Journal of paediatrics and child health最新文献

{"title":"A Male Infant With Chondrodysplasia Punctata Presenting With Apnea and Growth Faltering: A Case Report.","authors":"Reina Matsuda, Toshiki Nakamura, Kentaro Fukuda, Mikako Enokizono, Yuko Tsujioka, Maya Kono, Satoshi Ihara, Hiroshi Sakakibara","doi":"10.1111/jpc.70418","DOIUrl":"https://doi.org/10.1111/jpc.70418","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Butane Toxicity: Severe Multi-Organ Dysfunction in an Adolescent Following Butane Inhalation: A Case Report.","authors":"Hannah R Reichel, Rahul S Joshi","doi":"10.1111/jpc.70405","DOIUrl":"https://doi.org/10.1111/jpc.70405","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Limited-Eligibility Nirsevimab on Paediatric Respiratory Syncytial Virus (RSV) Infection and Hospitalisations in the Australian Capital Territory: An Observational Cohort Study.","authors":"Nicola Irwin, Shevaun Ey, Xiyu Chen, Deepti Raina, Drew Richardson","doi":"10.1111/jpc.70402","DOIUrl":"https://doi.org/10.1111/jpc.70402","url":null,"abstract":"<p><strong>Aim: </strong>To assess changes in Respiratory Syncytial Virus (RSV) epidemiology and hospitalisations following implementation of a limited-eligibility nirsevimab program.</p><p><strong>Methods: </strong>This observational cohort study included all infants aged < 2 years residing in our jurisdiction with laboratory-confirmed RSV and/or receipt of an RSV monoclonal antibody between April 2022 and March 2025. Cases were followed for emergency department (ED) presentations and hospital admissions. Primary outcomes were RSV incidence, ED presentation, and hospitalisation rates.</p><p><strong>Results: </strong>We identified 2355 RSV cases, with 1625 infants presenting to ED and 701 hospitalised. Among 308 infants receiving nirsevimab, the most common indication was prematurity; 2.4% experienced breakthrough RSV infection. RSV incidence increased post-nirsevimab (April 2024-March 2025: 89.06/1000 infant-years) compared with the pre-nirsevimab period (April 2022-March 2024: 67.99/1000 infant-years), consistent with local and national trends. Characteristics of hospitalised infants changed in the post-nirsevimab period: age increased (from 9.4 to 10.7 months, p = 0.019), the proportion aged < 3 months decreased (from 27.6% to 19.7%, p = 0.013) and prematurity prevalence nearly halved (from 13.3% to 7.3%, p = 0.041). Clinical characteristics also changed, with an 8-h reduction in length of stay (p = 0.010), and a one fifth reduction in the need for respiratory support (p < 0.001). No significant differences were observed for Aboriginal and Torres Strait Islander infants.</p><p><strong>Conclusions: </strong>Hospitalisations among infants at greatest risk for severe RSV disease reduced following introduction of the limited-eligibility nirsevimab program. However, Aboriginal and Torres Strait Islander infants remained over-represented in hospital admissions and under-served by the program in its first year, warranting further investigation.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WWOX Mutation as a Rare Cause of Neonatal-Infantile Parkinsonism Mimicking a Neurotransmitter Disorder: A Case Report.","authors":"Ozge Serce Pehlevan, Gizem Gider Yaman, Anıl Gok, Leman Tekin Orgun","doi":"10.1111/jpc.70401","DOIUrl":"https://doi.org/10.1111/jpc.70401","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical Diagnosis in the Paediatric Emergency Department: Silent Tetanus.","authors":"Aslıhan Karakurum, Hatice Burcu Çağlar Kızıl, Nazan Ulgen Tekerek, Tuğçe Tural Kara, Ozlem Tolu Kendir","doi":"10.1111/jpc.70414","DOIUrl":"https://doi.org/10.1111/jpc.70414","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Is a Paediatrician? Reflection on the Specialty of Paediatrics.","authors":"John Massie","doi":"10.1111/jpc.70409","DOIUrl":"https://doi.org/10.1111/jpc.70409","url":null,"abstract":"<p><p>A paediatrician is a specialist medical practitioner committed to the health and well-being of infants, children and young people. However, curricula for training in paediatrics are predominantly process and content focussed, with some emphasis on professional behaviours, but because of their length do not distil the essence of what it is to be a paediatrician. In this paper, I explore some of the history of paediatrics to build a modern conception of this most marvellous vocation.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subgaleal Haematoma-A Rare Cause of Head Swelling in a School-Aged Girl.","authors":"Patrick J B Walker, Jim J Goutzamanis","doi":"10.1111/jpc.70415","DOIUrl":"https://doi.org/10.1111/jpc.70415","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisystem COVID-19 in an Ex-22 Week Extremely Preterm Infant With Severe Bronchopulmonary Dysplasia - A Case Report.","authors":"Corey D Forrest, Pita Birch, Ju Lee Oei","doi":"10.1111/jpc.70408","DOIUrl":"https://doi.org/10.1111/jpc.70408","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifaceted Assessment of Nutritional Status and Gastrointestinal Health in Duchenne Muscular Dystrophy: Approaches Based on Skinfold Thickness and Mid-Upper Arm Circumference.","authors":"Gül Çirkin, Yiğithan Güzin, Gizem Doğan, Gamze Sarıkaya Uzan, Figen Baydan","doi":"10.1111/jpc.70413","DOIUrl":"https://doi.org/10.1111/jpc.70413","url":null,"abstract":"<p><p>Duchenne muscular dystrophy (DMD) is a progressive neuromuscular disorder characterized by prominent nutritional and gastrointestinal challenges. This study aimed to evaluate the nutritional status, gastrointestinal symptoms and biochemical deficiencies in children with DMD, with a particular focus on the clinical utility of supplementary anthropometric indicators such as mid-upper arm circumference Z-score (MUAC-Z) and triceps skinfold thickness Z-score (TSF-Z). This cross-sectional study included 65 genetically confirmed DMD patients aged 5-18 years. Anthropometric data (BMI-SDS, MUAC-Z, TSF-Z), gastrointestinal complaints, serum vitamin D levels and clinical features were analysed. ROC curve analysis was conducted to determine age thresholds associated with symptom onset. The most frequently reported gastrointestinal complaints were abdominal bloating (50.8%), constipation (32.3%) and regurgitation (30.8%). Swallowing difficulties and prolonged meal times were significantly associated with older age and loss of ambulation. ROC analysis identified > 14.5 years as the age threshold for solid food dysphagia. A moderate, significant positive correlation was observed between MUAC-Z and BMI-SDS (r = 0.520; p < 0.001), whereas no significant association was found between TSF-Z and BMI-SDS. Vitamin D deficiency (< 30 ng/mL) was widespread (86.2%) and more prevalent among non-ambulatory patients (96.6% vs. 77.8%; p = 0.036). Malnutrition was more frequently observed in steroid-naïve children than in those receiving corticosteroid therapy (50% vs. 19%; p = 0.041). Nutritional deficiencies and gastrointestinal symptoms are commonly encountered in paediatric DMD and tend to increase with advancing age and functional decline. MUAC-Z and TSF-Z may offer complementary insights into muscle mass and fat distribution beyond BMI. These simple and non-invasive measurements could be useful additions to routine nutritional surveillance in DMD management.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective Use of Subcutaneous Tocilizumab in a Case of Castleman Disease Progressing From Unicentric to Multicentric Form.","authors":"Samuele Naviglio, Francesca Nicolardi, Rossana Bussani, Alberto Tommasini, Egidio Barbi, Marco Rabusin","doi":"10.1111/jpc.70404","DOIUrl":"https://doi.org/10.1111/jpc.70404","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}