Clinical and Experimental Pediatrics最新文献_第5页

Nonpharmacological interventions for managing postoperative pain and anxiety in children: a randomized controlled trial. 控制儿童术后疼痛和焦虑的非药物干预措施：随机对照试验。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.3345/cep.2023.01690

Edlin Glane Mathias, Mamatha Shivananda Pai, Vijay Kumar, Dinesh Narayanakurup, Malavika Kulkarni, Vasudeva Guddattu, Ann-Cathrine Bramhagen, Baby S Nayak, Anice George

{"title":"Nonpharmacological interventions for managing postoperative pain and anxiety in children: a randomized controlled trial.","authors":"Edlin Glane Mathias, Mamatha Shivananda Pai, Vijay Kumar, Dinesh Narayanakurup, Malavika Kulkarni, Vasudeva Guddattu, Ann-Cathrine Bramhagen, Baby S Nayak, Anice George","doi":"10.3345/cep.2023.01690","DOIUrl":"10.3345/cep.2023.01690","url":null,"abstract":"Background: Hospitalizations and surgical procedures are unpleasant for both children and their parents. Therefore, postoperative pain assessments and management are less commonly performed in younger children than in adults.Purpose: To evaluate the effect of nonpharmacological interventions on postoperative pain and anxiety in children.Methods: In this randomized controlled trial, 160 children were randomly allocated to experimental (n=80) and control (n=80) groups. The children in the experimental group received age-appropriate distraction interventions for 3 postoperative days along with standard care. Children in the control group received standard care only. Each child was assessed for pain using EVENDOL pain scale, while their anxiety was measured using the modified Yale Preoperative Anxiety Scale. The Descriptive statistics (frequency, percentage, mean, and standard deviation) and repeated-measures analysis of variance were used to analyze the data.Results: The children in the experimental group showed significantly decreased pain, anxiety, and physiological parameters (heart rate, respiratory rate, and oxygen saturation) compared to those in the control group. Significant intergroup differences were noted in the mean and standard deviation values of the pain, anxiety, and physiological parameters.Conclusion: The distraction interventions provided by nurses reduced the pain and anxiety levels and improved the postoperative recovery among children.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"677-685"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559026","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

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.3345/cep.2023.01634

Ji-Hyun Seo, Sochung Chung

引用次数: 0

Double-negative T cells in pediatric rheumatic diseases. 小儿风湿病中的双阴性 T 细胞。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-09-12 DOI: 10.3345/cep.2023.01760

Dimitri Poddighe, Tilektes Maulenkul, Kuanysh Dossybayeva, Gulsamal Zhubanova, Zaure Mukusheva, Lyudmila Akhmaltdinova

{"title":"Double-negative T cells in pediatric rheumatic diseases.","authors":"Dimitri Poddighe, Tilektes Maulenkul, Kuanysh Dossybayeva, Gulsamal Zhubanova, Zaure Mukusheva, Lyudmila Akhmaltdinova","doi":"10.3345/cep.2023.01760","DOIUrl":"10.3345/cep.2023.01760","url":null,"abstract":"Double-negative (CD4-CD8-) T (DNT) cells have been implicated in autoimmune lymphoproliferative syndrome (ALPS), where their expansion inside the circulating pool of T cells represents a diagnostic criterion. Recent experimental evidence has supported the immunomodulatory roles of DNT cells, and studies in adult patients have suggested that they may be altered in some immune-mediated conditions. This study aimed to retrieve available data on circulating DNT cells in pediatric rheumatic disorders that do not arise in the context of ALPS through a systematic literature review of 3 scientific databases (PubMed, Scopus, and Web of Science). The final output of the systematic literature search consisted of 8 manuscripts, including cross-sectional (n=6) and longitudinal (n=2) studies. Overall, the pooled population of patients includes children affected with pediatric systemic lupus erythematosus (n= 104), juvenile idiopathic arthritis (n=92), Behçet's disease (n=15), mixed connective tissue disease (n=8), juvenile dermatomyositis (n=6), and Kawasaki disease/multisystem inflammatory disease in children (n=1 and n=14, respectively); moreover, one study also included 11 children with a high titer of antinuclear antibody but no diagnosis of rheumatic disease. All studies except one included a control group. The number of DNT cells were increased in most studies of children with rheumatic diseases. Even if such a limited number of studies and their great heterogeneity in several methodological aspects do not allow for reliable conclusions about the relevance of DNT cells in specific rheumatic conditions in children, this cell population deserves further investigation in this pathological setting through well-designed clinical studies.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"632-640"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297328","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

Comorbidities of allergic rhinitis in children. 儿童过敏性鼻炎的并发症。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.3345/cep.2024.00164

Yong Ju Lee

引用次数: 0

Balance assessment with decreased base of support for children with disabilities. 平衡评估，减少对残疾儿童的支持。

IF 3.2

Clinical and Experimental Pediatrics Pub Date : 2024-12-01 Epub Date: 2024-11-11 DOI: 10.3345/cep.2024.00780

Guilherme M Cesar, Madison Giebler, Thad W Buster, Judith M Burnfield

{"title":"Balance assessment with decreased base of support for children with disabilities.","authors":"Guilherme M Cesar, Madison Giebler, Thad W Buster, Judith M Burnfield","doi":"10.3345/cep.2024.00780","DOIUrl":"10.3345/cep.2024.00780","url":null,"abstract":"Background: Children's ability to achieve an appropriate motor development is largely associated with their capacity to control balance. Furthermore, accomplishing balance tasks with a narrowed base of support is a necessary precursor to engaging in everyday functional activities and developing more complex balance abilities.Purpose: To investigate the relationship between the tandem stance (TS) and the single-limb stance (SLS) items of the Pediatric Balance Scale (PBS) assessment tool with the PBS total score in children with impaired balance.Methods: Forty-two children (22 with neurological disabilities, 10.7±3.1 years; 20 typically developing [TD], 8.3±2.7 years) performed all 14 PBS items. Linear regressions separately determined the impact of TS and SLS on total PBS score in both groups. Bland-Altman plots expressed agreement between the balance measurements.Results: For children with disabilities, only the SLS entered the model, explaining 64.5% of the variance in total PBS score. A high level of agreement was observed between the SLS and total PBS scores. For TD children, only the TS entered the model, explaining 45.2% of the variance in the total PBS score. A high level of agreement was observed between the TS and total PBS scores.Conclusion: Our findings support the practical and efficient use of a single balance task to assess balance ability in children with disabilities.","PeriodicalId":36018,"journal":{"name":"Clinical and Experimental Pediatrics","volume":" ","pages":"718-724"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629579","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

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