent ◽  
Neonatal Immunity ◽  
First Year Of Life

Bordetella pertussisis the bacterial agent of whooping cough, an infectious disease that is reemerging despite high vaccine coverage. Newborn children are the most affected, not only because they are too young to be vaccinated but also due to qualitative and quantitative differences in their immune system, which makes them more susceptible to infection and severe manifestations, leading to a higher mortality rate comparing to other groups. Until recently, prevention consisted of vaccinating children in the first year of life and the herd vaccination of people directly in touch with them, but the increase in cases demands more effective strategies that can overcome the developing immune response in early life and induce protection while children are most vulnerable.

scholarly journals Phenotypic Variability of Krabbe Disease Across the Lifespan

2014 ◽  
Vol 41 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Pamela Liao ◽  
Jennifer Gelinas ◽  
Sandra Sirrs
Keyword(s):  
Phenotypic Variability ◽  
Disease Onset ◽  
Age Groups ◽  
Krabbe Disease ◽  
First Year ◽  
Adult Onset ◽  
Presenting Symptoms ◽  
Disease Phenotypes ◽  
Appropriate Treatment ◽  
First Year Of Life

Krabbe disease (galactocerebrosidase deficiency) is an inherited leukodystrophy that results in severe neurological defects due to altered myelination. Classically, disease onset is within the first year of life. Juvenile and adult-onset cases may have less classic presentations, making diagnosis difficult and often delayed. Here, we review the literature to demonstrate the hetereogeneity of presenting symptoms across all age groups. We also discuss diagnostic approach, emphasizing variation in biochemical, functional, and genetic results among Krabbe phenotypes. Better understanding of the various Krabbe disease phenotypes is critical to facilitate timely diagnosis and appropriate treatment of this clinically heterogeneous disorder.

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