Early Neonatal Mortality’s Determinants in the Neonatology Department of Mohamed V Hospital in Tangier, Morocco

Objective: This study aims to identify the determinants of early neonatal mortality in the neonatology department of Mohamed V hospital in Tangier.Material and methods: This is a prospective study including all newborns hospitalized and deceased in the pediatric department of the hospital Mohammed V from June 1 to December 31, 2019. The recorded cases were processed and analyzed by SPSS software.Results: 529 newborns were hospitalized in the pediatric department during the study period, of which 92 died (17.39%) between 0 and 7 days. Four leading causes justified this frequency: prematurity occupies first place (59%), followed by perinatal asphyxia (22%), neonatal infection (15%) in third place, congenital malformations (3%) in fourth place. Parturients aged between 20 and 35 years are the most affected (76%). The majority of women (71.4%) in our series had not undergone prenatal consultation (PNC) or had done so in insufficient numbers.Conclusion: Neonatal mortality remains high. Improvement of this situation requires education of women, reinforcement of surveillance before, during pregnancy, during delivery, and the postpartum period, as well as effective management of premature newborns in the first week of life, should improve the neonatal prognosis by reducing the intra-hospital incidence of neonatal mortality in our setting.

Pediatric Drug-Related Problems in an Indian Tertiary Care Hospital

Background: Improper drug usages expose patients to drug-related problems (DRPs) and can be the cause of patient morbidity and even mortality, especially frequent in hospitalized patients and pediatric groups. Objective: The objective of the present study was to identify and assess the drug-related problems in the pediatric department of tertiary care hospitals. Methods: The cross-sectional, observational study was carried out for six months included pediatric in-patients of age ≤15 years of either gender in pediatric units of tertiary care hospitals of India. The enrolled pediatric patients were observed for any drug-related problem that were further recorded and classified using the DRP registration format taken from Cipolle et al. The assessment of therapy was done by using positional statements from standard organizations and guidelines. Main outcome measure: Incidences of drug-related problems and their assessment and root cause analysis. Results: A total of 970 DRPs were identified in 296 patients, with an overall incidence of 49.3%. The incidence of DRPs was maximum in the age group of 2-12 years of children (51.2%). Patients who took six or more drugs were around eight (OR:8.41 , 95% CI: 5.22 to 13.55) times more likely to have DRPs compared to those patients who took less than six drugs. The incidences of DRPs were more in patients who were hospitalized for ≥ 7 days. Conclusion: The present study revealed significantly higher incidences of DRPs in hospitalized pediatric patients necessitating the involvement of clinical pharmacists in the pediatric department of tertiary care hospitals.

The Contribution of Lumbar Puncture in Neonatal Infections - About 206 cases

Background: Neonatal meningitis is a serious infection, no clinico-biological score has been established to accurately identify neonates at high risk of developing neonatal meningitis.Objective: The aim of this work is to clarify the place of lumbar puncture in neonatal infections and to identify the predictive factors of meningeal localization in case of neonatal infection.Materials and methods: This is a prospective study of 861 observations of newborns hospitalized in the pediatric department of Mohammed V Hospital, CHU of Tangier, during a 14-month period from 1January 2019 to 29 February 2020. Among these patients the diagnosis of neonatal infection (NNI) was retained in 473 cases. Initial lumbar puncture was performed in 206 cases (43%). We included neonates aged 0 to 28 days, suspected of NNI, who had a lumbar puncture. Neonates treated as carriers of neonatal infection without sufficient anamnestic and clinical evidence and with an inconclusive or unperformed biological workup were excluded from the study.Results: During the study period, 861 newborns were hospitalized and the diagnosis of neonatal infection was retained in 473 cases, a rate of 55%, and the initial lumbar puncture was performed in 206 cases (43%). 61 newborns were diagnosed with neonatal meningitis, with fever in 76% of cases, 85% with convulsions, hypotonia and/or refusal to suckle in 63% of cases, and CRP >25mg/l in 67% of newborns.Conclusion: Lumbar puncture is the only diagnostic means of meningitis. Indeed, the indication of this procedure should not be systematic, but it should be dictated by the careful and simultaneous analysis of the anamnestic, clinical and biological criteria evocative of the infection and its meningeal localization in order to diagnose meningitis early and treat it correctly. The need to establish scores combining these different parameters, in order to accurately identify newborns at high risk of developing neonatal meningitis

ASSESSMENT OF THE EFFICACY OF THE MACDEL-09 APPARATUS IN LIGHT DEGREES OF MYOPIA

80 school-aged children with low-grade myopia were examined at the pediatric department of the Republican Specialized Scientific-Practical Medical Center of Eye Microsurgery as research material. The average age of the diseased children was 7-17 (15 + 0.6) years. 42 (52.5%) were girls and 38 (47.5%) were boys among the patients. During the examination of patients, we divided all children with mild degree myopia into 2 groups.Keywords: myopia, accommodation, autorefractometry, dispensary examination of school-aged children, McDel

Assessment of beneficiary satisfaction at district early intervention centre, Mysuru district, Karnataka

Background: District early intervention centres (DEIC) are established under Rashtriya Bal Swasthya Karyakram (RBSK), aimed at providing early intervention and screening of the children identified with 4Ds. Aimed to assess the beneficiary satisfaction visiting DEIC. Patient satisfaction was an important and commonly used indicator for measuring the quality of health care.Methods: A cross-sectional study was conducted at DEIC, Mysuru to assess client satisfaction. 276 study participants who visited the DEIC (from January 2021 to June 2021) were selected through the convenience sampling method. A semi-structured questionnaire was administered about the services provided across various departments at DEIC. Data were analyzed by using IBM version 23 SPSS.Results: Among 276 beneficiaries who reached DEIC, about overall client satisfaction, 250 (90.5%) were satisfied and 26 (9.42%) were dissatisfied with the functioning and services provided across various departments at DEIC. 272 (98%) were satisfied more with the information provided about the medications by the pediatric department and 11 (18.0%) were more dissatisfied with the room infrastructure, information provided about treatment adopted and instructions to parents/guardians for regular follow up by the counseling department.Conclusions: Overall, the clients were more satisfied with the services provided by the pediatric department and less dissatisfied with the counseling and psychology department. The findings of this present study will be useful input for the early intervention centers to improve their services and can also give an overview to the healthcare managers and policymakers in developing programs and policies. Improvement in the psychology, counseling, and ophthalmology departments will provide better beneficiary satisfaction.

Influence of a nurses personality on professional suitability for working in pediatric stationary

The aim of the study the influence of the personal characteristics of a nurse on professional suitability (readiness) to work in a pediatric hospital. The results of the study allow us to assert that the professional suitability of a nurse is influenced by a number of characterological abilities, including such as moral normativity, neuropsychic stability, adaptive abilities, and communication skills. Conclusion. When hiring, a psychodiagnostic examination should be carried out to study the characterological characteristics of future employees, which will reduce the turnover of personnel in pediatric departments. Taking into account the psychological characteristics that affect the professional suitability to work in the pediatric department, it is possible not only to select the most psychologically ready staff, but also to prevent the development of professional deformations and burnout syndrome in employees.