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World Journal of Psychiatry 2024年第9期14卷 1319-1325页

作者： Gui-Bo Wang Xue-Feng Zhang Bing Liang Jie Lei Jun Xue Department of pediatric Surgery the First Affiliated Hospital of Hebei North UniversityZhangjiakou 075000Hebei ProvinceChina Department of General Surgery the First Affiliated Hospital of Hebei North UniversityZhangjiakou 075000Hebei ProvinceChina

BACKGROUND pediatric abdominal infection is a common but serious disease that requires timely and effective *** surgical treatment,accurate diagnosis and rational application of antibiotics are the keys to improving treatment *** To investigate the effect of broad-spectrum bacterial detection on postoperative antibiotic *** A total of 100 children with abdominal infection who received surgical treatment in our hospital from September 2020 to July 2021 were *** observation group collected blood samples upon admission and sent them for broad-spectrum bacterial infection nucleic acid testing,and collected pus or exudate during the operation for bacterial culture and drug sensitivity testing;the control group only sent bacterial culture and drug sensitivity testing during the *** White blood cell count,C-reactive protein,procalcitonin,3 days after surgery,showed better postoperative index than the control group(Phospitalization cost in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(Ppediatric abdominal infections can help identify pathogens sooner and guide the appropriate use of antibiotics,improving treatment outcomes and reducing medical costs to some extent.

关键词： pediatric abdominal infection Nucleic acid detection of broad-spectrum bacterial infection Bacterial culture Drug sensitivity testing Treatment effect Cost Mental health

Evaluation of Antibiotic Prescribing in the pediatric Department of Gabriel TouréTeaching Hospital, Bamako, Mali

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Open Journal of pediatrics 2024年第3期14卷 645-656页

作者： Pierre Togo Hawa Konaré Mariam Maïga Karamoko Sacko Djénéba Konaté Abdoul Karim Doumbia Adama Dembélé Oumar Coulibaly Aminata Sangaré Mohamed Elmouloud Cissé Fousseyni Traoré Belco Maïga Ibrahim Ahamadou Aminata Doumbia Lala N’Drany Sidibé Amadou Touré Yacouba Aba Coulibaly Kalirou Traoré Tati Simaga Souleymane Sagara Leyla Bagna Maïga Bory Traoré Abdoul Aziz Diakité Fatoumata Dicko Mariam Sylla Sounkalo Dao Boubacar Togo Paediatric Department Gabriel Tour&#233 Teaching Hospital Bamako Mali pediatric Department Distric VI Reference Health Center Bamako Mali Infectious Diseases Department Point G Teaching Hospital Bamako Mali

Objectives: The main objective was to evaluate antibiotic prescribing in the Department of pediatrics at Gabriel Touré teaching hospital. Methods: This was a prospective descriptive study conducted from September 1 to November 31, 2018, in the Department of pediatrics at Gabriel Touré teaching hospital. All children aged 0 to 15 years hospitalized for any pathology during the study period and having received at least one antibiotic had been included. Results: We collected 445 children’s records out of 1032 admissions during the study period, representing a hospital frequency of 43.1%. The sex ratio was 1.3%. The 2 - 5 age group accounted for 48.1%. Fever was the reason for consultation in 45.6% of cases. Patients’ general condition was altered in 60% of cases. The fathers were blue-collar workers in 65.4% and the mothers housewives in 85%, and had no education in 42.9% and 64.5% respectively. Hepatomegaly was present in 18.2%, splenomegaly in 9.6% and peripheral adenopathy in 3.1%. The site of infection was pulmonary in 37.6% and ENT in 9.2%. Bacterial infection was assumed on admission in 54% of cases, and meningitis in 57.7%. The discharge diagnosis was malaria in 54.6%, severe acute malnutrition in 18.6% and meningitis in 6.7%. The death rate was 3.8%. Neutrophilic leukocytosis was present in 47.3% of patients. CRP was positive in 85% of patients. Blood cultures taken in 27.6% of patients were positive in 5. CSF analysis in 30% of patients showed elevated leukocytes in 6.5%. No cultures were positive. Antibiotic prescription was justified by infectious hypotheses in 43.1% of patients. β-lactam antibiotics were prescribed in 98.6%. Antibiotic therapy was not adapted to national/international recommendations in 68.3% of cases, and was not justified in 16.3% of cases on D5 of hospitalization. Conclusion: Antibiotic use was justified in more than half of patients, but remained inadequate in almost two-thirds of cases, in line with national and international recommend

关键词： Antibiotic Prescription hospitalization Child

Survey and clinical considerations of gender identity in lower primary school children

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World Journal of Psychiatry 2024年第1期14卷 36-43页

作者： Ya-Lin Zhang Hong-Mei Zhang Jing-Xia Xu Qi-Ying Zhou He Wang Xiao-Cheng Pan Department of pediatrics Hangzhou Ninth People’s HospitalHangzhou 311225Zhejiang ProvinceChina Department of Nursing Hangzhou Children’s HospitalHangzhou 310014Zhejiang ProvinceChina pediatric Intensive Care Unit Hangzhou Children’s HospitalHangzhou 310014Zhejiang ProvinceChina Out-patient infection Hangzhou Children’s HospitalHangzhou 310014Zhejiang ProvinceChina Traditional Chinese Medicine Ward Hangzhou Children’s HospitalHangzhou 310014Zhejiang ProvinceChina

BACKGROUND Gender consciousness directly affects the development of gender identity,which is a continuous and lifelong ***,hospitalization is a part of many children's lives and has an impact on their gender *** To investigate the current situation of gender identity in lower primary school children by conducting a survey of 202 hospitalized children in the lower grades and to provide a theoretical basis and foundation for the cultivation of gender identity and medical treatment of children based on the *** study aims to inspire clinical medical staff to scientifically and reasonably arrange hospital wards for lower primary school children and pay attention to gender protection during the medical treatment process and to help children shape a unified and clear gender identity,which will enable them to better integrate into society and promote their personality *** The gender consciousness scale for elementary and middle school students was RESULTS Gender identity was already present in lower primary school *** children's gender roles and gender equality consciousness were strong,exceeding the critical value,but their gender characteristics,gender identity,and gender ideal consciousness were *** aged 6 had the weakest gender identity,and girls had significantly stronger gender identity than *** Gender identity is already present in lower primary school children,providing a basis and inspiration for the cultivation of gender identity and medical treatment of lower primary school *** medical staff should be aware of and understand these results and should scientifically and reasonably arrange hospital wards for lower primary school children.

关键词： School-age children Gender consciousness Gender identity hospitalization Gender weakening

ECIEN-2020 study:the effect of COVID-19 on admissions for non-COVID-19 diseases

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World Journal of pediatrics 2021年第1期17卷 85-91页

作者： Beatriz Ramos-Lacuey Mercedes Herranz Aguirre Clara Calderón Gallego Andrea Ilundain López de Munain Eva Gembero Esarte Laura Moreno-Galarraga Department of pediatrics CHNComplejo Hospitalario de NavarraServicio Navarro de SaludC/Irunlarrea 331080 PamplonaSpain pediatric Infectious Diseases Department CHNComplejo Hospitalario de NavarraServicio Navarro de SaludPamplonaSpain pediatric hospitalization Department of PediatricsCHNComplejo Hospitalario de NavarraServicio Navarro de SaludPamplonaSpain IdiSNA Navarra Institute for Health ResearchPamplonaSpain Department of Preventive Medicine and Public Health School of MedicineUniversity of NavarraPamplonaSpain pediatric Pulmonology Department of PediatricsCHNComplejo Hospitalario de NavarraServicio Navarro de SaludPamplonaSpain

Background The pandemic caused by severe acute respiratory coronavirus 2(SARS-CoV-2)has had great effects on health systems worldwide,not only in relation to coronavirus disease 2019(COVID-19)cases but also affecting patients with other *** ECIEN-2020 is an observational study conducted in a tertiary referral hospital in Navarra,*** describes the effects of COVID-19 pandemic and the preventive measures adopted,in pediatric admissions for non-COVID-19 *** during March-June 2020(first wave of the COVID-19 pandemic in Spain)are described and compared with the same quarter in 2019.A sub-analysis was performed delving into *** characteristics(age,sex,past medical history),disease characteristics(symptoms,duration of symptoms,previous consultation in Primary Care Health Center),and admission characteristics(place and average stay)were *** A 33% reduction in the number of pediatric hospital admissions was observed,decreasing from 529 hospitaliza-tions in 2019 to 353 in 2020(Ppediatric admissions for non-COVID-19 diseases,especially due to a reduction in the hospitalization for respiratory diseases.

关键词： Admission COVID-19 hospitalization SARS-CoV-2

Frequency and safety of COVID-19 vaccination in children with multisystem inflammatory syndrome:a telephonic interview-based analysis

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World Journal of pediatrics 2022年第10期18卷 700-705页

作者： Kubra Aykac Kubra Ozturk Osman Oguz Demir Dilan Demir Gumus Sevgi Aslan Ela Cem Miray Yilmaz Celebi Mustafa Dogan Karabacak Gulsum Alkan Fatma Dilsad Aksoy Burcu Ceylan Cura Yayla Eda Kepenekli Solmaz Celebi Melike Emiroglu Ilker Devrim Ali Bulent Cengiz Mehmet Ceyhan Yasemin Ozsurekci Faculty of Medicine Department of Pediatric Infectious DiseasesHacettepe UniversityAnkaraTurkey Goztepe Prof.Dr.Suleyman Department of Pediatric RheumatologyYalcın City HospitalIstanbulTurkey Faculty of Medicine Department of Pediatric DiseasesHacettepe UniversityAnkaraTurkey Department of pediatric Infectious Diseases Marmara University School of MedicineIstanbulTurkey Department of pediatric Infectious Diseases Dr.Behçet Uz Children’s HospitalízmirTurkey Faculty of Medicine Department of Pediatric Infectious DiseasesSelcuk UniversityKonyaTurkey Faculty of Medicine Department of Pediatric Infectious DiseasesUludag UniversityBursaTurkey Department of pediatric Infectious Diseases University of Health Science Ankara Training and Research HospitalAnkaraTurkey

Coronavirus disease 2019(COVID-19)vaccines are currently approved or authorized to prevent serious outcomes,such as severe disease,hospitalization,and *** Pfizer-BioNTech vaccine is recommended for everyone aged five and older in the United States(US)to prevent severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection[1,2].However,it is unclear whether children with a history of multisystem,inflammatory syndrome in children(MIS-C)may be at risk for a MIS-like response following COVID-19 vaccination or SARS-CoV-2 reinfection[2].Therefore,physicians remain uncertain about vaccinating children with a history of *** study investigates the occurrence of severe,systemic side effects of COVID-19 vaccines and the recurrence of the MIS-C symptoms in children with a history of MIS-C to overcome vaccine hesitancy.

关键词： vaccination vaccine Pfizer

Multifactor study of efficacy and recurrence in laparoscopic surgery for inguinal hernia

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World Journal of Clinical Cases 2021年第15期9卷 3559-3566页

作者： Wei-Long Chen Qing-Qiang Deng Wei Xu Ming Luo Department of pediatric Surgery Jiangxi Children's HospitalNanchang 330003Jiangxi ProvinceChina

BACKGROUND Inguinal hernia is a common clinical manifestation in children with a low selfhealing *** To determine the effect of laparoscopic surgery on indirect inguinal hernia and the risk factors for postoperative recurrence and to provide a reference for the clinical treatment and prevention of *** We selected 360 children who underwent laparoscopic high ligation in our hospital as the laparoscopic group and 120 patients treated for inguinal hernia with conventional surgery as the control *** operation time,blood loss,incision length,hospitalization time,total hospitalization cost and surgical complications were compared between the two *** to telephone follow-up or return visits,the children who had recurrence within 2 years after the operation in the laparoscopic group were analyzed,and the laparoscopic high ligation hernia sac level was analyzed by the logistic multifactor *** was used to treat recurrence in children with inguinal *** The operation time,blood loss,length of incision,and length of hospital stay in the laparoscopic group were lower than those in the control group(Phospitalization cost in the laparoscopic group was higher than that in the control group(P3 years increased the risk of postoperative recurrence in children with inguinal hernia after laparoscopic high ligation of the hernia sac(P<0.05).CONCLUSION Laparoscopic surgery for in

关键词： Laparoscopic high ligation of the hernia sac pediatric Inguinal hernia Recurrence Risk factors

Nemaline myopathy with dilated cardiomyopathy and severe heart failure: A case report

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World Journal of Clinical Cases 2021年第11期9卷 2569-2575页

作者： Qian Wang Fan Hu Department of pediatric Neurology West China Second University HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of pediatric Cardiology West China Second University HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina

BACKGROUND Nemaline myopathy(NM)is a rare type of congenital myopathy,with an incidence of 1:*** with NM often exhibit hypomyotonia and varying degrees of muscle *** muscles are always affected by this disease,while myocardial involvement is ***,with improvements in genetic testing technology,it has been found that NM with a mutation in the myopalladin(MYPN)gene not only causes slow,progressive muscle weakness but also results in dilated or hypertrophic *** SUMMARY A 3-year-old pre-school boy was admitted to our hospital with cough,edema,tachypnea,and an increased heart *** patient was clinically diagnosed with severe dilated cardiomyopathy and heart failure,and subsequent gene examination confirmed the diagnosis of NM with a mutation in ***,diuretics,low-dose digoxin,and dobutamine were *** 22 d of hospitalization,the patient was discharged due to the improvement of clinical *** the follow-up period,the patient died of refractory heart *** Decreased muscular tone and dilated cardiomyopathy are common features of MYPN-mutated *** transplantation may be a solution to this type of cardiomyopathy.

关键词： Nemaline myopathy Myopalladin Dilated cardiomyopathy Heart failure Whole-exome sequencing Case report

Effect of mother’s knowledge on posteducation toward rehospitalization of young children with pneumonia

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Frontiers of Nursing 2022年第3期9卷 269-274页

作者： Casman Casman Nani Nurhaeni Fajar Tri Waluyanti pediatric Nursing Department STIKES RS Husada JakartaSouth JakartaJakarta 12430Indonesia pediatric Nursing Department Faculty of NursingUniversitas IndonesiaWest Java 16424Indonesia

Objective:The rehospitalization rate of children<5 years old with pneumonia is still *** risk of hospitalization becomes higher in mothers with low knowledge of their child’s *** purpose of this study was to determin... 详细信息

Objective:The rehospitalization rate of childrenhospitalization becomes higher in mothers with low knowledge of their child’s *** purpose of this study was to determine the effect of post-health-education maternal knowledge in cases of rehospitalization and to determine the differences in rehospitalization rate based on the type of health education ***:This study is a *** education was given to both groups:one group received education through audiovisual media and the other group through leaflet *** level of post-health-education knowledge was measured on the third day,then followed up until the 30th day after the patient was discharged from the ***:Post-health-education knowledge significantly reduced the cases of rehospitalization in both ***,the rehospitalization rate in the audiovisual group was lower than in the leaflet group(P=0.047,odds ratio=5.870).Conclusions:Post-health-education knowledge is effective in reducing the risk of rehospitalization,and health education using audiovisual media is more effective,compared to health education using leaflets,in reducing the cases of rehospitalization in children<5 years of age with pneumonia.

关键词： children mother’s post–health-education knowledge pneumonia rehospitalization

Testicular descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in children aged<3 years:10-year experience with 1034 cases

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Asian Journal of Andrology 2020年第6期22卷 649-652页

作者： Liu Chen Wen-Hua Huang Yun-Jin Wang Qi-Liang Zhang Chao-Ming Zhou Xu Cui Jian-Qin Zhang Department of pediatric Surgery Fujian Maternity and Child Health HospitalAffiliated Hospital of Fujian Medical UniversityFuzhou 350001China

This study was performed to summarize our clinical experience with testicular descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in *** study included 1034 children with palpable cryptorchidism from March 2009 to March 2019.A scrotal stria incision was used to perform testicular descent and ***,1020 children successfully underwent surgical testicular descent and fixation through a scrotal stria incision,and 14 patients underwent conversion to inguinal incision *** patients were discharged 1-2 days after the *** hospitalization and follow-up,55 patients developed complicationsy including 10 patients with testicular retraction,7 with poor healing of the incision,and 38 with a scrotal *** patients developed testicular atrophy,an in direct ingui nal hernia,or a *** descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in children is safe and feasible in well-selected *** method has the advantages of no scarring and a good cosmetic effect.

关键词： children cosmetic effect palpable cryptorchidism scrotal stria incision testicular descending fixation

Open visitation in the NICU:nurses’perspectives on barriers and facilitators

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Frontiers of Nursing 2023年第2期10卷 183-191页

作者： Fatemeh Ghorbani School of Nursing and Midwifery Pediatric Health Research CenterTabriz University of Medical SciencesTabriz ***Iran

Objective:This study aimed to investigate the nurses’perspectives on open family visitation and its barriers and facilitators in neonatal intensive care units(NICUs).Methods:This is a descriptive,cross-sectional study.A total of 113 nurses employed in 3 main NICUs of Tabriz participated in the study through the census sampling ***’perspectives on open visitation and its facilitators and barriers were assessed and analyzed using the Beliefs and Attitudes toward Visitation in NICU Questionnaire(BAVNIQ)and descriptive and analytical statistics,***:Approximately 74%of the nurses who participating in the study had a moderate perspective on open *** the nurses’viewpoint,“Parents’low awareness of sensitivity and hygienic principles of the NICU”was the first(90.3%)barrier,and the 2 factors,namely,“physical structure of the ward/lack of sufficient space”and“far distance between family’s residence and the hospital/having another child,”were the second(86.8%)barrier with an equal *** the facilitating factors,“Supporting employed parents during the neonate’s hospitalization”and“providing facilities for family accommodation in the hospital”were the first(82.3%)and the second(79.6%)facilitators,respectively,for open ***:The majority of NICU nurses had a moderate perspective on the family open *** reluctance seems to be originated mainly from the factors inhibiting open visitation,making its implementation challenging for *** perspective of the frontline staff in caring for vulnerable infants on facilitators and barriers to open visitation may help policymakers,managers,and relevant officials in decision-making and implementing new visiting policies in the NICUs.

关键词： barriers facilitators NICU nurse open visitation