Archives of Disease in Childhood最新文献_第2页

Characteristics and outcomes associated with fidelity in the Family-Nurse Partnership in England: a data linkage cohort study.

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-29 DOI: 10.1136/archdischild-2024-327654

Amanda Clery, Francesca Cavallaro, Eilis Kennedy, Ruth Gilbert, Katie L Harron

{"title":"Characteristics and outcomes associated with fidelity in the Family-Nurse Partnership in England: a data linkage cohort study.","authors":"Amanda Clery, Francesca Cavallaro, Eilis Kennedy, Ruth Gilbert, Katie L Harron","doi":"10.1136/archdischild-2024-327654","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327654","url":null,"abstract":"Objectives: To determine (1) which maternal and area characteristics are associated with reaching fidelity targets (the expected number of visits mothers should receive at each stage of the programme) in the Family-Nurse Partnership (FNP), and (2) whether achieving these fidelity targets affects outcomes.Design, setting and population: Cohort study of mothers enrolled in the FNP, aged 13-19 years, giving birth between April 2010 and January 2018 in England. Mothers were linked to their Hospital Episode Statistics and National Pupil Database records.Outcomes: We described whether mothers reached fidelity targets for each programme stage (pregnancy, infancy and toddlerhood) and explored the characteristics associated with reaching targets. We used generalised linear models to compare child and maternal outcomes between mothers who did and did not reach fidelity targets.Results: Of the 28 155 mothers enrolled, 58% completed the programme. Fidelity targets were met by 59% of mothers in pregnancy, 65% in infancy and 61% in toddlerhood. The median number of visits was 38 (median 43 hours contact time). Younger mothers, those with a history of unplanned hospital admissions for adversity and those with social care involvement received a greater number of visits. Meeting fidelity targets was associated with a reduction in subsequent births within 18 months and an increase in the number of children with unplanned hospital admissions for maltreatment or injury up to age 2.Conclusions: Achieving fidelity to the FNP is challenging, but family nurses are able to engage the most vulnerable mothers in the programme. More research is needed to understand whether fidelity to programme targets is a useful measure of mothers' experiences of intensive home visiting.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Listening to the voices of adolescents with inflammatory bowel disease after returning to school: a qualitative study.

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-29 DOI: 10.1136/archdischild-2024-328010

Keyuan Peng, Pingting Zhu, Xinyue Gu, Chenglei Hu, Yi Teng, Zhie Gu

{"title":"Listening to the voices of adolescents with inflammatory bowel disease after returning to school: a qualitative study.","authors":"Keyuan Peng, Pingting Zhu, Xinyue Gu, Chenglei Hu, Yi Teng, Zhie Gu","doi":"10.1136/archdischild-2024-328010","DOIUrl":"https://doi.org/10.1136/archdischild-2024-328010","url":null,"abstract":"Background: The prevalence of inflammatory bowel disease (IBD) among Chinese adolescents has continued to increase in recent years. Adolescents with IBD interrupted their schooling due to the diagnosis and treatment of the disease. And when the condition stabilises, they will return to school. However, as a lifelong and recurrent disease, the instability of the disease after returning to school affects normal school participation.Objective: This study aims to explore the psychological and life challenges of adolescents with IBD in the complex and intertwined situations of disease management, adolescent development and school social interactions.Methods: A qualitative descriptive study was conducted. Qualitative data were collected from adolescents aged 11-19 (n=21; 7 males and 14 females) through in-depth, semistructured interviews. Reflexive thematic analysis was employed to ensure rigour.Results: The results highlight the challenges of returning to school for adolescents with IBD. There are three emerging themes and nine subthemes (in parentheses). (1) Problems of continued disease management (occasional uncontrollable flare-ups of symptoms, regular medical checkups disrupting daily school programming and shame from medication management). (2) Difficulties of impaired school functioning (difficulty keeping up with academic study and participating in high-intensity sports activities). (3) Challenges of maintaining friendship (burden of disease disclosure, difficulty in sharing food with friends, common topics of conversation decreasing and absence of group activities).Conclusion: We call on medical institutions and schools to strengthen cooperation and further optimise support measures for this group through the intermediary role of school health clinics.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Outcomes of functional tics in adolescents: a single-centre tertiary study.

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-29 DOI: 10.1136/archdischild-2024-327408

Alexandra Ducroizet, Claire Eccles, Rebecca Lancaster, Aleksandra Kowalczyk, Tamsin Owen, Sara Sopena, Osman Malik, Tammy Hedderly

{"title":"Outcomes of functional tics in adolescents: a single-centre tertiary study.","authors":"Alexandra Ducroizet, Claire Eccles, Rebecca Lancaster, Aleksandra Kowalczyk, Tamsin Owen, Sara Sopena, Osman Malik, Tammy Hedderly","doi":"10.1136/archdischild-2024-327408","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327408","url":null,"abstract":"Objective: To investigate the prognosis and co-occurring disorders, including functional neurological symptoms, in adolescents diagnosed with functional tic-like behaviour (FTLB).Design: This was a single-centre tertiary study in the UK. A structured clinical interview was administered to 43 parents or carers of adolescents assessed with FTLB at their previous outpatient clinic appointment. Data collected included demographic variables, co-occurring psychiatric and neurodevelopmental diagnoses and additional functional neurological symptoms.Setting: A tertiary UK paediatric tics and neurodevelopmental movement disorder service.Patients: adolescents diagnosed with FTLB during the COVID-19 pandemic.Outcome measures: the primary outcome was whether FTLB had resolved, improved, remained constant or worsened. Secondary outcomes were Children's Global Assessment Scale scores, impact on school attendance and parent or carer work absence.Results: Patient demographics support the European Society for the Study of Tourette Syndrome diagnostic criteria for FTLB, with a 100% female sex bias, adolescent onset and high levels of co-occurring disorders. Anxiety disorders were especially common (70%), as were other functional neurological symptoms. While the majority (65%) of parents reported that the young people had resolution or improvement in the severity of FTLB symptoms at follow-up, a significant minority (16%) saw no change and a fifth reported worsening symptoms.Conclusions: FTLB show high co-occurrence with psychiatric and neurodevelopmental disorders, along with other functional neurological symptoms. In this study, the prognosis was poor for a fifth of patients diagnosed with FTLB.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Associations of fetal and infant growth with pubertal timing.

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-29 DOI: 10.1136/archdischild-2024-327060

Sophia Blaauwendraad, Romy Gaillard, Romy Gonçalves, Fernando Rivadeneira, Gert Dohle, Edwin Oei, Annemarie Mulders, Pauline Jansen, Vincent Jaddoe

{"title":"Associations of fetal and infant growth with pubertal timing.","authors":"Sophia Blaauwendraad, Romy Gaillard, Romy Gonçalves, Fernando Rivadeneira, Gert Dohle, Edwin Oei, Annemarie Mulders, Pauline Jansen, Vincent Jaddoe","doi":"10.1136/archdischild-2024-327060","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327060","url":null,"abstract":"Objective: Impaired fetal and infant growth may cause alterations in developmental programming of the hypothalamic-pituitary-gonadal axis and subsequently pubertal development. We aimed to assess associations between fetal and infant growth and pubertal development.Design: Population-based prospective birth cohort.Setting: Rotterdam, the Netherlands.Patients: 5830 singleton born children.Interventions: We estimated fetal weight in second and third trimester by ultrasound. Infant growth measures were gestational age and weight at birth and infant weight at 6, 12 and 24 months.Main outcome measures: Pubertal timing outcomes included difference between chronological and skeletal age assessed using dual-energy X-ray absorptiometry, testicular or ovarian volumes assessed using MRI at 10 years, age at menarche and Tanner staging at 13 years.Results: Among girls, 1-SD scores birth weight increase was associated with larger ovarian volume at 10 years (0.07 SD (95% CI 0.02 to 0.12) and later age at menarche (0.06 (0.02 to 0.11)). Among girls, increased infant growth was associated with an older skeletal age at 10 years (difference 2.67 (95% CI 2.26 to 3.08) months), earlier menarche (difference 0.10 (95% CI -0.14 to -0.06) years) and more advance breast and pubic hair development at 13 years (difference in Tanner stages 0.09 (0.05 to 0.13) and 0.07 (0.03 to 0.12)). In boys, increased infant growth was associated with an older skeletal age (3.13 (95% CI 2.58 to 3.69) months) and a larger testicular volume (0.07 (95% 0.02 to 0.12) SD) at 10 years, and with more advance pubic hair development (0.09 (95% CI 0.05 to 0.14) at 13 years).Conclusion: Birth anthropometrics and early-life growth patterns are associated with altered pubertal development in a sex-specific manner.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Towards evidence-based medicine for paediatricians. 平衡的行为。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-328388

Bob Phillips

引用次数: 0

Highlights from the literature.

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-328422

引用次数: 0

Role of the medical examiner service in children and young people's deaths. 法医服务在儿童和青少年死亡中的作用

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-327944

Stephen Playfor

引用次数: 0

The CHOICE study. 选择研究。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-328423

引用次数: 0

Two important paediatric intensive care studies: LongVentKids and Oxy-PICU. 两项重要的儿科重症监护研究：LongVentKids和Oxy-PICU。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-328429

引用次数: 0

Cutaneous cytomegalovirus mimicking mpox in an immunocompromised infant. 一名免疫力低下婴儿的皮肤巨细胞病毒模仿麻疹。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2025-01-24 DOI: 10.1136/archdischild-2024-327499

Jin Ho Chong, Mas Suhaila Bte Isa, Mark Jean Aan Koh, Anselm Chi-Wai Lee

引用次数: 0