Total Number Of Children Research Articles

A Correlational Study to analyze the knowledge and attitude towards early marriage among parents at selected rural areas, Kolhapur District

Early marriage in India is a matter of serious concern. Child Marriage denies a child the basic right to good health, nutrition and education. It is widely acknowledged that early marriage makes girls more vulnerable to violence, abuse and exploitation. For both girls and boys, marriage has a strong physical, intellectual, psychological and emotional impact, cutting off educational opportunities and chances of personal growth. So it is more important to give the knowledge regarding early marriage to the parents. The objectives of the study were: 1. To analyze the knowledge and attitude towards early marriage among parents.2. To find out correlation between knowledge scores and attitude scores towards early marriage among parents.3. To find out an association between knowledge scores towards early marriage among parents with their selected socio-demographic variables.4. To find out an association between attitude scores towards early marriage among parents with their selected socio-demographic variables. Methods: The research approach adopted for the study was Correlational Survey approach. Research design was Non experimental, Descriptive Correlational research design. By using non-probability purposive sampling technique 100 parents were selected for the study. Structured knowledge questionnaire and attitude scale was used to assess the knowledge and attitude towards early marriage of the parents. The data was analyzed by using descriptive and inferential statistics. Results: The result showed that majority of the subjects 86(86%) had average knowledge and minimum 3(3%) had poor knowledge and 11(11%) had good knowledge. These findings of study were suggested that the parents were having average knowledge regarding early marriage and need to improve their knowledge. Regarding attitude, results showed that among parents majority of subjects had 87(87%) Positive attitude score and minimum have 13(13%) Negative attitude score. Correlation between knowledge and attitude score was, The calculated correlation value was (tcal=0.821) greater than tabulated value (ttab=o.152). Therefore the findings revealed that there was moderate positive correlation between knowledge score and attitude score towards early marriage. This showed that knowledge and attitude was correlated to each other. Hence H1 is accepted. This indicated that there was a moderate positive correlation between knowledge and attitude which was statistically significant at p<0.05 level, regarding early marriage This showed that knowledge and attitude was correlated to each other. There was significant association between knowledge scores and selected socio demographic variables. Like occupation of fathers [χ2cal= 17.227*, χ2tab=12.59], total number of children [χ2cal= 13.95*, χ2tab=9.490]. The calculated Chi-square values were greater than tabulated value at p < 0.05 level of significance. Hence H2 is accepted. This indicated that there was significant association between knowledge scores and selected socio-demographic variables at p < 0.05 level of significance. There was significant association between attitude scores and selected socio demographic variables like In subjects there was significant association between attitude scores and selected socio demographic variables like education of fathers [χ2cal= 23.16*, χ2tab=7.82], education of mothers [χ2cal= 10.306*, χ2tab=7.82],monthly income of family [χ2cal= 38.713*, χ2tab= 7.82], age at marriage of mothers [χ2cal= 19.333*, χ2tab=7.82], age at marriage, total number of children [χ2cal= 7.318*, χ2tab=5.99], The calculated Chi-square values were greater than tabulated value at p < 0.05 level of significance. Hence H3 is accepted. This indicated that there was significant association between attitude scores and selected socio-demographic variables at p < 0.05 level of significance. Interpretation and Conclusion: The present study revealed that majority of parents had average knowledge on early marriage and most of parents had positive attitude. Therefore it was concluded that there is need to increase the knowledge regarding early marriage and negative attitude towards early marriage in some parents.

Machine learning algorithms for predicting the determinants of minimum dietary diversity among Bangladeshi children

Background: In developing countries, the minimum dietary diversity (MDD) measure of dietary quality is widely used to define the dietary habits of infants between the ages of 6 and 23 months. However, the particular situation in Bangladesh shows that just 34% of kids have access to a food that complies with the bare minimum acceptable norms. The main aim of this study was to predict the determinants of minimum dietary diversity (MDD) among Bangladeshi children. Methods: This study was based on data from the Bangladesh Demographic and Health Survey (2017-2018 BDHS). Statistical analysis involving a χ2 test alongside machine learning (ML) algorithms was employed to identify the factors associated with MDD and to predict the factors influencing MDD outcomes within the context of Bangladesh. Results: The random forest (accuracy =0.854, specificity =0.639, sensitivity =0.927, precision =0.883, F1-score = 0.905, area under the curve: AUC = 0.711) show the best performance than others machine learning model. The random forest model shows the “division”, “mother age”, “wealth index”, “partner education”, “total number of children” and “mother education” play an important role to predict the determinants of MDD in Bangladesh. Conclusions: To enhance newborn and young child feeding practices, it is strongly advised to boost women’s empowerment and mother’s education. To protect the health of infants, government healthcare authorities should implement public education programs and awareness campaigns in addition to enforcing the appropriate laws and regulations.

Acute Bronchiolitis and Other Predictors for Early Diagnosis of Childhood Asthma

BACKGROUND: Early onset of acute bronchiolitis is associated with early onset of childhood asthma. Unfortunately, childhood asthma tends to be frequently overlooked and not optimally managed. Family pediatricians, however, possess an exceptional opportunity to recognize the connection of these conditions and promptly identify, address, and oversee children with asthma. It is important to note that childhood asthma typically begins in the early years of life, often triggered by viral infections. AIM: We aimed to analyze the early predictors linked to childhood asthma, such as previous episodes of acute bronchiolitis and the presence of atopy, to facilitate the early identification of children with childhood asthma within primary care settings. MATERIALS AND METHODS: Retrospectively analyzed data from 1652 children from health records at the Primary Health Care Polyclinic - Pediatric Primary Health Care Practice -“Vitalino” in Veles, North Macedonia. Within this cohort, 108 children had experienced acute bronchiolitis in 2016, at an age range of 0–2 years. In 2020 and 2023, the data were analyzed to determine the existence of a connection between acute bronchiolitis and other predictors with the early onset of childhood asthma. RESULTS: This retrospective research showed that from the total number of children, 108 children aged up to 2 years suffered from acute bronchiolitis, of which the analysis in 2020 showed that 50 children had atopy, 19 allergic rhinitis, 33 children had recurrent laryngitis, 24 children recurrent otitis, 68 children with recurrent bronchial obstructions (≤3), and 39 children developed early onset of bronchial asthma. The analysis in 2023 showed that 51 children have asthma. Based on the obtained results, the prevalence of acute bronchiolitis in the Republic of North Macedonia is 6.54%. If acute bronchiolitis is considered an early manifestation of childhood asthma, then the prevalence of childhood asthma in the Republic of North Macedonia is about 6.54%. CONCLUSION: Based on the obtained results, we can conclude that early onset of acute bronchiolitis is an early manifestation of childhood asthma. Additional predictors are early signs of atopy, frequent viral infections with broncho-obstruction, allergic rhinitis, and recurrent laryngitis.

Тенденции включения детей с РАС в систему общего образования: результаты Всероссийского мониторинга

<p style="text-align: justify;"><strong>Objectives. </strong>To ensure the accessibility of education, taking into account the specific features of autism spectrum disorders (ASD), a systematic approach to the creation of special conditions based on the analysis of objective indicators of the inclusion of children with ASD in the general education environment is necessary. The trends of inclusion of children with ASD in the general education system have been identified on the basis of the results of the All-Russia monitoring in 2022.</p> <p style="text-align: justify;"><strong>Methods. </strong>Monitoring included statistical data collection, processing and analysis. A structured statistical form with a list of the main criteria and conditions necessary for the organisation of education for children with ASD was developed for data collection. The data were provided by the executive authorities of 85 constituent entities of the Russian Federation that carry out state management in the sphere of education.</p> <p style="text-align: justify;"><strong>Results. </strong>The total number of students with ASD in 2022, as compared to 2021, increased by 17 per cent and totalled 45888 people. The share of children receiving education at different levels in the total number of children with ASD included in the education system is as follows: at the level of early help — 2.1 per cent; preschool education — 28 per cent; primary, basic and secondary general education — 68.5 per cent; secondary and higher vocational education — 1.5 per cent. In 56 constituent entities of the Russian Federation, 64 regional resource centres have been established to provide support for families raising children with ASD and to train specialists working with children and families.</p> <p style="text-align: justify;"><strong>Conclusions. </strong>The annual intensive growth of the number of children with ASD in the Russian education system testifies to the accessibility of education and causes high requirements to the system of education of students in educational organisations in accordance with the current legislation. The increase in the share of pupils with ASD receiving inclusive education and the decrease in the share of children studying individually at home indicates the expansion of opportunities for their inclusion in the general education system. In order to improve the quality of education for children with ASD, it is necessary to introduce into the work of educational organisations the Federal Adapted Educational Programmes for students with disabilities at all levels of education, as well as to train qualified personnel.</p>

ALGORITHM FOR MANAGEMENT OF CHILDREN AFTER ANTI-GLAUCOMATOSUS SURGERY

The prevalence of glaucoma in children is 1:10000-1:12000. In the structure of blindness in children, the proportion of thepathology under consideration ranges from 2 to 15 %.The goal of surgical treatment of glaucoma is to achieve the target elevated intraocular pressure (IOP) without the use of medications. Early complications include shallow anterior chamber syndrome, hyphema, ciliochoroidal detachment, excessive hypotension and hypertension. The probability of these complications is quite high: according to some data it can reach 50 %, which shows the relevance of this problem.Aims. To study the frequency and nature of early postoperative complications and to analyze the results of treatment inchildren with primary congenital glaucoma.Material and methods. The total number of children was 50 (91 eyes) who underwent anti-glaucomatous surgery and earlypostoperative complications were revealed.Results. Analysis of the structure of early postoperative complications after anti-glaucoma surgery showed that on thefi rst day, the total number of patients with complications was 61.54 %. On the third day, the total number of patients withcomplications decreased to 39.56 %. Of these patients, the largest number were patients with hypotension with CCO 32.97 %, hyphema was –19.78 % in the early postoperative period and ophthalmohypertension was –17.58 %.On the seventh day, the number of complications was 9.9 % of patients who were recommended to continue conservative treatment in inpatient conditions.Conclusion. In the early postoperative period after conservative treatment, the number of complications decreased to 90.1 %. None of these patients required repeat surgery. Patients were discharged home under the supervision of a local ophthalmologist.

Parents’ knowledge, attitude, and practice on children’s screen time at home and the implications for nurses in promoting health: A cross-sectional study

Introduction: The present study investigated the parent’s knowledge, attitude, practice, and experience of the screen time spent by their children at home aged below 5 years old, identifying the common screen-based devices used, content type, and level of screen time spent by the children. Method: A cross-sectional survey of parents having children aged 0 to 4 years old attending the Maternal and Child Health Care Clinics in four districts in Brunei Darussalam was conducted. A questionnaire was developed through the Qualtrics platform. Data were analyzed using R Studio Desktop version 1.2.1335. The statistical analyses included descriptive statistics and Fisher’s exact test. Results: Parents’ knowledge, attitude, and practice of screen time spent by their children are generally positive; parents who correctly answered the knowledge section overall average of 30.1% (n=34). Children studied (<2 years old and 3 to 4 years old) were found to spend more time watching television. A statistically significant association was observed between children of both age groups with time spent on tablet device (p=0.037) and (p=<0.001). Also, a significant association between parents’ knowledge, attitude and practice with gender of the parents, household income and total number of children was reported. Conclusions: We conclude that the children in our study exceeded the recommended guidelines on screen time behavior and the parents’ health knowledge with regard to screen time was poor which emphasized the need for improvement and further study. Keywords: screen time, children, parent’s knowledge, parent’s attitude, parent’s practices

Evidence of increasing incidence of type 1 diabetes and ketoacidosis among children in the Republic of Srpska in period 2017-2022 with special focus on COVID-19 global pandemic years.

Primary focus of the research was to determine the incidence of type 1 diabetes mellitus in the period from 2017 to 2022, and whether COVID-19 had an impact on the increase in the number of newly diagnosed children with diabetes type 1 under the age of 15 in the Republic of Srpska (Bosnia and Herzegovina). In the period 2001-2016 the incidence of type 1 diabetes mellitus was 11/100,000, with an annual increasing rate of 14.2%. Available data from pediatric endocrinology clinics, in the Republic of Srpska, on the number of newly diagnosed patients with diabetes mellitus in the period from January 1, 2017 until December 31, 2022 were used. A retrospective analysis was performed, and the capture-recapture method was used for the final assessment, and the obtained result corresponds to about 99% of the population. The total number of children in the group of 0-14 years of age diagnosed with type 1 diabetes mellitus in this period was 183, of which 96 (52.46%) were boys, and 87 (47.54%) were girls. The average age at which diabetes mellitus was diagnosed was 8.3 ± 3.9 years. Average incidence of diabetes in the period 2017-2022 was 19/100,000 (95% CI 13.1-25.0). The highest incidence was 28.7/100,000 in 2020, the first year of the global COVID-19 pandemic. Out of a total of 183 newly diagnosed cases in the period 2017-2022, 73 (39.9%) were diagnosed with ketoacidosis upon admission. The largest number of newly diagnosed children was recorded in the group of children aged 10-14 years. In the last 6 years, there has been a significant increase in the incidence of type 1 diabetes mellitus in children under the age of 15. With an incidence of 19.4/100,000 in the Republic of Srpska, we entered the group of countries with high-risk for diabetes. Further steps must focus on the education of the entire society in order to recognize the symptoms of the disease in time and prevent the occurrence of ketoacidosis, which could significantly reduce the burden on health systems, especially in times of global pandemics, such as the COVID-19 pandemic.

Food Security of the Elderly during COVID-19 Pandemic

Background: COVID-19 ushered in a new era of devastating economic and social conditions and sustainable food chains around the world. One of the most vulnerable groups in this situation was the elderly. This study aims to investigate the consequences of the COVID-19 pandemic on food security of the elderly living in Isfahan, Iran.
 Methods: Written informed consent was obtained from 350 old people before entering the study. Data were collected using socioeconomic status and FaCPS-FSSM food security questionnaires; there were eight items which measured food security among the elderly.
 Results: 41.7% (n=146) of the elderly had complete food security. In addition, 29.4% (n=103), 20% (n=70), and 8.9% (n=31) of participants suffered from food insecurity without hunger, food insecurity with moderate hunger, and food insecurity with severe hunger, respectively. There was a significant association between socioeconomic factors, such as age, education level, family size, the number of children and food security (P<0.001). Meanwhile, variables of gender, ethnicity, the total number of children, and marital status were not significantly associated with food security (P>0.001). In addition, there was a significant association between economic factors such as employment status, homeownership, having health insurance, receiving food aid, being supported by philanthropic organizations, and food security (P<0.001).
 Conclusion: Considering the high prevalence of food insecurity among the elderly, special attention should be paid to factors contributing to this issue; they should be translated into improved food security for the elderly by removing risk factors and strengthening protective factors.

Socioeconomic, demographic, and cultural determinants of delivery by caesarian section in Ethiopia: Evidence from Ethiopia Mini Demographic and Health Survey 2019.

Delivery by cesarean section is a surgical procedure of delivery to a newborn baby, and the process is applied when vaginal delivery is unsafe. This study aims to identify the socioeconomic, demographic, and cultural factors that significantly impact the delivery by caesarean section. The 2019 Ethiopia Mini Demographic and Health Survey (2019 EMDHS) data were used to conduct this research, and this study considered 2872 ever-married women all over the country who delivered in the clinical setting. Firstly, a frequency distribution table has been constructed to understand the characteristics of the selected explanatory and study variables. Then Chi-square test identifies the association between various socioeconomic and demographic factors and delivery by the caesarian section. Finally, the Binary Logistic Regression was used to determine the factors that substantially impact the caesarian section among women in Ethiopia. The Chi-square test of association showed that mother's age, type of residence, highest education level, religion, socioeconomic status, total children ever born, use of contraception, age of mothers at first birth, and preceding birth interval were significantly associated with the caesarian section. The multivariate binary logistic regression analysis revealed that the mother's current age (Age Group: 31-40; Odds Ratio: 2.487, p<0.05) and religion (Muslim; Odds Ratio: 0.599, p<0.05) substantially influenced the study feature. Moreover, the highest educational level (Secondary and higher; Odds Ratio: 1.581, p<0.05), and the preceding birth interval (>40 months; Odds Ratio: 0.682, p<0.05) were also found to have considerable impacts on the caesarian section. Furthermore, the total number of children ever born (>5; Odds Ratio: 0.498, p<0.05) significantly impacts the delivery by caesarean section in Ethiopia. This study's results would be useful to policymakers to take necessary steps to reduce unnecessary delivery by caesarian section and ensure a safer newborn delivery process.

The possibilities of osteopathic correction using for the treatment of children with attention defi cit hyperactivity disorder

Introduction. Attention defi cit hyperactivity disorder (ADHD) is diagnosed in childhood and is the most common mental disorder in children — about 5–7 % among school-age children. None of the treatment methods, as clinical observations showed, is completely effective for the treatment of ADHD. In most cases, the main method of treatment is pharmacotherapy. But despite the proven short-term effectiveness, pharmacotherapy may have limitations: partial response or no response, side effects, questionable long-term benefi ts, poor adherence to the treatment regimen, negative attitude of parents. Limitations of existing pharmacological treatment methods emphasize the need to develop effective non-pharmacological interventions that improve short- and long-term results in regard to neuropsychological defi ciency symptoms and disorders of other general activity fi elds. Currently, there are publications noting the positive clinical effect of osteopathic correction on the children′s health state in various mental sphere disorders. But only a few studies are aimed at studying the effect of osteopathic correction in ADHD. At the same time, there are no publications about the osteopathic correction use in the ADHD treatment without pharmacotherapy.The aim of the study is to investigate the possibility of osteopathic correction using for the treatment of children with attention defi cit hyperactivity disorder.Materials and methods. The study was conducted on the basis of the medical organization «Health′ Clinic» Tver from March 2021 to February 2022. Inclusion criteria: children age 7–10 years; established ADHD diagnosis; absence of diseases and conditions that are an absolute contraindication for osteopathic correction; parental consent to osteopathic examination and correction. Criteria for non-inclusion: age of children younger than 7 and older than 10 years; not confi rmation of the diagnosis according to the «ADHD Assessment Scale — ICD-10 criteria»; the presence of diseases and conditions that are an absolute contraindication for osteopathic correction. Exclusion criteria: failure to attend repeated examinations. The total number of children was 38 people. The patients were distributed by randomization envelopes into 2 groups of 19 people each. The main group: the osteopathic correction and the behavioral psychotherapy were used. The comparison group: the drug hopanthenic acid and the behavioral psychotherapy were used. Before and after the treatment, osteopathic status was assessed in both groups, and the severity of ADHD was assessed according to the ADHD assessment scale (ICD-10 criteria), and an attention test was conducted in the form of a Bourdon correction test.Results. At the beginning of the study, the patients were characterized by regional biomechanical disorders of the head region — in 100 % of participants in both groups, as well as the neck (structural component) — in 63 % of participants in both groups, and the dura mater — in 89 % of participants in the comparison group and 79 % of the main group. After the course of treatment, a signifi cant (p&lt;0,05) positive dynamics was observed in the main group according to the three above indicators, and there was no signifi cant dynamics in the comparison group. After the treatment, the statistically signifi cant (p&lt;0,05) positive dynamics was observed in both groups with respect to the severity of ADHD and the main characteristics of attention: the indicators of the ADHD assessment scale (ICD-10 criteria) decreased, the accuracy coeffi cients and concentration of attention increased, and the fatigue index decreased. At the same time, in the main group, the fatigue index decrease was statistically signifi cant (p&lt;0,05) more pronounced than in the comparison group.Conclusion. The obtained results allow us to recommend osteopathic correction in the treatment of children with ADHD, especially in the cases where, for some reasons, there are restrictions on the medications use.

Long-term neurological morbidity among children delivered by vacuum extraction - a national cohort study.

This is the first nationwide cohort study of vacuum extraction (VE) and long-term neurological morbidity. We hypothesized that VE per se, and not only complicated labor, can cause intracranial bleedings, which could further cause neurological long-term morbidity. The aim of this study was to investigate the risk of neonatal mortality, cerebral palsy (CP), and epilepsy among children delivered by VE in a long-term perspective. The study population included 1 509 589 term singleton children planned for vaginal birth in Sweden (January 1, 1999 to December 31, 2017). We investigated the risk of neonatal death (ND), CP, and epilepsy among children delivered by VE (successful or failed) and compared their risks with those born by spontaneous vaginal birth and emergency cesarean section (ECS). We used logistic regression to study the adjusted associations with each outcome. The follow-up time was from birth until December 31, 2019. The percentage and total number of children with the outcomes were ND (0.04%, n = 616), CP (0.12%, n = 1822), and epilepsy (0.74%, n = 11 190). Compared with children delivered by ECS, those born by VE had no increased risk of ND, but there was an increased risk for those born after failed VE (adj OR 2.23 [1.33-3.72]). The risk of CP was similar among children born by VE and those born spontaneously vaginally. Further, the risk of CP was similar among children born after failed VE compared with ECS. The risk of epilepsy was not increased among children born by VE (successful/failed), compared with those who had spontaneous vaginal birth or ECS. The outcomes ND, CP, and epilepsy are rare. In this nationwide cohort study, children born after successful VE had no increased risk of ND, CP or epilepsy compared with those delivered by ECS, but there was an increased risk of ND among those born by failed VE. Concerning the studied outcomes, VE appears to be a safe obstetric intervention; however, it requires a thorough risk assessment and awareness of when to convert to ECS.

Determinants of parental seasonal influenza vaccine hesitancy in the Eastern Mediterranean region: A cross-sectional study.

Seasonal influenza vaccine can reduce the risk of influenza-associated hospitalizations and deaths among children. Given that parents are the primary decision makers, this study examined the parental attitude toward childhood influenza vaccine and identified determinants of vaccine hesitancy (VH) in the Eastern Mediterranean region (EMR). A cross-sectional study was conducted using an anonymous online survey in 14 EMR countries. Parents of children aged 6 months to 18 years were included. The Parent Attitude about Childhood Vaccines (PACV) was used to assess VH. Chi square test and independent t-test were used to test for association of qualitative and quantitative variables, respectively. A structural equations model (SEM) was used to identify direct and indirect determinants of parental VH. Almost half of the parents were hesitant about vaccinating their children against influenza (50.8%). Parental VH was significantly higher among older mothers (37.06 ± 8.8 years, p = 0.006), rural residents (53.6%, p < 0.001), high-income countries residents (50.6%, p < 0.001), and mothers with higher educational levels (52.1%, p < 0.001). Parents of school-aged children (5-9 years) (55.6%, p < 0.001), children free from any comorbidities (52.5%, p < 0.001), children who did not receive routine vaccination at all (51.5%, p = 0.03), children who were not vaccinated against COVID-19 (54.3%, p < 0.001), in addition to parents who were not vaccinated against influenza (57.1%, p < 0.001) were significantly associated with increased likelihood of VH. Parents who were depending on healthcare provider as a source of information regarding vaccines were less likely to report VH (47.9%, p < 0.001), meanwhile those who used social media as their source of health information showed a significantly higher VH (57.2%, p < 0.001). The SEM suggested that mother's age, residence, country income level, child gender, total number of children and source of information regarding vaccines had a direct effect on VH. Meanwhile, parents vaccinated against influenza, children completely or partially vaccinated with routine vaccines and children vaccinated against Coronavirus disease 2019 (COVID-19) had an indirect effect on VH. A high proportion of included parents were hesitant to vaccinate their children against seasonal influenza. This attitude is due to many modifiable and non-modifiable factors that can be targeted to improve vaccination coverage.

Learning from Their Daughters: Family Exposure to Gender Disparity and Female Representation in Male-Led Ventures

We build on recent studies on daughter-to-father influence to explore how male founders’ fatherhood of daughters impacts female representation in their ventures. We find that, conditional on the total number of children, fathering an additional daughter versus a son is associated with a 4% (11%) increase in female director (employee) representation. This daughter-to-father effect gradually matures as daughters grow up and socialize in schools and workplaces, and it increases as daughters age, suggesting that male founders vicariously learn from their daughters about the constraints women face throughout the daughters’ life cycles. Heterogeneity analyses (regarding founder cohort, divorce status, and social class), combined with qualitative evidence, further substantiate the plausibility of vicarious learning as a potential yet understudied mechanism underlying daughter effects. In addition, daughter effects on employee recruitment are concentrated in microbusinesses (number of employees is ≤10) where the founder is close in decision authority to all employees. These findings add important nuances to our understanding of daughter effects in organizational contexts and extend theory of gender homophily in organizations. This paper was accepted by Olav Sorenson, organizations. Funding: K. Wennberg acknowledges funding from the Swedish Royal Academy of Letter. Supplemental Material: The data files and online appendix are available at https://doi.org/10.1287/mnsc.2023.4727 .

Characterization of COVID-19 infection in children: A 6 months experience in a tertiary care hospital in Dhaka, Bangladesh

Background: Corona virus disease is a global health crisis, a surprising feature of the disease reflects that children might be less affected in the initial stage. Previous studies suggest that COVID-19 more likely to infect adults, but paediatric patients are on the rise. In most of the cases children have mild or moderate symptom of COVID-19, but another new serious presentation emerged named Multisystem inflammatory syndrome in children (MIS-C) which includes features like Kawasaki disease or toxic shock syndrome. The past few months we have seen a lot of findings and variation regarding the COVID-19 illness. As childhood presentation are variable analyzing the pattern of disease in children helps the policy makers to make the better strategies and health care givers to serve better.&#x0D; Objectives: This study was conducted to assess the age and sex distribution, clinical presentations, morbidity, mortality pattern in children with COVID-19 infection.&#x0D; Methods: This descriptive study conducted in the Outpatient Department of Pediatrics and dedicated COVID-19 unit of Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh from May 2020 to November 2020. 24 children with RT-PCR positive for COVID-19 were included in this study. Medical records of these patients were reviewed and data were analyzed using SPSS software version 20.&#x0D; Results: The total number of children with RT-PCR positive for COVID-19 during the study period was 24. The male female ratio was 1.4:1. Most of the patients were aged over 10 years 9(37.5%). Fever (92%), cough (75%) and headache (50%) were the most common clinical features. A total 10 (41.7%) patients presented with mild clinical symptoms, 6 (25%) were severe to critical state and 2(8.3%) patients found with features with MIS-C. No mortality was observed.&#x0D; Conclusion: The paediatric patients with COVID-19 had mild illness and had good prognosis. The child with MIS-C need early intervention for better outcome.&#x0D; AKMMC J 2021; 12(1) : 45-51

The link between airway reflux and non-acid reflux in children: a review.

Airway reflux, a member of extra-esophageal reflux, has been linked to countless respiratory pathologies amongst children. The advent of novel instrumentation has enabled the discovery of non-acid reflux which was postulated as the main culprit of airway reflux. The objective of this review is to outline the association between non-acid reflux and airway reflux in children. A comprehensive review of recent literature on non-acid reflux and airway reflux in children was conducted. Studies ranged from January 2010 till November 2021 were searched over a period of a month: December 2021. A total of eleven studies were identified. All studies included in this review revealed a strong link between non-acid reflux and airway reflux in children. 6 of the included studies are prospective studies, 3 retrospective studies, 1 cross-section study, and type of study was not mentioned in 1 study. The most common reported respiratory manifestation of non-acid reflux in children was chronic cough (7 studies). Predominant non-acid reflux was noted in 4 studies. The total number of children in each study ranges from 21 to 150 patients. MII-pH study was carried out in all studies included as a diagnostic tool for reflux investigation. Non-acid reflux is the culprit behind airway reflux as well as other myriads of extra-esophageal manifestations in children. Multicentre international studies with a standardized protocol could improve scientific knowledge in managing non-acid reflux in airway reflux amongst children.

Parent satisfaction with the parent-provider partnership and therapy service delivery for children with disabilities during COVID-19: Associations with sociodemographic variables.

The novel coronavirus disease 2019 (COVID-19) significantly disrupted therapy service delivery for children with disabilities and their families. Parents of children with disabilities have been particularly impacted as a large degree of responsibility has been placed on them to both manage and deliver therapies remotely. However, little is known regarding whether sociodemographic factors are associated with parents' perceptions of therapy service delivery during COVID-19. This study explored the relationship between sociodemographic factors and parents' satisfaction with therapies for children with disabilities during COVID-19. Two hundred seven parents of children with disabilities completed an online survey battery that included the Family-Provider Partnership Scale and sociodemographic characteristics and assessed their satisfaction with their child[ren]'s therapies during COVID-19. Access to telehealth, receipt of only school-based therapies, parent education, number of household essential workers, and total number of children were associated with satisfaction with therapy service and/or the family-provider partnership. By better understanding the association between sociodemographic factors and parent perception of therapy service delivery, providers can better support families in optimizing service delivery during the remainder of COVID-19 mitigation efforts and during future periods of service disruption. This study provides insight into the sociodemographic characteristics that are associated with lower levels of satisfaction and thus require more tailored support from providers. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Conceptual framework for health-preserving activities in educational organisations within the context of quality management

Introduction. The negative dynamics of the reduction in the total number of children and the increase in their incidence in the world and federal space require the solution of problems to preserve the health of the child population within the framework of the education system. Education is the only system of public education, where almost the entire child population is covered for a long time. Despite the many studies and aspects of the activities of educational organisations in the field of students’ health preservation, there is no need to talk about the large-scale effectiveness of this activity.Aim. The aim of the study is to reveal the conceptual framework of the activities of educational organisations for the protection of students’ health in the context of the theory of quality management, based on the integration of existing experience, its rational organisation and management.Methodology and research methods. The methodological basis for the construction of the concept was the process and system approaches. The application of these approaches made it possible to substantiate the proposed 1) targets for the activities of educational organisations in the field of students’ health preservation; 2) structural transformations within the educational organisation; 3) principles and requirements for the management process. The experimental search base of the study involved 14 general educational organisations and organisations of secondary vocational education of the Ural region, the total number of participants – 7,210. The authors used the general scientific methods of generalisation, comparison, synthesis and analysis to carry out an interdisciplinary analytical review of the problem field of the study.Evaluation of the effectiveness of the implementation of the concept was carried out according to the authors’ system of criteria, which corresponds to the structure of the components of the quality of health care activities (quality of conditions, quality of processes and quality of results). To confirm the reliability of the results of the study, student’s t-criterion was used; to identify dependencies, the authors applied the method of correlation analysis (according to Pearson).Results and scientific novelty. In the course of the study, the authors resolved the contradiction between the needs of society and man in achieving the effectiveness of the activities of educational organisations to preserve the health of students and the possibilities of the education system to ensure the implementation of these needs, since the conceptual provisions of the activities of educational organisations in health care in the context of the theory of quality management have not been developed. At the same time, the issues of organisation and management of this activity have been resolved. The scientific novelty of the study is the developed and tested concept: 1) the target and result of health protection activities is the formation and level of readiness of students to maintain health; 2) the management of the activities of educational organisations in health care is based on the theory of quality management, which requires the implementation of the ideas of the process approach and reflected in the authors’ management principles; 3) the level of organisation of health activities depends on the degree of structuring of its main directions; this requires the creation of a specialised division at the expense of the internal resources of the educational organisation – the health service; 4) the main objects of management are the quality of conditions, the quality of processes and the quality of the results of health care activities, which have become the basis of the system of criteria for its comprehensive assessment; 5) the effectiveness of the implementation of the concept depends on ensuring that the needs of the main actors in health care are constantly taken into account, its continuous improvement with the leading role of management, orientation to the key goal the formation of students’ readiness to maintain health, and the inclusion of all participants of the educational process in health protection.Practical significance. The application of the ideas of the concept can become the basis for the innovative development of the activities of educational organisations in the field of students’ health preservation, and can determine the directions for solving fundamental and applied problems of this type of educational activity.

The prevalence of rare bleeding disorders among children in the Russian Federation

Rare bleeding disorders account for about 3–5% of all inherited bleeding disorders. Due to the rarity and complexity of diagnosing these disorders, their prevalence estimates vary greatly. There is currently no national registry of rare inherited bleeding disorders and their prevalence across the country has not been studied yet. Aim: to estimate the prevalence of rare coagulation disorders among Russian children. For this multicenter study, we used retrospective anonymous patient data collected during clinical practice, so the approval of the ethics committee was not required. We analyzed completed questionnaires containing the number of patients with rare bleeding disorders aged from 0 to 18 years from 72 subjects of the Russian Federation. The survey had been conducted from April to June 2022. Our analysis included patients with deficiencies of factor I, II, V, VII, X, XI or XIII, as well as with combined factor deficiencies and unspecified hemorrhagic conditions. According to the reported data, the total number of children with rare bleeding disorders is 398. The most common disorder is deficiency of factor VII (52%, n = 210); it is followed by fibrinogen deficiency (16%, n = 63) and deficiency of factor X (12%, n = 48). Deficiencies of factors XI, V and XIII account for 9% (n = 35), 5% (n = 20), and 4.5% (n = 18) of all cases, respectively. Combined factor deficiency was diagnosed in 1.7% of patients (n = 7) and factor II deficiency was detected in only 1% of patients (n = 4). In order to determine the actual prevalence and incidence of rare coagulation disorders and their clinical manifestations and to identify the need for factor concentrates, it is necessary to establish a national registry of rare bleeding disorders, following the example of the national hemophilia registry.

Oral diseases in 12-year-old schoolchildren in a capital city in northeast Brazil: rise or decline?

This cross-sectional study aimed to analyze the distribution of oral diseases in 12-year-old schoolchildren in Fortaleza, Northeast, Brazil. Based on the SB Brasil 2010, 30 calibrated dentists evaluated 1,509 children. Data were submitted to Pearson's Chi-square or Fisher's Exact tests, considering p&lt;0.05. It was observed that 67.3% of the children were caries free and the mean DMFT-D was 0.86, with a predominance of the carious component (69.8%) in its composition. Main needs found: restorations (33.5%), pulp treatment (4.8%) and extractions (4.1%). The prevalence of fluorosis was 32.5%. As for periodontal disease, 56.6% of the students did not present bleeding and the presence of calculus in the examined sextants. The prevalence of malocclusion was 40.3%. It is concluded that the Municipality of Fortaleza has low caries severity and low prevalence of periodontal disease. Fluorosis is more prevalent in the very mild form. The total number of children with normal occlusion was greater than those with malocclusion. Regarding the severity of malocclusion detected, defined malocclusion prevailed. A decline in caries disease was observed, however, fluorosis and malocclusion showed an increase when compared to previous epidemiological surveys.

Heterogeneous effects of socio-economic and cultural factors on fertility differentials in Burundi and Morocco during their fertility transition periods: a retrospective, cross-sectional and comparative study.

few studies have examined the factors influencing fertility differentials and the variation in their effects in countries with different socioeconomic and cultural backgrounds and different fertility transition paces. To address this gap, our study sought to first identify the factors that influenced fertility differentials in Morocco and Burundi during their fertility transition periods, and then to compare the effects of these factors between the two countries. using data from the 2003-4 Morocco and 2010 Burundi Demographic and Health Surveys, bivariable and multivariable Poisson regression analyses offset by the natural logarithm of the women´s age were performed to identify the socioeconomic and cultural factors that influenced fertility differentials in Morocco and Burundi during their fertility transition. our main findings showed that the total number of children ever born ranged from 0 to 17 with a mean of 2.71 ± 2.89 in Burundi and from 0 to 16 with a mean of 1.88 ± 2.80 in Morocco. In Burundi, both socioeconomic and cultural factors like rural residence adjusted incident rate ratio (AIRR) = 1.159, 95% CI: 1.103 - 1.217, P=0.020), women´s illiteracy (AIRR=1.465, 95% CI: 1.241- 1.729, P <0.001) and agricultural profession (AIRR=1. 332, 95% CI: 1.263 - 1.401, P = 0.004), household poverty (AIRR= 1.381, 95% CI: 1.223 - 1.431, p<0.001), infant mortality (AIRR= 1.602, 95% CI: 1.562 - 1.643, p<0.001), early marriage (AIRR= 1.313, 95% CI: 1.264 - 1.364, p<0.001), lack of knowledge of any contraceptives (AIRR= 1.263, 95% CI: 1.125 - 1.310, p = 0.003) and failure to use modern contraceptives (AIRR= 1.520, 95% CI: 1.487 - 1.611, p<0.001) were associated with high number of children ever born. However, in Morocco socioeconomic factors like residence place, women´s agricultural profession and household poverty were not significant. In this country, women´s illiteracy (AIRR=1.428, 95% CI: 1.315 - 1.551, P <0.001), lack of access to mass media (AIRR= 1.241, 95% CI: 1.108 - 1.375, p = 0.006), infant mortality (AIRR=1.222, 95%CI: 1.184 - 1.361, p<0.001), early marriage (AIRR1.481, 95% CI: 1.435 - 1.529, p<0.001), lack of knowledge of any contraceptives (AIRR1.508, 95% CI: 1.409 - 1.613, p<0.001) and failure to use modern contraceptives (AIRR1.745, 95% CI: 1.627 - 1.863, p<0.001) were associated with high fertility but with different effects than in Burundi. the evidence from this study suggests that interventions to accelerate the fertility transition processes in Burundi and many other countries with slow fertility transitions should be designed and implemented according to each country's local context.