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This is an ecological study that sought to assess the relationship between the spatial clustering of infant mortality and the adequacy of vital information. The adequacy of information from the Brazilian Live Birth Database (SINASC) and Mortality Database (SIM) were examined using a validated method that uses five indicators calculated by municipality and population size. Municipalities were classified as either having consolidated data, data currently being consolidated, or not having consolidated data. Voronoi polygons were generated for spatial analysis in order to minimize any proximity issues among municipalities. The local Moran index was applied to identify spatial clustering of infant mortality. It was established that 76.2% of all municipalities had consolidated vital data. Infant mortality clustering was seen in 34 municipalities comprising three spatial clusters. An association was also found between the adequacy of vital information and the spatial clustering of infant mortality. Geostatistical techniques proved to have predictive power to identify spatial clustering with consolidated vital information. The approach will contribute to the improvement of data quality and can be used for planning actions seeking to reduce infant mortality.
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http://dx.doi.org/10.1590/1413-81232014197.18012013 | DOI Listing |
Stat Med
September 2025
Department of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, Kansas, USA.
Background: Binary endpoints measured at two timepoints-such as pre- and post-treatment-are common in biomedical and healthcare research. The Generalized Bivariate Bernoulli Model (GBBM) provides a specialized framework for analyzing such bivariate binary data, allowing for formal tests of covariate-dependent associations conditional on baseline outcomes. Despite its potential utility, the GBBM remains underutilized due to the lack of direct implementation in standard statistical software.
View Article and Find Full Text PDFNeurology
October 2025
Department of Neurology, Children's National Hospital, Washington, DC.
Background And Objectives: Posthypoxic myoclonus (PHM) is associated with a poor prognosis in adults. Studies on this topic are limited in pediatrics. We aim to describe the incidence, EEG features, and outcomes of PHM after pediatric cardiac arrest (CA).
View Article and Find Full Text PDFPediatr Pulmonol
September 2025
Department of Pediatrics, Division of Pediatric Allergy, Immunology and Pulmonary Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Background: Children with tracheostomies require skilled medical care performed by trained caregivers or home health nursing (HHN). HHN services are often limited, resulting in increased caregiver responsibilities. We aim to evaluate HHN availability, healthcare utilization, and mortality in tracheostomy dependent children, pre and post-COVID-19 pandemic.
View Article and Find Full Text PDFUlus Travma Acil Cerrahi Derg
September 2025
Department of Burns Unit, Somalia-Türkiye Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu-Somalia.
Background: Epidemiological data are needed to develop pediatric burn prevention strategies and guide interventions in low-and middle-income countries.
Methods: In this observational retrospective study, the characteristics of 140 consecutive pediatric patients who were hospitalized and treated for burns at the Burns Unit of a hospital in Mogadishu, Somalia, between November 2022 and April 2024 were analyzed.
Results: The patients included 50% males and 50% females, with a mean age of 4.
J Obstet Gynaecol Res
September 2025
Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Aim: This study aimed to investigate maternal and perinatal outcomes in pregnancies among women aged50-54 and 55-59, to refine risk assessments and inform evidence-based counseling and perinatal management guidelines.
Methods: A nationwide registry maintained by the Japan Society of Obstetrics and Gynecology identified pregnancies between January 2013 and December 2022. Analyses included women aged 45-59 years with assisted reproductive technology pregnancies, excluding triplet or higher-order multiple gestations.