Archives De Pediatrie最新文献

{"title":"French childminder knowledge of pediatric guidelines for screen use: An observational study","authors":"C. Allet ,&nbsp;M. Samaille ,&nbsp;A.D. Marq ,&nbsp;M. Bailhache","doi":"10.1016/j.arcped.2025.05.005","DOIUrl":"10.1016/j.arcped.2025.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Early, excessive, and inappropriate screen exposure has negative short- and long-term effects on children. In France, registered childminders are the main source of childcare.</div></div><div><h3>Objective</h3><div>To explore childminder knowledge of the pediatric guidelines for screen use and the potential negative effects on children.</div></div><div><h3>Participants and Setting</h3><div>Registered childminders working in the French department of Gironde who had email accounts.</div></div><div><h3>Methods</h3><div>The maternal and child health services unit of the Gironde department distributed an anonymous online questionnaire from January 24, 2023, to February 19, 2023. Data were collected on childminder characteristics, personal screen use practices, knowledge of potential negative effects of inappropriate screen use, and knowledge of best practice recommendations for screen use. A knowledge score ranging from 0 (all wrong) to 14 (good) was constructed.</div></div><div><h3>Results</h3><div>A total of 1102 registered childminders participated; the median knowledge score was 9 with an InterQuartile Range of [7.5, 10.5]. A total of 95.2 % agreed that screen use should be avoided before the age of three. A minority of childminders, 13.4 % and 23.1 %, respectively, had good answers for possible short—and long-term negative effects. Childminders younger than 50 years with less experience and those who tend to use screens more had better knowledge than the others.</div></div><div><h3>Conclusions</h3><div>French childminders interviewed in Gironde have relatively good knowledge of pediatric guidelines for screen use.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 5","pages":"Pages 329-334"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Residents’ perceptions of the on-call experience and of the supervision of their clinical reasoning skills in the paediatric emergency department: A qualitative study","authors":"Christine Pietrement ,&nbsp;Racha Onaisi ,&nbsp;Hubert Maisonneuve","doi":"10.1016/j.arcped.2025.03.003","DOIUrl":"10.1016/j.arcped.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>A substantial number of residents suffer from stress, anxiety, which may be acutely exacerbated by stressful situations such as being on call. When confronted with complex situations, uncertainty, a lack of medical experience, residents experience a mismatch between their theoretical knowledge and their clinical reasoning skills. In a previous study we observed high levels of cognitive weariness and anxiety in residents being on call in the paediatric emergency department, and the reduction of their cognitive weariness by training clinician-educators in the supervision of clinical reasoning.</div></div><div><h3>Objectives</h3><div>Thereafter we sought to inform the findings of our previous quantitative research by exploring in depth the experience of on-call residents in the paediatric emergency department, including: the factors that impact their well-being, and how supervision of their clinical reasoning might change it.</div></div><div><h3>Methods and Setting</h3><div>We performed a qualitative study using semi-structured interviews. We interviewed medical residents who were on call in the paediatric emergency department, mentored by paediatricians who had received specific training in the supervision of clinical reasoning.</div></div><div><h3>Results</h3><div>The findings revealed two opposing profiles of how residents experience being on call and having their clinical reasoning supervised. First, there were those who expressed marked discomfort, characterized by anxiety, a strong need for supervision, a fear of being judged by the supervisor, and a major impact of physical fatigue. Residents with this profile seem to be at risk of developing burnout, or symptoms thereof. The second profile of residents expressed little unease, had a sense of self-efficacy, a feeling of personal competence, a high level of self-confidence, greater tolerance of uncertainty, and little difficulty with making decisions.</div></div><div><h3>Conclusions</h3><div>Supervision of clinical reasoning based on questioning techniques seems to participate to promote development towards second profile, with greater tolerance of uncertainty, ease with decision-making, and a reinforced sense of belonging to a team.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 5","pages":"Pages 335-343"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Galactorrhoea and amenorrhea as first symptoms of acute myeloid leukaemia: a case report and literature review","authors":"Kevin Perge ,&nbsp;Anne-Laure Peugnet ,&nbsp;Sara Cabet ,&nbsp;Sandrine Girard ,&nbsp;Carine Villanueva ,&nbsp;Cecile Renard ,&nbsp;Antony Ceraulo","doi":"10.1016/j.arcped.2025.04.003","DOIUrl":"10.1016/j.arcped.2025.04.003","url":null,"abstract":"<div><h3>Background</h3><div>Acute leukaemia is typically identified through clinical signs of cytopenia and/or a tumour syndrome, while paraneoplastic syndromes are rare in this context. We report a unique case of a 10-year-old girl who initially presented with inflammatory joint pain, night sweats, weight loss, amenorrhea, breast swelling, and galactorrhoea.</div></div><div><h3>Observation</h3><div>At diagnosis, she had an elevated prolactin (PRL) level (260.5 μg/L, reference &lt; 25 μg/L) and biological evidence of hypogonadism. Blood counts revealed anaemia, thrombocytopenia, and 11 % circulating blasts. Bone marrow aspiration confirmed acute leukaemia, classified as FAB M5, with a KAT6A:CREBBP fusion transcript.</div></div><div><h3>Discussion</h3><div>Cerebrospinal fluid analysis was negative for blasts, and brain magnetic resonance imaging showed no leukemic infiltration of the pituitary gland or a concomitant pituitary tumour. PRL level normalized following chemotherapy.</div></div><div><h3>Conclusion</h3><div>In the absence of central nervous system involvement, ectopic PRL secretion by leukemic blasts appears to be the most plausible explanation for the elevated PRL levels in this case.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 5","pages":"Pages 355-359"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Description of the use of Vitamin D in children aged 0–18 months","authors":"Margot Vrignaud ,&nbsp;Stéphanie Provôt ,&nbsp;Fabienne Aubin ,&nbsp;Bénédicte Vrignaud ,&nbsp;Josselin Bernard ,&nbsp;Sonia Prot-Labarthe","doi":"10.1016/j.arcped.2025.01.006","DOIUrl":"10.1016/j.arcped.2025.01.006","url":null,"abstract":"<div><div>Following the alerts issued by the French health authorities and the craze among parents wishing to use natural medicine, many cases of intoxication have occurred in recent years. We aimed to describe vitamin D intake by patients under 18 months of age in three hospitals in the Great West of France and via social networks.</div><div>Data were collected on the caregivers (age, place of residence, vitamin D supplementation during mother's pregnancy, opinion on vitamin D), the patient (age, place in sibling group, diet), and the drug (prescriber, origin, form prescribed versus administered, dosage, medication or dietary supplement, number of omissions, reason for non-administration if any). Five hundred six responses were collected, highlighting a disparity in vitamin D administration in drug and dietary supplement form. Vitamin D was not administered in 7 % of the responses collected because there was no initial or renewed prescription). Food supplement was given to 77, i.e., 16 % of respondents. Only 43 % of mothers received supplementation during pregnancy. One person mentioned being very careful with the dosage as there had been a case of overdosing in their family. There were many different opinions expressed on the usefulness of supplementation: from \"no interest,\" \"gives colic,\" and \"questionable composition,\" to \"I am confused,\" and also \"essential\" or \"I have complete confidence in my doctor.\"</div><div>Misinformation about vitamin D supplementation persists in the French population and leads us to consider how to educate the population about the role of vitamin D: handing out leaflets in maternity wards, increasing communication in magazines accessible to the general public, a media campaign, etc.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 5","pages":"Pages 295-300"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe urological involvement in junctional epidermolysis bullosa justifying bladder enlargement by sigmoidocystoplasty and Mitrofanoff appendicovesicostomy","authors":"Marielle Ehilé-Kacou ,&nbsp;Pierre Yves Mure ,&nbsp;Delphine Demede ,&nbsp;Alice Phan ,&nbsp;Justine Bacchetta ,&nbsp;Valeska Bidault ,&nbsp;Bruno Ranchin","doi":"10.1016/j.arcped.2025.01.002","DOIUrl":"10.1016/j.arcped.2025.01.002","url":null,"abstract":"<div><div>The urological complications of junctional epidermolysis bullosa (JEB) are difficult to manage because of the fragility of the skin and mucosa, and are not the subject of any recommendations. We report on 2 cases of chronic lower urinary tract dysfunction causing chronic kidney disease, treated by bladder enlargement with sigmoidocystoplasty and Mitrofanoff appendicovesicostomy after failure of medical treatment and suprapubic catheterisation several times a day. Follow-up was favourable in both children, with kidney function preservation and significant improvement of quality of life.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 281-284"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety disorders and major depressive disorders in 299 adolescents hospitalized for assessment of common obesity: A retrospective cohort study","authors":"Morgan Seyler ,&nbsp;Caroline Barry ,&nbsp;Alexandra Loisel ,&nbsp;Marie Rose Moro ,&nbsp;Jonathan Lachal ,&nbsp;Hervé Lefèvre","doi":"10.1016/j.arcped.2025.01.004","DOIUrl":"10.1016/j.arcped.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Obesity has major psychosocial impacts in adolescents. Anxiety and depression are the most common psychiatric conditions in adolescents suffering from obesity.</div></div><div><h3>Objectives</h3><div>To measure and discuss the prevalence of psychiatric disorders in adolescents hospitalized for biopsychosocial assessment of common obesity during multidisciplinary care.</div></div><div><h3>Methods</h3><div>This retrospective monocentric study describes mental disorders over a decade (2012–2021) in 299 adolescents with obesity hospitalized for a global somatic and psychiatric assessment. Patients aged 11–18 were included. Sociodemographic data, psychiatric diagnosis, self-report questionnaires (CDI, <em>Children's Depression Inventory,</em> STAIC, <em>State-Trait Anxiety Inventory for children,</em> BES, <em>Binge Eating Scale</em>) were analyzed.</div></div><div><h3>Results</h3><div>27,4 % of adolescents had an anxiety disorder (AD), 18,7 % had a major depressive disorder (MDD) and 49,2 % had no mental disorder. In multiple regression models, exposure to physical violence (<em>p</em> &lt; 0.01), and the BES score (<em>p</em> &lt; 0.05) were also associated with a risk of AD. Exposure to physical violence, year of admission and the BES score were risk factors for MDD (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Prevalence of mental disorders is high and increasing, confirming the psychological suffering in adolescent with obesity. Some present with incomplete clinical profiles. MDD and AD are associated with a personal history of violence and a high BES score, reflecting in some adolescents a phenomenon of compensatory binge eating.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 261-265"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse events associated with intravenous immunoglobulin infusions in pediatric patients with primary immunodeficiency: A 10-year single-center study","authors":"Murat Özer,&nbsp;Seher Tekeli,&nbsp;Selçuk Doğan,&nbsp;Sema Çetin,&nbsp;Rıdvan Selen,&nbsp;Caner Aytekin","doi":"10.1016/j.arcped.2025.01.008","DOIUrl":"10.1016/j.arcped.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>Intravenous immunoglobulin G (IVIg) is used as a replacement therapy in primary immunodeficiency disorders (PIDs). Although IVIg is generally accepted as a safe treatment, the incidence of adverse events (AEs), most of which are mild and transient, varies between 1 % and 81 %. The aim of this study was to determine the adverse effects and influencing factors associated with IVIg replacement therapy in pediatric patients with PID.</div></div><div><h3>Materials and Methods</h3><div>Children with PID who received IVIg replacement therapy between January 1, 2012 and December 31, 2021, at Dr. Sami Ulus Children's Hospital were included in our study.</div></div><div><h3>Results</h3><div>Overall, 69 (52 male, 17 female) patients who received a total of 2,025 IVIg infusions were evaluated. AEs were observed in 40.6 % of the patients and in 8.9 % of the infusions. All AEs encountered in the study were mild to moderate. Immediate-onset AEs were observed in 3.5 % of the infusions and delayed-onset AEs in 5.4 %. Late-onset AEs were not observed. The most commonly observed AEs were headache (<em>n</em> = 50, 2.5 %), fever (<em>n</em> = 37, 1.8 %), and malaise (<em>n</em> = 19, 0.9 %). The most common immediate AE was fever (<em>n</em> = 28, 1.4 %), while the most common delayed AE was headache (<em>n</em> = 44, 2.2 %).</div></div><div><h3>Conclusion</h3><div>AEs encountered in patients with PID receiving IVIg infusions are mild to moderate. Pediatric patients should be followed up for delayed AEs by contacting their families after the infusion is completed and should be questioned before the next infusion. IVIg replacement is a safe treatment when given with an appropriate premedication and infusion rate.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 231-237"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of early MRI in predicting the risk of hippocampal sclerosis in children with febrile status epilepticus","authors":"Rose Germain ,&nbsp;Mathilde Le Floch ,&nbsp;Marine Dubois ,&nbsp;Pauline Cloarec ,&nbsp;Raphaël Chouteau ,&nbsp;Bertrand Bruneau","doi":"10.1016/j.arcped.2024.12.007","DOIUrl":"10.1016/j.arcped.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Epilepsy is the main complication of febrile status epilepticus (FSE) in children. The association between FSE and the development of hippocampal sclerosis (HS) and mesial temporal lobe epilepsy (MTLE) is controversial.</div></div><div><h3>Objectives</h3><div>This study primarily aimed to evaluate the role of magnetic resonance imaging (MRI) in diffusion-weighted imaging (DWI) sequence during the acute phase of FSE in predicting long-term development of HS and epilepsy. The secondary objective was to assess the value of arterial spin labeling (ASL) perfusion MRI in the acute phase of FSE.</div></div><div><h3>Methods and settings</h3><div>Patients with a first episode of FSE between 6 months and 5 years of age who underwent early MRI were retrospectively included. MRI analysis focused on the DWI signal and the presence of perfusion abnormalities on ASL imaging. We also examined the first electroencephalogram (EEG) during the acute phase. Long-term follow-up analysis assessed the occurrence of HS on MRI scans and the development of epilepsy.</div></div><div><h3>Results</h3><div>A total of 15 children were included. The presence of restricted diffusion areas on MRIs performed in the acute phase after FSE was significantly associated with the later development of HS. However, the association between restricted diffusion areas on early MRIs and the development of pharmaco-resistant epilepsy on follow-up, found in 3 patients, was not statistically significant. There was a trend for an association between early ASL perfusion MRI changes and EEG findings when both examinations were performed closely.</div></div><div><h3>Conclusion</h3><div>Early DWI-MRI seems to play a major role in the prognostic evaluation of FSE in children. It may help to determine hippocampal involvement and assess the risk of subsequent HS. However, the study data are insufficient to conclude on the association between diffusion abnormalities and the development of MTLE. Although ASL perfusion may provide additional insight, more data are needed.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 244-254"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral parenting intervention for parents of preschool-aged children born moderately and late preterm: An experimental study","authors":"Géraldine Maigret,&nbsp;Edouard Gentaz,&nbsp;Fleur Lejeune","doi":"10.1016/j.arcped.2025.03.001","DOIUrl":"10.1016/j.arcped.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Prematurity can be associated with difficulties in emotional and behavioral regulation in children, leading to short- and long-term impacts on parental dynamics. However, moderate-late preterm children and their parents rarely receive follow-up care.</div></div><div><h3>Objectives</h3><div>The aim of this current study was to evaluate a Behavioral Parenting Intervention (BPI) specifically developed for parents of preschool-aged moderate-late preterm children, to prevent their potential difficulties in emotional and behavioral regulation.</div></div><div><h3>Method</h3><div>Thirty-eight families participated in a program consisting of 7 therapy sessions. Each experimental group was matched with a control group; the control group would become the experimental group in the following session. Parents completed questionnaires one week before the start of the program (T1) and at the end of the 7th therapy session to measure immediate effects (T2). Social validity measures were also added to this study to assess the feasibility and acceptability of our program.</div></div><div><h3>Results</h3><div>We primarily observed positive effects on the Parental Stress Index total (PSI) in the population 1. For the control group, there was no significant difference between PSI Total scores at T1 <em>(M</em> <em>=</em> <em>101.1, SD = 22.2)</em> and T2 <em>(M</em> <em>=</em> <em>101.5, SD = 19.8).</em> In contrast, the experimental group showed a significant reduction in PSI total scores from T1 <em>(M</em> <em>=</em> <em>105, SD = 23.2)</em> to T2 <em>(M</em> <em>=</em> <em>93.3, SD = 21.3),</em> with <em>p</em> &lt; .001. Similar effects were observed for both the Parent Distress and the Difficult Child subscales.</div></div><div><h3>Conclusion</h3><div>While our results are modest, the measures of social validity and our high satisfaction rates indicate the importance and necessity of a parenting intervention aimed at moderately preterm children beyond the initial phase of early development. Future research should aim to facilitate access and increase family engagement to improve the effectiveness of this type of intervention.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 223-230"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical ventilation in pediatric hospitals in Senegal","authors":"Amadou Sow ,&nbsp;Aliou Thiongane ,&nbsp;Abou Ba ,&nbsp;Younoussa Kéita ,&nbsp;Papa M. Faye ,&nbsp;Amadou L. Fall ,&nbsp;Djibril Boiro ,&nbsp;Ndeye Fatou Sow ,&nbsp;Aliou A. Ndongo ,&nbsp;Assane Sylla ,&nbsp;Ousmane Ndiaye","doi":"10.1016/j.arcped.2025.01.007","DOIUrl":"10.1016/j.arcped.2025.01.007","url":null,"abstract":"<div><h3>Introduction and aim</h3><div>Mechanical ventilation (MV) requires an efficient technical platform and experienced staff. The objective of this study was to evaluate the practice of MV in a pediatric intensive care unit in Senegal.</div></div><div><h3>Methods</h3><div>A total of 102 patients were included. The indications for intubation were respiratory failure in 51% of cases, circulatory failure in 29%, septic shock in 13%, and other indications in 5%. The average delay to intubation after admission was 1.86 days (1 h to 5 days). The mortality rate was 43%.</div></div><div><h3>Conclusion</h3><div>The construction of new and dedicated infrastructures, the training of personnel, and the improvement of the technical platform can lead to a reduction in the infant and child morbidity and mortality associated with MV.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 4","pages":"Pages 278-280"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}