20 research outputs found
Monitoring psychomotor development in a resource-limited setting:An evaluation of the Kilifi Developmental Inventory
Monitoring psychomotor development in a resource-limited setting:An evaluation of the Kilifi Developmental Inventory
Adaptation and latent structure of the Kiswahili version of Beck Depression Inventory-II in a low literacy population in the context of HIV
Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from a resource-limited setting:A path-analytic study
The role of weight-for-age and disease stage in the poor psychomotor outcomes of HIV infected children in Kilifi, Kenya
Legislative History: An Act to Issue Military Service Award License Plate Decals BY REQUEST (SP56)(LD 166)
https://digitalmaine.com/legishist118/1165/thumbnail.jp
Coma scales for children with severe falciparum malaria
The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size κ (κn). We assessed the sensivitity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55, DR = 0.09 and κn = 0.27; ACS: PA = O.36, DR = O.31, and κn = 0.31), particularly with the verbal component of the BCS (κn = 0.02). Compared to the ACS, the BCS was more specific (0.85 for BCS and 0.80 for ACS), but less sensitive (0.25-0.69 vs. 0.38-0.88 respectively) in detecting events and was a worse predictor of neurological sequelae. The BCS provided a better overall assessment of a child's incapacity from falciparum malaria, but the ACS was more useful in assessing neurological disturbances.</p