Klinische Padiatrie最新文献_第2页

Would Neonatal Healthcare Professionals Disclose Personal Opinions When Counseling Parents About Value-laden Decisions? 新生儿保健专业人员在咨询父母关于价值取向的决定时会透露个人意见吗？

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2024-12-27 DOI: 10.1055/a-2480-9686

Christine Arnold, Julian Eychmüller, Dina Hediger, Lukas Baumann, Sophie Jaisli, André Kidszun

{"title":"Would Neonatal Healthcare Professionals Disclose Personal Opinions When Counseling Parents About Value-laden Decisions?","authors":"Christine Arnold, Julian Eychmüller, Dina Hediger, Lukas Baumann, Sophie Jaisli, André Kidszun","doi":"10.1055/a-2480-9686","DOIUrl":"10.1055/a-2480-9686","url":null,"abstract":"Abstract: BACKGROUND: To explore the attitudes of neonatal healthcare professionals towards disclosing personal opinions when counseling parents about value-laden decisions using scripted video animations, with a view to comparing these later with the attitudes of parents of preterm infants.Abstract: METHODS: An exploratory study was conducted during the 5th Annual Meeting of the Joint European Neonatal Societies in Rome. Data were collected via a web-based survey during a live session. Two scripted video animations were presented and discussed, one with and one without disclosure of the physician's personal opinion.Abstract: RESULTS: Sixty-nine healthcare professionals from 19 countries were enrolled. Forty-seven (68.1%) respondents stated that disclosing personal opinions would \"unduly influence\" the parents' decision-making process. Thirty-seven (53.6%) participants would not have given their personal opinion in the case presented, and 45 (65.2%) participants stated that disclosure of the physician's personal opinion would result in parents being less prepared for decision-making. Discussions were dominated by underlying values and culture rather than the process of sharing opinions.Abstract: DISCUSSION AND CONCLUSIONS: The study provides new insights into the opinions of healthcare professionals on the disclosure of personal opinions when making difficult treatment decisions, but further research may require a more nuanced approach in different scenarios. Further research with a larger sample and different scenarios is needed to explore in more depth healthcare professionals' and parents' attitudes of autonomous decision-making.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":"247-253"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895690","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

[Response to Kopp MV and Hamelmann E: Exclusive Breastfeeding for Six Months - Evidence-Based Gold Standard or Well-Intentioned Myth?] [对Kopp MV和Hamelmann E: 6个月纯母乳喂养——基于证据的黄金标准还是善意的神话？]］

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2026-08-17 DOI: 10.1055/a-2909-5509

Sebastian M Schmidt

引用次数: 0

Correction: Measuring Participation in Children and Adolescents: A Systematic Review. 修正：衡量儿童和青少年的参与：一个系统的回顾。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2026-10-20 DOI: 10.1055/a-2943-0147

Karoline Spiess, Dustin Fornefeld, Ibrahim Duran, Eckhard Schönau, Stephanie Gross, Stefanie Steven, Oliver Fricke

引用次数: 0

High prevalence of cough and common cold medication intoxications in the Czech paediatric population. 捷克儿科人群中咳嗽和普通感冒药中毒的高发率。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2025-02-07 DOI: 10.1055/a-2518-5571

Patrik Konopásek, Kateřina Kotíková, Monika Pecková, Jan David

{"title":"High prevalence of cough and common cold medication intoxications in the Czech paediatric population.","authors":"Patrik Konopásek, Kateřina Kotíková, Monika Pecková, Jan David","doi":"10.1055/a-2518-5571","DOIUrl":"10.1055/a-2518-5571","url":null,"abstract":"Background: There has been much debate about the appropriateness of over-the-counter (OTC) cough and common cold medications (CCM). The aim of this nationwide study was to analyse the incidence of CCM intoxications in the Czech paediatric population from 2014 to 2023.Patients and method: We performed a retrospective study on the incidence of CCM intoxications in the Czech paediatric population (ages 0-18 years) from 2014 to 2023.Results: There were 7,056 cases of CCM intoxication in children, of which 6,406 resulted from unintentional intoxication. No lethal doses were reported, but there were 1,769 documented toxic doses. Unintentional CCM intoxications represented 15.60% of all unintentional medication intoxication cases across all ages and medication types. Of the 6,406 unintentional intoxication cases, 5,465 (85.31%) were in children aged 0 to 6 years, including 1,564 (24.41%) in children aged 0 to 2 years. Children aged 0 to 6 years had a significantly higher risk of CCM intoxication compared to those aged 7 to 18 years (RR 9.5, p<0.00001). The annual incidence of unintentional CCM intoxication was 69.26 per 100,000 children aged 0 to 6 years and 7.29 per 100,000 children aged 7 to 18 years.Discussion: Based on our data, we believe there is low awareness among parents and Czech paediatricians regarding the potential risks of CCM and the lack of proven efficacy of these medications.Conclusion: Our data may contribute to political discussions regarding the general prohibition of CCM use in children younger than six years.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":"261-264"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370856","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

[Gender Minority Youth in Pediatric Care: A Survey of Pediatricians]. 儿童护理中的性别少数青年：儿科医生调查

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2025-07-31 DOI: 10.1055/a-2640-1742

Lea Sundsgaard, Lisa Wedekind, Ulla Stelling, Agnes von Strachwitz, André Karch, Katja Nettermann, Hans-Helmut König, Claudia Konnopka, Georg Romer, Angela Rölver

{"title":"[Gender Minority Youth in Pediatric Care: A Survey of Pediatricians].","authors":"Lea Sundsgaard, Lisa Wedekind, Ulla Stelling, Agnes von Strachwitz, André Karch, Katja Nettermann, Hans-Helmut König, Claudia Konnopka, Georg Romer, Angela Rölver","doi":"10.1055/a-2640-1742","DOIUrl":"10.1055/a-2640-1742","url":null,"abstract":"Background: In recent decades, an increasing number of gender-nonconforming children and adolescents have been presenting to healthcare system worldwide. The pediatric practice is often the first point of contact for those affected. To date, it is unclear what challenges and difficulties pediatricians face in caring for gender-variant children and adolescents.Methods: Qualitative interviews were conducted using a semi-structured guideline to analyze the care situation from the perspective of practicing pediatricians. Sample: 32 German pediatricians in private practice.Results: Pediatricians described that children and adolescents with gender dysphoria show increased self-confidence and are more likely to open up and confide during consultations. At the same time, there was a lack of expertise regarding the etiology and diagnosis of gender dysphoria. Concerns were expressed about the irreversibility and possible long-term consequences of physical medical interventions for gender incongruence. Pediatricians encounter challenges when it comes to connecting their gender-variant patients to other healthcare services. It was suggested that counselling offers for children and adolescents experiencing gender dysphoria should be expanded.Discussion: The pediatricians who participated in the study displayed a lack of certainty regarding the care of gender-nonconforming children and adolescents, as well as the care concepts employed by specialized care services.Conclusion: It is necessary that pediatricians receive enhanced awareness and training in order to ensure appropriate care for children and adolescents with gender dysphoria. Furthermore, it is essential to establish transparent care structures to achieve effective cooperation between routine and specialized care.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":"240-246"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760429","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

Reduction of Parenteral Nutrition in Children with Short Bowel Syndrome Treated with Teduglutide: Experience from the Czech Republic. 特杜鲁肽治疗短肠综合征儿童肠外营养减少：捷克共和国的经验。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2025-07-31 DOI: 10.1055/a-2646-0683

Sarka Peskova, Astrida Sulakova, Katerina Bajerova, Jan Schwarz, Jan Melek, Eva Karaskova, Filip Fencl

{"title":"Reduction of Parenteral Nutrition in Children with Short Bowel Syndrome Treated with Teduglutide: Experience from the Czech Republic.","authors":"Sarka Peskova, Astrida Sulakova, Katerina Bajerova, Jan Schwarz, Jan Melek, Eva Karaskova, Filip Fencl","doi":"10.1055/a-2646-0683","DOIUrl":"10.1055/a-2646-0683","url":null,"abstract":"Background: Short bowel syndrome (SBS) results from a severe reduction in intestinal absorptive capacity, rendering it insufficient to meet the body's nutritional requirements. Teduglutide represents a novel therapeutic approach for patients with SBS. This study aims to share our experiences and outcomes of Teduglutide treatment in children with SBS, focusing on the development of their anthropometric parameters.Patients: This study included all pediatric SBS patients in the Czech Republic receiving home parenteral nutrition (PN) who began Teduglutide treatment from May 2019 to June 2024.Methods: We analyzed the changes in volume and caloric content of PN and anthropometric parameters for each patient.Results: All 10 patients showed a reduction in PN volume and caloric content during Teduglutide treatment with a mean value 67%+/- 29. There was also a notable decrease in the caloric content of PN, although this did not always correlate with the volume reduction, the mean value was 52.3%+/- 40.6. Despite the reduced reliance on PN, there was a mean improvement in weight and height among the patients. Gastrointestinal complications were the most common side effects observed.Conclusion: Our findings confirm the positive impact of Teduglutide on intestinal absorption in pediatric SBS patients. They also validate its safety and efficacy in this population. Despite the reduction in PN, improvements in weight were evident across the entire patient cohort.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":"265-271"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760441","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

Mistaking Gloriosa Tubers for Ginger: Moderate Symptoms after Accidental Ingestion of a Potentially Life-Threatening Amount of Colchicine. 误将金花块茎误认为姜：意外摄入可能危及生命的秋水仙碱后的中度症状。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2026-02-02 DOI: 10.1055/a-2769-3888

Eliane Streiff, Katrin Koehler, Angela Huebner, Jörg Pietsch, Katja Schulz, Anne Stuerzebecher

引用次数: 0

Antwort auf den Leserbrief: Erwiderung zu Kopp MV und Hamelmann E: Ausschliessliches Stillen über sechs Monate – evidenzbasierter Goldstandard oder gut gemeinter Mythos? 对读者信的回应：对Kopp MV和Hamelmann E的回应：六个月的独家母乳喂养——基于证据的黄金标准还是善意的神话？

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2026-08-17 DOI: 10.1055/a-2902-3298

Matthias V Kopp, Eckard Hamelmann

引用次数: 0

Successful Treatment of an Adolescent with Severe Amlodipine Poisoning with Charcoal Hemoperfusion. 木炭血液灌流成功治疗青少年严重氨氯地平中毒1例。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2025-02-07 DOI: 10.1055/a-2501-6082

Türkan Akarsu, Merve Havan, Bayram Bayramov, Tanıl Kendirli

引用次数: 0

Muscle Biopsy as a Decisive Tool in a Pediatric Case with Overlapping Genetic Findings for McArdle Disease and Dystrophinopathy. 肌肉活检作为一个决定性的工具，在小儿病例重叠遗传发现麦卡德尔病和营养不良症。

IF 0.8 4区医学

Klinische Padiatrie Pub Date : 2026-09-01 Epub Date: 2025-08-11 DOI: 10.1055/a-2656-0505

Esra Sayar, Mustafa Kılıç, Suzan İcil, Pınar Saka-Ümit, Deniz Yuksel, Abdullah Sezer, Beril Talim

引用次数: 0