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Journal of Tropical Pediatrics

Renata Artimos de Oliveira Vianna, Kathryn Lynn Lovero, Solange Artimos de Oliveira, Alexandre Ribeiro Fernandes, Teresa Cristina Sarmet Dos Santos, Luiz Cláudio Santos de Souza Lima, Fabiana Rabe Carvalho, Maria Dolores Salgado Quintans, Arnaldo Costa Bueno, Ana Flávia Malheiros Torbey, Aurea Lucia Alves Azevedo Grippa de Souza, Armanda de Oliveira Pache de Farias, Luiz Antonio Bastos Camacho, Lee Woodland Riley, Claudete Aparecida Araújo Cardoso
OBJECTIVE: To better understand the clinical spectrum and course of congenital Zika syndrome (CZS) during the first 18 months of life of children whose mothers had rash during pregnancy. METHODS: This longitudinal observational study evaluated the clinical progress from birth until 18 months of life of children of mothers who developed rash during or up to 3 months before gestation. Maternal rash occurred from November 2015 to May 2017. The study subjects were divided into three groups: children whose mothers tested positive by RT-qPCR for Zika virus (ZIKV) (Group 1), children whose mothers tested negative by RT-qPCR for ZIKV (Group 2), and children whose mothers did not undergo any testing for ZIKV (Group 3) but tested negative for other congenital infections...
April 21, 2019: Journal of Tropical Pediatrics
Amit Agrawal, Aekta Gupta, Jyotsna Shrivastava
OBJECTIVE: To find the relationship between vitamin-D levels and late-onset sepsis (LOS) in term neonates. METHODS: This case-control study was conducted in neonatal intensive care unit of a tertiary care teaching institution in central India. Full-term neonates with culture-proven LOS were taken as cases. Maternal and neonatal demography, clinical examination and investigations were recorded. Correlation of vitamin-D deficiency (<20 ng/ml) with LOS was assessed...
April 21, 2019: Journal of Tropical Pediatrics
Silvia Baroncelli, Clementina Maria Galluzzo, Giuseppe Liotta, Mauro Andreotti, Sandro Mancinelli, Robert Mphwere, Enok Bokola, Roberta Amici, Maria Cristina Marazzi, Leonardo Palombi, Lucia Palmisano, Marina Giuliano
BACKGROUND: HIV-exposed uninfected (HEU) infants show a high rate of morbidity. We aimed to investigate on biomarkers of immune activation/microbial translocation in HEU infants, evaluating the impact that infections/malnutrition can have on biomarker levels during the first year of life. METHODS: Clinical data of 72 Malawian infants were recorded monthly and correlated with levels of soluble CD14 (sCD14), lipopolysaccharide-binding protein (LBP) and intestinal fatty acid-binding protein (I-FABP), analyzed longitudinally...
April 21, 2019: Journal of Tropical Pediatrics
Abate Yeshidinber Weldetsadik, Alemayehu Bedane, Frank Riedel
Retropharyngeal tuberculous abscess (RPTBA) is a rare manifestation of tuberculosis (TB) even in high TB burden areas. It rarely manifests as a cause of upper airway obstruction and obstructive sleep apnea (OSA) in children with few case reports in the literature. We report a 22 months old toddler who presented with upper airway obstruction and OSA and was diagnosed with RPTBA. The child recovered completely and growing normally after intra-oral aspiration and 6 months of anti-tuberculosis treatment.
April 21, 2019: Journal of Tropical Pediatrics
Sarah Buntubatu, Endy P Prawirohartono, Eggi Arguni
Awareness of cardiac involvement in dengue infection has potentially valuable management implications. To determine the prevalence of myocarditis in dengue severity, we conducted prospective study of paediatric dengue illness at Dr. Sardjito General Hospital, a tertiary hospital in Yogyakarta, Indonesia, from period of July 2015 to May 2016. World Health Organization (WHO) Dengue Guideline 2011 classification system was used. Diagnosis of dengue infection was made based on either by dengue serology and/or NS1 test...
April 21, 2019: Journal of Tropical Pediatrics
Sophie Jullien
No abstract text is available yet for this article.
March 30, 2019: Journal of Tropical Pediatrics
Taciana Maia de Sousa, Luana Caroline Dos Santos, Hellena Thaís Pinto Costa, Renata Bicalho de Carvalho, Simone Cardoso Lisboa Pereira
Cross-sectional study that aimed to investigate the factors associated with the consumption of food markers of unhealthy diet among school children with high health vulnerability in public schools of a Brazilian capital. Unhealthy food consumption was investigated through a simplified Food Frequency Questionnaire. Multivariate logistic regression was performed, considering excessive consumption of unhealthy foods as an outcome. A total of 299 students were evaluated, with a mean age of 11.0 ± 2.4 years, 54...
March 28, 2019: Journal of Tropical Pediatrics
Zubaida Ladan Farouk, Tina M Slusher, Abba Ahmed Danzomo, Ida L Slusher
Nigeria has the highest number of neonatal and under-five deaths in Africa. Socio-cultural determinants play an important role in disease burden in low-middle income countries. This study aimed to describe knowledge, attitudes and neonatal care practice among household caregivers in a rural community in Nigeria, specifically uvulectomy, female genital mutilation (FGM), failure to routinely immunize and unsafe cord care. Further, relationships between demographic characteristics and knowledge, attitudes and neonatal care practices among caregivers were analyzed...
March 25, 2019: Journal of Tropical Pediatrics
Jim Phillips, Valerie Wright, Jim Tomlinson
Scotland's political divergence from England is a key theme in late twentieth century British history. Typically seen in terms of the post-1979 Thatcher effect, this in fact developed over a longer timeframe, rooted in industrial changes revealed by analysis of the Linwood car plant in Renfrewshire. Conservatism and Unionism was an eminent political force in Scotland in the 1940s and 1950s. But in all general elections from 1959 onwards the vote share of Conservative and Unionist candidates was lower in Scotland than in England...
March 20, 2019: Journal of Tropical Pediatrics
Natascha Silva Sandy, Roberto José Negrão Nogueira
Kwashiorkor in infancy is typically associated to an underlying disease. Edema, a striking feature of this type of malnutrition, can be difficult to assess in this age group. The typical dermatosis of Kwashiorkor is not fully explained the deficiency of one isolated vitamin or micronutrient. This article presents an infant with cystic fibrosis, who developed Kwashiorkor in the third month of life with extensive cutaneous manifestations. An early, individualized and aggressive nutritional intervention with optimized supplementationof sulfur amino acids, vitamins and micronutrients was established, with impressively recovery of overall nutrition and skin manifestations in a relatively short period of time...
March 20, 2019: Journal of Tropical Pediatrics
Mohammed A Alsuhaibani
Haemophilus parainfluenzae is an unusual causative organism of invasive bacterial infection in adults and children. Mortality and morbidity secondary to Haemophilus parainfluenzae have been documented in the literature. We present a rare case of a premature infant with early onset sepsis caused by Haemophilus parainfluenzae, who was born to a primigravida with chorioamnionitis. The infant was successfully treated for 10 days with antibiotics with no complications.
March 19, 2019: Journal of Tropical Pediatrics
Bose Anuradha
No abstract text is available yet for this article.
March 18, 2019: Journal of Tropical Pediatrics
(no author information available yet)
No abstract text is available yet for this article.
March 18, 2019: Journal of Tropical Pediatrics
Samuel P Oommen, Sridhar Santhanam, Hima John, Reeba Roshan, T O Swathi, Caroline Padankatti, Hannah Grace, Rachel Beulah, Atanu Kumar Jana, Manish Kumar, Niranjan Thomas, Bijesh Yadav
OBJECTIVE: To determine the prevalence and risk factors for poor neurodevelopmental outcome in a cohort of very low birth weight (VLBW) infants. SUBJECTS AND METHODS: Four hundred and twenty-two infants of a total of 643 VLBW survivors from a teaching hospital in South India were followed up to assess their neurodevelopmental outcomes. RESULTS: Among the 422 children who completed the assessment, results of 359 children whose assessments were done between 18 and 24 months were analysed...
February 21, 2019: Journal of Tropical Pediatrics
(no author information available yet)
No abstract text is available yet for this article.
February 21, 2019: Journal of Tropical Pediatrics
Rebecca Dawar, Sushma Nangia, Anu Thukral, Sapna Chopra, Rajesh Khanna
OBJECTIVE: To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge. STUDY DESIGN: An exploratory study, using a mixed methods evaluation, followed 60 mother-infant dyads from the hospital ward to 4 weeks post-hospital discharge. RESULTS: Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge...
February 14, 2019: Journal of Tropical Pediatrics
Rajesh Kumar Rai, Christopher R Sudfeld, Anamitra Barik, Wafaie W Fawzi, Abhijit Chowdhury
Preterm birth and small for gestational age (SGA) are major contributors to neonatal mortality in India. However, social determinates of preterm births and SGA are poorly characterized. We use population-based data from a health and demographic surveillance system (HDSS) in rural West Bengal, India, to examine risk factors for preterm birth and SGA. HDSS pregnancy cohort data for 2430 pregnant women were used in this analysis. Of 2430 pregnancies, 16% were preterm births and 38.2% were SGA. Results from logistic regression reveal that higher maternal education (≥11 years) was associated with reduced risk of preterm births and SGA...
February 8, 2019: Journal of Tropical Pediatrics
Kim Prince, Fierdoz Omar, Yaseen Joolay
Background: Biomarkers assist in diagnosing neonatal sepsis but often provide results 6 to 48 h later. Bedside C-reactive protein (CRP) test may help to expedite clinical management. We assessed the performance of point of care test (POCT) CRP against routine laboratory analysis and determined the time difference in obtaining results. Methods: A prospective observational study was conducted over 4 months. Neonates clinically indicated, had CRP simultaneously tested using the POCT and laboratory assays...
January 31, 2019: Journal of Tropical Pediatrics
Gokul Sarveswaran, Yuvaraj Krishnamoorthy, Manikandanesan Sakthivel, Karthiga Vijayakumar, Shanthosh Priyan, Pruthu Thekkur, Palanivel Chinnakali
Background: Understanding the factors associated with private sector preference for vaccination will help in understanding the barriers in seeking public facility and also the steps to improve public-private partnership (PPP) model. Methods: We analysed the recent National Family Health Survey-4 data (NFHS-4; 2015-16) gathered from Demographic Health Survey programme. Stratification and clustering in the sample design was accounted using svyset command. Results: Weighted proportion of children receiving private vaccination was 10...
January 29, 2019: Journal of Tropical Pediatrics
Hamudat Balogun, Jouni J K Jaakkola, A Kofi Amegah
Background: Our objective was to assess whether dietary vitamin D (vitD) intake and sunlight exposure during pregnancy is associated with birth outcomes in a healthy Ghanaian population. Methods: A population-based cross-sectional study that included 703 mother-infant pairs accessing postnatal services at the five main health facilities in Cape Coast, Ghana was conducted in 2016. Information on sunlight exposure practices and consumption of vitD-rich foods during pregnancy was collected...
January 27, 2019: Journal of Tropical Pediatrics
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