Central European Journal of Paediatrics最新文献_第3页

Reduction of Environmental Noise Impact on Preterm Babies in NICU by Using Ear Plugs 使用耳塞减少环境噪声对新生儿重症监护室早产儿的影响

Central European Journal of Paediatrics Pub Date : 2023-12-21 DOI: 10.5457/p2005-114.344

Parimala V Thirumalesh, Mathew Jaison Thekkanath

{"title":"Reduction of Environmental Noise Impact on Preterm Babies in NICU by Using Ear Plugs","authors":"Parimala V Thirumalesh, Mathew Jaison Thekkanath","doi":"10.5457/p2005-114.344","DOIUrl":"https://doi.org/10.5457/p2005-114.344","url":null,"abstract":"Objective − To determine if using ear plugs reduce the impact of noise on preterm babies admitted to neonatal intensive care units in terms of changes in their vital parameters and their discomfort level, assessed using the Neonatal Infant Pain Scale (NIPS) score.Materials and Methods − This is an interventional study conducted in a tertiary level neonatal intensive care unit (NICU) (Bangalore, India) over a period of 3 months, ranging from June 2022 to September 2022. This study included 20 preterm babies with different gestational ages and birth weights who were admitted to the NICU during that period. The babies’ response to noise, in terms of changes in heart rate, respiratory rate, blood pressure, oxygen saturation and discomfort level, were assessed with ear plugs and without ear plugs on alternate days and the results were recorded. Descriptive statistics were used for statistical analysis. Results − On days 1 and 3, mean heart rate and systolic blood pressure were lower in babies wearing ear plugs (141.55±2.42 SD and 60.1±11.58, respectively) than in the same babies without ear plugs (157.55±2.52 SD and 61.85±1.6 SD, respectively) on days 2 and 4. The mean oxygen saturation was higher in babies wearing ear plugs (96.7%±0.80 SD) than in the same babies without the intervention (93.75%±1.29 SD). The mean NIPS score was lower with the intervention (2.05±0.22) than without ear plugs (5.05±0.22 SD).Conclusion – Ear plugs were an effective alternative in situations where noise in the NICU cannot be consistently maintained at a lower level than the standard recommendation by the AAP of 45 decibels.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952155","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

Familial Combined Pituitary Hormone Deficiency by a Mutation in PROP1 – a Case Report 因 PROP1 基因突变导致的家族性合并垂体激素缺乏症--病例报告

Central European Journal of Paediatrics Pub Date : 2023-12-21 DOI: 10.5457/p2005-114.350

Ivona Butorac Ahel, S. Severinski, Iva Bilić Čače

引用次数: 0

The Diagnostic Value of Lung Ultrasound in Neonates and Infants with Acute Bronchiolitis 肺部超声波对急性支气管炎新生儿和婴儿的诊断价值

Central European Journal of Paediatrics Pub Date : 2023-12-21 DOI: 10.5457/p2005-114.347

Tadej Pungertnik, D. Paro-Panjan, U. Krivec, Jana Lozar Krivec

{"title":"The Diagnostic Value of Lung Ultrasound in Neonates and Infants with Acute Bronchiolitis","authors":"Tadej Pungertnik, D. Paro-Panjan, U. Krivec, Jana Lozar Krivec","doi":"10.5457/p2005-114.347","DOIUrl":"https://doi.org/10.5457/p2005-114.347","url":null,"abstract":"Objective − We analysed the relationship between the lung ultrasound (LUS) score and clinical characteristics in order to evaluate the diagnostic and predictive value of LUS in neonates and infants with acute bronchiolitis. Subjects andMethods − Term infants aged up to 3 months, admitted to Ljubljana University Children’s Hospital due to acute bronchiolitis in the period from January to April 2020, were studied prospectively. LUS score and clinical assessment score (CAS) were determined upon admission. The patients were divided into groups according to LUS score and CAS. Clinical and laboratory characteristics were compared between the groups. Correlations between LUS score, duration of clinical signs prior to admission, CAS and partial carbon dioxide pressure in the capillary blood (PCO2) upon admission, length of hospitalization and duration of supplemental oxygen (O2) therapy were analysed. Additionally, the predictive value of LUS and CAS for the need of non-invasive respiratory support (NRS) was calculated.Results − The LUS score correlated with the clinical severity of acute bronchiolitis. Patients with higher LUS score had higher CAS (P<0.001) and PCO2 upon admission (P=0.014), and needed O2 therapy for a longer time (P=0.023). These patients also required NRS (P=0.024) more often, were positive for respiratory syncytial virus (P=0.008), and had a chest X-ray performed (P<0.001). The LUS score correlated well with CAS (P<0.001, r=0.762). LUS score at admission underperformed to identify subsequent NRS treatment needs (AUC 0.76 (0.54-0.97), P=0.069) compared to CAS (AUC 0.85 (0.68-1.00), P=0.013).Conclusions − Larger studies are needed to evaluate the predictive and diagnostic value of LUS in neonates and young infants with acute bronchiolitis.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"17 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952989","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 Risk of Mortality (PRISM) III Score and Serum Lactate Levels as Predictor of Outcome in Children Admitted to the Paediatric Intensive Care Unit 儿科死亡率风险（PRISM）III 评分和血清乳酸水平作为儿科重症监护室收治儿童的预后指标

Central European Journal of Paediatrics Pub Date : 2023-12-21 DOI: 10.5457/p2005-114.346

Jayabanu Balasubramanian, Venkateshwaran Palanisamy

{"title":"Paediatric Risk of Mortality (PRISM) III Score and Serum Lactate Levels as Predictor of Outcome in Children Admitted to the Paediatric Intensive Care Unit","authors":"Jayabanu Balasubramanian, Venkateshwaran Palanisamy","doi":"10.5457/p2005-114.346","DOIUrl":"https://doi.org/10.5457/p2005-114.346","url":null,"abstract":"Objective − To evaluate prognostic indicators of mortality in children admitted to the Paediatric Intensive Care Unit (PICU) and to correlate blood lactate levels with Pediatric Risk of Mortality (PRISM) III scores.Methods − A cross sectional study was conducted between March 2021 and October 2022 in the PICU of the P S Govindasamy (PSG) Institute of Medical Sciences and Research. On the basis of the laboratory and clinical parameters, the PRISM III score was calculated at admission. Lactate levels were measured at admission and 24 hours after admission.Results − The study included 107 patients of whom the majority (54.2%) were female. The median patient age was 3 years and the median duration of PICU stay was 4 days. Among the hospitalized patients, 90.7% were survivors, with female patients having an 8.8-fold higher risk of mortality compared to males (P=0.05). The serum lactate value in survivors (2.95 mmol/L) was much lower in comparison to non-survivors (3.11 mmol/L). The PRISM III value measured at the time of admission in survivors (8) was low when compared to non-survivors (16.50). The area under the curve (AUC) for PRISM III was 0.884 compared to lactate levels (0.831).Conclusion − A significant positive correlation was seen between the PRISM III score and lactate levels. The study indicates that monitoring patients admitted to the PICU in relation to their PRISM III score and lactate levels can improve their overall prognosis and facilitate early resuscitation.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"17 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952990","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

Mental Health of Adolescents before and during the Covid-19 Pandemic Covid-19 大流行之前和期间青少年的心理健康

Central European Journal of Paediatrics Pub Date : 2023-12-21 DOI: 10.5457/p2005-114.341

Barbara Šencaj, Ivana Barać, Mirela Karšić, Ružica Lovrić, Vesna Bilić-Kirin, Mirjana Grebenar Čerkez, Vedrana Lanc Čurdinjaković, Jelena Kovačević

{"title":"Mental Health of Adolescents before and during the Covid-19 Pandemic","authors":"Barbara Šencaj, Ivana Barać, Mirela Karšić, Ružica Lovrić, Vesna Bilić-Kirin, Mirjana Grebenar Čerkez, Vedrana Lanc Čurdinjaković, Jelena Kovačević","doi":"10.5457/p2005-114.341","DOIUrl":"https://doi.org/10.5457/p2005-114.341","url":null,"abstract":"Objective − The objective of the research was to examine the mental health of Croatian high-school students before and during the COVID-19 pandemic with regard to gender, age, school, residence, family structure, and parents’ education.Materials and Methods − Total of 211 15-year-old first grade high-school students completed the YP-CORE questionnaire in the 2020, just before the lock-down enforced due to the COVID-19 pandemic. In 2022, now being 17-year-olds, 3rd-grade high-school students filled out the YP-CORE questionnaire once again during the COVID-19 pandemic. Socio-demographic data were collected from the participants’ health charts.Results − The median YP-CORE score significantly increased from 7 in 2020 to 11 in 2022. A significant increase in psychological distress was determined, from 11% of adolescents in the pre-pandemic period to 23% of adolescents in the pandemic period. Significantly higher rates were reported by girls in both periods. Students from the School of Applied Arts and Design reported psychological distress significantly more often than students from the Electrical Engineering and Traffic School and the Grammar School before and during the pandemic. Family structure was significantly associated with YP-CORE scores only in the pre-pandemic period.Conclusion − The study showed that the COVID-19 pandemic had negative impact on mental health of Croatian adolescents, with certain sociodemographic risk factors being associated with poorer mental health outcomes.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"32 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948073","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

A Pictorial Essay on Ultrasonography of Lymphadenopathies in Children 儿童淋巴结病的超声图像分析

Central European Journal of Paediatrics Pub Date : 2023-06-02 DOI: 10.5457/p2005-114.332

Maja Šljivić, Evita Pšeničny, M. Glušič, D. Ključevšek

{"title":"A Pictorial Essay on Ultrasonography of Lymphadenopathies in Children","authors":"Maja Šljivić, Evita Pšeničny, M. Glušič, D. Ključevšek","doi":"10.5457/p2005-114.332","DOIUrl":"https://doi.org/10.5457/p2005-114.332","url":null,"abstract":"The purpose of this review is to become familiar with ultrasound (US) characteristics of normal and pathological lymph nodes and with diagnostic imaging approach to lymphadenopaties. Lymphadenopathy is a common finding in the paediatric population. Due to the many pathologies that can present in a similar fashion, imaging is a valuable method used in diagnostic process. Ultrasound is the modality of choice for lymph node detection in children, with a high safety profile as it does not use radiation. In this review the US appearance and characteristics of normal lymph nodes, and of some more common lymphadenopathies, are presented. Special attention is paid to distinguishing between benign and malignant lymph nodes on the basis of US characteristics. All findings must always be correlated with clinical and laboratory findings, and frequently followed by fine-needle aspiration or excisional biopsy as some US morphologies of benign and malignant nodes may overlap. However, the criteria that raise suspicion for malignancy are round shape, predominantly hypoechoic echogenicity, heterogenous echotexture, absent or displaced hilum, irregular outlines, necrosis, multiple confluent lymph nodes, the presence of microcalcifications, and peripheral or mixed flow pattern on colour Doppler imaging.Conclusion - US is the first line imaging method in palpable masses in children, first to confirm the presence of lymph nodes, and second to better delineate the lymph node’s characteristics, which guides further diagnostic decisions and treatment.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73986623","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

The World of Sound and Speech in Pediatric Cochlear Implant Patients: An Experience from a Tertiary Care Centre in Central India 儿童人工耳蜗患者的声音和语言世界:来自印度中部三级护理中心的经验

Central European Journal of Paediatrics Pub Date : 2023-06-02 DOI: 10.5457/p2005-114.334

Minhajuddin Ahmed, Mohammed Iqbal Ansari, Sachin Gupta, Nitesh Upadhyay

{"title":"The World of Sound and Speech in Pediatric Cochlear Implant Patients: An Experience from a Tertiary Care Centre in Central India","authors":"Minhajuddin Ahmed, Mohammed Iqbal Ansari, Sachin Gupta, Nitesh Upadhyay","doi":"10.5457/p2005-114.334","DOIUrl":"https://doi.org/10.5457/p2005-114.334","url":null,"abstract":"Objectives − To assess the effect of auditory and speech rehabilitation according to the revised Category of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) score in patients who underwent Cochlear Implant (CI) surgery at a tertiary care centre in Central India.Patients and Methods − This was a retrospective interventional study conducted at the Department of Pediatrics and Otorhinolaryngology of Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, during the period from 2014 to 2018, to assess the hearing and speech of the patients who underwent CI, and was approved by the Institutional Ethical Committee.Results − A total of 114 patients underwent surgery using the mastoidectomy-posterior tympanotomy (MPTA) approach at our centre. Of these, 61 (54%) were males and 53 (47%) were females, with a mean average age of 24.66 months. The number of patients with a right ear defect was 107 (93%) whereas with left ear defect there were only 7 (6%). Six patients were lost to follow-up. The majority of children fell into the 4th category followed by the 2nd category of CAP scoring, and in SIR scoring the majority of children fell into the 4th category, followed by the 3rd and 2ndcategories, which is statistically significant.Conclusion − CI surgery is the gold standard for prelingual deafness. Early detection and early implantation of a CI is highly recommended for patients to enable them to live a healthier life. The study also indicated that early CI reduces the discrepancies between physical and expressive age. The CAP and SIR questionnaires were relevant and apt for assessment of hearing and speech development after CI. ","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81937224","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

Monogenic Cases of Infantile IBD with Discrete Pathological Pathways: a Case Series 具有离散病理途径的单基因婴儿IBD病例:一个病例系列

Central European Journal of Paediatrics Pub Date : 2023-06-02 DOI: 10.5457/p2005-114.336

Nida Mirza, R. Shaikh

引用次数: 0

Hypocalcemia – a Diagnostic Challenge 低钙血症——一个诊断挑战

Central European Journal of Paediatrics Pub Date : 2023-06-02 DOI: 10.5457/p2005-114.337

Mariana Bastos Gomes, André Costa Azevedo, A. Marinhas, M. Costa, Ana Catarina Carneiro, S. Figueiredo

引用次数: 0

Health Education Program for Improving of Food Intake of Breakfast and Vegetables Consumption: A Quasi Experiment among Elementary School Students in Indonesia 改善印尼小学生早餐及蔬菜摄取健康教育计划之准实验研究

Central European Journal of Paediatrics Pub Date : 2023-06-02 DOI: 10.5457/p2005-114.339

Sanya Anda Lusiana, Ratih Nurani Sumardi, I. R. Ngardita, A. E. Yunianto, Tantut Susanto

{"title":"Health Education Program for Improving of Food Intake of Breakfast and Vegetables Consumption: A Quasi Experiment among Elementary School Students in Indonesia","authors":"Sanya Anda Lusiana, Ratih Nurani Sumardi, I. R. Ngardita, A. E. Yunianto, Tantut Susanto","doi":"10.5457/p2005-114.339","DOIUrl":"https://doi.org/10.5457/p2005-114.339","url":null,"abstract":"Objective - Undernutrition among elementary school students is too high in Indonesia. Elementary students in the Indonesian context have many problems in daily breakfast and vegetable consumption. Therefore, health education programs to improve their nutritional status should be conducted in context. Further, this study sought to examine a health education program using a SIMON Comic with an emic Papua approach for improving food intake of breakfast and vegetables among elementary school students in Indonesia.Method - A quasi-experimental study design with a pre-test-post-test control group was performed on 60 elementary school students (30 in the intervention and 30 in the control group). The intervention group received the comic for one month. Meanwhile, the control group received a leaflet. Food intake of breakfast and vegetable were measured using a self-administred questionnaire to measure knowledge, attitudes, and practice. Data were analysed using the independent T-Test.Results - The SIMON comic with an emic Papua approach significantly increased students’ knowledge about improving breakfast and vegetable consumption, P-value = 0.001). However, there was no significant attitude and practice change between comic and leaflet groups in breakfast and vegetables consumption (P-value>0.05).Conclusion - The SIMON Comic with an emic Papua approach improved knowledge of students about breakfast and vegetable consumption. Therefore, health education for elementary students using this comic should be implemented in the school curriculum.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90937056","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