Review Article
Glycemic Assessment of Type I Diabetic Children in the Dakar Region, Senegal
Niang Babacar
,
Mbaye Aminata*,
Boiro Djibril,
Sow Amadou,
Ndiaye Oulimata,
Dina Obambi,
Ly Fatou,
Sy Khady,
Mbaye Maimouna Ndour,
Ndiaye Ousmane
Issue:
Volume 11, Issue 1, March 2025
Pages:
1-6
Received:
26 November 2024
Accepted:
12 December 2024
Published:
16 January 2025
DOI:
10.11648/j.ajp.20251101.11
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Abstract: Introduction: Type 1 diabetes (T1D) accounts for more than 90% of all cases of diabetes in children and adolescents. The aim of this study is to determine the level of glycemic control and to analyze the factors of poor control. Methodology: This is a prospective study conducted in five (5) pediatric departments in Dakar over a period of 6 months and including all children aged 0 to 18 years with type 1 diabetes. Glycemic balance was assessed with glycated hemoglobin (HbA1c). Results: During the study, two hundred (200) patients were included. The mean age at diagnosis was 12.15 years ± 3.98 years [range 1.00 to 18.00 years]. Ketoacidosis was the main circumstance of discovery in 67.00% (134 individuals). The types of insulin used were human in 64% of cases. Among the patients who received therapeutic education (22), 39.33% were not educated by a qualified provider. There was a glycemic imbalance in 70.5% of patients. After an analytical study, there was no statistically significant difference between HbA1c and gender, geographical origin, socioeconomic and educational level of parents, duration of diabetes progression, physical activity and the therapeutic protocol used. However, therapeutic education had a positive influence on HbA1c. Conclusion: The glycemic control of diabetic patients in the Dakar region is very insufficient. This would be due to several factors including the insufficiency of therapeutic education. It is important to train providers in this fundamental aspect of diabetes management.
Abstract: Introduction: Type 1 diabetes (T1D) accounts for more than 90% of all cases of diabetes in children and adolescents. The aim of this study is to determine the level of glycemic control and to analyze the factors of poor control. Methodology: This is a prospective study conducted in five (5) pediatric departments in Dakar over a period of 6 months a...
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Research Article
Risk Factors of Pneumonia in Children: A Study in a Tertiary Care Hospital in Bangladesh
Issue:
Volume 11, Issue 1, March 2025
Pages:
7-13
Received:
15 December 2024
Accepted:
30 December 2024
Published:
22 January 2025
DOI:
10.11648/j.ajp.20251101.12
Downloads:
Views:
Abstract: Background: Pneumonia remains a significant health concern in children in developing countries. The identification of risk factors is an important step in formulating effective interventions. Aim: This study has been conducted to assess different risk factors associated with pneumonia. Methods: A cross-sectional study of six months has been conducted by enrolling a total of 65 children presenting with pneumonia in Bangladesh Shishu Hospital & Institute, Dhaka, Bangladesh. Between February 2024 to August 2024. Demographic, socio-economic, environmental, nutritional, and immunization data are discussed. Results: The cohort consisted of 54% males and 46% females, distributed as 31% infants, 38% toddlers, and 31% preschoolers. A considerable number, 50%, belonged to lower socio-economic classes and were undernourished. Also, solid fuel use was 42%, indoor smoking was 32%, and vaccination coverage was very low-28% pneumococcal and 36% influenza. The severity of pneumonia was mild in 49%, moderate in 38%, and severe in 13%. Logistic regression analysis showed that being underweight, indoor smoking, and low immunization coverages are independent risk factors with significant OR values of 3.2, 2.8, and 2.1, respectively. Conclusion: The multi-factorial causes of pneumonia in children require health interventions targeting socioeconomic, environmental, and health-related risks to improve the prognosis among children in Bangladesh.
Abstract: Background: Pneumonia remains a significant health concern in children in developing countries. The identification of risk factors is an important step in formulating effective interventions. Aim: This study has been conducted to assess different risk factors associated with pneumonia. Methods: A cross-sectional study of six months has been conduct...
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