Acta Paediatrica最新文献

{"title":"Responding to Queries on Using High-Flow Nasal Cannulas for Preterm Neonates Immediately After Delivery","authors":"Richard Plavka, Klara Jonáš, Tereza Lamberská","doi":"10.1111/apa.70032","DOIUrl":"10.1111/apa.70032","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":"114 5","pages":"1078-1079"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400842","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":"Letter in Response to Pophale et al.","authors":"Mary Eileen Foster, Harsha Gowda","doi":"10.1111/apa.17604","DOIUrl":"10.1111/apa.17604","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":"114 5","pages":"1074-1075"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384198","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":"EBNEO Commentary: Non-Invasive HFOV Versus Nasal CPAP for Preterm Infants.","authors":"Ugochinyere A Uguru, Ogbonnaya Nwagwu Ajah","doi":"10.1111/apa.70027","DOIUrl":"https://doi.org/10.1111/apa.70027","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374651","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":"Visits and Hospital Admissions Decreased During COVID-19 Pandemic: A Pattern Common to Several Highly Developed Countries, Despite Huge Differences in Other Aspects of Disease and Care.","authors":"Luigi Gagliardi","doi":"10.1111/apa.70011","DOIUrl":"https://doi.org/10.1111/apa.70011","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374744","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":"Milk Cereal Drinks, Infant Growth and Later Risk of Obesity.","authors":"Magnus Domellöf","doi":"10.1111/apa.70021","DOIUrl":"https://doi.org/10.1111/apa.70021","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374715","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":"Does a High-Flow Nasal Cannula Prevent the Need for Positive Pressure Ventilation in the Delivery Room?","authors":"Poonam Singh, Suman Chaurasia, Mayank Priyadarshi, Sriparna Basu","doi":"10.1111/apa.70020","DOIUrl":"10.1111/apa.70020","url":null,"abstract":"","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":"114 5","pages":"1076-1077"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366873","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":"Will the New Lancet Commission Classification of Obesity Only Mystify and Complicate Things in Paediatric Clinics?","authors":"Annika Janson","doi":"10.1111/apa.70005","DOIUrl":"10.1111/apa.70005","url":null,"abstract":"<p>In January 2025, a new classification of obesity was published in the <i>Lancet Diabetes & Endocrinology</i> [<span>1</span>]. It was developed by The Lancet Commission on the Definition and Diagnosis of Clinical Obesity, which comprised more than 50 researchers and experts in the field. The contributors should be praised for their enormous efforts and for including people living with obesity to ensure that the new classification included perspectives from patients. However, despite the appealing graphics that aim to explain the new criteria, the approach has left even insightful readers with doubts.</p><p>So what does the new classification say? The first option is that people who used to fulfill the simple body mass index (BMI) criteria for overweight or obesity would no longer receive a diagnosis. The second is that, after careful consideration, they could meet the definitions for diagnoses of pre-clinical obesity or clinical obesity. Overweight, a general term that has often been used to describe both overweight and obesity in daily speech, but has lacked the status of a diagnosis, seems obsolete.</p><p>The 42-page Commission's report will now challenge the printers in many obesity clinics. Having read it, I can summarise it as follows. It is not enough with a high BMI to be diagnosed with clinical obesity. Measurements that indicate increased body fat will be needed for a diagnosis, such as the patient's fat percentage, waist circumference, waist-to-height ratio or waist-to-hip ratio. In addition, symptoms that indicate problems, such as pain or affected blood tests, are needed. With all due respect to the Commission, the operational definitions are unclear for many of the 18 criteria for adults and 13 for children. Just consider this criterion for paediatric patients: ‘cluster of hyperglycemia/glucose intolerance with abnormal lipid profile (high triglyceride levels or high LDL cholesterol or low HDL cholesterol)’. Note the word ‘with’ which tells us that glucose intolerance without lipid disturbances or even manifest type 2 diabetes is not included as a criterion. Similarly, a criterion like polycystic ovary syndrome is hard to define in girls. Another issue is that the prerequisites for diagnosing clinical obesity, namely body fat percentage or waist circumference, do not have clear and generally accepted cut-offs for children [<span>2</span>].</p><p>Those who like an academic battle could go on debating diagnostics, degrees and definitions forever, but that takes a lot of human power away from treating the patients we see in our clinics.</p><p>The coverage in the general, non-medical media has been respectful, but two well-respected UK titles have raised concerns. <i>The Guardian</i> remarked that the health challenges of curbing obesity remain [<span>3</span>]. Meanwhile, <i>The Economist</i> saw the need to decide ‘who is sick and who is not’, [<span>4</span>] suggesting that there needs to be a distinction in the era of new and","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":"114 5","pages":"788-789"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366876","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":"Generic Health-Related Quality of Life of Children With Severe Peanut or Tree Nut Allergy.","authors":"Lasse Saarimäki, Juho E Kivistö, Iida Ojaniemi, Harri Sintonen, Heini Huhtala, Jennifer L P Protudjer, Sandra Ekström, Inger Kull, Jussi Karjalainen","doi":"10.1111/apa.70016","DOIUrl":"https://doi.org/10.1111/apa.70016","url":null,"abstract":"<p><strong>Aim: </strong>Food allergies may decrease health-related quality of life. We assessed health-related quality of life in Finnish children at risk of a severe peanut or tree nut allergy and their parents.</p><p><strong>Methods: </strong>Study included children aged 3-15 years referred to Tampere University Hospital for suspected severe nut allergy. Eligibility criteria included a history of anaphylaxis and/or molecular immunology testing referring for severe peanut and/or tree nut allergy. Health-related quality of life was assessed with generic questionnaires 15D for adults, 16D for teenagers or 17D for children, with scores compared with age group-matched population references.</p><p><strong>Results: </strong>A total of 101 children (mean age 7.7 ± 2.9 years) and parent pairs were enrolled. The mean 16D score for 11 teenagers aged 12-15 years and mean 15D score for 101 parents was similar to reference populations; parental distress was borderline statistically worse (0.890 vs. 0.932, p = 0.013). The mean 17D score for 90 children aged 3-11 years was significantly higher (0.959 vs. 0.938) than in references (p < 0.01).</p><p><strong>Conclusion: </strong>Children with a suspected severe peanut or tree nut allergy had a comparable health-related quality of life to the reference population. Distress among their parents seemed to be increased, warranting more focus on parental counselling.</p>","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257501","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":"Narrative Diaries in Paediatric Palliative Care: A Scoping Review.","authors":"Anna Marinetto, Caterina Carraro, Anna Santini, Pierina Lazzarin, Franca Benini, Anna Zanin","doi":"10.1111/apa.70015","DOIUrl":"https://doi.org/10.1111/apa.70015","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to offer a comprehensive overview about literature on narrative diaries in paediatric palliative care.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the methods of Arksey and O'Malley.</p><p><strong>Results: </strong>Among 83 studies, nine met the inclusion criteria. In the majority of publications (six research, 66%), the principal objective of employing diaries was to examine the disease experiences of children from the familial viewpoint. Three studies were focused on the feasibility of the diary to get information enhancing the understanding of real-life experiences of patients. The most common diarists are parents (five studies, 55%), followed by young patients (two studies, 22%) and close relatives (one study, 11%). The most common type of diary is the paper diary (seven studies, 77%). App-diary and audio recorders are also reported.</p><p><strong>Conclusion: </strong>Current literature has demonstrated a limited use of diaries in paediatric palliative care. They could represent a valid tool that can enable healthcare providers an enhanced understanding of the child and family's experiences and needs comprehensively.</p>","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257505","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":"When Paediatrics Gets It Wrong","authors":"Niels Lynøe","doi":"10.1111/apa.70022","DOIUrl":"10.1111/apa.70022","url":null,"abstract":"&lt;p&gt;The former US president Barack Obama was once asked about his favourite book. He referred to a book about Abraham Lincoln and his practice of surrounding himself with cabinet members who disagreed with him and challenged him [&lt;span&gt;1&lt;/span&gt;]. Unfortunately, some modern and historical episodes have not considered all the possible angles, and this has influenced medicine, including paediatrics, in a negative way. There have also been issues with dogmatic guidelines that have presented views strongly or positively, as if they were evidence based. Then there is the influence of groupthink, which is a psychological phenomenon that occurs when a group feel that they are special selected as if they were members of a noble English club [&lt;span&gt;2&lt;/span&gt;]. They often find themselves on the moral correct side and have an inclination to become immune to critical thinking from the outside [&lt;span&gt;2&lt;/span&gt;]. Preventing groupthink and dogmatism requires open, rational and critical discussions also about controversial issues, such as sudden infant death syndrome (SIDS). One book that got me thinking recently was by a new title by Dr. Marty Makary entitled &lt;i&gt;Blind Spots: when Medicine Gets it Wrong, and What It Means for Our Health&lt;/i&gt; [&lt;span&gt;1&lt;/span&gt;]. It echoed many of my own thoughts on key issues, including different guidelines within paediatrics.&lt;/p&gt;&lt;p&gt;The prominent American paediatrician Dr. Benjamin Spock (1903–1998) recommended that infants should not sleep on their backs, because of the risk of vomiting. Drawing on how adults were treated when they were in a coma, he recommended that infants should sleep in the prone position. However, this approach was associated with an actual increase in the rate of SIDS [&lt;span&gt;3&lt;/span&gt;]. The guidelines were eventually changed at the start of the 1990s and Nordic paediatricians were among those who played an important role in changing Dr. Spock's recommendation. This case illustrate how eminence based knowledge had impact on paediatricians—even worldwide.&lt;/p&gt;&lt;p&gt;Paediatrics sometimes gets it really wrong, when preventive guidelines are based on consensus statements and groupthink rather than evidence-based medicine. One example is the claims, mainly in the USA, that peanuts caused allergies and severe asthma [&lt;span&gt;1&lt;/span&gt;]. Guidelines issued by the American Academy of Paediatrics recommended that pregnant women and lactating mothers, as well as newborn infants should not be exposed to peanuts. These guidelines on total abstinence were supposed to prevent children from severe allergies and asthma [&lt;span&gt;1&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;When the AAP guidelines were published in &lt;i&gt;Paediatrics&lt;/i&gt; in 2000, many American paediatricians advised mothers to abandon peanuts, to protect their children from future allergies and asthma. But the outcome was an unexpected increase in mild allergies and a huge increase in life-threatening asthma. However, American paediatricians maintained that if all parents complied with the AAP guidelines it","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":"114 5","pages":"790-792"},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257508","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}