Journal of paediatrics and child health最新文献

{"title":"Case Report Concerning Elizabethkingia anophelis: Successful Treatment of 2 Infants With Invasive Disease in Hawaii.","authors":"Megan D Blair, Marissa Fakaosita, Jessica Kosut","doi":"10.1111/jpc.70197","DOIUrl":"https://doi.org/10.1111/jpc.70197","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054200","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":"Acute Rheumatic Fever and Rheumatic Heart Disease in Children Aged Less Than 5 Years in the Northern Territory Between 2010 and 2020.","authors":"Z Stephenson, B Jones, B Remenyi, Jessica de Dassel, S Dunn, J R Francis, J Yan","doi":"10.1111/jpc.70194","DOIUrl":"https://doi.org/10.1111/jpc.70194","url":null,"abstract":"<p><strong>Aim: </strong>Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are preventable diseases affecting socioeconomically disadvantaged populations globally, including Australian children. This study aims to describe the clinical presentation and outcomes of ARF and RHD in children aged less than 5 years, to improve recognition and management.</p><p><strong>Method: </strong>A retrospective audit was undertaken of children aged less than 5 years with ARF and RHD in the Northern Territory (NT) of Australia between 2010 and 2020. Patients were identified from the NT RHD register. Descriptive data analyses were performed to summarise patient demographics, clinical presentation, diagnosis, disease severity, management, and outcomes.</p><p><strong>Results: </strong>During the study period, 82 children (51% female) aged less than 5 years presented with definite, probable, or possible ARF (78/82), and/or RHD (20/82). Aboriginal and Torres Strait Islander children were disproportionately affected, with average annual incidences (2010-2020) of ARF and RHD of 127 (95% confidence interval [CI]: 99-155) and 33 (95% CI: 18-47) per 100,000 population, respectively. ARF recurrence was common (23%). At diagnosis, RHD was moderate to severe in 55% of cases, and 20% of children with RHD required one or more cardiac surgeries.</p><p><strong>Conclusion: </strong>Children aged less than 5 years living in remote NT are at risk of ARF and RHD. Aboriginal and Torres Strait Islander children are disproportionately affected. Presentations with sore joints, chorea, new cardiac murmurs or other symptoms suggestive of ARF should be fully investigated. Echocardiographic screening for RHD should be considered for children living in remote NT from the age of 3 years.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054188","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":"Factors Associated With the Continuation of Breastfeeding Beyond 12 Months of Age in Brazilian Families.","authors":"Mirene Brandão de Paula, Melissa Moreira Mansur Clemente, Sabrine Teixeira Ferraz Grunewald","doi":"10.1111/jpc.70195","DOIUrl":"https://doi.org/10.1111/jpc.70195","url":null,"abstract":"<p><strong>Aim: </strong>To measure the prevalence of BF amongst Brazilian children aged 12-24 months, assess associated social determinants and evaluate the impact of maternal knowledge about its benefits.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between September and December 2024, using an online questionnaire completed by Brazilian mothers with children aged 12-24 months. Sociodemographic data were collected, including maternal and child age, education level, marital status, ethnicity, household income and employment status. Additional information was gathered on prenatal care, breastfeeding within the first hour of life, guidance received on BF and factors related to the continuation/interruption of BF.</p><p><strong>Results: </strong>Over 70% of the 403 mothers surveyed were breastfeeding beyond 12 months. The main influencing factors in the continuation of BF were knowledge of its benefits (87.6%) and personal desire (78.4%). Attending more than six prenatal visits, being aware of WHO recommendations and receiving guidance on the maternal benefits of BF and on milk expression/storage were significantly associated with breastfeeding beyond 12 months of age (p < 0.05). Having a younger child negatively impacted prolonged BF (p = 0.005).</p><p><strong>Conclusions: </strong>Prolonged BF is influenced by multiple factors, and healthcare professionals can play a key role in promoting it by implementing health education strategies focused on the maternal benefits of breastfeeding and milk expression/storage. Ensuring adequate prenatal care and family planning is also essential.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033441","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":"Nationwide Survey of Pulmonary Physical Rehabilitation for Neonatal Respiratory Distress Syndrome in Very-Low-Birth-Weight Infants in Japan.","authors":"Yuto Ogata, Ryutaro Matsugaki, Manami Zaizen, Keiji Muramatu, Shinya Matsuda, Shutaro Suga, Satoru Saeki","doi":"10.1111/jpc.70193","DOIUrl":"https://doi.org/10.1111/jpc.70193","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the implementation rate and timing of pulmonary physical rehabilitation for very low-birth-weight infants (VLBWI) with respiratory distress syndrome (VLBWIs with RDS) in Japan and clarify the current status and challenges of this intervention.</p><p><strong>Methods: </strong>This observational study analysed nationwide administrative data associated with the diagnostic procedure combination system in Japan (2014-2019 fiscal year). A total of 16 429 VLBWIs with RDS were included.</p><p><strong>Results: </strong>The overall rate of pulmonary physical rehabilitation during hospitalisation was 4.1%. Infants who received rehabilitation were more likely to have been born at a gestational age of < 28 weeks and had a birth weight of < 1000 g (p < 0.001). The majority of pulmonary physical rehabilitation interventions lasted 20 min. On average, rehabilitation was initiated approximately 30 days after birth.</p><p><strong>Interpretation: </strong>The results of this study indicate that pulmonary physical rehabilitation performed during hospitalisation for VLBWIs with RDS is not widespread in Japan. The number of days to intervention may be a key indicator for optimising future pulmonary physical therapy interventions for VLBWIs with RDS.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023531","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":"Linear IgA Bullous Dermatosis in a 15-Month-Old Child: Classic 'String-of-Pearls' Presentation With Auricular Involvement.","authors":"Billal Khan, Matthew Verheyden, James Scurry","doi":"10.1111/jpc.70189","DOIUrl":"https://doi.org/10.1111/jpc.70189","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015629","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":"Video-Assisted Thoracoscopic Removal of a Mediastinal Mass in a Newborn: A Case Report.","authors":"Carlo Maria Ferlini, Alessia Arossa, Claudia Codazzi, Stefano Ghirardello, Simonetta Mencherini, Luca Lungarotti, Giovanna Riccipetitoni, Mirko Bertozzi","doi":"10.1111/jpc.70187","DOIUrl":"https://doi.org/10.1111/jpc.70187","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006306","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":"Nutritional Management for a Severely Malnourished Adolescent With Anorexia Nervosa: A Case Report","authors":"Matthew Hogbin,&nbsp;Georgie Barber,&nbsp;Alexandra Cussen","doi":"10.1111/jpc.70188","DOIUrl":"10.1111/jpc.70188","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1692-1696"},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958040","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":"Breastfeeding and Its Impact on Glucose Trends and Hypoglycaemia Risk in At-Risk Neonates: A Prospective Observational Study.","authors":"Daniel Chan, Suresh Chandran, Mei Chien Chua, Ruther Teo Zheng, Fabian Yap","doi":"10.1111/jpc.70183","DOIUrl":"https://doi.org/10.1111/jpc.70183","url":null,"abstract":"<p><strong>Introduction: </strong>Neonatal glucose regulation undergoes a rapid transition after birth, with glucose levels declining within the first few hours before stabilising. At-risk neonates, including those who are preterm, small-for-gestational-age (SGA), large-for-gestational-age (LGA), or born to mothers with diabetes or obesity, face an increased risk of hypoglycaemia. Early feeding is recommended to support glucose homeostasis, yet the impact of feeding type on glucose trends and hypoglycaemia risk remains unclear. This study aims to compare glucose trajectories and hypoglycaemia incidence between exclusively breastfed and formula-fed neonates.</p><p><strong>Methods: </strong>This prospective observational cohort study was conducted at KK Women's and Children's Hospital, Singapore, from December 16, 2019, to March 16, 2020. A total of 192 at-risk neonates were included. Blood glucose concentrations were measured at 2, 6, 12, 18 and 24 h of life. Hypoglycaemia was defined as blood glucose concentration < 3.0 mmol/L, with an additional threshold of < 2.6 mmol/L. The area under the curve (AUC) for glucose concentrations was calculated, and multivariable logistic regression was performed to assess hypoglycaemia risk.</p><p><strong>Results: </strong>Exclusively formula-fed neonates exhibited higher glucose levels at 6, 12 and 24 h compared to breastfed neonates (p = 0.030, p = 0.004, and p < 0.001, respectively), with a greater cumulative glucose exposure (AUC: 85.1 vs. 80.5 mmol/L-hour). However, the overall hypoglycaemia incidence (< 3.0 mmol/L) was similar between feeding groups (14.7% vs. 11.1%, p = 0.615). Adjusted logistic regression showed no significant association between feeding type and hypoglycaemia risk.</p><p><strong>Discussion: </strong>Despite overall lower glucose levels in breastfed neonates, hypoglycaemia risk remained comparable between feeding groups. These findings support prioritising breastfeeding in at-risk neonates. Further research is needed to evaluate the long-term metabolic implications of early feeding practices.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992801","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":"A Newborn With Mandibular Swelling and Tibial Lumps","authors":"Irene Del Rizzo,&nbsp;Alessandro Zago,&nbsp;Martina D'Agostin,&nbsp;Giulia Gortani,&nbsp;Giulia Colin,&nbsp;Valentina Bellissima,&nbsp;Egidio Barbi,&nbsp;Andrea Magnolato","doi":"10.1111/jpc.70185","DOIUrl":"10.1111/jpc.70185","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 10","pages":"1699-1701"},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958051","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":"Cerebral Palsy Associated With Neonatal Encephalopathy: Review of Te Rēhita a Hōkai Nukurangi Aotearoa-The New Zealand Cerebral Palsy Register (NZCPR) Data.","authors":"M R Battin, A Mulqueeny, A Mackey, A Sorhage, W Alzaher, N Stott","doi":"10.1111/jpc.70186","DOIUrl":"10.1111/jpc.70186","url":null,"abstract":"<p><strong>Background: </strong>In Aotearoa New Zealand (AoNZ), the cerebral palsy (CP) register (NZCPR) has collected national data since 2015. The dataset includes ethnicity and region of domicile; clinical characteristics; plus data on CP distribution and severity including GMFCS. Neonatal encephalopathy (NE) and hypoxic ischaemic encephalopathy (HIE) are potential causes of CP, so NZCPR data may assist prognostic counselling of whānau (family).</p><p><strong>Methods: </strong>The NZCPR dataset was interrogated to identify individuals born between 1992 and 2020 inclusive, with NE/HIE as a potential cause of CP plus consent for research. The dataset was reviewed for evidence of other potential aetiologies for the CP and these plus preterm infants < 35 weeks gestation were excluded. The distribution and severity of the CP for the NE/HIE cohort was then determined.</p><p><strong>Results: </strong>In total, 139 records were identified with NE/HIE as the likely CP aetiology, after exclusion of other conditions including childhood cardiac arrest, meningitis, bilirubin encephalopathy, hypoglycaemic injury and metabolic diseases. The median (IQR) birth gestation was 40 (38, 40) weeks and median (IQR) birth weight was 3330 (2910, 3650) g. Ten (7%) had died and approximately 70% were Gross Motor Function Classification System (GMFCS) Level IV or V, with quadriparesis as the most common distribution (63%). Associated other morbidities included epilepsy (47%), intellectual impairment (45%), severe visual problems (18%) or non-verbal (34%). ACC cover was approved in circa 40.5%.</p><p><strong>Conclusions: </strong>In this novel dataset, if CP occurs after NE/HIE it is frequently severe affecting four limbs and associated with other morbidities.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958020","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}