Short Report: Premastication in Rural Gabon--A Cross-Sectional Survey
Premastication—defined as pre-chewing of food for infants by their caregiver—is a common feeding practice in various societies. To date the impact of premastication on children’s health including the potential for transmission of infectious diseases is not well understood. Since there are no epidemiologic data on premastication from resource poor regions in Central Africa, we investigated the epidemiology and demographic variables associated with premastication in Central Africa. Between 2011 and 2012, mothers were interviewed about child feeding behaviors in three rural communities in Gabon. A quarter (n...
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Auer-Hackenberg, L., Thol, F., Akerey-Diop, D., Zoleko, R. M., Rodolphe Mackanga, J., Adegnika, A. A., Mombo-Ngoma, G., Ramharter, M. Tags: Brief Reports Source Type: research

Evaluating Clinical Course of BCG Lymphadenitis and Factors Affect on it During a 5-year Period in Kerman, Iran
Conclusion: Many patients improved without any intervention. The primary size of lymphadenitis may affect clinical course of lymphadenitis and dispose person to abscess and fistula. To confirm this result and evaluate efficiency of preventive surgery instead of observation further study is recommended. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Daei Parizi, M., Kardoust Parizi, A., Izadipour, S. Tags: Original Papers Source Type: research

Effect of Inhaled MgSO4 on FEV1 and PEF in Children with Asthma Induced by Acetylcholine: A Randomized Controlled Clinical Trail of 330 Cases
Conclusion: Nebulized magnesium sulfate alone has a bronchodilatory effect in Ach-induced asthmatic children. The combination of MgSO4 and albuterol did not has a synergistic effect. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Sun, Y. X., Gong, C. H., Liu, S., Yuan, X. P., Yin, L. J., Yan, L., Shi, T. T., Dai, J. H. Tags: Original Papers Source Type: research

Effect of Therapeutic Hypothermia on DNA Damage and Neurodevelopmental Outcome among Term Neonates with Perinatal Asphyxia: A Randomized Controlled Trial
Conclusions: TH reduces oxidative stress-induced DNA damage and improves neurodevelopmental outcome. <Trial registration No: CTRI/2011/10/002094> (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Gane, B. D., Bhat, V., Rao, R., Nandhakumar, S., Harichandrakumar, K. T., Adhisivam, B. Tags: Original Papers Source Type: research

Detecting Maternal Depression in a Low-Income Country: Comparison of the Self-Reporting Questionnaire and the Edinburgh Postnatal Depression Scale
Conclusion: Both measures (EPDS and SRQ) have adequate validity to screen for depression in mothers in Pakistan. However, the SRQ performed better, with participants finding it easy to understand. The scales can be of great value to detect maternal depression in primary care and pediatric settings in low-income countries. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Husain, N., Kiran, T., Sumra, A., Naeem Zafar, S., Ur Rahman, R., Jafri, F., Ansari, S., Husain, M., Adelekan, M. L., Bashir Chaudhry, I. Tags: Original Papers Source Type: research

Evaluation of Adherence to a Convulsion Management Protocol for Children in Rwanda
Inappropriate seizure management may result in high morbidity and mortality. We assessed the adherence of health professionals in southern Rwanda to a national protocol for pharmacological management of seizures in children. A questionnaire featuring a 5-year-old child with generalized prolonged seizures was administered. The questions focused on the choice of initial treatment and the sequence of management following failure of the initial treatment choice. Benzodiazepine was chosen as initial therapy by 93.7% of physicians and 90.9% of nurses. Only 49.2% of physicians and 41% of nurses would repeat the initial treatment ...
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Kaputu-Kalala-Malu, C., Birindabagabo, J. D., Walker, T. D., Mafuta-Musalu, E., Ntumba-Tshitenge, O., Preux, P.-M., Misson, J.-P. Tags: Original Papers Source Type: research

Prevalence and Treatment Gap in Childhood Epilepsy in a North Indian City: A Community-Based Study
Conclusion: This study of epidemiology of epilepsy provides valuable aid in optimizing effective community approach, thereby improving outcomes of childhood epilepsy. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Pandey, S., Singhi, P., Bharti, B. Tags: Original Papers Source Type: research

Genetic Diagnosis of Duchenne and Becker Muscular Dystrophy using Multiplex Ligation-Dependent Probe Amplification in Rwandan Patients
This report confirmed that MLPA assay can be easily implemented in low-income countries. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Uwineza, A., Hitayezu, J., Murorunkwere, S., Ndinkabandi, J., Kalala Malu, C. K., Caberg, J. H., Dideberg, V., Bours, V., Mutesa, L. Tags: Original Papers Source Type: research

Effect of Zinc Supplementation on Duration of Hospitalization in Tanzanian Children Presenting with Acute Pneumonia
Conclusions: Although underpowered, this randomized trial provided no evidence for a beneficial effect of zinc supplementation adjunct to antibiotics for hospitalized children. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Fataki, M. R., Kisenge, R. R., Sudfeld, C. R., Aboud, S., Okuma, J., Mehta, S., Spiegelman, D., Fawzi, W. W. Tags: Original Papers Source Type: research

Can Giardia lamblia Infection Lower the Risk of Acute Diarrhea among Preschool Children?
There are inconsistent findings concerning the role of Giardia lamblia in pediatric diarrhea. A prospective cohort study of the incidence of acute diarrhea among Israeli Arab preschool children offered the opportunity to examine the association between G. lamblia infection (at baseline) and subsequent diarrhea. Following baseline screening by light microscopy for the presence of Giardia in their stools, a cohort was assembled of 142 children who were followed between October 2003 and August 2004 for the incidence of diarrhea. Surveillance was performed through maternal interviews. At baseline, 21 children tested Giardia-po...
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Muhsen, K., Cohen, D., Levine, M. M. Tags: Original Papers Source Type: research

High Reliability in Respiratory Rate Assessment in Children with Respiratory Symptomatology in a Rural Area in Mozambique
Early recognition of severe medical conditions is often based on clinical scores and vital sign measurements such as the respiratory rate (RR) count. We designed this study to determine the reliability of RR assessment counted three times during a full minute by independent observers in children in a developing country setting. A total of 55 participants were enrolled in the study. Participant ages ranged from 10 days to 7 years (median 22 months). Agreement for RR count was high (intraclass correlation coefficient of 0.95; 95% confidence interval: 0.93–0.97). Agreement for presence of tachypnea was also high (Kappa ...
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Lanaspa, M., Valim, C., Acacio, S., Almendinger, K., Ahmad, R., Wiegand, R., Bassat, Q. Tags: Original Papers Source Type: research

Pneumonia--Still a Killer
(Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Authors: Bose, A. Tags: Editorial Source Type: research

In this Issue April 2014
(Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - March 27, 2014 Category: Tropical Medicine Tags: In this Issue Source Type: research

Tiny Hair Tuft: A Clue for Occipital Cephalocele
Recurrent meningitis is a rare problem and can be due to alterations in immune system, or craniospinal defect. Any clue either in patient’s history or physical examination would be helpful for avoiding unnecessary and tiring tests. Here we present the case of a child with recurrent bacterial meningitis who had an unnoticed hair tuft on the occipital region. The final diagnosis was occipital cephalocele with a rare presentation of a tiny tuft of hair. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - January 31, 2014 Category: Tropical Medicine Authors: Hatipoglu, N., Turel, O., Hatipoglu, H., Engerek, N., Siraneci, R. Tags: Case Report Source Type: research

Comparison of Two Empiric Antibiotic Regimen in Late Onset Neonatal Sepsis--A Randomized Controlled Trial
Conclusion: There was no significant difference between the two antibiotic regimens with regard to outcome of LOS. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - January 31, 2014 Category: Tropical Medicine Authors: Ramasamy, S., Biswal, N., Bethou, A., Mathai, B. Tags: Brief Reports Source Type: research