The Effect of Rapid Antigen Detection Test on Antibiotic Prescription Decision of Clinicians and Reducing Antibiotic Costs in Children with Acute Pharyngitis
We aimed to investigate the effect of rapid antigen detection test (RADT) in the diagnosis of streptococcal pharyngitis, its impact on antibiotic prescription decision of pediatricians and influence on reduction of antibiotic treatment costs in children with pharyngitis. The study group consisted of 223 patients who were diagnosed with pharyngitis by pediatricians. The sensitivity and specificity of RADT were 92.1% (95% Cl: 78.6–98.3%) and 97.3% (95% Cl: 93.8–99.1%), respectively. In the first assessment, before performing RADT, pediatricians decided to prescribe antibiotics for 178 (79.8%) patients with pharyn...
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Kose, E., Sirin Kose, S., Akca, D., Yildiz, K., Elmas, C., Baris, M., Anil, M. Tags: Original Papers Source Type: research

Exclusive Breast-feeding Protects against Mother-to-Child Transmission of HIV-1 through 12 Months of Age in Tanzania
The jury on transmission of HIV through breast-feeding is still on. Data from a clinical trial in children born to HIV-positive mothers were evaluated with respect to their relationship to mother-to-child transmission. A total of 1629 infants who were not infected at age 6 weeks, had HIV results available at 12 months and who were breast-fed were included in this study. Exclusive breast feeding (EBF) rates declined from 85% at 2 months to < 30% by 4 months. EBF was associated with a sustained and significant reduction in HIV infection. With every incremental month of EBF, HIV infection was reduced by 16% [multivariable ...
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Manji, K. P., Duggan, C., Liu, E., Bosch, R., Kisenge, R., Aboud, S., Kupka, R., Fawzi, W. W. Tags: Original Papers Source Type: research

Prevalence of Overweight and Obesity among Children and Adolescents in Shandong, China: Urban-Rural Disparity
Conclusion: The change trend of urban–rural disparity should be concerned in the future; policies and interventions focused on childhood overweight and obesity should pay attention to rural areas. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Zhang, Y.-X., Wang, Z.-X., Zhao, J.-S., Chu, Z.-H. Tags: Original Papers Source Type: research

Flavored Intravenous Ondansetron Administered Orally for the Treatment of Persistent Vomiting in Children
Conclusions: Flavored intravenous ondansetron administered orally is a safe and an effective option and can be considered in the absence of the oral forms of the drug. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Ibrahim, K., Al Ansari, K. Tags: Original Papers Source Type: research

The Burden of Child Maltreatment Leading to Hospitalization in a Provincial Setting in Papua New Guinea
Conclusion: Improved awareness, establishment of appropriate channels for addressing child maltreatment and enforcement of child protection laws in PNG and other epidemiologically similar settings are urgently needed. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Rero, A., Aipit, J., Yarong-Kote, T., Watch, V., Bolnga, J. W., Vei, R., Morris, M., Lufele, E., Laman, M. Tags: Original Papers Source Type: research

Clinical Severity and Rotavirus Vaccination among Children Hospitalized for Acute Gastroenteritis in Belem, Northern Brazil
This study assessed the severity of rotavirus gastroenteritis (RVGE) according to the vaccination status among hospitalized children. We identified 1023 RVGE episodes among not vaccinated (n = 252), partially vaccinated (n = 156) and fully vaccinated (n = 615) children. Very severe gastroenteritis (scored ≥ 15) was reported in 16.7, 17.9 and 13.5% of not vaccinated, partially vaccinated and fully vaccinated children, respectively. There was a trend for a shorter duration of RV diarrhoea among vaccinated children than in not vaccinated children (p = 0.07). A protective effect of vaccination was noted when mean duration o...
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Justino, M. C. A., Brasil, P., Abreu, E., Miranda, Y., Mascarenhas, J. D. P., Guerra, S. F. S., Linhares, A. C. Tags: Original Papers Source Type: research

Assessment of Vitamin D Status and Response to Vitamin D3 in Obese and Non-Obese Iranian Children
Conclusion: Our study demonstrated a high frequency of vitamin D deficiency among Iranian children, particularly the obese ones. Moreover, low therapeutic response in the obese group is witnessed. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Motlaghzadeh, Y., Sayarifard, F., Allahverdi, B., Rabbani, A., Setoodeh, A., Sayarifard, A., Abbasi, F., Haghi-Ashtiani, M.-T., Rahimi-Froushani, A. Tags: Original Papers Source Type: research

Perfusion Index--Bedside Diagnosis of Hemodynamically Significant Patent Ductus Arteriosus
Conclusion: PI is a useful, simple parameter, which could help in the assessment of PDA in preterm babies. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Balla, K. C., John, V., Rao PN, S., Varghese, K. Tags: Original Papers Source Type: research

The Editorial Vision for the Journal of Tropical Pediatrics
(Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Authors: Bassat, Q., Simkiss, D. Tags: Editorial Source Type: research

In this issue 62/4
(Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - August 24, 2016 Category: Tropical Medicine Tags: In this Issue Source Type: research

Hepatic Abscesses in Preterm Infants: Report of Three Cases and Review of the Literature
Conclusion: We suggest evaluating all preterm neonates who have severe sepsis and/or necrotizing enterocolitis signs and who do not respond to prolonged antibiotic therapy with detailed abdominal ultrasound for possible hepatic abscesses as early diagnosis, and treatment favors prognosis. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - June 16, 2016 Category: Tropical Medicine Authors: Semerci, S. Y., Babayigit, A., Cebeci, B., Buyukkale, G., Cetinkaya, M. Tags: Clinical Review Source Type: research

Fatal Varicella Myocarditis in a Child with Down Syndrome--A Case Report
A 12-year-old male child with Down syndrome, who had recovered from congenital heart disease, succumbed to severe varicella myocarditis. His clinical presentation at admission mimicked acute coronary syndrome. Analysis of this case throws insight into several aspects of varicella myocarditis. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - June 16, 2016 Category: Tropical Medicine Authors: Sawardekar, K. P. Tags: Case Report Source Type: research

Effects of Kangaroo Care on Neonatal Pain in South Korea
In conclusion, KC might be an effective intervention in a full-term nursery for neonatal pain management. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - June 16, 2016 Category: Tropical Medicine Authors: Seo, Y. S., Lee, J., Ahn, H. Y. Tags: Brief Report Source Type: research

Diagnosing Developmental Dysplasia of Hip in Newborns Using Clinical Screen and Ultrasound of Hips--An Indian Experience
Conclusion: Universal clinical screen with USG of hip can aid in early diagnosis of DDH in newborns. Large population-based studies from developing countries need to look in its cost-effectiveness. (Source: Journal of Tropical Pediatrics)
Source: Journal of Tropical Pediatrics - June 16, 2016 Category: Tropical Medicine Authors: Kishore Kumar, R., Shah, P., AN, R., Rajan, R. Tags: Original Papers Source Type: research

Prevalence and Determinants of Child Maltreatment among School-Going Adolescent Girls in a Semi-Urban Area of Delhi, India
The study examines family characteristics that put adolescent girls at increased risk of abuse, mainly physical, sexual and emotional abuse and neglect. Stratified random sampling was done among classes 7th to 12th of government girls' schools of a semi-urban area of Delhi, and a total of 1060 adolescent girls participated. Majority were in mid-adolescence. Approximately 70% study subjects faced at least one form of maltreatment. Physical abuse was faced by 42.6%, sexual abuse by 26.6%, emotional abuse by 37.9% and neglect by 40.1% of study subjects. The most frequent perpetrator of physical and emotional abuse was mother,...
Source: Journal of Tropical Pediatrics - June 16, 2016 Category: Tropical Medicine Authors: Daral, S., Khokhar, A., Pradhan, S. Tags: Original Papers Source Type: research