Clinical and Experimental Pediatrics最新文献_第2页

Advancements in food allergen immunotherapy: improving quality of life and reducing risks. 食物过敏原免疫疗法的进展：提高生活质量，降低风险。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.3345/cep.2023.01718

Jihyun Kim

引用次数: 0

Strategies to support language development in neonatal intensive care unit: a narrative review. 支持新生儿重症监护室语言发展的策略：叙述性综述。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.3345/cep.2024.00087

Ju Sun Heo, Ee-Kyung Kim

{"title":"Strategies to support language development in neonatal intensive care unit: a narrative review.","authors":"Ju Sun Heo, Ee-Kyung Kim","doi":"10.3345/cep.2024.00087","DOIUrl":"10.3345/cep.2024.00087","url":null,"abstract":"Despite neonatal intensive care advancements and quality improvements, preterm infants often experience delays in speech and language development during early childhood. The etiological pathway of language delays is multifactorial, including younger gestational age at birth, male sex, pregnancy complications including gestational diabetes mellitus and preeclampsia, organic pathology from neonatal morbidities, environmental factors of the neonatal intensive care unit (NICU) and prolonged hospitalization, home environment including socioeconomic status and parental education, and parent-infant interactions. As early language experiences and environments are crucial for the development of language processing, strategies to support language development should be implemented from the NICU onward. This study aimed to summarize evidence- based strategies for language development through an extensive review of nutrition, NICU environment, language and sound exposure, developmental care interventions, and family-centered care. Promoting breastfeeding, increasing parent-infant interactions in a single-family room setting, nurturing the language environment via parental book reading and language interventions, and parent-integrated interventions in the NICU could potentially enhance language development among preterm infants. These supportive strategies can be integrated through family-centered care, which recognizes parents as primary caregivers and collaborative partners.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"651-663"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screen time among preschoolers: exploring individual, familial, and environmental factors. 学龄前儿童的屏幕时间：探讨个人、家庭和环境因素。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-09-12 DOI: 10.3345/cep.2023.01746

Sangha Lee, Donghee Kim, Yunmi Shin

{"title":"Screen time among preschoolers: exploring individual, familial, and environmental factors.","authors":"Sangha Lee, Donghee Kim, Yunmi Shin","doi":"10.3345/cep.2023.01746","DOIUrl":"10.3345/cep.2023.01746","url":null,"abstract":"Screen-based activity refers to the use of screened devices, which are changing from stationary devices such as televisions and desktop computers to newer portable devices such as smartphones and electronic tablets. The exposure of younger children to all types of screened devices has increased. This review aimed to provide an overview of previous studies and identify the correlations associated with screen-based activities in preschoolers. We conducted a systematic literature review of databases including PubMed, Embase, and PsycInfo targeting quantitative studies published between 2010 and 2019. We then analyzed the associations between screen time and various individual, familial, and environmental factors in healthy children aged 0-6 years. We specifically included studies that provided a subgroup analysis for this age category to systematically identify the factors influencing screen time patterns among preschoolers. The search yielded 36 articles that met the inclusion criteria. We investigated age, sex, and social, family, and personal factors as well as media parenting. The results suggested that media parenting for screen-based activities was an important protective factor. Limited research has been conducted on preschoolers' screen-based activities with both stationary and portable screened devices. Most factors have been studied using stationary devices and are too infrequent for solid conclusions to be reached. Parental screen time and the setting of appropriate media limits were crucial protective factors against excessive media exposure. However, information about family and personal factors remain scarce, and further research is needed.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"641-650"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of proper postnatal care in continued exclusive breastfeeding among young Indonesian mothers. 适当的产后护理对印尼年轻母亲继续纯母乳喂养的作用。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-09-12 DOI: 10.3345/cep.2024.00815

Wahyu Triadmajani, Shinta Prawitasari, Abdul Wahab

{"title":"Role of proper postnatal care in continued exclusive breastfeeding among young Indonesian mothers.","authors":"Wahyu Triadmajani, Shinta Prawitasari, Abdul Wahab","doi":"10.3345/cep.2024.00815","DOIUrl":"10.3345/cep.2024.00815","url":null,"abstract":"Background: Exclusive breastfeeding (EBF) provides numerous health benefits to children. However, the EBF rate is unsatisfactory among young mothers because they often experience difficulties. Thus, interventions during the postnatal period are imperative to encouraging EBF practices in these populations. Postnatal care (PNC) should be delivered appropriately to ensure a positive postnatal experience; however, there has been little discussion of evidence therein to date.Purpose: This study investigated the association between proper PNC and EBF practices among young Indonesian mothers.Methods: This cross-sectional study analyzed data from the 2017 Indonesia Demographic Health Survey. All mothers aged 15-24 years who delivered an infant within the 2 years preceding the survey were included. Mothers were considered to be receiving proper PNC if they started breastfeeding soon after delivery, attended a PNC appointment within 2 days after giving birth, and received breastfeeding counseling and observation during the PNC visit.Results: Approximately 51.6% of infants under 6 months of age born to young mothers (those aged 15-24 years) were exclusively breastfed. Appropriate PNC was received by approximately 24.3% of the total population. The correlation between proper PNC and EBF practices was significant among adolescent mothers aged 15-19 years after an age stratification analysis (odds ratio, 8.22; 95% confidence interval, 1.957-34.524). Maternal age became a noticeable confounder after a risk-stratification analysis.Conclusion: Our findings imply the importance of breastfeeding service delivery during the early postnatal period in continuing EBF. Ensuring high PNC quality helps ensure positive postnatal experiences, particularly for adolescent mothers.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"686-693"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Right ventricular mass in a 10-year-old girl with osteosarcoma: an unusual case of asymptomatic cardiac metastasis. 患有骨肉瘤的 10 岁女孩右心室肿块：无症状心脏转移的罕见病例。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.3345/cep.2024.00857

Jun Ah Lee, Hyun-Ju Lim, Jong Woong Park, Sang-Hoon Shin, Mi Hyang Kwak

引用次数: 0

Adolescent hypertension and carotid intima-media thickness: Significance of submillimetric differences

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-11-28 DOI: 10.3345/cep.2024.01466

Christian Saleh

引用次数: 0

Advancements and challenges in neonatal resuscitation: embracing laryngeal mask airways for improved outcomes.

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-11-28 DOI: 10.3345/cep.2024.01088

Jang Hoon Lee

引用次数: 0

Cerebral organoid research for pediatric patients with neurological disorders.

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-11-28 DOI: 10.3345/cep.2024.01235

Jin Eun, Jung-Eun Lee, Seung-Ho Yang

引用次数: 0

C3 glomerulopathy in children: experience at a resource-limited center.

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-11-28 DOI: 10.3345/cep.2024.01256

Soumya Reddy, Abhishek Ghante, Mahesha Vankalakunti, Anil Vasudevan

{"title":"C3 glomerulopathy in children: experience at a resource-limited center.","authors":"Soumya Reddy, Abhishek Ghante, Mahesha Vankalakunti, Anil Vasudevan","doi":"10.3345/cep.2024.01256","DOIUrl":"https://doi.org/10.3345/cep.2024.01256","url":null,"abstract":"Background: In children, C3 glomerulopathy (C3G) is a heterogeneous disease characterized by diverse clinicopathological profiles and kidney outcomes. However, diagnostic work-up in resource-limited settings is challenging because of the unavailability of complement assays and limited access to electron microscopy or genetic testing.Purpose: This study aimed to describe the clinicopathological features and response to immunosuppression and evaluate renal outcomes among children with C3G in a resource-limited setting.Methods: This retrospective cohort study involved a review of the hospital records of 46 children (2013-2021) diagnosed with C3G on kidney biopsy. Their clinical, laboratory, treatment, and outcome details at onset and follow-up were noted.Results: The mean (SD) age was 9 (4) years. The common presentation was acute nephritis (27 [58.6%]), while one in five (19.5%) presented with rapidly progressive glomerulonephritis. Focal-crescentic glomerulonephritis (14 [30.4%]) was the common histological pattern. Electron microscopy was performed in 22 (47.8%), of which 17 were C3 glomerulonephritis (C3GN) and four were dense deposit disease (DDD). None of the patients underwent complement assay or genetic testing. Almost two-thirds (63%) received empirical immunosuppressive therapy, most commonly steroids. Of the 31/46 who completed follow-up (median [IQR] duration, 11.5 [6-24] months), six (19.4%) demonstrated complete kidney recovery, while the other 25 (80.7%) had kidney sequelae; of them, five (16.1%) progressed to end-stage kidney disease and two (4.3%) died by the last follow-up.Conclusion: Pediatric C3G has a variable clinicopathological spectrum, while DDD is less common. Most patients present with glomerulonephritis and significant morbidities. The lack of genetic and C3Nephritic factor testing is a barrier to the comprehensive phenotyping and management of C3G in resource-limited settings.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lifelong impact of elevated blood pressure from childhood to adulthood.

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-11-28 DOI: 10.3345/cep.2024.01445

Junhyun Kwon, Eunji Kim

{"title":"Lifelong impact of elevated blood pressure from childhood to adulthood.","authors":"Junhyun Kwon, Eunji Kim","doi":"10.3345/cep.2024.01445","DOIUrl":"https://doi.org/10.3345/cep.2024.01445","url":null,"abstract":"Elevated blood pressure (BP) during childhood and adolescence is increasingly being recognized as a precursor to adult hypertension and cardiovascular disease (CVD). This review examines the existing evidence of the relationship between early BP elevations and long-term cardiovascular (CV) outcomes. Previous studies demonstrated a moderate association between childhood BP and adult hypertension, with early BP elevations contributing to subclinical CV changes such as left ventricular hypertrophy and increased carotid intima-media thickness as well as major premature CVD events in adulthood. However, evidence also indicates that BP normalization before adulthood may mitigate these risks, suggesting a critical interventional window before irreversible CV changes occur. Multiple modifiable and nonmodifiable factors contribute to early-life BP elevations, including genetic predisposition, a high sodium intake, obesity, sedentary behavior, and sleep disturbances. Although establishing a direct causal association between childhood BP and adult hypertension or CVD remains challenging owing to the need for long-term follow-up and large sample sizes, further research is essential to addressing the existing knowledge gaps in pediatric hypertension prevention, detection, impact, and treatment. This review highlights the importance of preventing BP elevations early in life to reduce the long-term burden of hypertension and CVD. Promoting healthy behaviors, such as maintaining a healthy weight, reducing one's sodium intake, engaging in physical activity, and ensuring adequate sleep, is essential for managing BP at an early age. These efforts reduce individual CV risk and help alleviate the broader future public health burden of hypertension and CVD.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0