Advances in pediatric research最新文献_第5页

Bilious vomiting in the newborn 新生儿胆汁性呕吐

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/APR.2018.5.13

L. Cohen

引用次数: 3

â????They donâ????t see it as priority if the kidâ????s not sportyâ??: Parentsâ???? perceptions of clinic communication around physical activity to children with type 1 diabetes and their families 一个? ?小姐? ?我认为这是优先考虑的，如果孩子<e:2> ????不运动吗??: Parentsa ? ?对1型糖尿病儿童及其家庭有关体育活动的临床交流的看法

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/APR.2018.5.22

H. Blake, Laura Andrade da Silva, C. Glazebrook

{"title":"â????They donâ????t see it as priority if the kidâ????s not sportyâ??: Parentsâ???? perceptions of clinic communication around physical activity to children with type 1 diabetes and their families","authors":"H. Blake, Laura Andrade da Silva, C. Glazebrook","doi":"10.24105/APR.2018.5.22","DOIUrl":"https://doi.org/10.24105/APR.2018.5.22","url":null,"abstract":"Background: The aim of the study was to understand parent’s perceptions of the way in which information about physical activity (PA) is communicated to families by healthcare professionals, and gather their views on the use of digital resources for physical activity promotion to inform the design of future supportive interventions. Methods: Data were collected through semi-structured interviews with 11 parents (8 mothers, 3 fathers) who had a child with Type 1 diabetes (T1D). Interviews were recorded, transcribed verbatim and data were analysed using thematic analysis. Results: Perceptions of PA, communication about PA, and the use of digital resources about PA were grouped into 8 overarching themes with 18 sub-themes: (1) Benefits and challenges of PA with T1D; (2) Parental need for more guidance around PA; (3) influence of individual differences on PA communication - relating to i) child’s ‘sportiness’ and ii) healthcare professional’s own PA level; (4) challenges of information-seeking; (5) importance of message pitching, framing and timing; (6) scarcity of digital resources around PA; (7) digital resources as facilitators to PA; (8) challenges for access to, and engagement with digital resources. Conclusion: Parents perceive PA to be important for children with T1D, but raise challenges to managing PA alongside the condition. They report variation in the way in which PA is communicated according to prior activity level of the child, and healthcare professionals’ own interest in exercise. Parents would prefer to receive more information from clinical teams, provided earlier after diagnosis to reduce the burden of information seeking. They express positive views towards the potential of digital resources in diabetes care, although perceive there to be a lack of ‘trusted’ age-appropriate digital resources for PA promotion in children with T1D.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"05 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69016023","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}

引用次数: 5

Oral health behaviors associated with dental general anesthesia amonghealthy children 健康儿童口腔健康行为与牙科全身麻醉的关系

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.12715/apr.2018.5.3

P. Rajavaara, M. Laitala, H. Vähänikkilä, V. Anttonen

{"title":"Oral health behaviors associated with dental general anesthesia amonghealthy children","authors":"P. Rajavaara, M. Laitala, H. Vähänikkilä, V. Anttonen","doi":"10.12715/apr.2018.5.3","DOIUrl":"https://doi.org/10.12715/apr.2018.5.3","url":null,"abstract":"Background: Background: The aim of this survey was to investigate family-related factors among healthy children treated under dental general anesthesia (DGA) compared to those treated in a normal dental setting. Methods: The survey comprised 87 children whose dental treatment was performed under DGA and 103 age-matched children who were treated in a normal setting. The children were healthy 3 to 11-year-olds, and their parents filled out the questionnaire on parental dental fear, DGA experiences in the family, and oral health behaviors. The data were collected in primary health care in the city of Oulu, Finland, during 2014– 2016. Results: In the DGA group, the proportion of fearful parents was three-fold higher and the proportion of siblings with DGA experience four-fold higher than in the comparison group; the differences between the groups were statistically significant. The dietary habits were statistically significantly poorer in the DGA group than among the comparison group when several indicators were considered. Linear regression analysis showed that treating a child in DGA was associated with harmful oral health behaviors like eating candy, drinking juice, and poor tooth brushing habits. Conclusions: Parental dental fear, DGA experiences of siblings, and harmful oral health behaviors were more common among children treated in a normal dental setting. Screening children and families for the risk indicators identified in this study may help prevent unnecessary DGAs among healthy control.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"5 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240256","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}

引用次数: 1

An exploratory qualitative study of life trajectories from preschool-age to young adulthood: Identifying early biologic sensitivity, facing challenges and moving forward. 从学龄前到青年期生命轨迹的探索性定性研究:识别早期生物敏感性，面对挑战并向前发展。

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/apr.2018.5.8

Abbey Alkon, W Thomas Boyce, Aaron Shulman, Roberta S Rehm

{"title":"An exploratory qualitative study of life trajectories from preschool-age to young adulthood: Identifying early biologic sensitivity, facing challenges and moving forward.","authors":"Abbey Alkon, W Thomas Boyce, Aaron Shulman, Roberta S Rehm","doi":"10.24105/apr.2018.5.8","DOIUrl":"https://doi.org/10.24105/apr.2018.5.8","url":null,"abstract":"Background: This exploratory qualitative study explored the life experiences of young adults who participated in a cohort study in their child care center 26 years ago.The purpose of the study was to: (1) Describe the life trajectories of study participants who exhibited the extremes of high or low cardiovascular reactivity during their preschool ages. (2) Identify the life courses, processes, or outcomes for these young adults. (3) Describe exemplar cases of children with high and low reactivity who illustrated patterns of resilience or vulnerability.Methods: Eight out of the 137 children who had combinations of extreme high or low reactivity and environmental adversity were identified and interviewed by a blinded researcher. Data were analyzed through iterative coding, development of major categories, matrix analysis and thematic analysis.Results: The overall theme for all of the participants was facing challenges, and moving forward. The major categories which showed some variation between those with high and low reactivity were developing sources of support, overcoming adversity, and finding satisfaction/ dissatisfaction with life.Conclusion: These life histories provide a further understanding of how biologic sensitivity to challenges identified early in life may have impacted participants' trajectories from preschool to young adulthood, and indicate that further study would be warranted across the life course.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36626429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Periodontal disease: Prevention begins in the infancy phase 牙周病:预防始于婴儿期

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/APR.2018.5.12

J. Kina

引用次数: 0

The role of socioeconomic status and the development of congenital heart disease: A scoping review 社会经济地位与先天性心脏病发展的作用:范围综述

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/apr.2018.5.19

D. Ngwezi, L. Hornberger, Álvaro R. Osornio-Vargas

{"title":"The role of socioeconomic status and the development of congenital heart disease: A scoping review","authors":"D. Ngwezi, L. Hornberger, Álvaro R. Osornio-Vargas","doi":"10.24105/apr.2018.5.19","DOIUrl":"https://doi.org/10.24105/apr.2018.5.19","url":null,"abstract":"Introduction: Congenital heart disease (CHD) is the most common congenital anomaly affecting 1% of all live births of which the etiology remains unknown. The incidence is higher in developing countries likely related to low literacy, poverty and higher exposures to hazardous environmental nuisances. The role of socioeconomic status (SES) in CHD development has recently received attention. To gain the breadth of knowledge generated from existing publications, we undertook a scoping review of studies examining the relationship between SES and CHD. Methods: We searched databases using individual or combination of keywords which included non-Medical Subject Heading (non-MeSH) and MeSH terms. We included original observational studies using cohort, case control or ecologic study designs written in English and from 1980-2017. Results: We identified 26 studies, most of which were conducted in developed economies with very few from developing economies. The majority (18/26, 69%) examined individual maternal SES variables and the risk of CHD, whilst fewer (4/26, 15%) examined associations with SES at the area level or neighborhood level and others (4/26, 15%) examined the individual, family and neighborhood SES levels to weigh the relative contribution of each SES level in CHD development. Individual maternal low education and low skilled occupation were associated with CHD in half of the studies and another half of the studies found no associations between these variables and CHD. Evidence regarding the influence of neighborhood SES alone or multiple SES variables has been inconclusive as well. Conclusion: There is a paucity of studies from both developed and even more so from developing countries that have examined the influence of SES in CHD development. More knowledge regarding the contribution of various SES measures (i.e., individual, area level, and combinations) on CHD occurrence is required before relevant and effective interventions can be implemented.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69015520","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}

引用次数: 4

Hypochloremia, blood transfusion, and neuromuscular drug use can be associated with prolonged mechanical ventilation in pediatric intensive care 儿童重症监护中低氯血症、输血和神经肌肉药物的使用可能与延长机械通气有关

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/APR.2018.5.21

F. Aygun

{"title":"Hypochloremia, blood transfusion, and neuromuscular drug use can be associated with prolonged mechanical ventilation in pediatric intensive care","authors":"F. Aygun","doi":"10.24105/APR.2018.5.21","DOIUrl":"https://doi.org/10.24105/APR.2018.5.21","url":null,"abstract":"Background: Mechanical ventilation (MV) is one of the most important components of modern intensive care practice. Longer MV time is associated with increased morbidity and mortality. Therefore, it is important to identify the risk factors associated with longer duration of MV. The objective of this study was to determine the clinical and the laboratory risk factors for prolonged invasive MV in the pediatric intensive care unit (PICU). Methods: We performed a retrospective analysis of the records of all patients admitted to our PICU between October 2016 and March 2018. Patients with invasive MV were included in the study. Results: A total of 121 children with a mean age of 3.58 ± 4.84 years were enrolled in this study. The most frequent diagnosis at the time of admission to the PICU was primary respiratory disease (31.4%), followed by neurological diseases (22.3%), and sepsis (17.4%). Pressure control was the most commonly used MV method in 97 (80.2%) patients. Pressure regulated volume control was used in the other (19.8%) patients. The mean duration of mechanical ventilation was 9.17 ± 8.12 days. Risk factors for prolonged MV in the PICU included red blood cell (RBC) transfusion, hypochloremia, high gamma-glutamyl transferase (GGT), and low body mass index (BMI). The logistic regression analysis showed that hypochloremia prolonged MV by 3.234 fold, neuromuscular blocker drug uses prolonged MV by 3.689 fold, and RBC transfusion prolonged MV by 8.031 fold. Conclusion: Hypochloremia, need for RBC transfusion, and neuromuscular blocker drug use may be early predictors of prolonged MV in critically ill children.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"05 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69016007","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}

引用次数: 0

Put your ears on! Deaf children’s embodied experiences with human andtechnological interventions 把耳朵竖起来!聋儿在人为和技术干预下的具体体验

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.12715/APR.2018.5.1

Sigrid Bosteels, Michel, enbroeck, G. Hove

引用次数: 0

Infectious diseases as a cause of global childhood mortality and morbidity: Progress in recognition, prevention, and treatment 传染病是全球儿童死亡和发病的一个原因:在认识、预防和治疗方面的进展

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/APR.2018.5.14

L. Frenkel

{"title":"Infectious diseases as a cause of global childhood mortality and morbidity: Progress in recognition, prevention, and treatment","authors":"L. Frenkel","doi":"10.24105/APR.2018.5.14","DOIUrl":"https://doi.org/10.24105/APR.2018.5.14","url":null,"abstract":"Child mortality and morbidity are far too high with almost 1% of all children around the world dying each year! Children living in underdeveloped countries (also referred to as “low-income”) and in those areas where crime and military actions are part of everyday life, come under increased threat from disease, starvation, trauma, and death. Infectious diseases are responsible for more than half of childhood deaths and an even greater level of morbidity. This article will review deaths in children, generally in those less than 5 years of age, from pneumonia and other respiratory infections (including bacterial pneumonia, pertussis, viral pneumonia respiratory syncytial virus (RSV), measles, and influenza, tuberculosis (TB), bacterial and viral enteric disease (including enterotoxic (ETEC) and enteropathogenic E. coli (EPEC), Shigella, cholera, infections, rotavirus norovirus, and malaria. Factors influencing disease epidemiology and mortality especially in underdeveloped countries will be noted. Much progress has been made in decreasing infectious disease morbidity and mortality during the last few decades, but much more progress can and should be made. The role of decreasing air pollution, improving sanitation, nutrition, mosquito control, immunization rates, and use of antimicrobial agents will be discussed.","PeriodicalId":72104,"journal":{"name":"Advances in pediatric research","volume":"35 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69015356","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}

引用次数: 5

Is it possible to save on the treatment of acute pneumonia 有没有可能节省急性肺炎的治疗费用

Advances in pediatric research Pub Date : 2018-01-01 DOI: 10.24105/apr.2018.5.20

I. Klepikov

引用次数: 0