Acta Paediatrica最新文献_第9页

Special issue on interventions supporting parents' presence and parenting in the neonatal intensive care unit environment. 新生儿重症监护室环境中支持父母陪伴和养育子女的干预措施特刊。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-31 DOI: 10.1111/apa.17471

Liisa Lehtonen, Sari Ahlqvist-Björkroth, Rosario Montirosso

引用次数: 0

Incidence of primary ciliary dyskinesia: A study across diverse communities. 原发性睫状肌运动障碍的发病率：一项跨越不同社区的研究。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-29 DOI: 10.1111/apa.17482

Meital Stoliarov, Dvir Gatt, Inbal Golan-Tripto, Aviv Goldbart, Micha Aviram, Guy Hazan

引用次数: 0

Percutaneous endoscopic gastrostomy helped to normalise feeding problems and gastrointestinal symptoms in Silver-Russell syndrome. 经皮内窥镜胃造口术有助于改善银-鲁塞尔综合症患者的进食问题和胃肠道症状。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-25 DOI: 10.1111/apa.17474

Nataliia Muz, Miriam Petersson, Robert Saalman, Jovanna Dahlgren

{"title":"Percutaneous endoscopic gastrostomy helped to normalise feeding problems and gastrointestinal symptoms in Silver-Russell syndrome.","authors":"Nataliia Muz, Miriam Petersson, Robert Saalman, Jovanna Dahlgren","doi":"10.1111/apa.17474","DOIUrl":"https://doi.org/10.1111/apa.17474","url":null,"abstract":"Aim: This study evaluated feeding problems and gastrointestinal symptoms in children with Silver-Russell syndrome (SRS), which is a rare epigenetic disorder. It also compared the symptoms experienced during different feeding methods, including percutaneous endoscopic gastrostomy (PEG).Methods: The national expert team for children with SRS at Queen Silvia Children's Hospital, Gothenburg, studied 46 referrals (63% male) who were born with SRS in Sweden from 1984 to 2018. Patient data were extracted from the Paediatric National Growth Hormone Registry.Results: The medical records covered a median of 68% of the time of the patients' childhood, with a median follow-up of 9 years. Their symptoms were most prevalent during infancy and decreased when they were toddlers. Feeding problems and gastrointestinal symptoms were reported in 91% of the 46 patients, with vomiting in 57% and constipation in 46%. There were 19 children who relied on enteral feeding for their nutrition and 13 of those received PEG. Their body mass index (BMI) increased significantly 2 years after PEG started (p = 0.005).Conclusion: Feeding problems and gastrointestinal symptoms were very common in children with SRS, but partly disappeared during childhood. Providing treatment, such as PEG, normalised the BMIs of children with SRS and reduced their symptoms.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513510","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

The prevalence of overweight among 4-year-olds during and after the COVID-19 pandemic was associated with socioeconomic burden. 在 COVID-19 大流行期间和之后，4 岁儿童的超重率与社会经济负担有关。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-25 DOI: 10.1111/apa.17468

Charlotte Nylander, Paulina Nowicka, Mariette Derwig

{"title":"The prevalence of overweight among 4-year-olds during and after the COVID-19 pandemic was associated with socioeconomic burden.","authors":"Charlotte Nylander, Paulina Nowicka, Mariette Derwig","doi":"10.1111/apa.17468","DOIUrl":"https://doi.org/10.1111/apa.17468","url":null,"abstract":"Aim: To assess the prevalence of overweight among Swedish 4 year olds in 2018, 2020 and 2022, taking socioeconomic variables into account.Methods: Aggregated regional data on children's body mass index were collected. The socioeconomic Care Need Index (CNI), foreign background, low education, being a single parent, low income and childhood poverty, were assessed. The differences in overweight, including obesity, were tested for Sweden and for regions.Results: Data were available for 303 843 children, representing 87% of children born in 2014, 2016 and 2018. Overweight or obesity were found in 11 177 (11.4%) of children in 2022, decreasing from 2020 (13.3%, p < 0.001) but at the same level as in 2018. Regional low CNI, low level of foreign background, education and income as well as being a single parent were associated with a higher prevalence of overweight or obesity in all cohorts (p < 0.001). In regions with high levels of childhood poverty, overweight or obesity were more prevalent during (p = 0.009) and after the pandemic (p < 0.001).Conclusion: Three national cohorts demonstrate that the increase in overweight during the COVID-19 pandemic has returned to pre-pandemic levels, but the inequalities in health associated with socioeconomic vulnerability of the regions remained.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513512","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

Charles West (1816-1898): Pioneering paediatrician and midwifery advocate in the 19th century medicine. 查尔斯-韦斯特（1816-1898 年）：19 世纪医学界儿科医生和助产士的先驱。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-25 DOI: 10.1111/apa.17476

Stefan Kutzsche, Sivalingam Nalliah

引用次数: 0

The need to avoid over-simplifications in evolutionary biology 需要避免进化生物学中的过度简化。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-25 DOI: 10.1111/apa.17477

Leslea J. Hlusko, Madeline G. McNelis

引用次数: 0

Cooling and physiology during parent cuddling infants with neonatal encephalopathy in usual care: CoolCuddle-2 study. 在常规护理中，父母拥抱患有新生儿脑病的婴儿时的降温和生理学：CoolCuddle-2研究。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-25 DOI: 10.1111/apa.17466

Ela Chakkarapani, Jenny Ingram, Stephanie Stocks, Lucy Beasant, David Odd

{"title":"Cooling and physiology during parent cuddling infants with neonatal encephalopathy in usual care: CoolCuddle-2 study.","authors":"Ela Chakkarapani, Jenny Ingram, Stephanie Stocks, Lucy Beasant, David Odd","doi":"10.1111/apa.17466","DOIUrl":"https://doi.org/10.1111/apa.17466","url":null,"abstract":"Aim: CoolCuddle, enabling parents to cuddle their babies with neonatal encephalopathy (NE) during therapeutic hypothermia and intensive care (TH), was developed in research settings. To determine the impact of implementing CoolCuddle in usual care in six diverse neonatal intensive care units on the cooling process and intensive care.Methods: This vital sign cohort study embedded within the CoolCuddle implementation study enrolled 36 infants receiving TH for NE. Nurses received training on CoolCuddle and a standard operating procedure using an instruction video. After consenting, parents experienced up to 2 h of CoolCuddle with 30 min of pre- and post-cuddle observation. We used multilevel, clustered linear modelling to assess the physiological stability in temperature, cardio-respiratory and neurophysiology across the CoolCuddle.Results: In 60 CoolCuddles over 93.12 h, respiratory parameters, heart rate or neurological function did not vary between the epochs (p > 0.05). During cuddle, sleep-wake cycling on amplitude-integrated EEG increased (p = 0.008) and there was weak evidence of lower pain scores (p = 0.08). No adverse effects were observed.Conclusion: Implementing CoolCuddle with support in usual practice maintained physiological stability and did not significantly affect the cooling process or intensive care, and may improve infant comfort. Ongoing monitoring of adverse effects when implementing CoolCuddle is recommended.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513507","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

Irisin as a marker of hepatic steatosis in children with metabolic dysfunction-associated steatotic liver disease. 鸢尾素是代谢功能障碍相关性脂肪性肝病患儿肝脏脂肪变性的标志物。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-24 DOI: 10.1111/apa.17475

Katarzyna Zdanowicz, Natalia Kopiczko, Marta Flisiak-Jackiewicz, Anna Bobrus-Chociej, Monika Kowalczuk-Kryston, Dariusz Marek Lebensztejn

{"title":"Irisin as a marker of hepatic steatosis in children with metabolic dysfunction-associated steatotic liver disease.","authors":"Katarzyna Zdanowicz, Natalia Kopiczko, Marta Flisiak-Jackiewicz, Anna Bobrus-Chociej, Monika Kowalczuk-Kryston, Dariusz Marek Lebensztejn","doi":"10.1111/apa.17475","DOIUrl":"https://doi.org/10.1111/apa.17475","url":null,"abstract":"Aim: The purpose of this study was to evaluate irisin, myonectin and high-sensitivity interleukin-6 (hs IL-6) levels in obese children and adolescents and to determine the association of these parameters with metabolic dysfunction-associated steatotic liver disease (MASLD) in children.Methods: Sixty-one overweight/obese children with suspected liver disease and seventeen healthy controls were included in the study. MASLD was diagnosed according to the latest consensus. Circulating irisin, myonectin and hs IL-6 were measured by enzyme-linked immunosorbent assay (ELISA).Results: The study group included 38 children meeting MASLD criteria and 23 children without diagnosed hepatic steatosis. The concentrations of the analysed myokines were comparable in the MASLD and non-MASLD groups. Patients with MASLD were further divided according to the severity of hepatic steatosis. Significantly higher levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyltransferase, uric acid and irisin were observed in patients with severe hepatic steatosis compared to mild hepatic steatosis. There were borderline statistically significant positive correlations of irisin with ALT and AST.Conclusion: We revealed that elevated irisin levels were associated with the degree of hepatic steatosis in MASLD. We also found a borderline significant positive association of irisin with liver enzymes.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513509","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

Customised growth charts could improve how we identify infants who are small and large for gestational age. 定制的生长图表可以改进我们识别胎龄偏小和胎龄偏大婴儿的方法。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-22 DOI: 10.1111/apa.17467

Alice Hocquette

引用次数: 0

National survey found that paediatricians frequently used messaging apps to hold informal consultations with parents and patients. 全国调查发现，儿科医生经常使用信息应用程序与家长和病人进行非正式会诊。

IF 2.4 4区医学

Acta Paediatrica Pub Date : 2024-10-22 DOI: 10.1111/apa.17470

Yonatan Goffer, Yoel Levinsky, Daniel Landau, Itay Berger, Yoav Vardy, Gabriel Chodick, Alexander Lowenthal, Liat Ashkenazi-Hoffnung, Oded Scheuerman

{"title":"National survey found that paediatricians frequently used messaging apps to hold informal consultations with parents and patients.","authors":"Yonatan Goffer, Yoel Levinsky, Daniel Landau, Itay Berger, Yoav Vardy, Gabriel Chodick, Alexander Lowenthal, Liat Ashkenazi-Hoffnung, Oded Scheuerman","doi":"10.1111/apa.17470","DOIUrl":"10.1111/apa.17470","url":null,"abstract":"Aim: Paediatricians using instant messaging phone apps for informal medical discussions poses ethical and legal risks. We filled a gap in the research, by assessing the use of apps and the possible risks.Methods: A national, cross-sectional, questionnaire study was conducted in Israel from 11 August to 20 November 2019. The frequency of informal discussions, clinical details and recommendations were compared to the paediatricians' expertise and work settings. The discussions included work and private phones, consultation with the parents of patients and advice to the paediatricians' friends and families.Results: The 305 paediatricians who responded had a median age of 37 (range 27-74) years: 42% were residents and 58% were specialists. The majority (99%) had carried out informal discussions using a messaging app in the last week and 65% had used them for 1-5 discussions. Specialists were more likely to use apps for more than 10 discussions per week than residents (24% vs. 5%, p < 0.001) and recommend treatment via apps (35% vs. 22%, p < 0.001). A third failed to provide disclaimers about the risks of app-based discussions.Conclusion: Using instant messaging apps for informal medical discussions was common, but ethical and legal aspects were not always fully considered.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481720","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