Acta Paediatrica最新文献_第6页

Cultural practices impact adherence to complementary feeding guidelines in a multicultural community in Lisbon, Portugal.

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-12-01 DOI: 10.1111/apa.17524

A Sousa, D Virella

{"title":"Cultural practices impact adherence to complementary feeding guidelines in a multicultural community in Lisbon, Portugal.","authors":"A Sousa, D Virella","doi":"10.1111/apa.17524","DOIUrl":"https://doi.org/10.1111/apa.17524","url":null,"abstract":"Aim: To evaluate agreement with the European Society of Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) complementary feeding guidelines in a multiethnic community in Lisbon and to identify factors influencing complementary feeding practices among immigrant families.Methods: A cross-sectional survey was conducted from January to March 2022 among caretakers of children aged 6 to 36 months at a primary healthcare facility in Lisbon, Portugal. A questionnaire collected data on demographics, socioeconomic status, complementary feeding practices, and sources of complementary feeding information. Agreement with ESPGHAN guidelines was assessed, and statistical analyses identified associations between complementary feeding inadequacies and socio-demographic variables.Results: Among 136 participants, 69% were immigrants. The prevalence of complementary feeding inadequacies was 53%, with early introduction of salt (28%) and tea (19%), and delayed introduction of gluten (15%) being the most frequent. Immigrant families exhibited higher rates of inadequacies. Healthcare professionals (71%) and family advice (13%) were the primary sources of complementary feeding information.Conclusion: Adherence to ESPGHAN complementary feeding guidelines was suboptimal, particularly among immigrant families. Tailored healthcare interventions that consider cultural and socioeconomic factors are necessary to enhance the complementary feeding practices. Further research is needed to monitor these practices and evaluate the effectiveness of culturally sensitive healthcare policies.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774974","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}

引用次数: 0

Speed of death from accidental suffocation in infancy.

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-29 DOI: 10.1111/apa.17525

Shatishraj Jothee, Nur Arina Binti Ahmad, Khairul Anuar Zainun, Roger W Byard

引用次数: 0

Brief report early intervention in children with ARFID/ARFID-like symptoms.

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-29 DOI: 10.1111/apa.17527

Luise V Marino, Jessica Merrin, Lizzie Dodd, Vic Humble, Clare Longfellow, Elizabeth Barnsley, Rosan Meyer

引用次数: 0

Family-centred communication: A pillar for better health outcomes for children with cerebral palsy.

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-28 DOI: 10.1111/apa.17514

Thuy Mai Luu

引用次数: 0

Indocyanine green clearance's association with liver function in paediatric liver disease. 吲哚菁绿清除率与儿科肝病患者肝功能的关系。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-27 DOI: 10.1111/apa.17518

G Ficerai-Garland, T W Helt, J Nielsen, R de Nijs, N H Vissing, C L Winther, S Møller, V Setterberg, J E Squires, L Borgwardt, V B Christensen

{"title":"Indocyanine green clearance's association with liver function in paediatric liver disease.","authors":"G Ficerai-Garland, T W Helt, J Nielsen, R de Nijs, N H Vissing, C L Winther, S Møller, V Setterberg, J E Squires, L Borgwardt, V B Christensen","doi":"10.1111/apa.17518","DOIUrl":"10.1111/apa.17518","url":null,"abstract":"Aim: Indocyanine green (ICG) clearance, a sensitive biomarker for liver function, has not been validated in children. We assessed the association between ICG clearance and liver function in children with liver disease.Methods: ICG plasma disappearance rate (ICG-PDR, %/min) was measured in children with liver disease. Mixed linear regression was used to assess the relationship between ICG-PDR and liver function tests (international normalised ratio, INR; prothrombin-proconvertin clotting time, PP).Results: We included 124 patients with 183 visits. Of the visits, 60.1% were female, 85% had chronic liver disease and 42.5% were liver transplanted. The most common diseases in those without transplantation were autoimmune disease (18.6%) and biliary atresia (10.9%). Median ICG-PDR was 23.9%/min (interquartile range 15; 30.3). Mixed linear regression showed ICG-PDR was associated with INR (β = -0.006, 95% CI [-0.010, -0.003]) and PP (β = 0.005, 95% CI [0.003, 0.008]). However, only five visits were with patients who had acute liver failure (INR ≥2.0).Conclusion: ICG clearance is associated with standard measures of liver function in children. ICG may aid decision-making in paediatric liver disease together with other biochemical measures, imaging and clinical presentation. However, further studies are needed to assess the usefulness of ICG in paediatric patients with INR >1.4.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741530","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}

引用次数: 0

Evaluating neuronal damage biomarkers at birth for predicting neurodevelopmental risks in foetal growth restriction. 评估出生时神经元损伤生物标志物，以预测胎儿生长受限的神经发育风险。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-27 DOI: 10.1111/apa.17521

Mª José Benítez-Marín, Marta Blasco-Alonso, Fernando de Rodríguez de Fonseca, Jesús S Jiménez, Patricia Rivera, Ernesto González-Mesa

{"title":"Evaluating neuronal damage biomarkers at birth for predicting neurodevelopmental risks in foetal growth restriction.","authors":"Mª José Benítez-Marín, Marta Blasco-Alonso, Fernando de Rodríguez de Fonseca, Jesús S Jiménez, Patricia Rivera, Ernesto González-Mesa","doi":"10.1111/apa.17521","DOIUrl":"https://doi.org/10.1111/apa.17521","url":null,"abstract":"Aim: This study was based on the need to predict neurodevelopmental outcomes of children with foetal growth restriction. The aim was to systematically review the correlation between biomarkers of neural injury in children with foetal growth restriction and their neurodevelopment.Method: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the review included studies on growth-restricted foetuses that measured biomarkers of postpartum brain injury and assessed neurodevelopment in childhood. Studies published between 1 January 2014 and 31 March 2024 were identified through PubMed and Embase, with the study protocol registered in PROSPERO (CRD42024520254).Results: Only five met the inclusion criteria. Results showed that urinary S100B levels were significantly elevated in foetal growth restriction, negatively correlating with neurological development at 7 days of life. Neuron-specific enolase negatively correlated with cognitive, motor and socio-emotional development. Urinary nerve growth factor levels were significantly lower in neonates with foetal growth restriction, correlating with poor neurodevelopment. No alterations in BDNF levels were observed. Tau protein levels were lower in children with foetal growth restriction and adverse outcomes.Conclusion: The study emphasised the need for further research on biomarkers and predictive models of neurodevelopment in children with foetal growth restriction.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733758","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}

引用次数: 0

High-flow nasal cannula for stabilisation of very premature infants: A prospective observational study. 用于稳定极早产儿病情的高流量鼻插管：前瞻性观察研究。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-25 DOI: 10.1111/apa.17519

Klára Jonáš, Tereza Lamberská, Truong An Nguyen, Petr Kudrna, Richard Plavka

{"title":"High-flow nasal cannula for stabilisation of very premature infants: A prospective observational study.","authors":"Klára Jonáš, Tereza Lamberská, Truong An Nguyen, Petr Kudrna, Richard Plavka","doi":"10.1111/apa.17519","DOIUrl":"https://doi.org/10.1111/apa.17519","url":null,"abstract":"Aim: To assess the feasibility, safety and efficacy of using a high-flow nasal cannula (HFNC) for stabilising very preterm infants after birth.Methods: A prospective observational study included preterm infants born at 28 + 0 to 31 + 6 weeks' gestation between February 2021 and December 2022 at the General University Hospital in Prague. Following delayed cord clamping, HFNC was administered at a flow rate of 8 L/min through the infants' nostrils. Criteria for switching to continuous positive airway pressure (CPAP) or positive pressure ventilation (PPV) included persistent bradycardia in the first few minutes or low saturation of oxygen (SpO2) after 5 min, respectively.Results: Of the 65 infants enrolled in the study, 56 (86%) were successfully stabilised exclusively using HFNC while 7 (11%) required PPV. Additionally, 52 (80%) infants achieved SpO2 > 80% at 5 min, and 54 (83%) infants were successfully treated with HFNC within the first 3 h of life.Conclusion: The primary use of HFNC seems to be an appropriate alternative to CPAP for the stabilisation of very premature infants after birth and subsequent transfer to the NICU. A randomised trial comparing HFNC and CPAP in the delivery room will enable to answer the questions raised in this study.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711711","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}

引用次数: 0

Lung function outcomes in adults born extremely preterm across three decades of advancing perinatal medicine. 围产医学发展三十年来，极早产成人的肺功能结果。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-22 DOI: 10.1111/apa.17498

Tonje Bårdsen, Emma Satrell, Ola Drange Røksund, Merete Røineland Benestad, Karl Ove Hufthammer, Hege Clemm, Ingvild Bruun Mikalsen, Knut Øymar, Thomas Halvorsen, Maria Vollsæter

{"title":"Lung function outcomes in adults born extremely preterm across three decades of advancing perinatal medicine.","authors":"Tonje Bårdsen, Emma Satrell, Ola Drange Røksund, Merete Røineland Benestad, Karl Ove Hufthammer, Hege Clemm, Ingvild Bruun Mikalsen, Knut Øymar, Thomas Halvorsen, Maria Vollsæter","doi":"10.1111/apa.17498","DOIUrl":"https://doi.org/10.1111/apa.17498","url":null,"abstract":"Aim: Advances in perinatal medicine from 1980 to 2000 improved survival in extremely preterm (EP) neonates. Long-term effects of these developments remain unclear, and we aimed to investigate potential cohort effects on adult lung function.Methods: Three 18-year-old population-based cohorts born at ≤28 weeks gestation or with birthweight ≤1000 g during 1982-85, 1991-92 and 1999-2000 and term-controls underwent spirometry, body plethysmography, and tests of lung diffusing capacity, bronchodilator reversibility, and airway hyperresponsiveness. We used Welch's t-tests to compare term- with EP-born as a group and split by bronchopulmonary dysplasia (BPD), and regression models to test group/cohort interactions.Results: In all EP-born cohorts, z-scores for FEV1, FEV1/FVC, FEF25%-75%, DLCO and KCO were reduced compared with term-born. For the 82-85, 91-92 and 99-00 cohorts, deficits for z-FEV1 and z-DLCO were 1.23 and 0.53; 0.68 and 0.92; and 0.51 and 0.57, respectively (p ≤0.01 for all). Cohort analyses showed stable lung function across the three cohorts overall, but improvements across cohorts for the BPD subgroups in z-FEV1, z-FEV1/FVC, and z-FEF25%-75%.Conclusion: Adults born EP across three formative decades of neonatal care had stable lung function overall, with notable improvements in BPD subgroups across cohorts.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689594","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}

引用次数: 0

Candidate genes did not have an impact on the risk of wheezing in children born preterm. 候选基因对早产儿患喘鸣症的风险没有影响。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-22 DOI: 10.1111/apa.17501

Fanny E M Goth, Klaus Juul, Lone Agertoft, Cilla Söderhäll, I Merete Jørgensen

{"title":"Candidate genes did not have an impact on the risk of wheezing in children born preterm.","authors":"Fanny E M Goth, Klaus Juul, Lone Agertoft, Cilla Söderhäll, I Merete Jørgensen","doi":"10.1111/apa.17501","DOIUrl":"https://doi.org/10.1111/apa.17501","url":null,"abstract":"Aim: Our aim was to investigate whether risk factors, including selected genetic variants, appeared with the same frequency in preterm-born and term-born children with respiratory symptoms.Methods: We conducted an observational study on a cohort at Copenhagen University Hospital Hillerød, Denmark, consisting of 63 preterm-born and 86 term-born children who were included at birth and followed to 6 years of age. Odd ratios (OR) and 95% CIs were calculated.Results: Valid genotyping data were obtained from 135 children and 126 and 64 parents completed questionnaires at the 1-year and 6-year follows-ups, respectively. The C allele of rs3751972 was associated with an increased wheezing risk at 6 years of age in term-born children, but not in preterm-born children (OR 8.84, 95% CI 1.02-76.72, p = 0.05 versus OR 2.33, 95% CI 0.59-9.20, p = 0.23, respectively). At 1 year of age, preterm-born children with respiratory symptoms were three times as likely to have parents who smoked than those without such symptoms (65% and 21%, respectively, p = 0.005).Conclusion: Genetic variants known to affect the risk of respiratory symptoms did not seem to affect the risk of wheezing in preterm children. Parental smoking was a significant risk factor for respiratory symptoms.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689448","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}

引用次数: 0

EBNEO Commentary: Risk stratification of sensorineural hearing impairment in preterm infants. EBNEO 评论：早产儿感音神经性听力损伤的风险分层。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-11-21 DOI: 10.1111/apa.17512

Chidi Anakebe, Sohaib Bin Nawaz, Haji Sheeraz Khan

引用次数: 0