Central European Journal of Paediatrics最新文献

A Miraculous Rescue of Two Siblings from the Earthquake Rubble in Türkiye 从土耳其地震废墟中奇迹般地救出两兄妹

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.366

Hüseyin Çaksen

引用次数: 0

The Relationship between Maternal Factors and the Timely Initiation of Complementary Feeding for Infants, in West Sumatera Province, Indonesia 印度尼西亚西苏门答腊省产妇因素与及时开始婴儿辅食喂养之间的关系

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.365

H. Herman, Fitra Yeni, Deswita C, Sovia Susianty

{"title":"The Relationship between Maternal Factors and the Timely Initiation of Complementary Feeding for Infants, in West Sumatera Province, Indonesia","authors":"H. Herman, Fitra Yeni, Deswita C, Sovia Susianty","doi":"10.5457/p2005-114.365","DOIUrl":"https://doi.org/10.5457/p2005-114.365","url":null,"abstract":"Objective − This study looked into the relationship between maternal factors and the timely initiation of complementary feeding for infants. Material and Methods − A cross-sectional study was conducted from September to December 2022 on 196 mothers and their children aged 6-23 months. This study collected data through a questionnaire that included sociodemographic informa- tion, the Infant and Young Child Feeding Questionnaire for Child Care Providers (IYCF-CCPQ), the Iowa Infant Feeding At- titude Scale (IIFAS), and the time of initiation of complementary feeding.Results − This study included 196 mothers, with 128 (55.1%) having adequate knowledge of complementary feeding and 112 mothers (59.7%) had a negative view of infant feeding. The rate of timely initiation of complementary feeding was 71.4%. The mothers’ knowledge of infant feeding did not predict the timely initiation of complementary feeding (OR=1.18; 95% CI=0.62-2.26). However, maternal attitudes toward infant feeding were linked to the timely initiation of complementary feeding (OR=2.14; 95% CI=1.14-4.02). Conclusions − Mothers with positive attitudes toward infant feeding were twice as likely to start complementary feeding on time as those with negative at- titudes. Counseling mothers on the importance of timely initiation of complementary feeding is therefore required to improve mothers’ attitudes toward providing complementary foods to their infants in accordance with health recommendations.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660834","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

Complement C3 Levels in Membranoproliferative and Post-infectious Glomerulonephritides 膜增生性肾小球肾炎和感染后肾小球肾炎的补体 C3 水平

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.358

Alexandra Wenig, Ahmed Zeid, Mohamed Najjar, John D. Mahan, M. Kallash

{"title":"Complement C3 Levels in Membranoproliferative and Post-infectious Glomerulonephritides","authors":"Alexandra Wenig, Ahmed Zeid, Mohamed Najjar, John D. Mahan, M. Kallash","doi":"10.5457/p2005-114.358","DOIUrl":"https://doi.org/10.5457/p2005-114.358","url":null,"abstract":"Objectives − Post infectious glomerulonephritis (PIGN) is the most common type of nephritis in children. Presentation is variable, and most cases initially have low serum complement C3. Membranoproliferative glomerulonephritis (MPGN) is a chronic nephritis less frequently seen in children and is also associated with low serum C3. While management of PIGN is predominantly supportive, MPGN usually requires immunosuppressive therapy. Differentiating PIGN from MPGN at presentation is difficult. Early diagnosis can help inform evaluation and treatment decisions.Materials and Methods − This is a retrospective study of all children 1-21 years of age diagnosed with PIGN and MPGN, treated by nephrologists at Nationwide Children’s Hospital between January 2014 and December 2019. Clinical data, results of kidney function, complement levels, urine testing and biopsy were collected. Children with other types of glomerulonephritis were excluded.Results − Fifty-seven children were included (43 with PIGN and 14 with MPGN). PIGN children were younger at presentation (median age: 7 vs 9.5 years, P=0.0159) and more likely to have a C3 level <40 mg/dl compared to MPGN children (P=0.0031). Most children with PIGN (74.42%) had normal complement levels within 12 weeks after diagnosis compared to 35.71% of children with MPGN. More children with MPGN had evidence of chronic kidney disease as compared to PIGN children, who were more likely to have a full kidney recovery. Conclusions − Younger children with more significant hypocomplementemia at presentation were more likely to have PIGN than MPGN. We recommend earlier evaluation for MPGN in adolescents with milder degrees of hypocomplementemia (>40 mg/dl). ","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"60 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664240","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

Spindle Epithelial Tumor with Thymus-like Element (SETTLE): A Case Report 带胸腺样成分的纺锤形上皮肿瘤 (SETTLE)：病例报告

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.363

Jelena Roganović, Željana Jotanović Pahović, Alex Anton Bruno Lozić, Irena Seili Bekafigo

引用次数: 0

Utility of Red Blood Cell Distribution Width to Albumin Ratio and Hemoglobin to Red Blood Cell Distribution Width Ratio as Biomarkers in Pediatric Sepsis 红细胞分布宽度与白蛋白比率和血红蛋白与红细胞分布宽度比率作为小儿败血症生物标志物的实用性

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.362

Sumaiyya Mohammed Pervez Mulla, S.R. Ravikiran, Sridevi Hb, Vinod Kumar Gundi, Sanyakta S. Kamath, S. Acharya, Sharath M. Manya, Suprasanna K, Kiran Baliga

{"title":"Utility of Red Blood Cell Distribution Width to Albumin Ratio and Hemoglobin to Red Blood Cell Distribution Width Ratio as Biomarkers in Pediatric Sepsis","authors":"Sumaiyya Mohammed Pervez Mulla, S.R. Ravikiran, Sridevi Hb, Vinod Kumar Gundi, Sanyakta S. Kamath, S. Acharya, Sharath M. Manya, Suprasanna K, Kiran Baliga","doi":"10.5457/p2005-114.362","DOIUrl":"https://doi.org/10.5457/p2005-114.362","url":null,"abstract":"Objectives − The objective was to compare these parameters in children with severe and non-severe sepsis and to evaluate their utility in predicting mortality. Material and Methods − A cross-sectional study conducted in the Pediatric Intensive Care of a dis- trict hospital in India. The hematological parameters of 54 children with severe sepsis and 55 with non-severe sepsis were analysed.Results − The children with severe sepsis had significantly lower HRR (Hemoglobin-RDW ratio) with higher RDW, plateletcrit and RAR as compared to those with non-severe sepsis. There were no significant differences between the groups with respect to the differential and total white blood cell counts or their ratios and other platelet indices. As compared to the survivors, non-survivors had significantly lower HRR with higher RDW and RAR. At a cut-off value of 3.845, RAR was 79.2% sensitive and 59% specific and at a cut-off value of 0.712 HRR was 77.8% sensitive and 60% specific in prediction of mortality.Conclusions − Children with severe sepsis had higher RAR and lower HRR when compared with children with non-severe sepsis. Significantly higher RAR and lower HRR were also noted among non-survivors as compared to survivors. The biomarkers RAR and HRR are readily available and useful in predicting mortality in children with sepsis.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"26 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663584","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

Paediatric Burns: a Thirteen-year Single-centre Retrospective Study in Croatia 儿科烧伤：克罗地亚一项为期十三年的单中心回顾性研究

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.356

T. Kovačević, Darija Tudor, Antonija Sučić, B. Polić, Tatjana Ćatipović Ardalić, Ivan Pivac, Joško Markić

{"title":"Paediatric Burns: a Thirteen-year Single-centre Retrospective Study in Croatia","authors":"T. Kovačević, Darija Tudor, Antonija Sučić, B. Polić, Tatjana Ćatipović Ardalić, Ivan Pivac, Joško Markić","doi":"10.5457/p2005-114.356","DOIUrl":"https://doi.org/10.5457/p2005-114.356","url":null,"abstract":"Objective – Burn injuries (BI) are a great threat to children and are a significant therapeutic challenge. They demand prompt attention to avoid infection and scarring. The main goal of this paper is to analyse the demographic and clinical characteristics of BI in children treated in the Paediatric Intensive Care Unit (PICU), University Hospital of Split (UHS).Patients and Methods – The data of patients with BI admitted to the PICU from 2010 through 2022 were collected retrospectively from medical docu- mentation. The subjects were analysed and stratified into groups according to age, sex, cause of burn, percentage of affected total body surface area (TBSA) and length of stay (LOS) in the PICU. Results – A total of 20 children were treated. Of these, 14 were boys and 6 were girls. The most common cause of burns in children was skin contact with hot liquids (60%). Burns affecting 10 to <20% of TBSA were found in 60% children. Children with TBSA <15% were significantly older than those with TBSA ≥15% (6.9±6.3 years vs. 1.9±1.9 years; P=0.022). The mean LOS in the PICU was 3.7 days. Most children had burns on their chest, legs and arms. Conclusion – There were no deaths or serious associated injuries, but burns caused significant morbidity, and disrupted the children’s physical and emotional stability. As BI are preventable, awareness should be raised and burn prevention programmes should be encouraged, especially those intended for toddlers. ","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"34 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663100","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

Umbilical Cord Care - Impact of National Recommendations 脐带护理 - 国家建议的影响

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.355

Gregor Nosan

{"title":"Umbilical Cord Care - Impact of National Recommendations","authors":"Gregor Nosan","doi":"10.5457/p2005-114.355","DOIUrl":"https://doi.org/10.5457/p2005-114.355","url":null,"abstract":"Objectives −To analyze the current umbilical cord (UC) care practice in Slovenia and to evaluate the impact of national UC care recommendations by comparing the UC care practice before and after their introduction.Materials and Methods − A questionnaire covering the complete UC care was sent to medical nurses and midwifes involved in UC care in primary-level pediatric centers, health visiting and parent education services (outpatient group) and secondary and tertiary-level pediatric centers (inpatient care group) in Slovenia. Three different clinical conditions of the newborn’s umbilicus, i.e. healthy umbilicus (HU), umbilicus at risk (RU) and unhealthy umbilicus (UU) were used. The inpatient and outpatient groups and UC care in 2013 and 2021 were compared.Results − The sample included 396 respondents from all Slovenian regions. The odds for using UC care protocol in 2021 were 2.6 times higher compared to 2013 (P<0.001). The UC care of HU changed: the dry UC care became less frequent (P<0,001), the use of normal saline solution increased and the use of ethanol solution decreased (P<0.001). The use of ethanol solution for UU decreased (P<0.001) and the use of octenidine increased more than 200 times (P<0.001). Conclusions − The implementation of national recommendations significantly influenced the UC care in Slovenia. The current UC care practice is more unified and consistent with international recommendations. The adjusted UC care, depending on the clinical condition of the newborn’s umbilicus, puts additional value to these recommendations. Further refinements of the UC care protocol should emphasize the use of dry UC care.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"42 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662417","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

How Real Are Allergic Reactions to Vaccine Components in Children? − Experiences of Clinicians 儿童对疫苗成分过敏的真实程度如何？- 临床医生的经验

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.360

M. Turkalj, Katarina Bogović, Marcel Lipej, Milan Jurić, Vlatka Drinković, Željka Vlašić-Lončarić, Marija Vodopija, D. Erceg

{"title":"How Real Are Allergic Reactions to Vaccine Components in Children? − Experiences of Clinicians","authors":"M. Turkalj, Katarina Bogović, Marcel Lipej, Milan Jurić, Vlatka Drinković, Željka Vlašić-Lončarić, Marija Vodopija, D. Erceg","doi":"10.5457/p2005-114.360","DOIUrl":"https://doi.org/10.5457/p2005-114.360","url":null,"abstract":"Objective − Vaccine components have the potential to induce allergic reactions, although such reactions are infrequent, especially anaphylactic reactions, which are very rare (occurring at a rate of 1 per million vaccine doses). The objective of this study was to assess objectively the frequency of allergic reactions to vaccine components in children with suspected allergic reactions to vaccine components. Materials andMethods − We retrospectively analyzed the medical records of 209 patients aged 1 to 18 years with suspected allergic reactions to vaccine components, who underwent the standardized diagnostic procedures and tests to common allergens and vaccine components at Srebrnjak Children`s Hospital, Zagreb, Croatia. Results − Of the 209 children vaccinated in the hospital setting, only two (0.95%) developed side effects during their hospital stay, and 2.63% with a positive history of IgE mediated vaccine allergy were positive for one of the components of the vaccine. Local reactions to the vaccine were the most frequent adverse events in our patients. 62.6% of them were referred due to a positive history of egg protein allergy. Conclusion − Allergic reactions to vaccine components are rare and mild in most cases. In patients with a suggestive history, it is important to choose appropriate diagnostic tests to determine if vaccination can be performed safely. Only patients at risk of egg protein anaphylaxis generally require medically supervised vaccination in a hospital facility. Patients with a history or a documented and immediate allergic reaction (<4 h) require an allergy workup to avoid the risk of repeated anaphylaxis after further administration.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"81 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665491","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

Seasonality of Infections Caused by Respiratory Viruses in Newborns and Their Relation to Meteorological Factors 新生儿呼吸道病毒感染的季节性及其与气象因素的关系

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.361

Gregor Nosan

{"title":"Seasonality of Infections Caused by Respiratory Viruses in Newborns and Their Relation to Meteorological Factors","authors":"Gregor Nosan","doi":"10.5457/p2005-114.361","DOIUrl":"https://doi.org/10.5457/p2005-114.361","url":null,"abstract":"Objectives − Most viral respiratory tract infections (VRTI) are seasonal diseases and frequently severely affect public health by causing seasonal epidemics and pandemics, also in newborns. The objective of this study was to analyse the relation of meteorological factors to the occurrence of neonatal VRTI and to estimate their predictive role for VRTI seasonality.Patients and methods − The retrospective observational cohort study enrolled 228 newborns (56% male and 29% preterm) aged up to 44 postmenstrual weeks, hospitalized due to acute VRTI between January 2015 and December 2020 in the central Slovenian region. The meteorological data for the same geographical region and time period were assessed, and correlation, multiple regression and cut-off values were analysed. Results − A typical seasonal distribution of VRTI from December to March was observed and the large majority of cases were due to respiratory syncytial virus (RSV) infection. Low air temperature, high relative humidity, shorter daily solar radiation and increased cloud cover were associated with an increased risk of neonatal, either RSV or non-RSV VRTI.Conclusions − Meteorological factors, particularly air temperature and relative humidity, were associated with neonatal VRTI occurrence in the temperate climate of central Slovenia. The average daily air temperature below 4.9 and 3.8 °C could predict the onset of the VRTI and RSV VRTI season, respectively. These factors could be used as real-time predictive warning, especially for RSV season onset and the need to begin RSV immunoprophylaxis in vulnerable newborns. ","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"59 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140662618","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

PEER REVIEWERS FOR THE CENTRAL EUROPEAN JOURNAL OF PAEDIATRICS VOL. 19. 中欧儿科杂志》同行评审员，第 19 卷。19.

Central European Journal of Paediatrics Pub Date : 2024-04-24 DOI: 10.5457/p2005-114.352

H. Tahirovič

引用次数: 0