Journal of paediatrics and child health最新文献

{"title":"The Health Needs and Management of Young People Accessing Paediatric Hauora Tāhine (Transgender Health) Services in Te Tai Tokerau.","authors":"Carmella Catlow, Sarah Goffin, Vicki Cunningham, Ashley Abraham, Cameron Grant","doi":"10.1111/jpc.70078","DOIUrl":"https://doi.org/10.1111/jpc.70078","url":null,"abstract":"<p><strong>Aims: </strong>Gender diverse tamariki and rangitahi (children and young people) have unique medical care needs. It is essential that this group receives timely and individualised care, provided locally and includes access to psychological support. We sought to describe the health needs and management of young people accessing Paediatric Hauora Tāhine (Transgender Health) services in the Te Tai Tokerau region of Aotearoa (New Zealand).</p><p><strong>Methods: </strong>A retrospective review of referrals and secondary care records of all patients referred to Te Tai Tokerau General Paediatric Department for Hauora Tāhine care from 1 January 2020 to 30 June 2023. Medical management provided, time to first assessment, access to mental health support, and fertility counselling were described.</p><p><strong>Results: </strong>Forty-five young people living in this region received Hauora Tāhine care. Mean (range) age at referral was 13 (8-15) years. Ten (22%) were Māori. Twenty-seven (60%) had co-existing mental health diagnoses and 5 (11%) had had a previous suicide attempt. Fourteen (31%) had possible or confirmed autism spectrum disorder (ASD). Median (interquartile range) time from referral to first specialist appointment was 90 (53-157) days. All received psychological support. Fifteen (33%) did not require medical treatment to affirm gender identity. Twenty-one (68%) had pubertal suppression with Lucrin and 10 (36%) with other menstrual suppressants. Gender-affirming hormone treatment was prescribed to 11 (24%), who also had prior psychology assessment and fertility discussions.</p><p><strong>Conclusion: </strong>Gender diverse young people require a range of treatments to support their gender identity. There is a high level of co-existing mental health needs and ASD in this group.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127939","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":"An Australian Paediatric Retrieval Service Riding the Wave of Invasive Group A Streptococcal Disease From 2022 to 2024.","authors":"Laura Scerri, Mandy Fletcher, Stuart Haggie, Tracey Lutz, Kathryn Browning Carmo","doi":"10.1111/jpc.70093","DOIUrl":"https://doi.org/10.1111/jpc.70093","url":null,"abstract":"<p><strong>Background: </strong>From late 2022, there was an increase in cases of invasive group A streptococcus (iGAS) reported in the Northern Hemisphere and there was a similar increase noted in the referrals to the Newborn and Paediatric Emergency Transport service (NETS NSW), in the state of New South Wales (NSW), Australia. This study describes the clinical characteristics and outcomes of children referred to NETS NSW with iGAS disease.</p><p><strong>Methods: </strong>A retrospective cohort of children referred to NETS NSW for management of iGAS disease between 1st November 2022 to 29th February 2024. Patients included had a confirmed diagnosis of iGAS disease (i.e., on detection of S. pyogenes from a sterile site). Clinical characteristics and outcome data were collected from the medical record.</p><p><strong>Results: </strong>Seventy-seven cases were referred to NETS NSW of children with confirmed iGAS disease and seventy were retrieved by NETS NSW. Three patients died in the referring hospital; one was retrieved by an interstate service and three improved and stayed locally. A male predominance of 44/77 (57%) was noted, most were children of preschool age (median 4.2 years QR 1.95-8.05), presenting with pneumonia (52/77, 67.5%), septic arthritis (12/77, 16%), or rash 37/68 (54%). There were high rates of bacteraemia (38/77, 49%) and increased mean serum lactate (4.8 mmol/L ± 3.3). High clinical acuity was seen, with most cases retrieved to paediatric intensive care unit (52/77, 68%), often managed with mechanical ventilation (36/77, 47%), effusion drainage (50/77, 65%) and 24/77 (27%) referred via NETS NSW for the Kids ECMO Referral Service (KERS). IVIg was added for 31/64 cases (48%) as supportive care, along with antibiotic therapy. Four children did not survive.</p><p><strong>Conclusion: </strong>The prevalence of iGAS disease referrals to NETS NSW significantly increased from late 2022 to early 2024. There was a high service demand for NETS NSW to retrieve critically unwell preschool-aged children requiring critical stabilisation and transfer to a paediatric intensive care unit (PICU).</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127831","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":"Adolescents, Alcohol and Other Drugs: Assessment and Withdrawal Management Guidelines in a Paediatric Hospital.","authors":"Jessica W S Wong, Megan Joyce, Rene Vytialingam, Rachel Newton, Vince Martino, Matthew Edwards, Nicolene Shipton","doi":"10.1111/jpc.70086","DOIUrl":"https://doi.org/10.1111/jpc.70086","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127754","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":"Fatal Necrotising Enterocolitis Associated With IVIG Infusion in a Term Infant With Haemolytic Disease: Case Report.","authors":"Gökçe Çıplak, Büşra Yıldız, Feyza İnci, Eren Can Sarıtaş, Sevcan İpek, Cengiz Güney","doi":"10.1111/jpc.70096","DOIUrl":"https://doi.org/10.1111/jpc.70096","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127937","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":"COVID19-Related Onset and Relapses of Juvenile Systemic Lupus Erythematosus-Like Disease.","authors":"Chiara Cannata, Francesca Tirelli, Alessandra Meneghel, Francesco Zulian","doi":"10.1111/jpc.70087","DOIUrl":"https://doi.org/10.1111/jpc.70087","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127930","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":"Letter to the Editor Concerning \"Efficacy of Facilitated Tucking Position and Reiki Given to Preterm Infants During Orogastric Tube Insertion: A Randomised Controlled Trial\".","authors":"Thomas J Wheeler","doi":"10.1111/jpc.70090","DOIUrl":"https://doi.org/10.1111/jpc.70090","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111025","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 Relationship Between Developmental Dysplasia of the Hip (DDH) and Congenital Talipes Equinovarus (CTEV)-A Retrospective Case Series.","authors":"Andrew Gorrie, Natalie Tannos, Dean Morris, Andrew Leicester, Jeffrey S Ling, Arnold Suzuki, Samya Lakis","doi":"10.1111/jpc.70089","DOIUrl":"https://doi.org/10.1111/jpc.70089","url":null,"abstract":"<p><strong>Backgrounds: </strong>There is no consensus if a relationship exists between idiopathic congenital talipes equinovarus (CTEV) and developmental dysplasia of the hip (DDH). Our research aim was to provide a contemporary Australian population statistical relationship between DDH and idiopathic CTEV, compared to published data.</p><p><strong>Methods: </strong>We conducted a retrospective data analysis of a continuous sample of infants with idiopathic CTEV, who attended a Ponseti Clinic at Sydney Children's Hospital, born between 2010 and 2019. The prevalence of DDH requiring treatment was diagnosed utilising screening ultrasonography and compared to the most valid population data from Australia. The relative risk compared to this data was also determined.</p><p><strong>Results: </strong>There were 250 subjects who met the inclusion criteria and had complete datasets for analysis. The prevalence of DDH in our idiopathic CTEV study population was 52.9 (95% CI 27.6-90.5) per 1000. This represents a higher prevalence rate than Western Australian and South Australian datasets, with 9.5 (95% CI 8.9-10.1) and 5.0 (95% CI 4.6-5.5) per 1000, respectively. The relative risk of DDH in our idiopathic CTEV study population was 5.59 (95% CI 3.21-9.73, p < 0.0001) and 10.50 (95% CI 6.01-18.34, p < 0.0001), compared to Western Australian and South Australian population datasets, respectively.</p><p><strong>Conclusion: </strong>Our study findings support a positive correlation between idiopathic CTEV and DDH. The relative risk of DDH in the idiopathic CTEV population is 5-10 times higher than the general Australian population. When selective hip ultrasound screening is used, we believe idiopathic CTEV should be considered a risk factor for DDH.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102096","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":"Exercise-Induced Dyspnea: There is More to This Than Meets the Eye!-A Narrative Review.","authors":"Maria Michelle Papamichael, Charis Katsardis","doi":"10.1111/jpc.70088","DOIUrl":"https://doi.org/10.1111/jpc.70088","url":null,"abstract":"<p><p>In the sporting community, symptoms of breathlessness during maximal exertion are common complaints in athletes, often mistaken for exercise-induced asthma and fail to respond to conventional asthma therapy. The possibility of laryngeal abnormalities including exercise-induced laryngeal obstruction (EILO) as the cause of symptoms is often overlooked due to a lack of clinical insight and awareness of this condition. We aimed to elucidate the relationship between upper airway obstruction at the glottic and supraglottic levels and exercise-induced dyspnea in recreational and competitive youth athletes. Second, we aimed to gain a broader understanding of the physiologic characteristics' indicative of EILO, its prevalence, and its consequences on athletic performance and diagnostics. A PUBMED search using keywords 'exercise-induced asthma or EILO' was performed to include 21 observational studies of youth athletes with EILO. Overall, the real-world evidence suggests that complaints of breathlessness, stridor and noisy breathing on inhalation during strenuous exercise are common in youth athletes that are often mistaken for exercise-induced asthma. Continuous laryngoscopy exercise is the gold standard for identifying laryngeal obstruction in relation to exercise. Glottic or supraglottic closure in response to maximal physical effort are features that differentiate EILO from asthma. Referral to a speech therapist for inspiratory muscle or respiratory retraining is the first line of treatment, and surgery for severe supraglottic dysfunction. In clinical practice, increasing awareness and adopting a systematic multidisciplinary approach investigating respiratory issues in youth athletes and efficient treatment strategies targeting EILO will enable the rapid resolution of symptoms, improve overall patient well-being, and optimise athletic performance.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078637","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":"Cochrane Corner: 'Psychological Interventions for Depression in Adolescent and Adult Congenital Heart Disease'.","authors":"Paul N Cooper, Joseph Burns, Katherine B Salciccioli","doi":"10.1111/jpc.70083","DOIUrl":"https://doi.org/10.1111/jpc.70083","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078635","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":"Efficacy of Facilitated Tucking Position and Reiki Given to Preterm Infants During Orogastric Tube Insertion: A Randomised Controlled Trial.","authors":"Hilal Kurt Sezer, Hatice Onal, Halil Degirmencioglu, Sibel Küçükoğlu","doi":"10.1111/jpc.70085","DOIUrl":"https://doi.org/10.1111/jpc.70085","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005608","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}