Minerva pediatrica最新文献_第7页

A glance into psychiatric comorbidity in adolescents with anorexia nervosa. 青少年神经性厌食症的精神共病一览。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 Epub Date: 2019-02-13 DOI: 10.23736/S0026-4946.19.05202-2

Gennaro Catone, Simone Pisano, Giulia Muzzo, Giuseppina Corrado, Katia Russo, Assunta Maiorano, Filomena Salerno, Antonella Gritti

{"title":"A glance into psychiatric comorbidity in adolescents with anorexia nervosa.","authors":"Gennaro Catone, Simone Pisano, Giulia Muzzo, Giuseppina Corrado, Katia Russo, Assunta Maiorano, Filomena Salerno, Antonella Gritti","doi":"10.23736/S0026-4946.19.05202-2","DOIUrl":"https://doi.org/10.23736/S0026-4946.19.05202-2","url":null,"abstract":"Background: Eating disorders display several psychiatric comorbidities. The aim of this study was to describe these comorbidities in a group of adolescent patients with anorexia nervosa or OSFED (Other Specified Feedind or Eating Disorder). We have evaluated the comorbidity both with a clinical interview (categorical comorbidities) and with a self-report interview (dimensional comorbidities) in order to compare the two profiles.Methods: The study was carried out at the Division of Child and Adolescent Psychiatry (eating disorder service for developmental age) of the Luigi Vanvitelli University of Campania (ex Second University of Naples). Data were collected retrospectively from chart review, routinely gathered during the clinical assessment.Results: Seventy-two subjects constituted the sample, 62 (86.1%) were female and 10 (13.9%) male. The most frequent categorical comorbidities were social anxiety disorder (SS: 38; 52.8%), Depression disorder (SS: 30; 41.7%) and generalized anxiety disorder (SS: 14; 19.4%). The mean scores at dimensional questionnaires were 15.5 (SD: 10.7) for the depression (Children Depression Inventory) and 34.8 (SD: 28.3) for social anxiety (Liebowitz Social Anxiety Scale).Conclusions: Data analysis showed that social anxiety and depression were the most common categorical comorbidities in young patients with eating disorders. However, comparing the data from the clinical interview with those of the self-interviews revealed that patients well recognize social anxiety symptoms, but tend to deny depressive ones.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":" ","pages":"501-507"},"PeriodicalIF":2.6,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40447429","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: 5

Delayed puberty. 青春期延迟。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 Epub Date: 2020-08-04 DOI: 10.23736/S0026-4946.20.05968-X

Gary Butler, Preetha Purushothaman

{"title":"Delayed puberty.","authors":"Gary Butler, Preetha Purushothaman","doi":"10.23736/S0026-4946.20.05968-X","DOIUrl":"https://doi.org/10.23736/S0026-4946.20.05968-X","url":null,"abstract":"The onset of puberty may be late - in the latter part of the predicted normal range or truly delayed - beyond this range. The latest age to start is usually regarded as 13 years in girls and 14 years in boys. There may also be a delayed completion of puberty, 16 years in girls and 17 years in boys. The initial approach requires a detailed history and clinical examination to exclude other medical or psychological problems. The presence or absence or pubertal signs should be documented. Investigations should be targeted at ruling out any medical causes and determining whether the delay is due to central gonadotropin deficiency (hypogonadotropic hypogonadism) or a gonadal disorder (hypergonadotropic hypogonadism). Physiological or constitutional delay of growth and puberty (CDGP) is more common in boys but is a diagnosis of exclusion. Current research suggests that CDGP and congenital hypogonadotropic hypogonadism have distinct genetic profiles which may aid in the differential diagnosis. Treatment may be given using low doses of sex steroids, testosterone or estradiol initially in a short course of 3-6 months but continuing in escalating doses mimicking the normal course of puberty, watching regularly for the spontaneous resumption of progress and gonadotropin secretion. In gonadotropin deficiency, sex hormone treatment needs to be continued until completion of pubertal development and growth. Counselling, reassurance and support are key elements in the management of adolescents with delayed puberty.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":"72 6","pages":"484-490"},"PeriodicalIF":2.6,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38223367","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

Video-surveillance in kindergartens: a controversial issue. 幼儿园视频监控:一个有争议的问题。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 DOI: 10.23736/S0026-4946.20.05868-5

P. Ferrara, Chiara De Luca, Martina Vecchio, Giulia Franceschini

引用次数: 0

Evaluation and management of a child with short stature. 矮小儿童的评估与管理。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 Epub Date: 2020-07-20 DOI: 10.23736/S0026-4946.20.05980-0

Francesco Chiarelli, Marina Primavera, Concetta Mastromauro

{"title":"Evaluation and management of a child with short stature.","authors":"Francesco Chiarelli, Marina Primavera, Concetta Mastromauro","doi":"10.23736/S0026-4946.20.05980-0","DOIUrl":"https://doi.org/10.23736/S0026-4946.20.05980-0","url":null,"abstract":"Growth monitoring is a fundamental approach to evaluate a child's health and it is part of preventive programs to timely identify and treat a possible disease. Height and weight measurements, calculation of height velocity over time are main instruments to discover pathological deviations. Short stature is defined as a height that is greater than or equal 2 standard deviations (SDS) below the mean height for reference children comparable for sex and age. According to the International Classification of Pediatric Endocrine Diagnosis (ICPED) the possible causes of short stature could be divided into three groups: primary growth disorders (intrinsic diseases of the growth plate), secondary growth disorders (diseases that interfere on the growth plate setting) and the idiopathic short stature in which no possible cause is identified. The etiology of short stature is not always a disease, but it could be a variant of normal growth. Furthermore, to date there are new advances in the genetic causes of short stature. A detailed evaluation of a child with growth impairment should include an accurate history, a standardize physical examination, general and specific laboratory evaluations, radiologic investigations and genetic testing. Short stature could represent an important threat for physical and psychological health in a child, so a prompt identification of abnormal growth deviations offers the possibility to early treat the possible cause of shortness. This review aimed to discuss a practical approach to a child with short stature on the bases of the most recent scientific evidence.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":"72 6","pages":"452-461"},"PeriodicalIF":2.6,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38178597","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: 3

Rediscovering full blood count in overweight/obese children. 重新发现超重/肥胖儿童的全血细胞计数。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 DOI: 10.23736/S0026-4946.20.06154-X

G. Tornese

引用次数: 0

Precocious puberty. 性早熟。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-12-01 Epub Date: 2020-08-04 DOI: 10.23736/S0026-4946.20.05970-8

Mariam Gangat, Sally Radovick

引用次数: 0

To helmet or not to helmet: a global perspective on the bicycle compulsory protective helmet law. 戴头盔还是不戴头盔：自行车强制防护头盔法的全球视角。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-11-17 DOI: 10.23736/S0026-4946.20.05884-3

Klin Baruch, Y. Efrati, I. Abu-Kishk

{"title":"To helmet or not to helmet: a global perspective on the bicycle compulsory protective helmet law.","authors":"Klin Baruch, Y. Efrati, I. Abu-Kishk","doi":"10.23736/S0026-4946.20.05884-3","DOIUrl":"https://doi.org/10.23736/S0026-4946.20.05884-3","url":null,"abstract":"OBJECTIVE\u0000Child injury from bike accidents is a significant component of morbidity, mortality, and health expenditure in many countries. Universal use of bicycle helmets by children could prevent between 135 and 155 deaths, and between 39,000 and 45,000 head injuries annually. Surprisingly, epidemiologic data indicate a worldwide low prevalence of helmet use. A global view on the law on the compulsory use of safety helmets involving 58 different countries is provided in order to bring this critical debate back to the table.\u0000\u0000\u0000METHODS\u0000A broad search using \"bicycle-related injuries\", \"bicycle helmet\", \"bicycle helmet legislation\" and \"compulsory bicycle helmet law by countries\" was performed in order to identify and select the most pertinent information on the issue as well as all the information available on bicycle helmet law by countries.\u0000\u0000\u0000RESULTS\u0000The papers identified permitted us to assess the main topics related to the use of bicycle helmets discussed over the years and that still relevant and without consensus even today, as well as alphabetically enlist the approach of 58 countries to the compulsory helmet law.\u0000\u0000\u0000CONCLUSIONS\u0000Our review on the many faces of the bicycle helmet use (pros and cons), personal aspects, head injuries, legislation, promotion, socioeconomic influence, and finally a global view on the law on the compulsory use of safety helmets allowed us to bring here many suggestions and a few conclusions, mainly that \"to helmet or not to helmet\" should not be a question anymore. A universal consensus on their compulsory use has to be achieved in order to improve children's safety.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48537251","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: 1

Burkholderia gladioli infection in a pediatric patient with cystic fibrosis: the clinical challenges of an emergent pathogen. 一名患有囊性纤维化的儿科患者的唐突伯克霍尔德菌感染：一种新发病原体的临床挑战。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4946.20.05836-3

Gilda Belli, M. Giovannini, D. Dolce, V. Terlizzi, T. Orioli, G. Taccetti

引用次数: 1

Unilateral Lisch nodules in a pediatric patient: a sign for genetic mosaicism? 小儿单侧利施结节:基因嵌合体的标志?

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-11-01 DOI: 10.23736/S0026-4946.20.06134-4

A. Orsini, A. Santangelo, A. Bonuccelli, M. C. Ragone, T. Foiadelli, S. Savasta, F. Madia, D. Peroni, P. Striano

引用次数: 1

Evaluation of pancreatic functions in cases of primary and secondary malnutrition. 原发性和继发性营养不良患者胰腺功能的评估。

IF 2.6 4区医学

Minerva pediatrica Pub Date : 2020-11-01 DOI: 10.23736/S0026-4946.20.06028-4

Mahmut E Tuluce, Adnan Barutçu, Sibel Yavuz, M. Ağın, S. Çetiner, G. Tumgor

{"title":"Evaluation of pancreatic functions in cases of primary and secondary malnutrition.","authors":"Mahmut E Tuluce, Adnan Barutçu, Sibel Yavuz, M. Ağın, S. Çetiner, G. Tumgor","doi":"10.23736/S0026-4946.20.06028-4","DOIUrl":"https://doi.org/10.23736/S0026-4946.20.06028-4","url":null,"abstract":"BACKGROUND\u0000This study assessed pancreatic functions by investigating fecal elastase-1 (FE-1) levels in stool specimens in children with primary and secondary malnutrition.\u0000\u0000\u0000METHODS\u0000A total of 139 malnourished children who were hospitalized and followed up at a tertiary care pediatrics clinic and 23 healthy children with no known systemic disease or malnutrition were included in this study. Malnourished patients were divided into four groups according to underlying diagnosis including primary malnutrition (n=51), cystic fibrosis (n=44), celiac disease (n=12) and secondary malnutrition (n=32; remaining patients with various diagnoses). Patient's demographic characteristics and laboratory data were investigated. FE-1 levels of the patients and healthy subjects were evaluated.\u0000\u0000\u0000RESULTS\u0000FE-1 levels in patients with cystic fibrosis, primary malnutrition, and celiac disease, and other patients with secondary malnutrition were significantly lower than those in the control group.\u0000\u0000\u0000CONCLUSIONS\u0000Pancreatic enzymes are used due to pancreatic failure in cases of cystic fibrosis, and patients benefit considerably from treatment. This study shows that pancreatic failure may also occur in cases of primary and secondary malnutrition apart from cystic fibrosis, emphasizing the likelihood of pancreatic enzyme support to be useful in terms of pancreatic failure developing secondarily in cases of primary malnutrition.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41859513","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