Global pediatricsPub Date : 2024-06-28DOI: 10.1016/j.gpeds.2024.100204
Marilena Di Padova , Massimo Pettoello-Mantovani , Anna Dipace
{"title":"School in the hospital, the key role of an educating community","authors":"Marilena Di Padova , Massimo Pettoello-Mantovani , Anna Dipace","doi":"10.1016/j.gpeds.2024.100204","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100204","url":null,"abstract":"<div><p>Ensuring a stable routine is crucial for every child, particularly during their hospitalization. Children facing illness undergo treatments that often require strict care routines, involving invasive medical procedures, lengthy hospital stays, and separation from familiar environments like home or school. These prolonged hospitalizations disrupt their usual schedules, resulting in feelings of isolation from family and friends for extended and uncertain periods. These difficulties may impede medical treatments and could contribute to psychological distress, further impacting the well-being of both the patient and their family.</p><p>Community education distributes its educational role among all those stakeholders who collaborate to promote an equitable and inclusive learning environment. While the school typically serves as the primary educational institution, for hospitalized children, their educational experience may differ significantly from that of their peers. Therefore, the hospital school encompasses a diverse team of professionals working collaboratively to deliver a tailored educational experience. This article emphasizes the critical importance of expanding such programs within hospital environments. It highlights the necessity of developing robust educational frameworks capable of adapting to the diverse needs and evolving structures of healthcare systems. Finally, the article emphasizes the imperative of upholding high-quality education, ensuring the right to education for all, and honoring the principles of special educational needs as outlined in the 1994 UNESCO Salamanca Statement</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100204"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000721/pdfft?md5=d58cb9062be48c294aa3679219e15529&pid=1-s2.0-S2667009724000721-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141543026","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100214
Paola Nigri , Luigi Nigri , Lucia Peccarisi
{"title":"Non-pharmacological treatment of children with enuresis","authors":"Paola Nigri , Luigi Nigri , Lucia Peccarisi","doi":"10.1016/j.gpeds.2024.100214","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100214","url":null,"abstract":"","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000824/pdfft?md5=f7f537e367608a34f129f84fe36a00a1&pid=1-s2.0-S2667009724000824-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605370","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100208
Clara Pettoello-Mantovani
{"title":"Child bride and forced marriages: Legal aspects","authors":"Clara Pettoello-Mantovani","doi":"10.1016/j.gpeds.2024.100208","DOIUrl":"10.1016/j.gpeds.2024.100208","url":null,"abstract":"<div><p>The scourge of underage marriages and forced unions transcends borders, impacting individuals under 18 across diverse regions, cultures, and religious beliefs, albeit with varying degrees of prevalence. Currently, one in every five girls globally becomes a bride before turning 18, with a staggering one-third wed before reaching 15. These unions exact a profound toll on emotional and social development, often depriving girls of their right to education, familial connections, leisure, and thrusting them into adult roles, including involuntary motherhood. The denial of childhood, coupled with the grave physical and emotional toll of underage and coerced marriages, yields lasting ramifications on girls' health, prospects, and overall well-being, imperiling not just their lives but also those of their offspring and the collective future. Such marriages constitute a severe form of child abuse, exposing girls to diverse forms of physical violence with enduring repercussions. This commentary, aims to heighten awareness among main stakeholders entrusted with the welfare of minors, including legislators, healthcare professionals and local communities, regarding this issue and its lasting perils. Finally, it underscores the pivotal role pediatricians can play as advocates, actively engaging in programs aimed at monitoring and thwarting the adverse personal and societal repercussions engendered by these distressing phenomena among the under-18 demographic.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000769/pdfft?md5=9342f5f6791b9d2d01c10ec57ab107d6&pid=1-s2.0-S2667009724000769-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731848","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100211
Naveen Thacker , Vipin M Vashishtha , Sayali Lawate
{"title":"Immunization, new viruses, and new vaccines","authors":"Naveen Thacker , Vipin M Vashishtha , Sayali Lawate","doi":"10.1016/j.gpeds.2024.100211","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100211","url":null,"abstract":"<div><p>A global outbreak of Coronavirus Disease 2019 (COVID-19) which is caused by a new virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has just occurred. An instance of an infectious virus that has been transmitted to humans and had a substantial effect on worldwide health and the economy is SARS-CoV-2. In the human population, besides SARS-CoV-2, numerous additional viruses have lately emerged or re-emerged. To accurately predict the hazards of emerging and re-emerging viral infections, close cooperation between the public health system and the scientific community is essential. Some of the reasons that may be related to the emergence and re-emergence of novel viruses include urbanization, alterations in the natural environment, globalization, and insufficient public health infrastructure.</p><p>Vaccines will aid in efficiently controlling the intense outbreaks caused by these emerging viruses. Nevertheless, the creation of novel vaccines encounters various obstacles, including tight deadlines for development and the ongoing evolution of viral variants. Notwithstanding, the difficulties encountered in vaccine development, recent progress in the vaccine development process has yielded a significant breakthrough in combating disease outbreaks. Recent advancements in immunology, genetics, and biotechnology have enabled the creation of several vaccines, including those for dengue, RSV, chikungunya, malaria, and most notably, COVID-19. These novel vaccinations protect a broad spectrum of viruses and other pathogenic microorganisms, including those that are challenging to control or have just emerged.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000794/pdfft?md5=2f03573901047b9e0ad3e587610844f1&pid=1-s2.0-S2667009724000794-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593723","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100212
Artur Mazur
{"title":"Is obesity a form of child abuse?","authors":"Artur Mazur","doi":"10.1016/j.gpeds.2024.100212","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100212","url":null,"abstract":"","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000800/pdfft?md5=9fbf9510737d0b5a52b6a52a8d2f0ddc&pid=1-s2.0-S2667009724000800-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605371","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100207
Paola Nigri , Luigi Nigri , Lucia Peccarisi
{"title":"Overview on the management of nocturnal enuresis in children in general pediatrics","authors":"Paola Nigri , Luigi Nigri , Lucia Peccarisi","doi":"10.1016/j.gpeds.2024.100207","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100207","url":null,"abstract":"<div><p>Bedwetting, or enuresis, represents a socially stigmatizing and distressing condition that significantly impacts the quality of life for both children and their parents. This article seeks to assess and consolidate the current understanding of traditional and innovative treatments, both pharmacological and non-pharmacological, for children with enuresis. The article discusses the various treatment modalities which have been developed and validated to alleviate symptoms of enuresis, enhance quality of life, and address the social and emotional challenges faced by affected children. Finally the article emphasizes the important primary role of general pediatricians that is to tailor therapy protocols to each individual child, considering their unique needs and circumstances, and working closely with their families to identify the most effective approach.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100207"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000757/pdfft?md5=a8e1a1d7a3f286b20dfd5899e01ecb93&pid=1-s2.0-S2667009724000757-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593749","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100209
Doina Anca Pleșca , Marcela Ionescu , Anca Cristina Dragănescu
{"title":"Asthma prevention and recent advances in management","authors":"Doina Anca Pleșca , Marcela Ionescu , Anca Cristina Dragănescu","doi":"10.1016/j.gpeds.2024.100209","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100209","url":null,"abstract":"<div><p>Asthma is the most frequent chronic disease of childhood, affecting up to 20 % of children worldwide. The authors present the current literature focusing on primary and secondary prevention of both early and late childhood asthma and the recent advances in management. The therapeutic tools for pediatric asthma have expanded significantly for both the non-severe and severe forms. The use of anti-inflammatory treatment, even for the mildest cases, and the withdrawal of symptomatic bronchodilation as monotherapy have been included in the most recent guidelines. The different biological therapies have revolutionized the therapeutical approach for severe uncontrolled asthma in children and adolescents.</p><p>The main guidelines on asthma maintenance therapy in pediatrics suggest different approaches and describe different stages of asthma to determine the most appropriate treatment.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000770/pdfft?md5=28be2d4c4d2655843bfd3de451e8bb13&pid=1-s2.0-S2667009724000770-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541243","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100205
Hilary Hoey , Thelma Russell , Deirdre Donegan , Jennifer Noordman , Holly Hanlon , Lucia Prihodova , Ann O’ Shaughnessy
{"title":"Continuing professional development improves patient care, patient safety and physician wellbeing: International CPD standards and the knowledge tsunami","authors":"Hilary Hoey , Thelma Russell , Deirdre Donegan , Jennifer Noordman , Holly Hanlon , Lucia Prihodova , Ann O’ Shaughnessy","doi":"10.1016/j.gpeds.2024.100205","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100205","url":null,"abstract":"<div><p>Medical knowledge is evolving rapidly and expanding exponentially. The lifespan of information is now only 70 days, and a deluge of knowledge is predicted, driven by advances in information technology, artificial intelligence, the availability of large datasets, scientific progress, and international collaboration. Continuing Professional Development (CPD), including lifelong learning for doctors, is essential for ensuring safe patient care. CPD requirements for doctors vary amongst different countries and are associated with significant international controversies. This article presents the experience of the Royal College of Physicians of Ireland, aiming to underscore the importance of investing in CPD to enhance patient care and physician well-being. The article also highlights how CPD strengthens the ability to address various challenges in healthcare, from clinical well-being to national imperatives for improved health, care quality, and cost reduction. Finally, it emphasizes that CPD is an investment in both patients and staff and requires promotion and support to succeed.</p><p>Ongoing international research is necessary to: explore doctors' attitudes towards the regulation of professional competence; identify barriers to participation and propose solutions to enhance engagement; assess the effectiveness of education, including its impact on patient and public health outcomes; bolster public trust, patient safety, and care quality; and, additionally, identify challenges related to future CPD requirements and healthcare service advancements.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100205"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000733/pdfft?md5=cce241c38ca7f186eeb1793104b82f5c&pid=1-s2.0-S2667009724000733-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141543027","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}
Global pediatricsPub Date : 2024-06-27DOI: 10.1016/j.gpeds.2024.100210
YILDIZ CAMCIOGLU
{"title":"Old stories, new cases. Viral infectious diseases and children's health","authors":"YILDIZ CAMCIOGLU","doi":"10.1016/j.gpeds.2024.100210","DOIUrl":"https://doi.org/10.1016/j.gpeds.2024.100210","url":null,"abstract":"<div><p>During the 20th century, smallpox has produced between 300–and 500 million victims. In 1796, Edward Jenner conducted one of the first modern immunizations when he inoculated an 8-year-old boy using material from a cowpox lesion. In 1959, WHO (World Health Organization) launched the Smallpox Eradication Programme. By 1980, WHO declared smallpox officially eradicated. Due to genetic and antigenic similarities between the monkeypox and smallpox viruses, the cessation of smallpox vaccination since 1980′s contributed to the wanning of cross‐protection against monkeypox (mpox). Outbreaks of human mpox has spread across 110 countries.</p><p>In 1916 and 1952, two major poliovirus outbreaks took place in the USA. The virus killed or paralyzed over half a million people yearly. Introduction of the inactivated polio vaccine (IPV,1955) and oral polio virus (OPV,1963) led to decline in the number of cases by 99.99 %. The Global Polio Eradication Initiative (GPEI) was launched in 1988 and five of six WHO regions have been certified free of wild polio virus (WPV), except Eastern Mediterranean region. Africa had been declared WPV free, unfortunately cases of paralysis due to wild virus in Malawi and Mozambique were detected having been imported from Pakistan. Outbreaks of circulating Vaccine Derived Polio Virus type 2 (cVDPV2) have expanded in the Eastern Mediterranean and African Region from October 2022 to February 2023. Measles, being one of the most contagious infections, requires high population immunity (>95 %) to impede transmission. In 1963, a measles vaccine became available. Finland was the first country to eradicate measles by using the 2 dose-measles vaccines. The region of the Americas was verified to have eliminated measles in 2000. The COVID-19 pandemic disrupted global vaccination activities. Vaccination coverage has fallen from 90 % to 50 % in western countries. Over 30 000 measles cases were reported from 40 WHO European Region members in 2023.</p></div>","PeriodicalId":73173,"journal":{"name":"Global pediatrics","volume":"9 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667009724000782/pdfft?md5=b55fe4bbf9de729404716b8f7ba5b127&pid=1-s2.0-S2667009724000782-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593748","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}