Journal of paediatrics and child health最新文献_第2页

Efficacy of Facilitated Tucking Position and Reiki Given to Preterm Infants During Orogastric Tube Insertion: A Randomised Controlled Trial. 便利收纳体位和灵气对早产儿置胃管的疗效：一项随机对照试验。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-13 DOI: 10.1111/jpc.70085

Hilal Kurt Sezer, Hatice Onal, Halil Degirmencioglu, Sibel Küçükoğlu

引用次数: 0

The Impact of the COVID-19 Pandemic on Physical, Social and Emotional Well-Being in a Cohort of Children With Disabilities in the United States. 新冠肺炎大流行对美国残疾儿童群体身体、社会和情感健康的影响

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-13 DOI: 10.1111/jpc.70082

Cara Vernacchia, Yuyang Chu, Adam De Jesus, Juliana Couri, Sanchita Sen, Kavita Gohil, Kathryn De Marco, Rose Darcy, Timothy Krater, Larissa Pavone, Prakash Jayabalan

{"title":"The Impact of the COVID-19 Pandemic on Physical, Social and Emotional Well-Being in a Cohort of Children With Disabilities in the United States.","authors":"Cara Vernacchia, Yuyang Chu, Adam De Jesus, Juliana Couri, Sanchita Sen, Kavita Gohil, Kathryn De Marco, Rose Darcy, Timothy Krater, Larissa Pavone, Prakash Jayabalan","doi":"10.1111/jpc.70082","DOIUrl":"https://doi.org/10.1111/jpc.70082","url":null,"abstract":"Background: The COVID-19 pandemic has affected the daily lives of all individuals. Research is limited in how children with disabilities (CWD) in the United States (U.S.) have been affected by the pandemic socially or emotionally, or if they are obtaining the recommended 60 min of daily physical activity.Objective: Evaluate (a) the social, behavioural and psychological changes of CWD during the pandemic, (b) whether CWD are reaching the recommended 60 min of daily physical activity and (c) how the social vulnerability index (SVI) impacts these variables.Methods: This study was a cross-sectional survey study of parents of CWD at two rehabilitation hospitals.Results: A total of 118 surveys were completed. Child's mean age was 9.5 ± 5.1 years; 49 (41.5%) were female; 67 (56.9%) were male. Seventy-one (60.2%) respondents agreed the pandemic has negatively affected their child's well-being, and 83 (70.3%) cited their child is more socially isolated. All respondents cited behavioural changes in their child. Eighty-seven (73.7%) children are leaving the house less, with 31 (26.3%) children completing 60 min of daily physical activity. The main barrier was concern for COVID transmission (n = 76, 64.4%). There were no differences between SVI risk groups for access to therapy at school (p = 0.56), therapy outside of school (p = 0.44), medical follow-up (p = 0.91), access to psychological services (p = 0.21), amount of physical activity (p = 0.41), well-being (p = 0.89), or social isolation (p = 0.85).Conclusions: The COVID-19 pandemic has negatively impacted the social, emotional, and physical well-being of CWD, with the majority not reaching daily physical activity recommendations.","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":"143998038","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}

引用次数: 0

The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross-Sectional Study. 儿童足部姿势、足部和踝关节测试与多动症之间的关系：一项横断面研究。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-10 DOI: 10.1111/jpc.70084

Carlos Martinez-Sebastian, Angela M F Evans, Laura Ramos-Petersen, Cristina Molina-Garcia, Álvaro Gómez-Carrión, Gabriel Gijon-Nogueron

{"title":"The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross-Sectional Study.","authors":"Carlos Martinez-Sebastian, Angela M F Evans, Laura Ramos-Petersen, Cristina Molina-Garcia, Álvaro Gómez-Carrión, Gabriel Gijon-Nogueron","doi":"10.1111/jpc.70084","DOIUrl":"https://doi.org/10.1111/jpc.70084","url":null,"abstract":"Background: Previous studies have investigated flattened foot arches associated with joint hypermobility using the Beighton scale. The absence of lower limb items below the knee in the Beighton scale questions the relevance of this relationship. Addressing this query, a new validated test has been used to assess joint hypermobility, the Foot and Ankle Flexibility Index (FAFI). Utilising the FAFI, the intention was then to relate it against known reliable morphofunctional foot and ankle tests, and also a validated paediatric physical activity test.Methods: A total of 205 healthy children, aged 5 to 10 years, participated in this cross-sectional study, which included the Lunge Test, Rest Calcaneal Stance Position (RCSP), Foot Posture Index (FPI) and 6 Minute Walking Test (6MWT).Results: Significant correlations were found between FAFI and the test variables: RCSP (r = 0.334), Age (r = -0.254), FPI (r = 0.252), and 6MWT (r = -0.240). The multivariable linear regression of the hypermobility component according to FAFI presented an R2 value of 24.9%.Conclusions: This study suggests that younger children and those with greater foot and ankle hypermobility have a more pronated foot stance, a greater range of ankle dorsiflexion, and a decreased walking speed/distance. Given the public health implications of unnecessary attention to many paediatric flatfeet presentations, these findings increase clinical clarity, using the new and validated FAFI.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016397","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}

引用次数: 0

Five Lessons in Feeding Following Abdominal Surgery in Children: Can We Discontinue Unnecessary Fasting? 儿童腹部手术后喂养的五个教训：我们能停止不必要的禁食吗？

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-07 DOI: 10.1111/jpc.70069

James Cope, Joyce Ly, Saleha Sehgol, Douglas Greer, S V Soundappan, Susan Adams

引用次数: 0

Inductance Plethysmography in Preterm Newborns Under Volume Guarantee Ventilation: A Crossover Study. 容量保证通气条件下早产新生儿的电感体积脉搏描记：一项交叉研究。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-07 DOI: 10.1111/jpc.70081

Pedro Ykaro Fialho Silva, Mayara Fabiana Pereira Costa, Ingrid Guerra Azevedo, Suzylane Annuska Guerra da Silva, Ingrid Fonseca Damasceno Bezerra, Silvana Alves Pereira

{"title":"Inductance Plethysmography in Preterm Newborns Under Volume Guarantee Ventilation: A Crossover Study.","authors":"Pedro Ykaro Fialho Silva, Mayara Fabiana Pereira Costa, Ingrid Guerra Azevedo, Suzylane Annuska Guerra da Silva, Ingrid Fonseca Damasceno Bezerra, Silvana Alves Pereira","doi":"10.1111/jpc.70081","DOIUrl":"https://doi.org/10.1111/jpc.70081","url":null,"abstract":"Introduction: The diaphragm of preterm newborns is flat, weak and horizontally inserted in the rib cage. Consequently, it hampers the lever mechanism during muscle contraction, reduces the efficiency of pulmonary ventilation and chest expansion and increases energy expenditure.Objective: Primary outcome was to assess chest expansion using inductance plethysmography in preterm newborns during assist-control ventilation and inspiratory pressure control with and without volume guarantee (AC-PC and VG, respectively) and secondary outcomes were to assess ventilatory and autonomic outcomes.Methods: Chest expansion, as well as ventilatory (peak pressure, minute volume, dynamic compliance and airway resistance) and autonomic outcomes (heart rate, respiratory rate and peripheral oxygen saturation), were measured at 0, 30 and 60 min after initiation of ventilation in a crossover clinical trial study. A 30-min wash-out was performed between changes in ventilation modes.Results: We analysed 450 respiratory cycles of preterm newborns between 27 and 32 gestational age (weighted 964 ± 167.1 g). Chest expansion was higher in VG in T0 (p = 0.01), T30 (p < 0.01) and T60 (p = 0.04). Ventilatory outcomes are similar between two modes. Heart rate in VG mode was lower than AC-PC at T60 (p < 0.01), whereas peripheral oxygen saturation (SpO2) was higher at the three moments, being significant at T30 (p = 0.02). Although nonsignificant, respiratory rate was lower for VG when compared to AC-PC.Conclusion: VG may increase chest expansion and peripheral oxygen saturation compared with AC-PC mode, and reduce heart rate.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031866","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}

引用次数: 0

Comparing ChatGPT-4 and a Paediatric Intensive Care Specialist in Responding to Medical Education Questions: A Multicenter Evaluation. 比较ChatGPT-4和儿科重症监护专家在回答医学教育问题：一项多中心评估。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-07 DOI: 10.1111/jpc.70080

Shai Yitzhaki, Nadav Peled, Eytan Kaplan, Gili Kadmon, Elhanan Nahum, Yulia Gendler, Avichai Weissbach

{"title":"Comparing ChatGPT-4 and a Paediatric Intensive Care Specialist in Responding to Medical Education Questions: A Multicenter Evaluation.","authors":"Shai Yitzhaki, Nadav Peled, Eytan Kaplan, Gili Kadmon, Elhanan Nahum, Yulia Gendler, Avichai Weissbach","doi":"10.1111/jpc.70080","DOIUrl":"https://doi.org/10.1111/jpc.70080","url":null,"abstract":"Objective: To compare the performance of the Generative Pre-trained Transformer model 4 (ChatGPT-4) with that of a paediatric intensive care unit (PICU) specialist in responding to open-ended medical education questions.Methods: A comparative analysis was conducted using 100 educational questions sourced from a PICU trainee WhatsApp forum, covering factual knowledge and clinical reasoning. Ten PICU specialists from multiple tertiary paediatric centres independently evaluated 20 sets of paired responses from ChatGPT-4 and a PICU specialist (the original respondent to the forum questions), assessing overall superiority, completeness, accuracy, and integration potential.Results: After excluding one question requiring a visual aid, 198 paired evaluations were made (96 factual knowledge and 102 clinical reasoning). ChatGPT-4's responses were significantly longer than those of the PICU specialist (median words: 189 vs. 41; p < 0.0001). ChatGPT-4 was preferred in 60% of factual knowledge comparisons (p < 0.001), while the PICU specialist's responses were preferred in 67% of clinical reasoning comparisons (p < 0.0001). ChatGPT-4 demonstrated superior completeness in factual knowledge (p = 0.02) but lower accuracy in clinical reasoning (p < 0.0001). Integration of both answers was favoured in 37% of cases (95% CI, 31%-44%).Conclusions: ChatGPT-4 shows promise as a tool for factual medical education in the PICU, excelling in completeness. However, it requires oversight in clinical reasoning tasks, where the PICU specialist's responses remain superior. Expert review is essential before using ChatGPT-4 independently in PICU education and in other similarly underexplored medical fields.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026497","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}

引用次数: 0

Prevalence and Associations of Vaping in Young People Entering Youth Custody in New South Wales, Australia-A Retrospective Cross-Sectional Study. 在澳大利亚新南威尔士州进入青少年监护的青少年中，电子烟的患病率及其关联——一项回顾性横断面研究。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-07 DOI: 10.1111/jpc.70077

Leigh Haysom, Abdul Nasser, Calla Lee, Anna Barker, Penelope Abbott

{"title":"Prevalence and Associations of Vaping in Young People Entering Youth Custody in New South Wales, Australia-A Retrospective Cross-Sectional Study.","authors":"Leigh Haysom, Abdul Nasser, Calla Lee, Anna Barker, Penelope Abbott","doi":"10.1111/jpc.70077","DOIUrl":"https://doi.org/10.1111/jpc.70077","url":null,"abstract":"Aim: Australia is a leader in rates of youth vaping. Previous research has shown that at-risk youth include young women, cigarette smokers, and young people experiencing mental distress. These risk factors suggest that young people entering custody in New South Wales, Australia, are likely to have high vaping rates, but the research is lacking.Methods: This retrospective cross-sectional study analysed data from all young people entering the six youth justice facilities in New South Wales, Australia between February 2024 and July 2024 (prior to vape regulations), describing self-reported information about vaping, other smoking behaviours, and mental distress.Results: 474 young people aged 11 to 20 years participated in an Initial Assessment on reception to custody. Almost two-thirds (N = 283, 61.3%) reported current vaping, with almost all vaping daily or on most days (N = 240, 84.8%) and more than half being nicotine dependent. Significant associations with vaping were a younger age, being female, living in a metro area, smoking cigarettes and cannabis, and higher levels of mental distress.Conclusions: Vaping is common in young people entering custody, is more likely in young women, and is associated with other smoking behaviours and higher mental distress. Most vaping young people are nicotine dependent, with many reporting difficulties with quitting. Targeted strategies addressing these factors will better support young people in the smoke-free custodial environment and help prevent their relapse to vaping and smoking in the post-release period.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026190","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}

引用次数: 0

Midline Head Position for Preterm Infants in the First 72 h: A Pilot Randomised Control Trial. 早产儿头72小时中线头部位置：一项随机对照试验。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-07 DOI: 10.1111/jpc.70079

Traci-Anne Goyen, Hannah Skelton, Daphne D'Cruz, Rajesh Maheshwari, Bronwyn Edney, James Marceau, Patricia Viola, Melissa Luig, Dharmesh Shah, Pranav Jani

{"title":"Midline Head Position for Preterm Infants in the First 72 h: A Pilot Randomised Control Trial.","authors":"Traci-Anne Goyen, Hannah Skelton, Daphne D'Cruz, Rajesh Maheshwari, Bronwyn Edney, James Marceau, Patricia Viola, Melissa Luig, Dharmesh Shah, Pranav Jani","doi":"10.1111/jpc.70079","DOIUrl":"https://doi.org/10.1111/jpc.70079","url":null,"abstract":"Aim: Midline head positioning for preterm infants in the first 72 h of life may prevent intraventricular haemorrhage (IVH). The feasibility of conducting a RCT was explored, namely (1) acceptability of the recruitment and consenting process, (2) practicality of recruitment within 4 h after birth, (3) protocol compliance, and (4) staff satisfaction with the intervention.Methods: An open-label, single centre, balanced 1:1 allocation, parallel-group pilot RCT was adopted. Inborn infants < 29 weeks admitted to the NICU with no IVH on screening ultrasound and parental consent obtained within 4 h after birth were randomised to either midline head and supine body position (intervention) or variable position (control) for 72 h, stratified according to gestation. Measures were recruitment rate, time to complete recruitment, protocol compliance audit, and staff satisfaction survey.Results: Sixty participants were enrolled with a recruitment rate of 67%. Recruitment and intervention were commenced by 6 h. Compliance was 98% for midline head position. Nursing satisfaction was positive in 30/33 (91%). No safety issues were reported for stability, skin integrity, comfort, pain, and head preference.Conclusion: It is feasible and safe to conduct a RCT to examine the neuroprotective effects of positioning the preterm infant in the first 72 h after birth.Trial registration: Australian and New Zealand Clinical Trials Registry: ACTRN12619000276156.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063879","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}

引用次数: 0

Pyloric Stenosis in Premature Twins: A Case Report. 早产儿幽门狭窄1例报告。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-05 DOI: 10.1111/jpc.70074

S P Y Tan Tanny, K Vanhaltren, M Ditchfield, M Pacilli, R M Nataraja

引用次数: 0

The Fog of Wards. 沃德之雾。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-05 DOI: 10.1111/jpc.70075

Gabriel Dabscheck, Nicola D Fearn

引用次数: 0