Pediatric Research最新文献

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The Dobbs decision and pediatric healthcare: preparing for unintended consequences. 多布斯决定与儿科医疗:为意外后果做好准备。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-23 DOI: 10.1038/s41390-024-03725-z
Scott A Lorch, Abigail Wilpers, Diana Montoya-Williams
{"title":"The Dobbs decision and pediatric healthcare: preparing for unintended consequences.","authors":"Scott A Lorch, Abigail Wilpers, Diana Montoya-Williams","doi":"10.1038/s41390-024-03725-z","DOIUrl":"10.1038/s41390-024-03725-z","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Pro-inflammatory biomarkers and long term neurological outcomes in hypothermia plus melatonin treated asphyxiated newborns. A preliminary approach. 低体温加褪黑素治疗窒息新生儿的前炎症生物标志物和长期神经功能预后。初步方法。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-23 DOI: 10.1038/s41390-024-03742-y
Antonio Jerez Calero, Francisco Contreras Chova, Ángela Benítez Feliponi, Hatim Azaryah, Jose Antonio Hurtado Suazo, M Fernanda Moreno Galdó, Antonio Molina Carballo
{"title":"Pro-inflammatory biomarkers and long term neurological outcomes in hypothermia plus melatonin treated asphyxiated newborns. A preliminary approach.","authors":"Antonio Jerez Calero, Francisco Contreras Chova, Ángela Benítez Feliponi, Hatim Azaryah, Jose Antonio Hurtado Suazo, M Fernanda Moreno Galdó, Antonio Molina Carballo","doi":"10.1038/s41390-024-03742-y","DOIUrl":"https://doi.org/10.1038/s41390-024-03742-y","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate serum neuronal and inflammatory biomarkers in asphyxiated newborns treated with hypothermia alone or hypothermia plus melatonin, and whether biomarkers correlate with neurodevelopmental outcomes.</p><p><strong>Design: </strong>A pilot multicentre, randomized, controlled, double blind clinical trial. 25 newborns were recruited. Neonatal neural biomarkers were measured in serum samples at hospital admission (T0), 24 h (T1), 72 hours (T2) and 7-10 days of age (T3). Neurodevelopmental scales were performed at 6 and 18 months. Treated patients received a daily dose of intravenous melatonin, for 3 days.</p><p><strong>Results: </strong>In melatonin-treated group, lower plasma levels of GM-CSF, IL-2 and IL-13 at T1 were measured vs placebo-group. We also corroborated, at T2, lower concentrations of GM-CSF, as well as IL-7 and IL-13 at T3. Throughout the study period, we found a significant decrease in GM-CSF concentrations in the treatment group. We have also observed sustained decrease over time of GM-CSF and inflammatory cytokines IL-2, IL-7 and IL-13 correlates with better neurodevelopmental outcomes at 6 and 18 months.</p><p><strong>Conclusions: </strong>In neonates affected by hypoxic-ischemic encephalopathy, the addition of iv melatonin to hypothermia therapy affects plasma biomarker concentration in the first week of life, with a high correlation with long-term neurological prognosis.</p><p><strong>Impact: </strong>Several plasma cytokines act as inflammatory mediators and biomarkers of hypoxia-ischemia-acquired neonatal brain damage. In animal research, melatonin has been shown to be a safe substance with proven anti-inflammatory and neuroprotective effects. Findings from our clinical trial show that melatonin affects plasma inflammatory biomarker concentration within the first week of life. This effect may be related to long-term neurological prognosis. To date, this is the only clinical trial in human infants including asphyxiated neonates treated with hypothermia and intravenous melatonin. Our study could help design future larger, well-designed clinical trials to clarify its effects in asphyxiated neonates.</p>","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Neurodevelopmental follow-up care pathways and processes for children with congenital heart disease in Australia. 澳大利亚先天性心脏病患儿神经发育后续护理路径和流程。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-23 DOI: 10.1038/s41390-024-03722-2
Bridget Abell, David Rodwell, Karen J Eagleson, Ben Auld, Samudragupta Bora, Nadine A Kasparian, Robert Justo, William Parsonage, Steven M McPhail
{"title":"Neurodevelopmental follow-up care pathways and processes for children with congenital heart disease in Australia.","authors":"Bridget Abell, David Rodwell, Karen J Eagleson, Ben Auld, Samudragupta Bora, Nadine A Kasparian, Robert Justo, William Parsonage, Steven M McPhail","doi":"10.1038/s41390-024-03722-2","DOIUrl":"10.1038/s41390-024-03722-2","url":null,"abstract":"<p><strong>Background: </strong>International consensus exists for neurodevelopmental follow-up care of children with congenital heart disease (CHD) to support timely intervention for developmental delays. Yet, documentation of how this care is implemented in Australia is lacking. This study aimed to identify, categorise, and understand care pathways and services supporting neurodevelopmental follow-up of Australian children with CHD.</p><p><strong>Methods: </strong>A qualitative study, using semi-structured virtual interviews with healthcare professionals across Australia involved in neurodevelopmental care of children with CHD (n = 52) was conducted. Data was analysed using a rapid qualitative approach including structured templates, data reduction, and inductive-deductive analysis of matrices to synthesise data.</p><p><strong>Results: </strong>Most neurodevelopmental follow-up was delivered as pathways through existing healthcare services rather than centre-based cardiac programmes. Service availability and accessibility varied across the country. Community-based primary care services, paediatric clinics, child development services, neonatal follow-up programmes, and allied health providers were commonly accessed pathway components. However, participants reported a lack of formal structures to coordinate care pathways.</p><p><strong>Conclusions: </strong>The study identifies how cardiac neurodevelopmental follow-up in Australia can be embedded into existing services and adapted to meet local needs and contexts. Future approaches will benefit from integrating, leveraging, and growing existing services, although adoption of new models may be needed.</p><p><strong>Impact: </strong>This study found neurodevelopmental follow-up care for children with CHD in Australia to be delivered as pathways through existing services rather than the centre-based cardiac follow-up programmes common in North America. Our study describes alternate options, including providers in community settings, that can be used for follow-up care delivery and how these can adapted to local context. Future approaches will benefit from integrating, leveraging, and growing existing services, although adoption of new models may be needed. Greater systematic coordination of care pathways is still required to optimise service delivery, inform planning, and support implementation of national standards of care.</p>","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Considering comorbidities: neurodevelopmental implications for children of diabetic mothers. 考虑合并症:糖尿病母亲所生子女的神经发育影响。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-22 DOI: 10.1038/s41390-024-03764-6
Katherine M Ottolini, Nickie Andescavage
{"title":"Considering comorbidities: neurodevelopmental implications for children of diabetic mothers.","authors":"Katherine M Ottolini, Nickie Andescavage","doi":"10.1038/s41390-024-03764-6","DOIUrl":"https://doi.org/10.1038/s41390-024-03764-6","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Polyunsaturated fatty acids in preterm infants: opportunity to revisit tenets of study design and reporting for nutrient intervention trials. 早产儿体内的多不饱和脂肪酸:重新审视营养干预试验的研究设计和报告原则的机会。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-22 DOI: 10.1038/s41390-024-03702-6
Daniel T Robinson
{"title":"Polyunsaturated fatty acids in preterm infants: opportunity to revisit tenets of study design and reporting for nutrient intervention trials.","authors":"Daniel T Robinson","doi":"10.1038/s41390-024-03702-6","DOIUrl":"https://doi.org/10.1038/s41390-024-03702-6","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Hearing loss in neonatal encephalopathy. 新生儿脑病的听力损失。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-22 DOI: 10.1038/s41390-024-03755-7
Jia Nee Chang, Sudhin Thayyil, Reema Garegrat
{"title":"Hearing loss in neonatal encephalopathy.","authors":"Jia Nee Chang, Sudhin Thayyil, Reema Garegrat","doi":"10.1038/s41390-024-03755-7","DOIUrl":"https://doi.org/10.1038/s41390-024-03755-7","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Healthy behaviors among children. 儿童的健康行为。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-22 DOI: 10.1038/s41390-024-03743-x
Guodong Ding, Chaochao Wen, Yan Chen, Angela Vinturache, Yongjun Zhang
{"title":"Healthy behaviors among children.","authors":"Guodong Ding, Chaochao Wen, Yan Chen, Angela Vinturache, Yongjun Zhang","doi":"10.1038/s41390-024-03743-x","DOIUrl":"https://doi.org/10.1038/s41390-024-03743-x","url":null,"abstract":"<p><strong>Impact: </strong>There is variability in healthy behaviors among children and children from lower socioeconomic status households were less likely to exhibit healthy behaviors and maintain a healthy lifestyle.</p>","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Understanding the mystery of the crying infant. 了解婴儿啼哭的奥秘
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-19 DOI: 10.1038/s41390-024-03724-0
Jonathan Clarke, John J Fitzsimons
{"title":"Understanding the mystery of the crying infant.","authors":"Jonathan Clarke, John J Fitzsimons","doi":"10.1038/s41390-024-03724-0","DOIUrl":"https://doi.org/10.1038/s41390-024-03724-0","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Implementation of multi-omics in diagnosis of pediatric rare diseases. 在儿科罕见病诊断中采用多组学技术。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-19 DOI: 10.1038/s41390-024-03728-w
Sara S Ali, Qifei Li, Pankaj B Agrawal
{"title":"Implementation of multi-omics in diagnosis of pediatric rare diseases.","authors":"Sara S Ali, Qifei Li, Pankaj B Agrawal","doi":"10.1038/s41390-024-03728-w","DOIUrl":"https://doi.org/10.1038/s41390-024-03728-w","url":null,"abstract":"<p><p>The rapid and accurate diagnosis of rare diseases is paramount in directing clinical management. In recent years, the integration of multi-omics approaches has emerged as a potential strategy to overcome diagnostic hurdles. This review examines the application of multi-omics technologies, including genomics, epigenomics, transcriptomics, proteomics, and metabolomics, in relation to the diagnostic journey of rare diseases. We explore how these combined approaches enhance the detection of pathogenic genetic variants and decipher molecular mechanisms. This review highlights the groundbreaking potential of multi-omics in advancing the precision medicine paradigm for rare diseases, offering insights into future directions and clinical applications. IMPACT: This review discusses using current tests and emerging technologies to diagnose pediatric rare diseases. We describe the next steps after inconclusive molecular testing and a structure for using multi-omics in further investigations. The use of multi-omics is expanding, and it is essential to incorporate it into clinical practice to enhance individualized patient care.</p>","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Patent Ductus Arteriosus: (Don't) follow your heart. 动脉导管未闭:(不要)随心所欲。
IF 3.1 3区 医学
Pediatric Research Pub Date : 2024-11-19 DOI: 10.1038/s41390-024-03738-8
Rahul Mital, Martin L Bocks, Timothy J Mead
{"title":"Patent Ductus Arteriosus: (Don't) follow your heart.","authors":"Rahul Mital, Martin L Bocks, Timothy J Mead","doi":"10.1038/s41390-024-03738-8","DOIUrl":"https://doi.org/10.1038/s41390-024-03738-8","url":null,"abstract":"","PeriodicalId":19829,"journal":{"name":"Pediatric Research","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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