Journal of paediatrics and child health最新文献_第3页

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

Ultrasound-Assisted Lumbar Puncture in Infants: Success Rate of Diverse Providers Performing Both Procedures. 超声辅助下婴儿腰椎穿刺：两种方法的成功率。

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-05 DOI: 10.1111/jpc.70076

Rei Miyake, Serena Hamanaka, Kento Ikegawa, Yumi Araki, Takahiro Itagaki, Norihiro Tokuma, Yuki Murata, Reiko Yatabe, Takuya Wada, Satoko Suzuki, Hiroshi Hataya, Yoshihiko Morikawa

{"title":"Ultrasound-Assisted Lumbar Puncture in Infants: Success Rate of Diverse Providers Performing Both Procedures.","authors":"Rei Miyake, Serena Hamanaka, Kento Ikegawa, Yumi Araki, Takahiro Itagaki, Norihiro Tokuma, Yuki Murata, Reiko Yatabe, Takuya Wada, Satoko Suzuki, Hiroshi Hataya, Yoshihiko Morikawa","doi":"10.1111/jpc.70076","DOIUrl":"https://doi.org/10.1111/jpc.70076","url":null,"abstract":"Aim: Recent studies have reported the utility of performing an ultrasound examination before a lumbar puncture (LP) in infants. However, these studies involved different individuals performing each procedure, unlike the typical situation in the emergency department (ED) settings. This study aimed to determine the success rate of LP in infants when the same individuals within a diverse group of providers performed both procedures.Methods: This prospective, observational study was conducted in the ED of a paediatric tertiary care hospital and included infants aged < 90 days. Physicians performed ultrasound before the LP, ensuring that the needle insertion did not exceed the measured distance to the ventral subarachnoid space. The primary outcome was the proportion of successful LPs, and the secondary outcomes included factors associated with the success of the procedure.Results: Eighty patients were included. The proportion of successful LP was 68% (95% confidence interval [CI]: 57%-77%), which was comparable to that achieved using the standard palpation method. Multivariable analysis found a significant association of LP success with the absence of patients' movements (odds ratio [OR]: 6.40; 95% CI: 1.53-26.8) and procedures performed by attending physicians (OR: 12.3; 95% CI: 1.48-102).Conclusions: Pre-LP ultrasound may not improve the success rate of LP in infants if performed by a diverse group of providers, even if the same providers perform both procedures. Factors such as minimising patients' movements and the providers' experience were significantly related to improving the LP success rate.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022193","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

Different Levels of Salivary Free N-Acetylneuraminic Acid (Sialic Acid) Between Children With Autism Spectrum Disorder and Health Ones. 自闭症谱系障碍儿童与健康儿童唾液游离n -乙酰神经氨酸（唾液酸）的差异

IF 1.6 4区医学

Journal of paediatrics and child health Pub Date : 2025-05-02 DOI: 10.1111/jpc.70073

Biyun Li, Xue Zhou, Qinfei Miao, Mingxing Gu, Huimei Xiao, Fang Liu, Changhong Li, Yanqun Chang

{"title":"Different Levels of Salivary Free N-Acetylneuraminic Acid (Sialic Acid) Between Children With Autism Spectrum Disorder and Health Ones.","authors":"Biyun Li, Xue Zhou, Qinfei Miao, Mingxing Gu, Huimei Xiao, Fang Liu, Changhong Li, Yanqun Chang","doi":"10.1111/jpc.70073","DOIUrl":"https://doi.org/10.1111/jpc.70073","url":null,"abstract":"Aim: The objective of this investigation is to explore the potential correlation between salivary free Sias and ASD.Methods: This case-control study enrolled 141 children with ASD and 123 age-matched healthy controls. Utilising an enzymatic assay, we determined the free Sias in saliva. Using the CARS, the behavioural symptoms of children with ASD were evaluated and ranked from mild to severe. A feeding questionnaire was developed and completed by 108 children with ASD and 114 controls.Results: The level of salivary free Sias was significantly lower in the control group than in the ASD group (p < 0.001). The diagnostic value of salivary free Sias for ASD has a sensitivity of 54.6%, specificity of 97.6%, and an area under the ROC curve of 0.803. The level of salivary free Sias, total breastfeeding time, and time of adding solid food are significantly different between the two controls and ASD who completed the feeding questionnaire. ASD children were found to be associated with a high level of Sias (OR 1.007, 95% CI 1.005-1.010) and a reduced total breastfeeding duration (OR 0.887, 95% CI 0.887-0.949) in a subsequent multivariate analysis. The rate of various primary feeding patterns after birth is significantly different between the ASD and control group (p < 0.001).Conclusion: The data suggests that free salivary Sias has the potential to be utilised as a biomarker for the diagnosis of ASD. However, a well-designed prospective study is necessary to reach a more definitive conclusion about breastfeeding's ability to protect against ASD.","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019166","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