期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
Juvenile Systemic Sclerosis: About 9 Cases
1
作者 Kaoutar Danaoui Houda Nassih +4 位作者 Khadija Oujennane Rabiy El Qadiry Aicha Bourrahouat Said Amal Imane Ait Sab 《Open Journal of Pediatrics》 2024年第2期320-326,共7页
Scleroderma is a rare disease with two primary forms: localized scleroderma (LS) and systemic sclerosis (SSc). Both are chronic conditions that can manifest in various patterns (subtypes) and are linked to extracutane... Scleroderma is a rare disease with two primary forms: localized scleroderma (LS) and systemic sclerosis (SSc). Both are chronic conditions that can manifest in various patterns (subtypes) and are linked to extracutaneous involvement in pediatric patients. Juvenile SSc poses a higher risk of morbidity and mortality, with patients facing life-threatening complications such as lung, heart, and visceral organ fibrosis, and vasculopathy. In contrast, mortality is extremely rare in juvenile LS, but patients are susceptible to significant morbidity, leading to severe disfigurement and functional impairment. Treatment for scleroderma aims to control inflammation and address specific issues. An early diagnosis significantly enhances the overall outcome. This study conducts a retrospective descriptive analysis aiming to document the clinical manifestations, management approaches, and outcomes of systemic sclerosis in a cohort of nine children receiving treatment for juvenile systemic sclerosis at Pediatric B department of Mohammed VI University, Hospital Center in Marrakech, Morocco. 展开更多
关键词 SCLERODERMA Systemic Sclerosis CHILDREN PEDIATRIC
下载PDF
Risk Factors for Birth Asphyxia in Togo: A Case-Control Study
2
作者 Foli Agbeko Ayoko Améyo Kétévi +19 位作者 Mawouto Fiawoo Bouwereou Bi-Labna Tata Kokouvi Evenyo Abalo Elom Ounoo Takassi Baguilane Douaguibe Djatougbé Ayaovi Elie Akolly Homba Daké Batalia Rollin Arnaud Djomaleu Rachel Bayahou Kérékou Manani Hemou Mazama Pakoudjare Magnoulelen Nzonou Essèboè Koffitsè Sewu Sollim Talboussouma Bayaki Saka Deladem Komi Azoumah Edem Koffi Djadou Kokou Nadiedjoa Douti Adama Dodji Gbadoe Yawo Dzayissé Atakouma 《Open Journal of Pediatrics》 2021年第4期816-831,共16页
<strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> Birth Asphyxia (BA) is one of the leading causes of neonatal death in develo... <strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> Birth Asphyxia (BA) is one of the leading causes of neonatal death in developing countries. In Togo, 30.55% of neonatal deaths were related to BA and caused by several risk factors. The purpose of this piece of work is to analyse the antepartum, intrapartum, and foetal risk factors of BA. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This is a case control study, conducted from 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> December 2019 to 28</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> February 2020 in obstetrics wards and at neonatal intensive care of paediatric ward at the Sylvanus Olympio university teaching hospital (CHU-SO) in Lomé, Togo. Neonates diagnosed with BA (Apgar score < 7 at 5</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> minute) were considered as “cases” (N = 200) while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as “control” (N = 200). </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">The prevalence rate of BA was 9.13%. Age (p = 0.0391), gravidity (p = 0.0040), type of facility for prenatal follow-up (p < </span></span><span style="font-family:Verdana;">0.0001), use of Long-lasting impregnated mosquito nets (LLIN) (p </span><span style="font-family:Verdana;">< </span><span style="font-family:Verdana;">0.0001), notion of maternal fever (p </span><span style="font-family:Verdana;">< </span><span style="font-family:Verdana;">0.0001) </span><span style="font-family:Verdana;">and chronic pathology (p < </span><span style="font-family:Verdana;">0.0001) were related to occurrence of BA. Significant antepartum risk factors observed were age < 25 years (OR = 1.15;CI 95% [0.66 - 1.98], p = 0.0391), primigravidity (OR = 1.82;95% CI [0.86 - 3.85], 0.0040), prenatal follow-up in a</span><span style="font-family:Verdana;"> private one (OR = 1.62;CI95% [1.03 - 12.55], p < </span><span style="font-family:Verdana;">0.0001), non-use of LLIN (OR = 2.50;CI 95% [1.61 - 3.88], p </span><span style="font-family:Verdana;">< </span><span style="font-family:Verdana;">0.0001), maternal fever (OR = 3.73;CI 95% [2.33 - 5.97], p < 0.0001) and existence of maternal chronic pathology (OR = 36.0, 95% [4.94 - 262.60], p </span><span style="font-family:Verdana;">< </span><span style="font-family:Verdana;">0.0</span><span style="font-family:Verdana;">001). Significant intrapartum risk factors were PRM (OR = 7.89;CI 95% [2.62 - 14.02], p < </span><span style="font-family:Verdana;">0.0001), abnormal AF (OR = 5.40;CI 95% [2.57 - 11.38],], p </span><span style="font-family:Verdana;">< </span><span style="font-family:Verdana;">0.0001), long labour (OR = 2.11;CI 95% [1.34 - 3.34],], p = 0.0004), use of oxytocin (OR = 2.14;CI 95% [1.3</span><span style="font-family:Verdana;">8 - 3.32], p = 0.0003), and spontaneous vaginal (OR = 1.76;CI 95% [1.14 - 2.72,], p = 0.0008]). Significant Foetal risk factors were male gender (OR = 1.55;CI 95% [1.03 - 2.33], p = 0.0423), preterm babies (OR = 8.83;CI 95% [3.79 - 20.60], p < </span><span style="font-family:Verdana;">0.0001) and baby </span><span style="font-family:Verdana;">birth weight < 2500 gr (OR = 2.96;CI 95% [1.82 - 4.79], p < </span><span style="font-family:""><span style="font-family:Verdana;">0.0001). The Sarnat score had shown anoxo-ischemic encephalopathy stage III (19.00%), corresponding to 87.80% of case fatality rate (p < 0.0001). </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Various risk factors lead to BA in Lomé. </span></span><span style="font-family:Verdana;">Early identification of high-risk cases with improved antenatal and perinatal care can decrease the high mortality of BA in Togo.</span> 展开更多
关键词 Birth Asphyxia NEONATE Risk Factor TOGO
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部