15^th Annual Congress on
Pediatrics

Biography:

Eduardo Antonio Lara-Perez is Graduated from UNAM, specialty in Pediatrics ISSSTE, and  also Retired IMSS, Academician (Mexican Academy of Pediatrics), Former President: Mexican School of Pediatrics Teachers, Former Covecyt researcher, "Breathe"Advisor. Publication of 30 research articles, He is athe Creator Clinasma it is the control  functional of asthma and pulmonary rehabilitation. 

 

Abstract:

Bronchial asthma is a condition that affects up to 13% of the school population, is associated with reduced inspiratory and expiratory flows, rhinitis and respiratory infections. Ionic nasal saline solution is an adjuvant option for treatment with bactericidal and virucidal effects.Objective. To determine the effect of the use of ionized nasal saline in the maximum inspiratory flow (MIF) and peak expiratory flow (PEF) and the frequency of respiratory infections in school children with bronchial asthma.Pre-experimental study with baseline demographic, anthropometric measurements, frequency of respiratory infections and inspiratory and expiratory flows. Follow-up for four months with monthly evaluations of MIF, PEF and presence of respiratory infections. Inferential analysis with: Chi square, Mann-Whitney, Wilcoxon and Student's .We included 80 schoolchildren of 8.7 ± 2.1 years, height of 1.31 ± 2.1 m, 48 (60.0%) of male and 32 female (40%). The MIF evolved from 58.4 ± 19.3 L / sec initial and 104.7 ± 29.2 at four months (p <0.05), PEF initiation 192.7 ± 58.7 to 222.3 ± 67.0 final (p <0.05) respiratory infections 100% to 88.8% first month and 0.0% at the end (p <0.05).The administration of ionized nasal saline solution in asthmatic schoolchildren allows to recover values ​​of MIF and PEF, and to reduce the frequency of infectious airways, independently of the sex and category of acute or chronic infection.

Biography:

Naphtal Nyirimanzi is Lecturer at University of Rwanda, Pediatrician at University Teaching Hospital of Butare, Rwanda and her motive is to caregivers of children with cardiovascular diseases (CVDs) while seeking care for their children

 

Abstract:

Across-sectional mixed method study was conducted in the department of Pediatrics of University Teaching Hospitals: Kigali and Butare. The quantitative part included all children, ≤15 year old cardiac diseases that consulted from January to August 2016. Manual data extraction was done from their file. The qualitative part data was obtained from in-depth interviews of caregivers of children with cardiac diseases in order to explore their experiences while seeking care for their children from home until teaching hospitals. The information was filled in spreadsheet format. The data entry and analysis was performed using Microsoft Excel, Microsoft Word, and Dedoose; recording and presentation of results was done using Microsoft Excel and Microsoft Word.

Both hospitals received 368 children with cardiac diseases in 8 month period. Females were 52.9%. The majority was in heart failure (NYHA IV: 21.9%, NYHA III: 29.2). The main cardiac diseases were rheumatic heart diseases (32.3%) and ventricular septal defects (24.4%). Qualitative part included twelve caregivers of children with CVDs; 8 female and 4 male participated in-depth interviews. Their age varied between 27 and 51 years with mean of 39 years.  Three main topics emerged from interviews. The first topic comprises the experience of caregivers in care seeking for the children with cardiac diseases:  recognition of symptoms, access to adequate healthcare services, etc: the caretakers, the family, even the healthcare providers had difficulty to identify and interpret signs and symptoms of cardiac diseases in children, with late care seeking.  The second topic concerned the challenges and barriers to seeking care through referral system: wrong and late recognition of symptoms (poisoning, malaria, etc.), limited access to optimal management (geographic and economic barrier, lack of adequate equipment and skilled personnel, poor customer care, use of traditional medicine, and family instability and violence). Finally, respondents highlighted the recommendations for improvement mainly customer care, and education of community and health professionals about cardiac diseases in order to timely recognize them and provide adequate management. Children present with different types of cardiac disease, some of which can be prevented, particularly acute rheumatic fever and rheumatic heart diseases. Their caretakers meet many challenges in seeking care for children with cardiac diseases, some of which can be managed with holistic approach including engagement of families, healthcare system, and local government.