Central European Journal of Paediatrics最新文献

{"title":"Screening of Hearing and Vision Impairment in Primary School Children in Relation to Grade and Sex","authors":"Ermina Kukić, S. Karakaš, Mateja Ibrišimbegović","doi":"10.5457/p2005-114.340","DOIUrl":"https://doi.org/10.5457/p2005-114.340","url":null,"abstract":"Objective – The aim of the study was to establish the prevalence of hearing and sight impairment, and the differences in relation to school grade and sex in school children in the area of the Jajce municipality.Materials and Methods – Screening of sight and hearing impairment in school children took place in 2018 and 2019. Vision screening covered a total of 1002 students from 1st to 5th grades, and hearing screening 768 students from 2nd to 5th grades in all central and district (rural) schools in the area of the municipality of Jajce.Results – Of the total number of students covered by the vision screening, in 163 (16%) some impairment was noticed, and they were sent for further diagnostic testing by a specialist. In relation to sex, there was a higher percentage of girls, 60%, than boys, 40%. In relation to screening of hearing, 44 (6%) of the students were sent for further diagnostics, of which 57% were boys and 43% girls. During the vision screening, 5% of the students were wearing dioptric glasses. In relation to age, the largest number of students were in first grade, 14 (27%), then in second grade, 10 students (19%). Conclusion – In this study, the results showed that a large percentage of school children were found with hearing and vision impairment, which indicates the pressing need to continue running these preventive programmes.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"55 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89705467","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}

{"title":"Intralesional Bleomycin Sclerotherapy of Lymphangiomas in Children: Our Initial Experience","authors":"Denis Žigić, Amir Halilbašić, Edin Husarić, Nešad Hotić, Sanimir Suljendić, Emir Rahmanović","doi":"10.5457/p2005-114.335","DOIUrl":"https://doi.org/10.5457/p2005-114.335","url":null,"abstract":"Objective − We report our initial experience with intralesional bleomycin sclerotherapy of macrocystic lymphangiomas in three pediatric patients.Case Reports − Case 1. A 3.5-month-old male child presented to our institution with a radiologically verified macrocystic lymphangioma of the left thoracoabdominal region. After 2 cycles of sclerotherapy complete regression of the tumefact was achieved. Case 2. A 23-month-old male child presented with a radiologically confirmed lymphangioma in the sternal region. In total, he underwent 6 cycles of sclerotherapy in about 7 months. At first there was no response to therapy, but after the last cycle, the end result was excellent. Case 3. A 2-month-old male child presented with a radiologically confirmed lymphangioma of the left axillary region. He underwent 4 cycles of sclerotherapy in 4 months. The end result was excellent - complete regression of the tumefact.Conclusion – In all our cases, intralesional bleomycin sclerotherapy was successful alone and showed very good end results. There were no serious side effects in any of our cases. Therefore, bleomycin is a safe alternative to surgical treatment of lymphangiomas in the pediatric population.","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":"77435478","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}

{"title":"Impact of the Covid-19 Pandemic on Adolescent Mental Health and Well-being","authors":"Emanuela Paunova-Markova, Anna Alexandrova-Karamanova, Tatyana Yordanova, Krasimira Mineva","doi":"10.5457/p2005-114.338","DOIUrl":"https://doi.org/10.5457/p2005-114.338","url":null,"abstract":"Objective - The present study aimed to obtain a comprehensive view of the up-to-date global evidence on the impact of the COVID-19 pandemic on adolescent mental health and well-being.Background - A great deal of concern has been raised about the negative impact of the current health crisis on adolescents.Methods - Electronic literature searches were conducted in July 2022 in the Google Scholar database. A total of 57 original research articles and review articles that met the criteria were selected and reviewed. They comprised studies with adolescent populations from more than 20 countries across 5 continents.Discussion - The impact of the COVID-19 pandemic on adolescent mental health was identified as negative, positive, and fluctuating over the course of the pandemic. The accumulated evidence supports the assertion that there has been a considerable and wide-ranging negative impact. However, the long-term and short-term effects differ. Some positive effects of the current pandemic have also been reported: a small number of adolescents seemed to thrive overall, and the majority of them even seemed to have experienced positive changes in some specific aspects. Even so, the positive impact can hardly outweigh the negative. The fluctuating trajectories of adolescent mental health during the pandemic could be attributed to infection rates, quarantine, the severity of containment measures, the accumulation of stressors, etc.Conclusion - There is evidence for both negative and positive impacts of the COVID-19 pandemic on adolescent mental health and well-being. Further research is needed to study the complex impact of a health crisis of such magnitude.","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":"83714829","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}

{"title":"Adnexal Torsion in Adolescents – a Retrospective Analysis from a Tertiary Centre in Latvia","authors":"Jelizaveta Gurmane, L. Līdaka","doi":"10.5457/p2005-114.331","DOIUrl":"https://doi.org/10.5457/p2005-114.331","url":null,"abstract":"Objective - To review the data of cases of adnexal torsion in the paediatric population in a national level centre in Latvia and examine the pitfalls of diagnostic and therapeutic strategies.Methods - A retrospective review of medical records was performed on 61 cases of suspected and/or confirmed adnexal torsion in a national level paediatric centre.Results - In 85.5% of cases the initial diagnosis was made correctly. The age of the patient was a significant contributor to a shorter time until surgery (P=0.016). Abdominal pain was the most common symptom (90.6%), followed by nausea (58.5%) and vomiting (52.8%). Only 62.3% of the torsion patients had an elevated WBC and 69.4% had no elevated body temperature. The shorter the duration of symptoms, the more likely it was that the organ salvage procedure was performed (P=0.021). The sensitivity of ultrasound for the correct diagnosis was 71.4%. In almost a third of the torsion cases, no pelvic lesion was detected on ultrasound (26.5%). When ultrasound suspected torsion, the time before operation was significantly shorter (P<0.001), the presence of blood flow in the ovary extended the time until surgery (P=0.026). Organ-sparing surgery was performed in 73.6% of the cases.Conclusion - Medical professionals should not exclude the diagnosis of adnexal torsion in the absence of fever or leucocytosis, as well as in the case of normal adnexa on ultrasound. A delay in surgery increases the risk of irreversible ischemic damage leading to organ loss.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90087680","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}

{"title":"Preliminary Reports on the Experiences of Mothers in the Early Introduction of Complementary Feeding to Their Infants: a Phenomenological Study","authors":"Fitra Yeni, H. Herman, D. Deswita","doi":"10.5457/p2005-114.333","DOIUrl":"https://doi.org/10.5457/p2005-114.333","url":null,"abstract":"Objective − The objective of the study was to explore the experiences of mothers with the early complementary feeding to infants in the IV Koto Sub-district, Agam District, West Sumatera Province of Indonesia.Materials and Methods − Qualitative methods, with a phenomenological approach were used in this study. This study was carried out from September to November 2022 in District IV Koto, Agam Regency. Ten mothers of infant aged 6-23 months who introduced complementary foods to their infants before six months of age were included in this study using a purposive sampling technique. Mothers who were not able to communicate well were excluded from this study. Semi-structured individual interviews were conducted to collect the data. Data analysis used conventional content analysis.Results − The experience of mothers in early complementary feeding of their infants were explored using five themes. These findings were that mothers perceived the benefits of early complementary feeding, infant cues, the need to work outside the home, insufficient breastmilk supply, receiving advice regarding early complementary feeding from grandmothers, and cultural beliefs.Conclusion − Mothers perceived the benefit of early complementary feeding for their infants and themselves. Therefore, health professionals should provide assistance and counseling to mothers breastfeeding their babies so they can continue with exclusive breastfeeding and introduce complementary foods at the right time. ","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90541733","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}

{"title":"Characteristics of Newborns Treated for Acute Omphalitis at the University Hospital of Split 2015 – 2019","authors":"Jeronim Matijević, Elena Golić, Ivana Čulo Čagalj, Joško Markić","doi":"10.5457/p2005-114.323","DOIUrl":"https://doi.org/10.5457/p2005-114.323","url":null,"abstract":"Objectives − The aim of the study was to retrospectively evaluate the clinical and laboratory data in neonates treated for acute omphalitis at the time of admission at the University Hospital of Split. Patients and Methods − All neonates treated for acute omphalitis from January 1st 2015 to December 31st 2019 were included in this study. Results − There were 97 neonates included, of whom 58 (59.79%) were males. The median age at admission was 7 days. The most common clinical sign was periumbilical redness in 70 (72.16%), followed by umbilical discharge in 49 (50.52%) neonates. In 62 (63.92%) neonates bacteria were isolated from the umbilical stump swab. The most common microorganism isolated was methicilin-sensitive Staphylococcus aureus (MSSA) in 21 (33.87%) neonates followed by Klebsiella pneumoniae in 15 (24.19%), and Escherichia coli in 14 (22.58%) cases. Antibiotics were given to all neonates. In all neonates treatment and clinical course were uneventful, without mortality. Conclusion − Neonatal omphalitis was not a frequent cause of hospitalization in the entire group of hospitalized patients at the Department of Pediatrics of the University Hospital of Split (0.75%). Acute omphalitis had a mild clinical course and redness of the periumbilical area, together with the presence of umbilical cord discharge, predominated in the clinical presentation. It is necessary to educate the population and medical staff continuously on the importance of maintaining newborn hygiene and proper umbilical cord care.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74264408","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}

{"title":"Vitamin D Assessment in Patients with Multisystem Inflammatory Syndrome and SARS-CoV-2 Infection","authors":"Azra Hadžić-Kečalović, Almira Ćosićkić, A. Pašić, Amel Selimović, Damir Sabitović, Mediha Kardašević, D. Mršić","doi":"10.5457/p2005-114.321","DOIUrl":"https://doi.org/10.5457/p2005-114.321","url":null,"abstract":"Objective - To assess 25(OH)D status in children with Multisystem Inflammatory Syndrome (MIS-C) associated with SARSCoV-2 infection, and the association between serum levels of 25(OH)D and inflammatory marker values.Patients and methods - This retrospective study was conducted at the Clinic for Children’s Diseases, University Clinical Center, Tuzla in the period from November 2020 to November 2021.Results - The study included 23 children with MIS-C with a median age of 6.9 years, and 22 children with acute SARS-CoV-2 infection, with a median age of 1.1 years. Both groups of children had low serum levels of 25(OH)D in the range of deficiency; median levels of 25(OH)D in MIS-C children were lower (median 44.60 nmol/L) than in children with acute SARS-CoV-2 infection - median 52.45 nmol/L. There was no statistically significant difference in 25(OH) D levels between the two groups of children included in the study (P=0.33). The same number of children in both groups had adequate serum levels of 25(OH)D. The children in both groups had elevated markers of inflammation, but we did not find a significant correlation between the values of 25(OH)D and the inflammatory marker values.Conclusion - Deficiency of 25(OH) D could be one of the precipitating factors that lead to the development of both MIS-C - related SARS-CoV-2 and more severe forms of acute infection. 25(OH)D enriched food, as well as supplementation with 25(OH)D, should be considered a long-term strategy in all high-risk children and adolescents.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"824 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72504811","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}

{"title":"Pitfalls in Understanding and Handling of Covid-19 Vaccination (“Any Fool Can Know. The Point Is to Understand”)","authors":"D. Richter","doi":"10.5457/p2005-114.326","DOIUrl":"https://doi.org/10.5457/p2005-114.326","url":null,"abstract":"The aim of this article is to critically review the managing of vaccination over the course of the present COVID-19 pandemic against the knowledge that had already been at hand and the scientific data that had yet to be learned. In the period before vaccines for COVID-19 became available, the startling similarity in epidemiologic behavior between COVID-19 and the Spanish flu could be observed. The development of vaccines against COVID-19 has evolved at an unprecedented speed resulting in highly immunogenic vaccines with incredible protective characteristics covering a relatively short follow-up time in clinical trials. The rollout in the general population turned out to take significantly longer time than the duration of immunity conferred by a 2-dose vaccination schedule (about 3-4 months). Therefore, the SARS-CoV-2 was left with the opportunity for random mutations with each replication cycle, resulting in immune evasion, shortened incubation, shortened serial interval, and increased transmissibility. The short incubation period of COVID-19 requires a steady protective antibody titer to be maintained to avert infection, achieve herd immunity, and terminate the pandemic spread. The protective neutralization titer needed to avert symptomatic infection and infection altogether is about 3% and 20%, respectively, of the mean convalescent titer. The latter corresponds to an absolute titer of 1:10–1:30. The intensity and duration of protective vaccinal and hybrid humoral immunity are explored. From the present perspective, it was naive to believe that a 2-dose vaccination would suffice to counter COVID-19 primarily due to its short incubation and a roll-out that was not catching up with the waning protective vaccinal antibody levels. Besides, the spacing of doses and boosters with respect to previous infection or vaccination, and differences in natural immunity and vaccine-induced immunity (adenovirus-vectored and mRNA) are discussed. The issue of vaccination and multisystem inflammatory syndrome in children is briefly presented. Finally, ethical points are discussed as some vaccine production platforms and neutralization tests use human cell lines derived from aborted fetuses.Conclusion – If the COVID-19 vaccines had been licensed as 3-dose vaccines, with more generous spacing, e.g. 0-2-6 months, providing for quantitatively larger and temporally more durable humoral immunity, that would have enabled attaining a steadier herd immunity and probably a paradoxical earlier effect on stopping the transmission.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85336545","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}

{"title":"The Relation Between Helicopter Parenting and Satisfaction with Life in Emerging Adults Living with Their Parents: The Moderating Role of Gender and Age Group","authors":"Rafaela Cardoso Garcia, M. M. Pedroso de Lima, C. Carona","doi":"10.5457/p2005-114.328","DOIUrl":"https://doi.org/10.5457/p2005-114.328","url":null,"abstract":"Objective. Over the last couple of decades, a trend of emerging adults living with parents has been rising. However, little is known about the developmental specificities and impact of parenting practices in this context. The objectives of this study were: to compare the levels of helicopter parenting and the levels of life satisfaction by gender (men versus women) and by age group (late adolescents versus young adults); to analyze the relationship between helicopter parenting, life satisfaction levels and age; and to investigate the moderating role of gender and age group in the relationship between helicopter parenting and life satisfaction.Materials and Methods. Self-report questionnaires were administered to a sample of 173 emerging adults (aged 18-29) living with their parents in Portugal. In order to examine differences in helicopter parenting and levels of life satisfaction, Student’s ttest was performed for independent samples. To analyze the association between helicopter parenting, life satisfaction and age, Pearson’s correlation coefficients were calculated. To detect possible interaction effects, regression-based analyses were performed; the SPSS macro PROCESS was used to optimize this procedure.Results. Life satisfaction levels differed according to age group, with late adolescents reporting higher levels of life satisfaction than young adults. Helicopter parenting was negatively correlated with life satisfaction, and life satisfaction was negatively correlated with age. The developmental variables of gender and age group moderated the association between helicopter parenting and life satisfaction.Conclusions. Interventions with emerging adults that aim to prevent the negative effects of helicopter parenting and increase life satisfaction must account for the developmental specificities associated with gender roles and different age groups.Key Words: Emerging Adulthood ■ Cohabitation ■ Helicopter Parenting ■ Life Satisfaction","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80587597","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}

{"title":"Cat Scratch Disease in Children","authors":"Mirela Lisičić-Konaković, A. Šmitran","doi":"10.5457/p2005-114.327","DOIUrl":"https://doi.org/10.5457/p2005-114.327","url":null,"abstract":"The aim of this paper is to provide information on the clinical manifestations, diagnosis and treatments of Bartonella henselae infection in children. Cat scratch disease (CSD) is a zoonosis caused by Bartonela henselae. Cat fleas are responsible for spreading the bacterium among cats. Bacteria can be transmitted to humans from the site of a cat bite or scratch. The typical manifestation of CSD is regional lymphadenopathy with a pustule at the site of inoculation, usually self-limiting. Atypical CSD has a wide range of clinical manifestations (hepatosplenic disease, pulmonary infiltrates, encephalitis, skin or bone involvement, endocarditis), some of which are life-threatening. Atypical presentations mainly occur in immunocompromised children, but have also been described in immunocompetent children.Conclusion − In recent years the number of households with a pet is growing and the number of children visiting a pediatrician with CSD is growing.","PeriodicalId":36516,"journal":{"name":"Central European Journal of Paediatrics","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89139149","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}