scholarly journals A MULTICENTRIC COMPARATIVE STUDY IDENTIFYING ‘RESEARCH OBSTACLES’ AMONG POSTGRADUATE RESIDENTS OF DIFFERENT ‘MEDICAL & DENTAL INSTITUTES OF BALOCHISTAN AND PUNJAB’

2021 ◽  
Vol 71 (6) ◽  
pp. 1941-46
Author(s):  
Nabiha Farasat Saeed ◽  
Muhammad Saeed ◽  
Imran Saeed ◽  
Arshad Kamal Butt

Objective: To compare the research obstacles including lack of proper training, previous exposure, time management, motivation, faculty research knowledge, skill, social constrains and lack of interest among post-graduate residents of Balochistan with those of Children’s Hospital, Lahore. Study Design: Comparative cross-sectional study. Place and Duration of Study: Dental College, Bolan University of Medical and Health Sciences, Quetta, Quetta Institute of Medical Sciences & Institute of Public Health of Balochistan, from Mar to May 2018, and Children’s Hospital Lahore, Lahore, from Jul to Aug 2017. Methodology: A total of 72 postgraduates from three different institutes of Balochistan and 90 from Children’s Hospital, Lahore were recruited in this study. The questionnaire was distributed to the participants of both institutions; data was collected & entered into SPSS version 22. Results: Female predominance (64.4%) was observed in post-graduates of Children’s Hospital, Lahore in comparison to institutions from Balochistan while there were 61% males. Majority (90%) post-graduate residents of Balochistan recognized time management, deficient laboratory and other facilities followed by lack of mentoring by faculty 59 (83%) and lack of motivation 60 (84%) as the most important factors that hinder their scientific activities. Additionally, 91 (86.6%) postgraduates of Children’s Hospital, Lahore suggested lack of proper research training and 87 (83.3%) suggested lack of previous exposure as the main hindering factors in their research work. Conclusion: Post-graduate residents of diverse economic, educational and cultural backgrounds present different perceptions about research hurdles. However, those from both provinces identified that lack of..........

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.


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.


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 ◽  
...  

2020 ◽  
Vol 58 (230) ◽  
Author(s):  
Bal Mukunda Basnet ◽  
Prashant Simkhada ◽  
Anupama Thapa ◽  
Rajkumar Singh

Introduction: Tracheo-oesophageal anomaly is the abnormal communication between trachea and oesophagus. The most common type of tracheo-oesophageal anomaly is oesophageal atreasia with distal tracheo oesophageal fistula. Tracheo-oesophageal anomaly is a common neonatal problem requiring an urgent surgery. Tracheo-oesophageal anomaly can be diagnosed as an isolated malformation or as part of polymalformative syndrome with possible vertebrae anomalies also known as Vacterl syndrome. The aim of the study is to find out the prevalence of tracheo-oesophageal anomaly cases among neonates undergoing surgery in a tertiary care childrens hospital in Nepal. Methods: This is a descriptive cross sectional study conducted in a tertiary care children’s hospital in Nepal taking into account the medical records from period of 01 Jan, 2018 to Dec 31, 2019. Study population included the infants undergoing operative procedure in the operation theatre of Kanti Children’s Hospital. The calculated sample size was 306. Data was collected by retrospective chart review technique and listed in performa. Consecutive sampling technique was used. Thus collected data was entered in SPSS version 20 and necessary calculations were done. Results: The prevalence of tracheo-oesophageal anomalies was found out to be 30 (9.8%) at 95% confidence interval. The most common problem, with which infants were brought to Kanti Children’s Hospital, that required urgent neonatal surgical intervention was anorectal malformation constituting 94 (30.72%) of the surgeries followed by intestinal obstruction 76 (24.84%) which included duodenal atresia, jujunal atresia and ileal atresia. Conclusions: Tracheo-oesophageal anomaly constitutes a major portion of neonatal disease condition requiring surgery in Nepal.


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