Archives De Pediatrie最新文献

{"title":"Survey on vitamin D supplementation in children in France: Evaluation of real-life practices following the new 2022 French recommendations","authors":"Marie Lou Pechabrier ,&nbsp;Justine Bacchetta ,&nbsp;Patrick Tounian ,&nbsp;Sanaa Eddiry ,&nbsp;Agnès Linglart ,&nbsp;Thomas Edouard","doi":"10.1016/j.arcped.2024.09.006","DOIUrl":"10.1016/j.arcped.2024.09.006","url":null,"abstract":"<div><h3>Background and objective</h3><div>In 2022, recommendations for vitamin D supplementation in children were updated in France. The objective of this study was to assess real-life practices of vitamin D supplementation in children following these recommendations.</div></div><div><h3>Methods</h3><div>A thirty-three-question questionnaire was distributed to members of the scientific societies of paediatrics and general medicine via an online platform.</div></div><div><h3>Results</h3><div>There were 966 respondents, of whom 87 % were paediatricians and 13 % were general practitioners. About half of the physicians (47 %) were in private practice, 49 % worked in a hospital centre and 6 % worked in a maternal and child health centre. As recommended and regardless of the professional practice, vitamin D supplementation was almost systematically prescribed in all age groups (over 90 % of respondents), in daily doses up to 2 years of age (97 % of all respondents) and then every 3 months in older children (year-round in 38 % and winter/spring only in 40 %). Contrary to the new recommendations, loading doses of 200,000 units of vitamin D were prescribed by 5 % of respondents and non-pharmaceutical forms of vitamin D (<em>e.g.</em> unlicensed food supplements) were prescribed by 10 % of respondents. Although risk factors such as low sun exposure and dark skin were well known by respondents (75 % and 74 % respectively), obesity and veganism were only reported by half the respondents (40 % and 53 % respectively). Two-thirds (61 %) of respondents reported assessing calcium intakes when following children; however, only 10 % of them use specific questionnaires or calcium equivalence tables. Finally, the calcium content of foods and its bioavailability appeared to be poorly understood by health professionals.</div></div><div><h3>Conclusion</h3><div>This survey shows that the practice of paediatricians and general practitioners are in accordance with the new recommendations for vitamin D supplementation in very young children. The identification by this survey of knowledge gaps will allow targeted information campaigns.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Pages 4-11"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the first COVID-19 lockdown on domestic accidents in children in France","authors":"Marie-Prisca Chaffard Luçon ,&nbsp;Nathalie Beltzer ,&nbsp;Annabel Rigou ,&nbsp;Isabelle Claudet","doi":"10.1016/j.arcped.2024.09.007","DOIUrl":"10.1016/j.arcped.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><div>In March 2020, several countries, including France, implemented a total lockdown policy to combat the spread of the COVID-19 epidemic, involving the closure of schools. This measure required children to stay at home for an extended period of time. Several studies have shown an increase in the number or proportion and severity of domestic accidents in children during this period. Santé Publique France and the paediatric emergency department of Toulouse University Hospital conducted a study on the impact of the first lockdown on the use of the emergency department due to domestic accidents in children under 15 years of age in France.</div></div><div><h3>Methods</h3><div>The study was conducted using data from nine French emergency departments participating in the <em>Enquête permanente sur les accidents de la vie courante</em> [Permanent Survey on Home and leisure injuries] (EPAC), which involves the exhaustive collection of data on emergency admissions following home and leisure injuries. The frequencies and characteristics of emergency department admissions due to domestic accidents were analysed over the period from 17 March to 11 May 2020, and compared to those over the same period in 2016–2019.</div></div><div><h3>Results</h3><div>During the lockdown period, an increase in the proportion of emergency department admissions due to domestic accidents is observed in boys and children aged [2–5[years. This study showed an increase in the proportion of hospital admissions during this period. These accidents were mainly falls in outside living spaces (balcony, patio, garden, etc.). The results showed an increase in admissions for fractures and upper limb injuries.</div></div><div><h3>Conclusion</h3><div>This study shows that health policies must take into account the collateral effects of certain measures put in place to manage an epidemic. Prevention messages for parents of young children need to be strengthened and their attention drawn to the risk of certain kinds of accidents, such as falls.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Pages 52-57"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689789","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":"Neuroendocrine tumor discovered in a teenager following asthma misdiagnosis","authors":"Sophie Denamur ,&nbsp;Erik Hervieux ,&nbsp;Elora Peulier-Maitre ,&nbsp;Francois Chalard ,&nbsp;Aurore Coulomb ,&nbsp;Nadia Nathan ,&nbsp;Harriet Corvol","doi":"10.1016/j.arcped.2024.11.002","DOIUrl":"10.1016/j.arcped.2024.11.002","url":null,"abstract":"<div><div>Although relatively rare, neuroendocrine tumors (NETs) represent the most common type of endobronchial tumors in pediatric patients. Their clinical presentation lacks specificity, often leading to delayed diagnosis due to limited clinical suspicion. Mainly classified as low-grade malignant tumors (grade 1), they typically demonstrate favorable outcomes following surgical removal. However, local recurrence and/or metastases may occur in both low- and high-grade NET. We present the case of a 17-year-old girl initially misdiagnosed with asthma, later found to have a low-grade NET obstructing the left main bronchus. Surgical resection enabled complete tumor removal, and subsequent follow-up confirmed the postsurgical recovery. This case emphasizes the importance of familiarizing pediatricians and GP with the need for chest X-rays in all initial asthma diagnosis in order to eliminate differential diagnoses such as bronchial NET. This underscores the importance of a prompt diagnosis and follow-up care in similar cases.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Pages 72-76"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School-entry age and academic difficulties at 7 years of age in children born very preterm: A call for age-corrected schooling","authors":"Jean-Christophe Roze ,&nbsp;Geraldine Apprioual ,&nbsp;Andrei Scott Morgan ,&nbsp;Jean-Baptiste Muller ,&nbsp;Stephane Marret ,&nbsp;Valerie Rouger ,&nbsp;Ghislain Leduc ,&nbsp;Nail Benallegue ,&nbsp;Mickael Dinonais ,&nbsp;Charlote Bouvard ,&nbsp;Pierre-Yves Ancel ,&nbsp;Cyril Flamant","doi":"10.1016/j.arcped.2024.10.007","DOIUrl":"10.1016/j.arcped.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>Very preterm children are at greater risk of academic difficulties (AD). Some of them start school a year earlier than anticipated during pregnancy due to being born preterm. The aim of this study was to analyze the relationship between neurodevelopment, school-entry age, and AD at age seven.</div></div><div><h3>Method</h3><div>AD were assessed at age seven in children born before 33 weeks of gestation between January 1st, 2007 and December 31, 2014 and enrolled in LIFT cohort. To analyze the relationship between school-entry age and AD, we used generalized equations with adjustment for perinatal, socio-economic factors, and neurodevelopment assessed by Age Stages Questionnaire (ASQ) at 5 years. Moreover, we used Global Scholar Adaptation (GSA) score to evaluate the school adaptation.</div></div><div><h3>Results</h3><div>2599 children were in routine schooling. Entering school a year earlier was observed in 597 (23.0 %). AD was known for 1943/2599 (74.8 %). Starting school a year earlier was associated with an increased rate of AD: 35.4 % in the exposed group versus 20.2 % in the non-exposed group, with a relative risk of 1.76 (95 % CI: 1.48; 2.08). Both starting school a year earlier and ASQ at 5 years old were independently associated with the GSA score at age 7: standardized β = -0.15 (95 % CI:-0.10;-0.20) and 0.40 (95 % CI: 0.35; 0.45) respectively.</div></div><div><h3>Conclusion</h3><div>Starting school a year earlier than anticipated during pregnancy was associated with an increased rate of AD at age 7 in children born very preterm, independently of their neurodevelopment at age 5 assessed by ASQ. Basing school entry age on corrected age seems appropriate to mitigate this risk.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Pages 66-71"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastroesophageal reflux within first year of life: What new recommendations from French National Authority for Health (HAS) tell us","authors":"Camille Jung ,&nbsp;Haude Clouzeau ,&nbsp;Karim Bouziane Nedjadi ,&nbsp;Noël Peretti ,&nbsp;Arnaud Lalanne ,&nbsp;Stéphanie Coopman ,&nbsp;Marc Bellaiche ,&nbsp;Hugues Piloquet ,&nbsp;Alexandre Fabre ,&nbsp;Delphine Ley ,&nbsp;French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP)","doi":"10.1016/j.arcped.2024.08.008","DOIUrl":"10.1016/j.arcped.2024.08.008","url":null,"abstract":"","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Pages 2-3"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683710","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":"Acknowledging our reviewers","authors":"","doi":"10.1016/j.arcped.2024.12.002","DOIUrl":"10.1016/j.arcped.2024.12.002","url":null,"abstract":"","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"32 1","pages":"Page 1"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104021","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":"Endocrine management of transgender adolescents: Expert consensus of the french society of pediatric endocrinology and diabetology working group.","authors":"François Brezin, Kanetee Busiah, Clara Leroy, Elodie Fiot, Candace Bensignor, Cyril Amouroux, Marylène Caquard, Audrey Cartault, Sarah Castets, Clémence Delcour, Marie Devernay, Eva Feigerlova, Marie Hoarau, Béatrice Lebon-Labich, Anne-Sophie Lambert, Stéphanie Rouleau, Marie-Agathe Trouvin, Vanessa Vautier, Laetitia Martinerie","doi":"10.1016/j.arcped.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.08.003","url":null,"abstract":"<p><strong>Introduction: </strong>Requests for hormonal transition in minors are increasing. To date, there is no national recommendation to guide these practices in France. Therefore, the SFEDP (French Society of Pediatric Endocrinology and Diabetology) has commissioned a group of experts to draft the first national consensus on this topic.</p><p><strong>Method: </strong>Each chapter was prepared by one to three authors who conducted a literature review, and it was then reviewed and revised by the group as many times as necessary to achieve a consensus position. The final document was reviewed by a group of external experts.</p><p><strong>Results: </strong>A consensus position was reached regarding the multi-professional nature of support for trans youth, the prescription of molecules aimed at inhibiting endogenous hormone secretion, and the use of gender-affirming hormone therapies, as well as the importance of offering gamete preservation. Non-hormonal aspects of support and various considerations, including ethical ones, were also discussed.</p><p><strong>Conclusion: </strong>This work constitutes an initial set of recommendations for professionals involved in the hormonal transition of trans youth. Additional recommendations under the auspices of the French High Authority for Health would be worthy of being drafted, involving all relevant stakeholders to establish comprehensive official national guidelines that would secure the support and rights of these young individuals, especially those under 16 years old, as well as the professionals involved in their care.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649983","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":"Investigating the effect of peer-led educational intervention on behaviors related to pubertal health and its determinants in high school girls of Genaveh, Iran: Application of social cognitive theory","authors":"Khadijeh Rezvani ,&nbsp;Mohammad Hossein Kaveh ,&nbsp;Leila Ghahramani ,&nbsp;Abdolrahim Asadollahi","doi":"10.1016/j.arcped.2024.05.001","DOIUrl":"10.1016/j.arcped.2024.05.001","url":null,"abstract":"<div><div><em>Background</em> Empowering adolescents in the field of puberty health is one of the important goals of public health programs. The present study was carried out with the aim of determining the effect of peer-led training on puberty-related behavior and its determinants using social cognitive theory. <em>Methods</em>: A total of 245 teenage girls were randomly divided into two groups: the intervention group and the comparison group. The questionnaire measuring puberty-related behavior and its determinants was self-administered and completed before and 2 months after training in the two groups. One session for parents, four sessions for peer educators, and four sessions for participants were conducted for 1 month. <em>Results</em>: In the intervention group, unlike the comparison group, the mean scores of knowledge, outcome expectations, self-efficacy, self-control, social support, and behavior increased significantly after training (<em>p</em> &lt;0.05). Based on regression analysis, outcome expectations and social support were the main determinants of puberty-related behavior (adjusted <em>R</em>² = 0.464). <em>Conclusion</em>: The findings of this study support the effectiveness of the peer-led educational intervention based on social cognitive theory in the improvement of puberty-related behavior and its determinants, which can be used in the design of puberty-related health promotion programs. Further research to assess the longer-term outcomes and to examine other theories of behavior change are suggested.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 8","pages":"Pages 533-539"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395452","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":"Pediatric teledermatology: Evaluation of a store-and-forward network in Ile-de-France from 2013 to 2022","authors":"Emmanuel Mahé ,&nbsp;Béatrice Carton ,&nbsp;Mariana Marcu-Marin ,&nbsp;Stéphanie Muller ,&nbsp;Fabienne Desjardins ,&nbsp;Sarra Beizig ,&nbsp;Véronique Hentgen ,&nbsp;Marie-Aliette Dommergues ,&nbsp;Yasmine Zerdani ,&nbsp;Carla Hajj ,&nbsp;Margot Common ,&nbsp;Mandavi Rajguru ,&nbsp;Adeline Rouby ,&nbsp;Sylvie Nathanson","doi":"10.1016/j.arcped.2024.08.001","DOIUrl":"10.1016/j.arcped.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Teledermatology has been widely deployed over the past decade in France, becoming an indispensable tool in daily practice. Pediatric dermatology is a subspecialty of dermatology limited to a small number of specialists. In 2013, the Argenteuil Hospital developed a structured store-and-forward (SAF) service that is particularly well-suited for the field of pediatric dermatology. We report on our 10-year experience using the SAF approach in pediatric dermatology, focusing on the acceptability and efficiency of the service.</div></div><div><h3>Method</h3><div>All pediatric (&lt;18 years) cases submitted to the SAF service from 2013 to 2022 were analyzed to evaluate SAF performance (refusals, response times, and information quality); patient demographics; pathologies (diagnostic certainty, types); and management.</div></div><div><h3>Results</h3><div>A total of 922 cases, from eight centers (six hospitals, two penitentiaries, and one health center) and 52 physicians, were analyzed. An increase in requests was noted over the years. No families refused to use the service. In 83 % and 94 % of cases, the quality of the photos and information was considered good or very good, respectively. The median response time was 1.5 h. The mean age of the children was 5 years (sex ratio: 1:1), with 26 % of cases involving newborns (&lt;1 month). The median disease duration was 6 days (48 % &lt;5 days). In 65 % of cases, the diagnosis was “certain,” whereas in 34 % of cases a “diagnostic hypothesis” was made. Examinations were recommended in 35 % of cases and treatment was proposed in 62 % of cases. Dermatological follow-up was proposed in 32 % of cases.</div></div><div><h3>Conclusion</h3><div>Our 10-year review of the SAF network showed that this pediatric teledermatology service has been accepted by parents and physicians. The information transmitted was of high quality, although additional clarification requests were sometimes required. The service enabled rapid responses in the majority of cases, including a wide variety of situations: one-quarter of cases involved newborns and 48 % of cases involved recently developed dermatoses (&lt;5 days) requiring urgent management. This pediatric dermatology SAF-based tele-expertise service was therefore shown to be efficient and very well accepted, and is currently being deployed among private practitioners.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 8","pages":"Pages 500-507"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549059","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":"Exploring the relationship between social media use, sharenting practices, and maternal psychological well-being","authors":"Betül Orhan Kılıç ,&nbsp;Serhat Kılıç ,&nbsp;Betul Ulukol","doi":"10.1016/j.arcped.2024.04.008","DOIUrl":"10.1016/j.arcped.2024.04.008","url":null,"abstract":"<div><h3>Background</h3><div>This study examined the correlation between social media usage, sharenting practices (sharing parenting-related content on social media), and psychological well-being among 130 mothers whose children visited Baskent University Hospital between April 2020 and January 2021.</div></div><div><h3>Methods</h3><div>The participants completed an online questionnaire that assessed their social media usage, sharenting practices on Instagram, as well as their levels of depression, life satisfaction, and psychological resilience. Additionally, the researchers created an Instagram account and followed the mothers’ social media activities.</div></div><div><h3>Results</h3><div>The findings revealed that Instagram was the most commonly used social media platform, with mothers using it an average of 5.8 times per day and spending an average of 75 min per day on the platform. Sharing privacy-violating photos of their children was positively correlated with the mothers’ own depressive symptoms (<em>r</em> = 0.285, <em>p</em> &lt; 0.01) and negatively correlated with their life satisfaction (<em>r</em>=−0.274, <em>p</em> &lt; 0.01). Similarly, sharing children's photos containing identifiable information was positively correlated with mothers’ depressive symptoms (<em>r</em> = 0.373, <em>p</em> &lt; 0.01) and negatively correlated with their life satisfaction (<em>r</em>=−0.282, <em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>These findings indicate a significant relationship between social media usage, sharenting practices, and the psychological well-being of mothers. The study underscores the importance of raising awareness about the potential risks associated with social media use, particularly among mothers who engage in sharenting practices.</div></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":"31 8","pages":"Pages 519-526"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367636","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}