Minerva PediatricsPub Date : 2024-10-01Epub Date: 2024-06-04DOI: 10.23736/S2724-5276.24.07600-6
Gianvincenzo Zuccotti, Valeria Calcaterra
{"title":"Perspectives on managing non-communicable diseases in pediatric health using artificial intelligence.","authors":"Gianvincenzo Zuccotti, Valeria Calcaterra","doi":"10.23736/S2724-5276.24.07600-6","DOIUrl":"10.23736/S2724-5276.24.07600-6","url":null,"abstract":"","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":"571-573"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-10-01Epub Date: 2023-09-06DOI: 10.23736/S2724-5276.23.07163-X
Gürkan Ünsal, Ayşe I Orhan, Kaan Orhan, Ahmet F Ertürk, İlknur Özcan, Maria M Marrapodi, Marco Cicciù, Giuseppe Minervini
{"title":"The use of intraoral ultrasound in the evaluation of the benign lesions in pediatric patients.","authors":"Gürkan Ünsal, Ayşe I Orhan, Kaan Orhan, Ahmet F Ertürk, İlknur Özcan, Maria M Marrapodi, Marco Cicciù, Giuseppe Minervini","doi":"10.23736/S2724-5276.23.07163-X","DOIUrl":"10.23736/S2724-5276.23.07163-X","url":null,"abstract":"<p><p>Ultrasonography (US) or diagnostic sonography is a radiographic technique that uses sound waves with frequencies higher than 20 kHz to demonstrate soft tissues such as muscles, internal organs, joints, and tendons. The US has various applications in dentistry such as cervical lymph node examination, salivary gland examination, periodontal examination, maxillofacial fracture examination, temporomandibular joint examination, and orofacial swelling examination. One of the most important advantages of the US is it does not produce any ionizing radiation. Since the US does not produce any ionizing radiation, it is a favorable technique especially for the patients who are susceptible to ionizing radiation such as pregnant patients and pediatric patients. In this article, we presented benign tumor lesions that were examined with the US in children and conducted a review of the literature.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":"703-710"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10163359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-10-01Epub Date: 2023-06-13DOI: 10.23736/S2724-5276.23.07211-7
Sara Sila, Tena Niseteo, Iva Hojsak
{"title":"Importance of dietary fiber in children.","authors":"Sara Sila, Tena Niseteo, Iva Hojsak","doi":"10.23736/S2724-5276.23.07211-7","DOIUrl":"10.23736/S2724-5276.23.07211-7","url":null,"abstract":"<p><p>Dietary fibers (DFs) are essential components of human nutrition and are principally defined as non-digestible carbohydrates (oligosaccharides and polysaccharides) usually classified by their physicochemical and physiological characteristics (water solubility, viscosity, fermentability, and bulking effect). Unfortunately, there is limited information on dietary fiber recommendations for children, and the evidence on their effect on health and symptom control is mainly available for the adult population. Therefore, this review aims to give a comprehensive overview of the characteristics and dietary sources of dietary fiber and their potential health benefits in healthy children but also their potential use in the treatment of sick children.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":"679-689"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-25DOI: 10.23736/S2724-5276.24.07686-9
Chen Xia, Liu Lin, Haiyan Zhang
{"title":"Effects of yupingfeng granules combined with pediatric lung heat cough asthma on serum inflammatory factors and T lymphocyte subsets in children with Mycoplasma pneumonia.","authors":"Chen Xia, Liu Lin, Haiyan Zhang","doi":"10.23736/S2724-5276.24.07686-9","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07686-9","url":null,"abstract":"","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Feeding and eating disorders in children and adolescents during the COVID-19 pandemic: real-word data from an observational, naturalistic study.","authors":"Jacopo Pruccoli, Simone Rosa, Francesca Chiavarino, Matilde Cava, Anna Gazzano, Paola Gualandi, Marastella Marino, Filomena Moscano, Francesca Rossi, Leonardo Sacrato, Bianca Salce, Monica Santini, Beatrice Valeriani, Duccio M Cordelli, Antonia Parmeggiani","doi":"10.23736/S2724-5276.24.07199-4","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07199-4","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic had a substantial impact on the mental health of children and adolescents. The literature lacks large-scale research evaluating its consequences on teenagers with feeding and eating disorders (FED). This study aims to assess the impact of the COVID-19 pandemic on a population of patients of developmental age.</p><p><strong>Methods: </strong>This single-center observational study compares two historical cohorts of children and adolescents diagnosed with FED, with a first consultation before (1<sup>st</sup> March 2018 to 31<sup>st</sup> October 2019) and during (1<sup>st</sup> March 2020 to 31<sup>st</sup> October 2021) pandemic. Demographic, clinical, nutritional, and treatment variables were assessed.</p><p><strong>Results: </strong>We enrolled 479 patients (F=398, 83.1%), including 205 (F=161, 78.5% mean age 14.5±2.5, range 7.9-17.9 years) belonging to the first historical cohort and 274 (F=237, 86.5%; 14.4±2.1, range 6.5-17.9) to the second one (+33.7%). Increased mean new accesses/month (P=0.042) and a greater percentage of females (P=0.042) during the pandemic compared to the pre-pandemic period emerged. Physical hyperactivity (P=0.022) and suicidal behaviors (P=0.030) increased, while fewer patients required hospitalization (P=0.013).</p><p><strong>Conclusions: </strong>An increase in first visits for FED after the COVID-19 pandemic emerged, with females being the most affected. Physical hyperactivity and self-harming behaviors were intensified, while patients in need of hospitalization were reduced. Longitudinal studies are required.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-25DOI: 10.23736/S2724-5276.24.07665-1
Yu Deng, Xiujuan Huang, Liang He
{"title":"Effects of combined human growth hormone and leuprolide treatment on growth and bone metabolism in girls with adolescent idiopathic short stature.","authors":"Yu Deng, Xiujuan Huang, Liang He","doi":"10.23736/S2724-5276.24.07665-1","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07665-1","url":null,"abstract":"","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-19DOI: 10.23736/S2724-5276.24.07483-4
Valerio Voglino, Simone Frediani, Ivan P Aloi, Valerio Pardi, Arianna Bertocchini, Antonella Accinni, Alessandro Inserra
{"title":"Use of drainage after laparoscopic complicated appendectomy in children: a single-center experience.","authors":"Valerio Voglino, Simone Frediani, Ivan P Aloi, Valerio Pardi, Arianna Bertocchini, Antonella Accinni, Alessandro Inserra","doi":"10.23736/S2724-5276.24.07483-4","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07483-4","url":null,"abstract":"<p><strong>Background: </strong>In patients undergoing appendectomy, postoperative complications are more likely to occur with complicated appendicitis. Abdominal drainage may occasionally be used to prevent such scenarios. It is unclear, though, how abdominal drains help to reduce problems after surgery.</p><p><strong>Methods: </strong>Pediatric patients who underwent appendectomy for complicated appendicitis at a tertiary center between October 2021 and September 2022 were reviewed retrospectively. Following appendectomy, patients with and without peritoneal drains were contrasted in terms of preoperative characteristics and postoperative outcomes.</p><p><strong>Results: </strong>Thirty-seven of 83 patients (44.58%) undergoing emergency laparoscopic appendectomy for complicated appendicitis received abdominal drainage. The drain group had longer hospital stay (9 days [IQR 6-11] vs. 6 days [IQR 4-8], P=0.0002) and longer time to CRP normalization (6 days [IQR 4-9.5] vs. 8 days [7-12], P=0.0222) compared to the no-drain group. The drain group also had a higher complication rate (30.56% vs. 23.81%, P=0.6107), although such finding was not statistically significant.</p><p><strong>Conclusions: </strong>The use of abdominal drains after laparoscopic appendectomy did not significantly prevent postoperative complications in complicated appendicitis. Instead, it was associated with longer hospitalization, although patients in the drain group are likely to have experienced more severe conditions.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-19DOI: 10.23736/S2724-5276.24.07579-7
Alon Inbar, Nir Friedman, Gal Dubnov-Raz
{"title":"Can placing posters increase awareness to pediatric obesity in a Pediatric Emergency Department?","authors":"Alon Inbar, Nir Friedman, Gal Dubnov-Raz","doi":"10.23736/S2724-5276.24.07579-7","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07579-7","url":null,"abstract":"<p><strong>Background: </strong>Identification and addressing of pediatric obesity are the first steps in its management, and Pediatric Emergency Department (PED) visits have a potential to increase its awareness. The main aim of this study was to examine if posters placed in the PED alerting to obesity increased its documentation.</p><p><strong>Methods: </strong>The design of this paper is that of an interventional study which took place at a large tertiary PED during May-August 2022. Obesity listing in PED charts of children with obesity was defined as weight percentile >90 and examined over two weeks before poster placement, during four weeks of display, and for four weeks after their removal. Logistic mixed models were used to examine the associations between several factors and obesity documentation.</p><p><strong>Results: </strong>During the whole study period, there were 4174 PED visits of children aged >2 that had body weight data, of which 590 (14.2%) had obesity. Obesity addressing in charts of children with obesity was found in 2/134 (1.5%) before poster placement, 7/229 (3.1%) during placement, and 10/227 (4.4%) after removal, but this 2-3-fold increase was not statistically significant (P=0.313). There were only 28 scans of a QR code on the poster that offered obesity treatment options, and only two parents filled its questionnaire.</p><p><strong>Conclusions: </strong>Poster placement could possibly improve obesity discussion in the PED, yet larger samples and additional techniques are needed.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-19DOI: 10.23736/S2724-5276.24.07659-6
Alessandro Ferretti, Claudia Fanfoni, Federica Vadrucci, Mattia Mercier, Claudia Pacchiarotti, Maurizio Mennini, Pasquale Parisi, Giovanni DI Nardo
{"title":"Cyclic vomiting syndrome in pediatric population: characteristics and prophylactic response to cyproheptadine.","authors":"Alessandro Ferretti, Claudia Fanfoni, Federica Vadrucci, Mattia Mercier, Claudia Pacchiarotti, Maurizio Mennini, Pasquale Parisi, Giovanni DI Nardo","doi":"10.23736/S2724-5276.24.07659-6","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07659-6","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the features of cyclic vomiting syndrome (CVS) in a pediatric cohort and assess the safety and efficacy of cyproheptadine regardless of age.</p><p><strong>Methods: </strong>This retrospective, monocentric study enrolled children diagnosed with CVS. After collecting data from the medical records, a telephone-based questionnaire interview with the caregivers was conducted to obtain missing or unclear data. Prodromal symptoms, triggers, and comorbidities were analyzed. The safety and efficacy of cyproheptadine were evaluated in the entire patient cohort and compared between children under 5 years old and those 5 years of age or older.</p><p><strong>Results: </strong>A cohort of 24 subjects with CVS were included. Prodromal symptoms were reported in 45.8%, triggers in 33.3%, and comorbidities in 58.3% of patients. Migraine was present in 54% of the patients. Cyproheptadine was prescribed to 15 of the 24 patients (62.5%), with 40% and 80% achieving a reduction in the frequency of vomiting clusters of over 75% after a median duration of 6.03 and 12.13 months respectively. Prophylactic therapy did not provide any benefit to 20% of the patients. No statistically significant differences were found in vomiting features or cyproheptadine response between children above and below 5 years, except for a negative correlation between age and the presence of diarrhea during CVS episodes. No serious adverse effects were reported.</p><p><strong>Conclusions: </strong>Assessment of prodromes, triggers, and comorbidities aids in CVS diagnosis in children. Cyproheptadine is effective and safe for the management of CVS regardless of age.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minerva PediatricsPub Date : 2024-09-19DOI: 10.23736/S2724-5276.24.07379-8
Edoardo Zulato, Lorenzo Montali, Alessandra Frigerio, Maria G Melegari, Oliviero Bruni, Gianmarco Marzocchi
{"title":"ADHD caregivers facing the COVID-19: the lockdown's impact on emotion and parenting strategies.","authors":"Edoardo Zulato, Lorenzo Montali, Alessandra Frigerio, Maria G Melegari, Oliviero Bruni, Gianmarco Marzocchi","doi":"10.23736/S2724-5276.24.07379-8","DOIUrl":"https://doi.org/10.23736/S2724-5276.24.07379-8","url":null,"abstract":"<p><strong>Background: </strong>Recent literature highlighted the relevance of parenting strategies and emotions in dealing with children with ADHD and showed that these dimensions were highly affected by the COVID-19 lockdowns. Thus, our research investigated the impact that the COVID-19 pandemic had on caregivers of children with attention deficit hyperactivity disorder (ADHD). We focused on the role of medications, children's age, and distance learning on changes in caregivers' emotions and parenting strategies.</p><p><strong>Methods: </strong>Nine hundred ninety-two caregivers completed an anonymous online questionnaire. The survey enquired caregivers about children's pharmacological therapy, difficulties in distance learning, and caregivers' parenting strategies and emotions before and during the lockdown.</p><p><strong>Results: </strong>Our results showed that caregivers experienced relevant difficulties in distance learning and that they felt more frustration emotions and employed more negative parenting strategies than before the pandemic. While pharmacological therapy was not a significant predictor of changes in neither positive nor negative parenting strategies, children's age and learning burden proved to predict caregivers' changes in positive parenting strategies. Moreover, our mediation analysis showed that the learning burden (e.g., homework increasing and children's reliance on caregivers) partially mediates the effect of age on changes in positive strategies. The older the children, the less the burden, and the less the change in positive strategies.</p><p><strong>Conclusions: </strong>These results describe lockdown's impact on caregivers' experience in dealing with children with ADHD and explain how they adapted to it by changing their parenting strategies.</p>","PeriodicalId":56337,"journal":{"name":"Minerva Pediatrics","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}