Klinische Padiatrie最新文献_第9页

Non-syndromic Congenital Sodium Diarrhea: A Novel Mutation in the SLC9A3 Gene. 非综合征先天性钠腹泻：SLC9A3 基因的新型突变

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-08-02 DOI: 10.1055/a-2346-9589

Ferda Ozbay Hosnut, Gulseren Sahin, Bulent Uyanik, Serdar Ceylaner, Meltem Akcaboy

引用次数: 0

[Case Report: Severe Malnutrition due to Alternative Alimentation in a 6-Month old Infant]. [病例报告：病例报告：6 个月大婴儿因替代性喂养导致严重营养不良]。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI: 10.1055/a-2357-1791

Barbara Susanna Moser, Susanne Schibli, Matthias Volkmar Kopp

引用次数: 0

[Correction: Frequency of Utilization of Medical and Paramedical Care in Infants with Excessive Crying: Cross- Sectional Analysis and Parent Survey]. [更正：过度哭闹婴儿使用医疗和辅助医疗护理的频率：横断面分析和家长调查]。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-01-15 DOI: 10.1055/a-2225-7048

Jochen Kittel, Lena Nonnenmacher, Christian Apfelbacher, B Seelbach-Göbel, Michael Kabesch, Michael Melter, Susanne Brandstetter

引用次数: 0

Finding of a Homozygous SLC26A3 Mutation in a German Newborn with Congenital Chloride Diarrhea Presenting with Polyhydramnios and Dilated Bowel Loops. 在一名患有先天性氯化物腹泻并伴有多水肿和肠套叠的德国新生儿体内发现同型 SLC26A3 基因突变

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1055/a-2407-2349

Philipp Fecher, Eric Frieauff, Rebecca Paul, Johannes Wirbelauer

引用次数: 0

Successful Treatment Of A Child With Severe Congenital Subglottic Stenosis With Balloon Dilatation. 用球囊扩张术成功治疗一名严重先天性声门下狭窄患儿

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-02-06 DOI: 10.1055/a-2208-7325

Tuğçe Pütürgeli Özer, Mutlu Uysal Yazici, Kemal Keseroglu, Emine Gulsah Torun, Emel Çadallı Tatar, Mehmet Hakan Korkmaz

引用次数: 0

A Rare Case of GABAA Receptor Autoimmune Encephalitis in a Six-Year-Old Girl Improved by an Early Combined Immunotherapy. 六岁女童患 GABAA 受体自身免疫性脑炎的罕见病例：早期联合免疫疗法使病情好转

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI: 10.1055/a-2356-7437

Matthias Preusse, Svitlana Lisovets, Annikki Bertolini, Kevin Rostásy, Soeren Lutz

引用次数: 0

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 1.2 4区医学

Klinische Padiatrie Pub 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":"https://doi.org/10.1055/a-2480-9686","url":null,"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.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.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.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":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-27","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

A Training for Parents Prevents Clinically Relevant Handling Errors in the Use of Long-Term Antiseizure Medication. 对家长的培训可以防止临床相关的处理错误在使用长期抗癫痫药物。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-12-27 DOI: 10.1055/a-2457-6610

Almuth Kaune, Pia Madeleine Schumacher, Martina Patrizia Neininger, Steffen Syrbe, Andreas Hiemisch, Matthias Karl Bernhard, Andreas Merkenschlager, Wieland Kiess, Astrid Bertsche, Thilo Bertsche

{"title":"A Training for Parents Prevents Clinically Relevant Handling Errors in the Use of Long-Term Antiseizure Medication.","authors":"Almuth Kaune, Pia Madeleine Schumacher, Martina Patrizia Neininger, Steffen Syrbe, Andreas Hiemisch, Matthias Karl Bernhard, Andreas Merkenschlager, Wieland Kiess, Astrid Bertsche, Thilo Bertsche","doi":"10.1055/a-2457-6610","DOIUrl":"https://doi.org/10.1055/a-2457-6610","url":null,"abstract":"Background: Medication handling errors (ME) in long-term antiseizure medication (ASM) compromise patient safety. Training programs to prevent those errors by parents are scarce.Patients: The intervention concept is designed for parents of children and adolescents aged 0-18 years with at least one long-term ASM.Method: In a controlled prospective study, we assessed ME of ASM during home visits 3-6 weeks after a patient's in- or outpatient hospital visit (outpatient neuropediatric clinic and Social-Pediatric Center (SPZ)). We investigated the effectiveness of a patient specific, risk-adapted training (intervention group, IG) compared to routine care (control group, CG). For 54 ME in ASM handling, an expert panel classified the clinical risk ranging from Score-0 (no risk) to Score-6 (maximum risk) with the lowest risk actually classified as Score-3.Results: We analyzed data from 83 parents in the CG and 85 in the IG who administered 140 ASM per group. The intervention reduced ME per patient from 5 (median; Q25/Q75 3/9) to 4 (2/8; p=0.018). A total number of 589 ME occurred in the CG, 432 in the IG. ME in ASM handling rated Score-6 occurred once in the CG and not in the IG. A relative-risk-reduction (RRR) of ME (with p<0.001) was observed, with a RRR of 55.0% for Score-5, 27.6% for Score-4, and 23.1% for Score-3. RRR was 56.6% for ASM preparation (p<0.001) and 22.4% for oral administration (p=0.045).Conclusion: Compared to controls, ME with high clinical risk significantly decreased in the IG after the training. Drug safety in chronically ill children with ASM was thereby improved.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895685","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

[Structured Assessment of Mental Health Issues in Preventive Health Examinations - Findings from the Cluster-Randomized PSYCH-U Study]. [预防性健康检查中心理健康问题的结构化评估——来自聚类随机心理健康- u研究的结果]。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-12-11 DOI: 10.1055/a-2407-2501

Hannah Schmidt, Ingo Menrath, Svenja Mertens, Silke Pawils

{"title":"[Structured Assessment of Mental Health Issues in Preventive Health Examinations - Findings from the Cluster-Randomized PSYCH-U Study].","authors":"Hannah Schmidt, Ingo Menrath, Svenja Mertens, Silke Pawils","doi":"10.1055/a-2407-2501","DOIUrl":"https://doi.org/10.1055/a-2407-2501","url":null,"abstract":"Background: Early detection of psychological problems is crucial to prevent chronic progression. The Psych-U study evaluated the added value of structured assessment of psychological issues during U-screenings compared to routine screenings without such assessment.Methods: In a cluster-randomized controlled design, a two-arm intervention group (IG; Strengths and Difficulties Questionnaire, SDQ, and Mannheimer Elternfragebogen, MEF) was compared to a control group (CG). In the IG, parents completed a tablet-based structured assessment of potential psychological issues before the U-screening, which was then discussed with pediatricians during the screening. Outcomes included acceptance (participation rate; parent phone interviews), feasibility (focus groups with practice teams), and effectiveness (referral rates) of the structured assessment versus routine care.Results: A total of N=3,138 families participated (participation rate: 85.3%). In parent phone interviews (n=348), the SDQ and MEF showed high acceptance. Focus group interviews with practice teams indicated high feasibility, but noted that implementing structured assessment into routine care would require systemic changes at the health system level (e.g., reimbursement for extra effort), practice level (e.g., digital data collection), and patient level (e.g., addressing language barriers). The IG had a higher referral rate than the CG.Conclusion: Structured assessment of psychological issues appears beneficial but requires structural adjustments. Additionally, sufficient local referral options should be available.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813518","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

Advancing Prognostic Prediction in Pediatric Trauma: The Role of Inflammatory Markers. 推进儿童创伤的预后预测：炎症标志物的作用。

IF 1.2 4区医学

Klinische Padiatrie Pub Date : 2024-12-10 DOI: 10.1055/a-2451-6973

Abdulrahman Özel, Servet Yuce, Esra Nur Ilbegi

{"title":"Advancing Prognostic Prediction in Pediatric Trauma: The Role of Inflammatory Markers.","authors":"Abdulrahman Özel, Servet Yuce, Esra Nur Ilbegi","doi":"10.1055/a-2451-6973","DOIUrl":"https://doi.org/10.1055/a-2451-6973","url":null,"abstract":"Background: This study aimed to evaluate the prognostic value of various inflammatory markers and indices derived from complete blood counts in predicting mortality among pediatric trauma patients admitted to the Pediatric Intensive Care Unit (PICU).Patients and methods: We designed a single-center retrospective study that included 165 pediatric trauma patients in the PICU between January 2020 and June 2024.Results: Of 165 patients, 108 (69.2%) were male and the mean age of all patients was 75.16±57.14 months. The mortality rate was found to be 5.45% (9 patients). The Lactate-to-Albumin Ratio (LAR) and Procalcitonin (PCT) demonstrated strong prognostic performance with area under the curve (AUCs) of 0.807 and 0.745, respectively. Notably, LAR and PCT correlated well with mortality and the duration of invasive mechanical ventilation and PICU stay. The Systemic Immune-Inflammation Index (SIRI), Neutrophil-to-Lymphocyte Ratio (NLR), CRP-to-Albumin Ratio (CAR), and Pan-Immune-Inflammation Value (PIV) were less effective individually but showed potential when combined with other indices.Conclusion: LAR, PCT, SIRI, NLR, CAR, and PIV were associated with mortality in pediatric trauma patients, with LAR and PCT demonstrating superior predictive value. Therefore, LAR and PCT may serve as reliable standalone markers for identifying critically ill pediatric trauma patients at risk of mortality.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807026","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