Asploro Journal of Pediatrics and Child Health
About this Journal
Asploro Journal of Pediatrics and Child Health (ASJPCH) is an international, peer-reviewed open access journal in which it addresses not only health related issues (disease, infection, genetic disorder, growth impairment etc.), but also aims to cover topics related to the physical, emotional and social well-being of children. Child psychology, behavioral aspects, societal apathy, exposure to the criminal and violent environment, parental negligence, and cultural background, are some of the factors that influence the development of a child; and any research related to these issues will be accepted for publication….
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This study aims to understand the association among sport participation, substance use and mental health of adolescent athletes within a diverse urban youth population. Data included a convenience sample of predominantly Black and Hispanic youth (85.7%) ages 14 to 18 years, who were Mount Sinai Adolescent Health Center (MSAHC) patients who presented for an annual physical exam or pre-participation exam (PPE) and were cleared for high school sport(s) participation. During the encounter, participants self-reported their use of tobacco, alcohol, and marijuana on a 6-point frequency scale, dichotomized to indicate use in the past 30 days. Anxiety and depression were assessed using two self-reported questions. Demographic data (e.g. ethnicity, gender, age) and whether participants had a current mental health provider were also extracted from the Electronic Medical Record (EMR). Results from multivariate logistic regression analyses showed adolescents with one year of sport participation had significantly lower odds of alcohol use in the past 30 days (OR=0.22, 95%CI= [0.12,0.41]) compared to individuals who did not participate in sport(s). Adolescents with two or more years of sport participation had significantly lower odds of alcohol (OR=0.46, 95%CI= [0.23,0.93]) and marijuana use (OR=0.10, 95%CI= [0.01,0.72]) in the past 30 days compared to individuals who did not participate in sport(s). Adolescents with one year of sport participation had lower odds of reported depression (OR=0.56, 95%CI= [0.33,0.94]) compared to individuals who did not participate in sport(s). Adolescents with two or more years of sport participation had significantly lower odds of reported depression (OR=0.35, 95%CI= [0.16,0.75]) and anxiety (OR=0.36, 95%CI= [0.15,0.86]) compared to individuals with no sport participation. These effects were found after adjusting for whether they were currently engaged with a mental health provider. Results of this study suggest that engagement in organized sport(s) may have protective effects against substance use, depression and anxiety. Additionally, the PPE could be used as an opportunity to promote engagement in extracurricular activities in addition to organized sports, to maximize the opportunity for adolescents to experience these benefits.
Inflammatory bowel disease is an important pediatric disease, with as many as 25% of cases presenting during childhood. In this article, we review the types, etiology epidemiology, presentation, diagnosis, and management of pediatric inflammatory bowel disease. We also highlight the unique aspects of pediatric-onset inflammatory bowel disease versus adult-onset and future directions in this field, such as the use of genetic studies and ultrasound for the management of pediatric patients with inflammatory bowel disease.
Introduction: The aim of this study to review the socioeconomic determinants of neonatal death compared to living infants in a multinational’s population.
Methods: A retrospective data analysis of 58,990 births. Population-based Cohort study retrieved from the perinatal registry for the 4 years period. We compared socio-economic factors in cases of neonatal death [NND] who died in the hospital with infants who have discharged alive from the hospital [AL]. Socioeconomic factors including nationality, religion, marital status, level of education, parents’ occupation, family income, consanguinity, early childbearing, smoking, assisted conception, antenatal care, and place of delivery.
Results: There were 336 cases of ND and 58,654 of AL. The prevalence of NND was 5.7/1000 births. There were more neonatal deaths among uneducated mothers with P-value < 0.0003, and OR=2.0, mothers with low income (P=0.0008, CI=1.34-3.16, OR=2.07), families living in a shared houses (P=0.008, CI=1.23-3.19, OR=1.34), consanguinity (P=0.005, CI=1.13-2.0, OR=1.5), unemployed father (P=0.027, CI=1.24-4.28, OR=2.4), father’s education (P=0.017, CI=1.065-1.92, OR=1.4), assisted conception (P= 0.0001, CI=2.99-5.46, OR=4.04) and those mothers with no antenatal care (P=0.0001, CI=2.54-4.48, OR=3.37). Preterm birth in a referral/tertiary hospital was significantly high. There was no negative impact of nationality, mother’s occupation, maternal age, gravidity, or smoking. Comparing means among maternal and neonatal outcome categories showed no negative impact of crowding index (family members/number of rooms), number of rooms, number of family members, number of children in the house, or number of parties.
Conclusion: In this study, antenatal care, parent’s education, father’s unemployment, low income of the mother, poor housing, consanguinity, assisted conception, and preterm birth were all associated with in-hospital neonatal death.
Seeligmüller Strümpell Philip disease is characterized by familial progressive spastic paraplegia or paraparesis associated with a progressive deterioration of gait. The disorder is genetically heterogeneous and can be inherited in an autosomal dominant, autosomal recessive or X-linked recessive manner. The mode of inheritance involved has a direct impact on the chances of inheriting the disorder. The cornerstone of treatment is the use of various muscle relaxants. The disorder has not been reported or documented in Iraq. This paper aims to report the first case of childhood Seeligmüller Strümpell Philip disease in an Iraqi girl.
Patients and Methods: A thirteen-year girl with childhood Seeligmüller Strümpell Philip disease who developed systemic lupus erythematosus is described and the early historic documentation of Seeligmüller Strümpell Philip disease in the medical literature is briefly updated.
Results: The diagnosis of Seeligmüller Strümpell Philip disease in this girl was based on clinical findings and supported by electromyography and nerve conduction studies. Brain MRI showed normal findings. Few weeks before the patient was seen, they took her outside Iraq to Medipol Mega complex of Hospitals for treatment. They performed tenotomy and tenoplasty of the hip adductors, achilloplasty, and posterior capsule relaxation. When the girl was first seen at the Children Teaching Hospital of Baghdad Medical City, the parents regretted taking her outside Iraq for treatment as she didn’t show any improvement, and was still using the wheelchair.
Conclusion: Unfortunately, the girl was seen too late, and despite consulting many doctors in Iraq and outside Iraq, she didn’t receive appropriate evidence based treatment and was treated unsatisfactorily surgically.
Introduction: Cystic Fibrosis has been reported before in almost all Arab countries with an incidence ranges from 1:2500- 1:7000. Presentations varied, but mainly due to recurrent chest infection and Pancreatic Insufficiency. Median survival has been far below North American countries. Delayed diagnosis and delayed management account for the low median survival.
Objectives: To present the demographic data of Cystic Fibrosis patients and their families, that involves their social status and education.
Methodology: A retrospective chart review as part of the Cystic Fibrosis registry data from the period January 1998 to December 2018. All confirmed CF patients of all age groups who contributed their demographic information were included and analyzed.
Results: A total of 430 confirmed Cystic Fibrosis patients. 236 (96%) patients survived, and 10 (4%) died. Two hundred and thirteen (49.5%) were males, and 217 (50.5%) were females. Eighty-three percent consanguinity rate. Forty-five had a family history of Cystic Fibrosis, and the diagnosis was suggested by family history in 9.5% of patients. 415 (98.1%) were of Saudi nationality. 156 (36.5%) were from the Eastern province. The mean age at diagnosis was 3.46 years (SD±5.547). Median survival around 22 years. Mean Sweat chloride was 92.04 mmol/ L (17.343). In reviewing the educational level of 247 patients, the level of elementary school accounted for 90 (36.1%) of patients, 24 (9.7%) of mothers, and 21 (8.5%) of fathers. Similarly, 43 (17.4%)/ 22 (8.9%)/ 102 (41.3%) were in the preparatory level, 35 (14.3%)/ 43 (17.4%)/ 51 (20.6%) were in the high school level, and 23 (9.3%)/ 39 (15.8%)/ 46 (18.6%) were in the college level, respectively. Regarding the employment: 145 (58.7%) patients are students, 3 (1.2%) are part-time employees, and 15 (6.0%) are full time employees. 207 (83.8%) mothers are housewives, 2 (0.8%) are students, and 29 (11.7%) have full-time employment. Paternal employment showed that 210 (85.0%) are full time, and 7 (2.8%) are part-time employees. Regarding their accommodation: 77 (31.2%) of Cystic Fibrosis parents owned a villa, 81 (32.8%) rented an apartment, and 79 (32%) owned their own apartment.
Conclusion: More than 2/3 of CF patients are students at the elementary school level, and only 6.0% have a full-time job, which makes them completely dependent on both parents for their care. Median survival improved from 8 years in 1984 to 22 years. Further efforts need to be applied to different aspects of care to further improve median survival.
Introduction: Cholelithiasis has been reported in 12%-24% of Cystic Fibrosis (CF) patients, and is usually made up of cholesterol gallstones. These abnormalities are frequently asymptomatic and can include intra and extrahepatic ducts, gallbladder thickening and contraction, micro gallbladders, and cholelithiasis. Abdominal sonography is routinely used in order to detect these abnormalities.
Objectives: To obtain the prevalence of gall stones (Cholelithasis) in CF patients and its relation to other clinical, laboratory, radiological, and genetic data.
Methodology: A retrospective chart review as part of the CF registry data from the period 1st January 1984 – 1st June 2018. All confirmed CF the patients of all age groups that have US studies done were included in the study. Patients with positive gallstones or sludge were evaluated and discussed.
Results: A total of 391 confirmed CF patients were involved. Out of them, 252 patients had an abdominal ultrasound, 7 patients (3%) had gallstones on the abdominal US, 8 patients (3%) were revealed to have sludge and 237 patients (94%) had normal gallbladders. Pancreatitis was found in 4 patients (2%). 191 patients (76%) had pancreatic insufficiency.77 patients had follow up abdominal ultrasounds and 5 patients (7%) were found to have persistent gallstones, 4 patients (5%) had persistent sludge and 68 patients (88%) remained negative for gallstones. 2 patients required cholecystectomy.
Conclusion: Cholelithiasis is a common complication of CF disease; its incidence is more than the general population. Thus, we recommend that every CF patient get an ultrasonography study as part of liver disease screening to rule out any Gallbladder pathology.