International Journal of Pediatrics (2022)

Research Article

08 Oct 2022

Admission Hypothermia and Factors Associated with Mortality among Admitted Hypothermic Preterm Neonates in Neonatal Intensive Care Units of Public Hospitals of Addis Ababa, Ethiopia

Fekadeselassie Belege Getaneh|Natnael Moges Misganaw|...|Zebenay Workneh Bitew

Background. Limited knowledge on the proportion of admission hypothermia and factors of death in hypothermic preterm neonates is hindering early and appropriate interventions in Ethiopia. Thus, studies on the proportion of admission hypothermia and factors of death in hypothermic preterm neonates are critical to enhancing preterm infants’ survival. Methods. Hospital-based cross-sectional study was conducted on 398 participants using the systematic sampling method from October 10, 2021, to December 15, 2022. A pretested data extraction tool was used to collect data. EpiData version 4.6 and STATA version 16 were used for data entry and analysis. Multivariable logistic regression analysis evaluated the association between independent and outcome variables with a 95% confidence interval (CI). Hosmer and Lemeshow test and variance inflation factor were assessed to check model fitness and collinearity, respectively. was considered statistically significant. Result. Of the 398 admitted preterm neonates, 331(83.2%) had hypothermia at admission. Factors that were significantly associated with mortality included outborn babies [Adjusted hazard ratio CI (1.03-4.62)], GA less than 32 weeks [ CI (1.87-13.58)], weight less than 1500 gram [ CI (1.21-15.38)], thrombocytopenia [ CI (1.49-7.58)], and kangaroo mother care [ CI (0.16-0.88)]. Conclusion. The proportion of admission hypothermia was high. Outborn babies, birth weight less than 1500 gram, gestational weeks, being thrombocytopenic, and lack of kangaroo mother care were identified as risk factors for hypothermic preterm neonatal mortality. Preterm labor prevention, improved inborn delivery, and kangaroo mother care may alleviate the high proportion of admission hypothermia and related mortalities in preterm neonates.

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Sickle Cell Disease in Children and Adolescents: A Review of the Historical, Clinical, and Public Health Perspective of Sub-Saharan Africa and Beyond

Walufu Ivan Egesa|Gloria Nakalema|...|Daniel Asiimwe

Sickle cell disease (SCD) is an umbrella term for a group of life-long debilitating autosomal recessive disorders that are caused by a single-point mutation (Glu→Val) that results in polymerization of hemoglobin (Hb) and reversible sickle-shape deformation of erythrocytes. This leads to increased hemolysis of erythrocytes and microvascular occlusion, ischemia-reperfusion injury, and tissue infarction, ultimately causing multisystem end-organ complications. Sickle cell anemia (HbSS) is the most common and most severe genotype of SCD, followed by HbSC, HbSβ0thalassemia, HbSβ+thalassemia, and rare and benign genotypes. Clinical manifestations of SCD occur early in life, are variable, and are modified by several genetic and environmental factors. Nearly 500 children with SCD continue to die prematurely every day, due to delayed diagnosis and/or lack of access to comprehensive care in sub-Saharan Africa (SSA), a trend that needs to be urgently reversed. Despite proven efficacy in developed countries, newborn screening programs are not universal in SSA. This calls for a consolidated effort to make this possible, through the use of rapid, accurate, and cheap point-of-care test kits which require minimal training. For almost two decades, hydroxyurea (hydroxycarbamide), a century-old drug, was the only disease-modifying therapy approved by the U.S. Food and Drug Administration. Recently, the list expanded to L-glutamine, crizanlizumab, and voxelotor, with several promising novel therapies in the pipeline. Despite its several limitations, hematopoietic stem cell transplant (HSCT) remains the only curative intervention for SCD. Meanwhile, recent advances in gene therapy trials offer a glimpse of hope for the near future, although its use maybe limited to developed countries for several decades.

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(Video) International HHT Guidelines - Pediatrics

Research Article

09 Sep 2022

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Neonatal and Maternal Risk Factors for Indirect Hyperbilirubinemia: A Cross-Sectional Study from Bahrain

Hasan M. Isa|Noor Y. AlBuainain|...|Yusuf A. Bucheery

Background and Objectives. Jaundice is a common cause of hospital admission in infants presenting within the first month of life. This study is aimed at determining neonatal and maternal risk factors of indirect hyperbilirubinemia, at comparing neonates with risk factors and those without, and at assessing the type of management according to hyperbilirubinemia severity. Material and Methods. In this retrospective cross-sectional study, medical records of neonates with indirect hyperbilirubinemia who were admitted to the Pediatric Department, Salmaniya Medical Complex, Bahrain, between January 2020 and December 2020 were reviewed. Neonatal demographic data, antenatal history, birth weight, feeding type, maternal and neonatal laboratory evaluations, management, and length of hospital stay were collected and compared. Results. Out of 555 records, 404 neonates were included. Among those, 209 (51%) were males and 275 (68.1%) were Bahraini. The median indirect bilirubin level at presentation was 218 (interquartile range, 174-270) μmol/L. ABO incompatibility was the commonest risk factor for neonatal indirect hyperbilirubinemia (, 37.6%) followed by glucose-6-phosphate dehydrogenase (G6PD) deficiency (/400, 32.5%). Age (>25 years) was the commonest maternal risk factor (, 81.9%) followed by cesarean delivery (, 33.9%). Neonates with ABO incompatibility had a significantly higher mean indirect bilirubin level compared to those with other risk factors ( versus  mmol/L, respectively) (). Phototherapy use significantly increased along with the rise of bilirubin level (). Intravenous immunoglobulins (IVIG) and exchange transfusion were used in 44 (10.9%) and 14 (3.5%) patients, respectively. Neonates who received IVIG had significantly higher bilirubin levels than those who did not (). Male newborns (), Bahrainis (), those with reticulocytosis (), and those who received IVIG () were more prone to have associated risk factors. Conclusion. ABO incompatibility, G6PD deficiency, and older maternal age were the commonest neonatal and maternal risk factors for developing neonatal indirect hyperbilirubinemia. Bahraini, male newborns, reticulocytosis, and IVIG use were associated with these factors. Early detection of such factors through screening can aid in immediate management to prevent serious complications of this common condition.

Research Article

(Video) Pediatric minor emergencies in OPD practice 1

09 Sep 2022

Infantile Hemangioma Treated with Propranolol Readmission Trends, Complications of Therapy, and Cost: A PHIS Database Study

Muhammad Abu-Rmaileh|Hayden C. Hairston|...|Gresham T. Richter

Objective. To examine admission trends, complications, and costs for inpatient infantile hemangioma (IH) associated with propranolol therapy utilizing the Pediatric Health Information System (PHIS) database. Study Design. A retrospective cohort study was completed using the PHIS database. The PHIS database was queried from 2008 to 2020 for children without cardiac disease and between the ages of three weeks and one year who were admitted with a diagnosis of IH and administered propranolol. Admissions were trended annually and by geographic region. Primary outcomes were length of stay (LOS), readmission, mortality, propranolol-related complications, and costs. Bivariate and multivariable analyses were employed to identify predictors of the primary outcomes. Results. A total of 2290 unique patient encounters were identified. Admissions steadily decreased after 2011, with variations by geographic region. There was no mortality and only 60 (2.6%) propranolol-related complications. African-American race (odds ratio (OR) 1.20 [95% CI: 1.02-1.41]), respiratory comorbidities (OR 2.04 [95% CI: 1.42-2.93]), neurologic conditions (OR 1.34 [95% CI: 1.09-1.59]), admission to an intensive care unit (OR 1.31 [95% CI: 1.09-1.59]), bronchospasm (OR 1.37 [95% CI: 1.22-1.55]), and hyperkalemia (OR 1.86 [95% CI: 1.08-3.20]) were associated with increased LOS. Neurologic conditions (OR 2.87 [95% CI: 1.76-4.67]) and respiratory comorbidities (OR 2.48 [CI: 1.43-4.30]) were associated with readmission. Average cost per admission was $5,158 ($3,259 to $8,560 range). Conclusion. There is an overall national decline in rate of admissions for IH propranolol therapy. Inpatient admission may be beneficial for patients with neurologic or respiratory conditions.

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National Consensus for the Management of Acute Gastroenteritis in Jordanian Children: Consensus Recommendations Endorsed by the Jordanian Paediatric Society

Mohammed Rawashdeh|Basim Al-Zoubi|...|Eyad Altamimi

Diarrhoeal diseases are one of the leading worldwide preventable causes of death among children under 5 years of age. Almost half of children do not receive optimal acute gastroenteritis (AGE) treatment in Jordan. With neither regional nor local guidelines available for AGE, consensus recommendations on the management of paediatric AGE in Jordan were developed by a panel of senior paediatricians and paediatric gastroenterologists and are endorsed by the Jordanian Paediatric Society. Recommendations are based on international guidelines and available relevant literature in relation to the AGE landscape and the healthcare system in Jordan. The prevention of diarrhoeal diseases should focus on the improvement of nutrition, hygiene, and sanitation, the introduction of routine vaccination against rotavirus, and the adoption of a standardised approach for AGE management (oral rehydration solution (ORS) use±adjunct therapies, continued feeding, and avoiding routine antibiotic use). Ondansetron, diosmectite, racecadotril, probiotics, and zinc can be considered adjunct to ORS, if needed. Local data gaps should be addressed. The clinical algorithm for the management of paediatric AGE could promote adherence to practice recommendations and by extension improve health outcomes in children.

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Research Article

12 Aug 2022

A Clinical Profile of Pediatric COVID-19 Testing in the Emergency Department, Dubai, United Arab Emirates

Fatima Farid Mir|Maysa Saleh

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Background. The COVID-19 pandemic marked a health and economic crisis of massive proportions. In its early months, literature was centered on adult medical and critical care. As time progressed, international reports of COVID-19 infection in children steadily grew; however, data on disease features in the United Arab Emirates’ pediatric population was noticeably lagging. Method. The presented research was conducted at Latifa Women and Children Hospital Emergency Department to ascertain an association between a child’s presenting features and basic investigations to a subsequent positive COVID-19 test result. Data was collected via electronic medical records and statistical analysis performed with SPSS version 22.0. Results. A total of four hundred and five (405) patients were analyzed, with 32 (8%) being COVID-19 positive on initial testing in emergency department. There is a statistically significant correlation () between testing positive for COVID-19 infection and history of exposure to COVID-19-positive individuals; the presence of runny nose, cough, poor feeding, and abdominal pain with reassuring physical examination findings; and predominantly normal reports of basic blood investigations and chest X-ray images. Conclusion. This research demonstrates that a minority of children tested for COVID-19 in the initial wave of the pandemic tested positive. A significant proportion of COVID-19-positive pediatric patients exhibit history of exposure to COVID-19-positive individuals; the presence of runny nose, cough, poor feeding, and abdominal pain; normal physical examination; normal basic blood investigations and chest X-ray findings.

FAQs

Is the International Journal of Pediatrics peer-reviewed? ›

International Journal of Pediatrics is a Peer-reviewed, Open access Journal that Publishes Original Researcharticles, Review articles, and Clinical Studies in all Areas of Pediatric Research.

Is Pediatrics a good journal? ›

The overall rank of Pediatrics in Review is 13550. According to SCImago Journal Rank (SJR), this journal is ranked 0.342.

Who publishes the Journal of Pediatrics? ›

The Journal of Pediatrics

Is the European Journal of Pediatrics peer-reviewed? ›

The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics.

What's a good impact factor? ›

In most fields, the impact factor of 10 or greater is considered an excellent score while 3 is flagged as good and the average score is less than 1.

What is the impact factor of pediatrics journal? ›

Is being a pediatrician hard? ›

Becoming a pediatrician requires many years of hard work and tons of smarts. For those with the skills and determination to see it through, it can be a gratifying and lucrative profession.

What is the difference between pediatrician and paediatrician? ›

Pediatrician and paediatrician are both English terms. In the United States, there is a preference for "pediatrician" over "paediatrician" (100 to 0). In the United Kingdom, there is a preference for "pediatrician" over "paediatrician" (57 to 43).

Is Pediatrics a high impact journal? ›

Pediatrics has one of the highest impact factors (7.124) in the 2021 Journal Citation Report (from Thomson Reuters). The journal is one of the top 100 most-cited journals in all of science and medicine.

What is the age of pediatrics? ›

In general, however, the pediatric population includes patients age “birth to 16 years, including age groups often called neonates, infants, children, and adolescents” (21 CFR 201.57(f)(9)).

How do I submit to a journal of pediatrics? ›

Please submit requests to Journal.Pediatrics@cchmc.org with the submission title and corresponding author name in the body of the message. All individuals who fulfill ICMJE's conditions for authorship should be included in the author list.

What is the impact factor of NEJM? ›

What is the impact factor of BMC Pediatrics? ›

The 2021-2022 Journal's Impact IF of BMC Pediatrics is 2.034, which is just updated in 2022.

What is a Tier 1 journal? ›

Tier 1. High category (3.5-4) Peer-reviewed publications in one of the following: • Journal with Impact factor that falls in the top 25 percentile ranking based on the impact. factor within the subject, discipline, or sub-disciplinary category (refer to APPENDIX.

Is an impact factor of 2.5 good? ›

So, a journal with an IF of 2-2.5 would be considered having a higher impact than these journals. A journal with an IF of 5 or above would be considered high-impact, but note that these would be fewer in number. Most journals actually fall in the combined category of an IF of 1-2.

How do you know if a journal is high impact? ›

You can either refer to the Scopus® database to find the impact score of the journal. The data from the Scopus® database can also be found at resurchify.com. You can find the impact score of thousands of journals on this website.

Is BMC Pediatrics a good journal? ›

The overall rank of BMC Pediatrics is 7166. According to SCImago Journal Rank (SJR), this journal is ranked 0.676. SCImago Journal Rank is an indicator, which measures the scientific influence of journals.

What is the impact factor for Jama? ›

Why do people go into Pediatrics? ›

Since pediatricians typically serve as the primary care physician for humans with very unique sets of needs, there are opportunities to dip into a wide range of bodily systems, including covering psychiatric needs, both chronic and acute illnesses, orthopedic concerns, and much, much more.

Why is pediatrics paid less? ›

Pediatricians generally do ill visits (simple single problems) and well checks in a generally healthy population. Procedures tend to be lacking. The average pediatric visit will pay less than the average adult visit. If patient volume is constant between the two, pay will be lower in pediatrics.

What is the highest paid pediatric specialty? ›

Neonatal, pediatric cardiology and pediatric emergency medicine are the three highest compensated pediatric specialties — and for good reason.

What are the disadvantages of being a pediatrician? ›

6 cons of being a pediatrician
  • Communication challenges. Some children struggle with communicating their feelings or symptoms, especially younger children or children who have high pain tolerances. ...
  • Career stress. ...
  • Difficult parents. ...
  • Requirements to pursue. ...
  • Health risks. ...
  • Physical demands.
14 Apr 2022

What is higher than a pediatrician? ›

Medical Practice Director

Pediatricians who have experience and strong leadership skills can advance to becoming a director of a pediatric medical practice.

Can a pediatrician perform surgery? ›

A pediatrician is a medical doctor who specializes in the healthcare maintenance, developmental monitoring, and treatment of children up to age 18. Different pediatricians may specialize in various aspects of children's healthcare, and some pediatricians do perform surgery.

What are baby doctors called? ›

Family physicians take care of patients of all ages, from kids to seniors. Both have the same years of training, but pediatricians specialize in children. This give them in-depth understanding of children's health needs, like behavioral issues and how to care for a child's growing, developing body.

What is the impact factor of JAMA Pediatrics? ›

Is American Academy of Pediatrics credible? ›

Founded in 1930, the American Academy of Pediatrics is the country's leading authority on pediatric healthcare. Throughout their existence, they have issued thousands of recommendations both for doctors in practice and in matters of policy, all on a nonpartisan basis.

What is the impact factor of Lancet? ›

› articles › the-pros-and-cons-of-... ›

Pediatricians treat patients from birth through adolescence, and sometimes beyond. About half serve as primary care clinicians. Others pursue specializations or...

What is Pediatrics?

https://www.news-medical.net › health › What-is-Pediatrics
https://www.news-medical.net › health › What-is-Pediatrics
Pediatrics is the branch of medicine dealing with the health and medical care of infants, children, and adolescents from birth up to the age of 18. The word “pa...
You might be one of a smaller number of specialists looking after newborn children in intensive care, or treating children with heart conditions. You'll wor...

Is BMC pediatrics a good journal? ›

The overall rank of BMC Pediatrics is 7166. According to SCImago Journal Rank (SJR), this journal is ranked 0.676. SCImago Journal Rank is an indicator, which measures the scientific influence of journals.

Is children a legitimate journal? ›

Children is an international, peer-reviewed, open access journal of pediatrics, focusing on the dissemination of clinical, epidemiological and translational science relevant to children's health, published monthly online by MDPI.

What is the impact factor of JAMA pediatrics? ›

What age group is pediatrics? ›

For fulfilling the professional obligations of pediatricians to the society at large, the purview of pediatrics commences with the fetus and continues through newborn, infancy, preschool and school age including adolescence up to and including 18 years of age.

What does BMC Journal mean? ›

BioMed Central (BMC) is a United Kingdom-based, for-profit scientific open access publisher that produces over 250 scientific journals. All its journals are published online only. BioMed Central describes itself as the first and largest open access science publisher.

What does Impact Factor mean in journals? ›

Impact factor is commonly used to evaluate the relative importance of a journal within its field and to measure the frequency with which the “average article” in a journal has been cited in a particular time period. Journal which publishes more review articles will get highest IFs.

What is the Impact Factor of BMC Pediatrics? ›

The 2021-2022 Journal's Impact IF of BMC Pediatrics is 2.034, which is just updated in 2022.

Is Elsevier predatory? ›

Scientific and academic publisher Reed Elsevier released six journals that were found to feature falsified peer reviews. These peer reviews were paid for by pharmaceutical companies, including pharma giant Merck. Elsevier has also been involved in other scandals, including being accused of publishing racist content.

Should I publish in MDPI? ›

The MDPI has become a business machine, they lack rigorous peer review and publish articles with no contributions and novelty at all. Most of the papers are either reports on a specific topic or replicas. The only thing they care about is money, that's all. I prefer no publication over publishing with the MDPI.

How do I know if a journal is legitimate? ›

The credibility of a journal may be assessed by examining several key factors:
  1. Where is it indexed? Is the journal included or indexed in the major bibliographic databases for the field? ...
  2. What is its publishing history? How long has the journal been available? ...
  3. Is it peer-reviewed? ...
  4. What is its impact factor?

What does JAMA stand for? ›

Bookmark. Building on the editorial excellence of JAMA®, the Journal of the American Medical Association, JAMA Network Open™ and the 11 JAMA Network™ specialty journals offer enhanced access to the research, reviews and perspectives shaping medicine today and into the future.

What is the impact factor of BMJ? ›

What is the impact factor for JAMA? ›

› pediatrics-journals ›

Pediatrics journals of OMICS group are open access with high impact factors publishing advanced research and scientific content in pediatric sciences.
Journal's Impact IF Ranking. · In the Pediatrics, Perinatology and Child Health research field, the Quartile of Pediatrics is Q1. Pediatrics has been ranked...
We conclude that in the era of immense growth and dissemination of information, aimed either at medical professionals or their patients, general pediatrics jour...

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