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Quarterly published in print and online "Inventi Impact: Neonatal & Pediatric Nursing" publishes high quality unpublished as well as high impact pre-published research and reviews catering to the needs of researchers and professionals. The journal focuses on nursing care of neonates and children of all the ages with particular emphasis on care in intensive or tertiary care settings. It welcomes articles from across the professional domain including participation and involvement of those receiving care (children and families), cultural, geographic and demographic aspects of neonatal and pediatric nursing.
Background To examine the differential relationships between seven social risk factors (individually and cumulatively)
with the prevalence and severity of asthma, attention deficit hyperactivity disorder (ADHD), autism spectrum
disorder (ASD), and overweight/obesity in children.
Methods Using the 2017–2018 National Survey of Children’s Health, we examined associations between social risk
factors (caregiver education, caregiver underemployment, discrimination, food insecurity, insurance coverage, neighborhood
support, and neighborhood safety) and the prevalence and severity of asthma, ADHD, ASD, and overweight/
obesity. We used multivariable logistic regression to assess the relationship between individual and cumulative risk
factors with each pediatric chronic condition, controlling for child sex and age.
Results Although each social risk factor was significantly associated with increased prevalence and/or severity of at
least one of the pediatric chronic conditions we investigated, food insecurity was significantly associated with higher
disease prevalence and severity for all four conditions. Caregiver underemployment, low social support, and discrimination
were significantly associated with higher disease prevalence across all conditions. For each additional social risk
factor a child was exposed to, their odds of having each condition increased: overweight/obesity (aOR: 1.2, 95% CI:
[1.2, 1.3]), asthma (aOR: 1.3, 95% CI: [1.2, 1.3], ADHD (aOR: 1.2, 95% CI: [1.2, 1.3]), and ASD (aOR: 1.4, 95% CI: [1.3, 1.5]).
Conclusions This study elucidates differential relationships between several social risk factors and the prevalence
and severity of common pediatric chronic conditions. While more research is needed, our results suggest that social
risks, particularly food insecurity, are potential factors in the development of pediatric chronic conditions....
Background: Congenital hyperinsulinism leads to unregulated insulin secretion and hypoglycemia. Diagnosis can\nbe difficult and genetic testing may be warranted.\nCase: This patient initially presented at 11 months with seizure activity secondary to severe hypoglycemia. Her\ndiagnostic evaluation included genetic studies, which confirmed congenital hyperinsulinism. A novel combination\nof mutations in the ABCC8 gene leading to diffuse, diazoxide-unresponsive congenital hyperinsulinism was\nidentified. Mutation analysis of ABCC8 showed three variants (R1215W Ã¢â?¬â?? paternal, pathogenic; W739C Ã¢â?¬â?? maternal,\nvariant of unknown significance; R1393L Ã¢â?¬â?? maternal, variant of unknown significance). Her clinical course continues\nto be complicated by severe, refractory hypoglycemia at age 3 years.\nConclusion: We describe a novel compound heterozygous mutation leading to diffuse, diazoxide-unresponsive\ncongenital hyperinsulinism. This case illustrates challenges associated with diagnosing and managing congenital\nhyperinsulinism and the importance of genetic testing....
Background: Case management is a subject of interest within pediatric palliative care. Detailed descriptions of the\ncontent of this type of case management are lacking. We aim to describe the contents of care provided, utilization\nof different disciplines, and times of usage of a pediatric palliative care case management program compared for\npatients with malignant disease (MD) and non-malignant disease (NMD).\nMethods: A three-month prospective study, with questionnaires filled in by members of a pediatric palliative care\nteam (PPCT) for each contact with parents.\nResults: Four hundred fifty-five contacts took place with parents of 70 patients (27MD, 43NMD). Sixty-two percent of all\ncontacts were with the specialized nurse. The child life specialists, psychologist and social worker were also regularly\nconsulted, the chaplain was not consulted. Ninety-five percent of all contacts took place between 8 am and 6 pm during\nweekdays, a limited number between 6 pm and 9 pm. Twenty-five percent of all contacts were proactively initiated by\nthe PPCT, 25 % were initiated by parents. In these care characteristics, no differences were seen for MD and NMD\npatients. Psychosocial topics were addressed most frequently. MD patients consulted the PPCT more often about school\nand NMD patients about socio-economic issues.\nConclusions: All different disciplines of the PPCT were regularly consulted, except for the chaplain. With an easy\naccessible team with a highly pro-active approach, availability from 8 am to 9 pm seems sufficient to accommodate\npatientÃ¢â?¬â?¢s and parentÃ¢â?¬â?¢s needs. More anticipation seems required for socio-economic topics. This insight in pediatric\npalliative case management can provide guidance in the development of a new PPCT....
Objective\nTo evaluate the efficacy, safety, and maternal satisfaction of a newly established integrative\npostpartum community-based clinic providing comprehensive support for mothers during\nthe first month after discharge from the hospital. Our primary interests were breastfeeding\nrates, readmission and patient satisfaction.\nMethods\nA randomized controlled trial was conducted in Ottawa, Canada, where 472 mothers were\nrandomized via a 1:2 ratio to either receive standard of care (n = 157) or to attend the postpartum\nbreastfeeding clinic (n = 315). Outcome data were captured through questionnaires\ncompleted by the participants at 2, 4, 12 and 24 weeks postpartum. Unadjusted and\nadjusted logistic regression models were conducted to determine the effect of the intervention\non exclusive breastfeeding at 12 weeks (primary outcome). Secondary outcomes\nincluded breastfeeding rate at 2, 4 and 24 weeks, breastfeeding self-efficacy scale, readmission\nrate, and satisfaction score.\nResults\nMore mothers in the intervention group (n = 195, 66.1%) were exclusively breastfeeding at\n12 weeks compared to mothers in the control group (n = 81, 60.5%), however no statistically\nsignificant difference was observed (OR = 1.28; 95% CI:0.84Ã¢â?¬â??1.95)). The rate of emergency\nroom visits at 2 weeks for the intervention group was 11.4% compared to the standard of\ncare group (15.2%) (OR = 0.69; 95% CI: 0.39Ã¢â?¬â??1.23). The intervention group was significantly\nmore satisfied with the overall care they received for breastfeeding compared to the\ncontrol group (OR = 1.96; 95% CI: 3.50Ã¢â?¬â??6.88)). Conclusion\nThis new model of care did not significantly increase exclusive breastfeeding at 12 weeks.\nHowever, there were clinically meaningful improvements in the rate of postnatal problems\nand satisfaction that support this new service delivery model for postpartum care. A community-\nbased multidisciplinary postpartum clinic is feasible to implement and can provide\nappropriate and highly satisfactory care to mother-baby dyads. This model of care may be\nmore beneficial in a population that is not already predisposed to breastfeed....
Culture had a profound influence on beliefs and practice of child birth. Cultural beliefs and traditions associated with pregnancy and child bearing touch all aspects of life in a given culture. A descriptive study was conducted to assess the cultural beliefs related to pregnancy and childbirth among women living in village Mohanpur, district Khanna, Punjab. A total of 200 women were selected with purposive sampling technique. Self structured checklist was implemented to assess the cultural beliefs among women related to pregnancy and child birth. Results showed that 94.5% of women had more cultural beliefs and 5.5% had less cultural beliefs. The cultural beliefs related to pregnancy and childbirth among women showed statistically significant relationship with type of family at p<0.05 level of significance....
The investigator understood that new born babies experience pain more intense than older children and adults. Inadequately treated pain creates hyper analgesia and has negative impact on pain tolerance in newborns. Therefore, pain intervention must be considered as an important component of newborns. Oral administration of glucose significantly minimizes the pain of neonates. So this quasi experimental study aims to determine the analgesic effects of oral glucose in neonates undergoing venipuncture at neonatal intensive care unit of Sri Ramakrishna Hospital, Coimbatore. Using purposive sampling technique 30 samples were selected and data were collected using demographic performa and standardized neonatal pain assessment scale (SNEAS). Data was tabulated, analyzed and interpreted considering the objectives and hypothesis of the study using descriptive and inferential statistics. The result reveals that the pain score of experimental group (3.3) was significantly lower than that of pain score of control group (6.9). Thus the researcher concluded that oral administration of glucose is effective in reducing the pain of newborns during venipuncture....
Background: Since siblings of pediatric cancer patients are at risk for emotional, behavioral, and social problems,\r\nthere is considerable interest in development of early psychological interventions. This paper aimed at evaluating\r\nthe effectiveness of a two-session psychological intervention for siblings of newly diagnosed pediatric cancer\r\npatients.\r\nMethods: Thirty siblings age 6-17 years were randomly assigned to an intervention group or an active control\r\ngroup with standard psychosocial care. The manualized intervention provided to siblings in the first 2 months after\r\nthe cancer diagnosis of the ill child included medical information, promotion of coping skills, and a\r\npsychoeducational booklet for parents. At 4 to 6 weeks, 4 months, and 7 months after the diagnosis, all siblings\r\nand their parents completed measures (from standardized instruments) of social support, quality of life, medical\r\nknowledge, posttraumatic stress symptoms, and anxiety.\r\nResults: At follow-up siblings in the intervention group showed better psychological well-being, had better\r\nmedical knowledge, and reported receiving social support from more people. However, the intervention had no\r\neffects on posttraumatic stress symptoms and anxiety.\r\nConclusions: The results of this pilot trial suggest that a two-session sibling intervention can improve siblingsÃ¢â?¬â?¢\r\nadjustment, particularly psychological well-being, in the early stage after a cancer diagnosis....
Covid 19 epidemic has caused a lot of concern especially in the obstetric and
neonatal populations. The fact that it is a new disease and the fact that there
are sparse studies available have doubled our worries. Our study provides
some answers. This a retrospective study carried out in Mediclinic Al-Noor
hospital in Abu Dhabi. Our study revealed no adverse effects on the neonates
and no vertical transmission. Given the physiologic and immune function
changes in pregnancy, they might be considered at a higher risk of developing
more complications, but it needs a longer duration of the study with larger
sample size. Statistical analysis could not be possible in our study due to the
smaller sample size, and we plan to continue the study further in the future to
obtain a larger pool of data to validate the findings more accurately. The incidence
of covid positive mothers might not reflect today’s covid situation
because we carried out the study during the lockdown and there might be an
increase in the incidence after lockdown....
Background: All parents in Sweden are invited to child health service (CHS) parental groups, however only 49% of the\nfamilies participate. The way the parental groups are managed has been shown to be of importance for how parents\nexperience the support and CHS nurses describe feeling insecure when running the groups. Lack of facilitation,\nstructure and leadership might jeopardise the potential benefit of such support groups. This study describes CHS\nnursesÃ¢â?¬â?¢ experiences of how a course in group leadership affected the way they ran their parental groups.\nMethods: A course in group leadership given to 56 CHS nurses was evaluated in focus group interviews 5Ã¢â?¬â??8 months\nafter the course.\nResults: The nurses felt strengthened in their group leader role and changed their leadership methods. The\nmanagement of parental groups was after the course perceived as an important work task and the nurses included\ntime for planning, preparation and evaluation, which they felt improved their parental groups. Parental participation in\nthe activities in the group had become a key issue and they used their new exercises and tools to increase this. They\nexpressed feeling more confident and relaxed in their role as group leaders and felt that they could adapt their\nleadership to the needs of the parents.\nConclusions: Specific training might strengthen the CHS nurses in their group leader role and give them new\nmotivation to fulfil their work with parental groups...
Background: There are a limited number of studies regarding the association between abdominal obesity and\nserum adiponectin complexes (high, medium, and low molecular weight adiponectins) among population-based\nelementary school children, especially in Japan, where blood collection is not usually performed during annual\nhealth examinations of school children. The aim of the present study was to investigate the relationship between\nabdominal obesity and serum adiponectin complexes among population-based elementary school children in\nJapan.\nMethods: Subjects were all the fourth-grade school children (9 or 10 years of age) in the town of Ina during\n2005Ã¢â?¬â??2008 (N = 1675). The height, weight, percent body fat, and waist circumference (WC) of each subject were\nmeasured. Blood samples were drawn from subjects to measure adiponectin isoform values. Childhood abdominal\nobesity was defined as Ã¢â?¬Å?a waist-to-height ratio greater than or equal to 0.5Ã¢â?¬Â or Ã¢â?¬Å?a WC greater than or equal to\n75 cmÃ¢â?¬Â. The Wilcoxon rank-sum test and the logistic regression model were used to analyze the association\nbetween abdominal obesity and each adiponectin isoform value.\nResults: Data from 1654 subjects (846 boys and 808 girls) were analyzed. Adiponectin complexes were lower in\nthe abdominal obesity group than in the non-abdominal obesity group regardless of sex. Abdominal obesity\nsignificantly increased the odds ratio (OR) for each adiponectin isoform level less than or equal to the median\nvalue in boys; the OR (95% confidence interval [CI]) was 2.50 (1.59-3.92) for high molecular weight adiponectin\n(HMW-adn), 2.47 (1.57-3.88) for medium molecular weight adiponectin (MMW-adn), and 1.75 (1.13-2.70) for low\nmolecular weight adiponectin (LMW-adn). In girls, the OR (95% CI) was 1.95 (1.18-3.21) for HMW-adn, 1.40 (0.86-2.28)\nfor MMW-adn, and 1.06 (0.65-1.70) for LMW-adn.\nConclusions: Abdominal obesity was associated with lower adiponectin complexes and the influence of abdominal\nobesity varied by adiponectin isoform. Furthermore, the impact of abdominal obesity was larger in boys than in\ngirls. The present study results suggest that prevention of abdominal obesity could contribute to the prevention of\nlower adiponectin levels, especially in boys....
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