journal
https://read.qxmd.com/read/38625388/european-expert-guidance-on-management-of-sleep-onset-insomnia-and-melatonin-use-in-typically-developing-children
#1
REVIEW
Oliviero Bruni, Maria Breda, Lino Nobili, Ingo Fietze, Oscar Ramon Sans Capdevila, Claude Gronfier
Sleeping problems are prevalent among children and adolescents, often leading to frequent consultations with pediatricians. While cognitive-behavioral therapy has shown effectiveness, especially in the short term, there is a lack of globally endorsed guidelines for the use of pharmaceuticals or over-the-counter remedies in managing sleep onset insomnia. An expert panel of pediatric sleep specialists and chronobiologists met in October 2023 to develop practical recommendations for pediatricians on the management of sleep onset insomnia in typically developing children...
April 16, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38625387/nationwide-hospitalizations-of-patients-with-down-syndrome-and-congenital-heart-disease-over-a-15-year-period
#2
JOURNAL ARTICLE
Alvise Guariento, Claudia Cattapan, Giulia Lorenzoni, Giulia Guerra, Ilias P Doulamis, Giovanni di Salvo, Dario Gregori, Vladimiro L Vida
UNLABELLED: Down syndrome is one of the most common genetic diseases, generally associated with an increased probability of congenital heart diseases. This increased risk contributes to escalated levels of morbidity and mortality. In this study, we sought to analyze nationwide data of pediatric and adult patients with Down syndrome and congenital heart disease over a 15-year period. Data obtained from the hospital discharge form between 2001 and 2016 of patients diagnosed with Down syndrome in Italy and at least one congenital heart disease were included...
April 16, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38619569/prospective-multicenter-evaluation-of-adherence-to-the-dutch-guideline-for-children-aged-0-16%C3%A2-years-with-fever-without-a-source-febrile-illness-in-children-finch-study
#3
JOURNAL ARTICLE
Maya W Keuning, Nikki N Klarenbeek, Hidde J Bout, Amber Broer, Melvin Draaijer, Jeroen Hol, Nina Hollander, Marieke Merelle, Nassar-Sheikh Nassar-Sheikh Rashid, Charlotte Nusman, Emma Oostenbroek, Milan L Ridderikhof, Manouck Roelofs, Ellen van Rossem, Sophie R D van der Schoor, Sarah M Schouten, Pieter Taselaar, Koen Vasse, Anne-Marie van Wermeskerken, Julia M J van der Zande, Roy Zuurbier, Merijn W Bijlsma, Dasja Pajkrt, Frans B Plötz
UNLABELLED: Evaluation of guidelines in actual practice is a crucial step in guideline improvement. A retrospective evaluation of the Dutch guideline for children with fever without an apparent source (FWS) showed 50% adherence in young infants. We prospectively evaluated adherence to the Dutch guideline and its impact on management in current practice. Prospective observational multicenter cross-sectional study, including children 3 days to 16 years old presented for FWS at one of seven emergency departments in participating secondary and tertiary care hospitals in the Netherlands...
April 15, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38619568/influenza-vaccine-uptake-in-juvenile-idiopathic-arthritis-a-multi-centre-cross-sectional-study
#4
JOURNAL ARTICLE
Despoina Maritsi, Foteini Dasoula, Amit Ziv, Maša Bizjak, Barbora Balažiová, Matija Matošević, Mehmet Yildiz, Noa Alpert, Lovro Lamot, Ozgur Kasapcopur, Tomáš Dallos, Yosef Uziel, Natasa Toplak, Merav Heshin-Bekenstein
While most countries provide safe and effective influenza vaccines for at-risk groups, influenza vaccine coverage among children with rheumatic diseases remains uncertain. This study investigated influenza vaccination rates in children with juvenile idiopathic arthritis (JIA) during the 2019-2020 season and assessed the knowledge and attitudes of caregivers of children with JIA regarding influenza vaccination. The secondary aims were to identify barriers to vaccination and explore strategies to improve vaccination rates...
April 15, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38615128/i-will-prevent-disease-whenever-i-can-for-prevention-is-preferable-to-cure-doctors-role-in-the-vaping-epidemic
#5
EDITORIAL
Frank J Borm, Sophie Cohen, Gregorio P Milani, Peter de Winter, Danielle Cohen
No abstract text is available yet for this article.
April 13, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38613577/pediatric-thermal-epiglottitis-insights-from-a-tertiary-center-experience
#6
JOURNAL ARTICLE
Leonel Slanovic, Noga Arwas, Micha Aviram, Dvir Gatt, Isaac Lazar, Yael Feinstein, Daniel Yafit, Aviv Goldbart, Soliman Alkrinawi, Inbal Golan-Tripto, Eitan Neeman
Thermal epiglottitis, a non-infectious cause of epiglottitis, is a rare entity that shares some clinical features with infectious epiglottitis. This study presents 16 years of experience in diagnosing and managing thermal epiglottitis. A retrospective descriptive study in a tertiary center in southern Israel included confirmed cases of thermal epiglottitis in children (0-18 years) between 2004 and 2020 by endoscopy. Of approximately 600,000 pediatric ER admissions between 2004 and 2020, seven children were diagnosed by endoscopy with thermal epiglottitis (mean age 24 months, 71% males)...
April 13, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38613576/a-silent-scream-in-the-pediatric-emergency-department-child-abuse-and-neglect
#7
JOURNAL ARTICLE
Bilge Akkaya, Cihan İnan, İpen İlknur Ünlü, Muhammed Mustafa Güneylioğlu, İlknur Bodur, Aytaç Göktuğ, Betül Öztürk, Raziye Merve Yaradılmış, Orkun Aydın, Ahmet Serkan Özcan, Ali Güngör, Nilden Tuygun
Child abuse and neglect includes any behavior that harms the child or hinders the child's development. The aim of this study was to determine the demographic and clinical characteristics of patients with suspected child abuse or neglect in the pediatric emergency department. Between July 2017 and July 2022, patients admitted to our pediatric emergency department and consulted to the medical social services unit with a preliminary diagnosis of neglect and/or abuse were retrospectively scanned through the registry system...
April 13, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38609653/the-confidence-and-competence-of-primary-school-staff-to-administer-an-adrenaline-auto-injector
#8
JOURNAL ARTICLE
P Donovan, P O'Connor
School teachers are often inadequately prepared to use an adrenaline auto-injector (AAI), resulting in potentially dangerous treatment delays. The purpose of this study was to assess the observed competence, and self-reported confidence, of primary school teachers in the Republic of Ireland (RoI) to use an AAI. An evaluation of whether there was a link between confidence and competence was also assessed. Teachers from four primary schools in the RoI completed a questionnaire to assess their prior level of experience, training, and confidence levels with AAI administration...
April 12, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38602530/symptomatic-corpus-luteum-hemorrhage-in-adolescent-females-with-itp
#9
JOURNAL ARTICLE
Alexander Yelak, Anat From, Oded Gilad, Dafna Brik Simon, Shiri Rubin, Miriam Cohen, Gil Amarilyo, Carina Levin, Doua Bakry, Shai Izraeli, Hannah Tamary, Joanne Yacobovich, Orna Steinberg-Shemer
Patients with immune thrombocytopenia (ITP) usually present with minor mucocutaneous bleeding. Corpus luteum hemorrhage (CLH) is generally asymptomatic but may, rarely, lead to severe intraperitoneal bleeding, mostly in patients with coagulation disorders. CLH causing intraperitoneal bleeding has only been described in few individuals with ITP. The objective of this retrospective observational study was to assess the clinical course and incidence of symptomatic CLH in adolescent females with newly diagnosed or chronic ITP...
April 11, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38592486/changing-trends-in-the-global-regional-and-national-burden-of-iodine-deficiency-among-adolescents-and-young-adults-population-based-study
#10
JOURNAL ARTICLE
Boshen Gong, Chuyuan Wang, Wanyu Yang, Zhongyan Shan
UNLABELLED: Iodine is a micronutrient required for the production of thyroid hormones, which regulate metabolism, growth, and neurodevelopment. Iodine deficiency among adolescents and young adults is a major global health issue. We analyzed data from the Global Burden of Disease 2019 database to calculate the prevalence, incidence, and disability-adjusted life-year (DALY) rates of iodine deficiency among adolescents and young adults. We explored the specific year with the most substantial changes in the trends of iodine deficiency among adolescents with annual percentage change (APC) by Joinpoint Regression analysis...
April 9, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38592485/pulse-oximetry-signal-loss-during-hypoxic-episodes-in-preterm-infants-receiving-automated-oxygen-control
#11
JOURNAL ARTICLE
Lukas O Langanky, Karen B Kreutzer, Christian F Poets, Axel R Franz, Christoph E Schwarz
UNLABELLED: The aim of this study was to analyze signal loss (SL) resulting from low signal quality of pulse oximetry-derived hemoglobin oxygen saturation (SpO2 ) measurements during prolonged hypoxemic episodes (pHE) in very preterm infants receiving automatic oxygen control (AOC). We did a post hoc analysis of a randomized crossover study of AOC, programmed to set FiO2 to "back-up FiO2 " during SL. In 24 preterm infants (median (interquartile range)) gestational age 25.3 (24.6 to 25...
April 9, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38592484/why-all-newborn-hip-screening-programs-have-same-results-a-mini-review
#12
REVIEW
Matias Vaajala Bm, Oskari Pakarinen, Ilkka Helenius, Mikko M Uimonen, Ville T Ponkilainen, Ilari Kuitunen
All newborns are screened for developmental dysplasia of the hip (DDH), but countries have varying screening practices. The aim of this narrative mini review is to discuss the controversies of the screening and why it seems that all screening programs are likely to have same outcome. Different screening strategies are discussed alongside with other factors influencing DDH in this review. Universal ultrasound (US) has been praised as it finds more immature hips than clinical examination, but it has not been proven to reduce the rates of late-detected DDH or surgical management...
April 9, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38592483/prospective-case-series-study-on-the-use-of-a-novel-analgosedation-protocol-for-ultrasound-guided-catheterization-in-neonatal-intensive-care-unit
#13
JOURNAL ARTICLE
Giovanni Barone, Miria Natile, Carmen Simona Nigro, Vito D'Andrea, Gina Ancora
UNLABELLED: Critically ill newborns admitted to Neonatal Intensive Care Unit often require a centrally inserted central catheters (CICCs) inserted by ultrasound-guided puncture of the internal jugular or brachio-cephalic vein. Achieving an appropriate level of sedation and analgesia is paramount for procedure success and patient safety, avoiding the potential risks associated with excessive deep sedation. The aim of this study is to evaluate the feasibility of a novel protocol of sedation...
April 9, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38589580/perspectives-of-refugee-parents-and-unaccompanied-minors-on-initial-health-assessment-and-access-to-care
#14
JOURNAL ARTICLE
Albertine Baauw, Chanine F S Brouwers, Sogol Fathi Afshar, Johannes B van Goudoever, Mai J M Chinapaw, Mariëtte H H Hoogsteder
To explore the needs, expectations, and experiences of asylum-seeking parents and unaccompanied minors under the age of 18 years on the initial health assessment for children and adolescents and access to care upon entry in the Netherlands, We conducted five semi-structured focus group discussions with asylum-seeking parents and unaccompanied minors, from Syria, Eritrea, Afghanistan, and other Middle-East and African countries, supported by professional interpreters. To triangulate findings, semi-structured interviews with health care professionals involved in care for refugee children were conducted...
April 9, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38584228/effectiveness-of-self-financed-rotavirus-vaccines-on-acute-gastroenteritis-primary-care-episodes-using-real-world-data-in-spain-a-propensity-score-matched-analysis-of-cohort-study
#15
JOURNAL ARTICLE
Mónica López-Lacort, Cintia Muñoz-Quiles, Javier Díez-Domingo, Alejandro Orrico-Sánchez
UNLABELLED: The objective of this study was to estimate, by a novel spatiotemporal approach in an environment of non-funded rotavirus (RV) vaccines, the RV vaccine effectiveness (VE) to prevent acute gastroenteritis primary care (AGE-PC)-attended episodes, demonstrating how indirect protection leads to underestimation of direct VE under high vaccine coverage (VC). This population-based retrospective cohort study used electronic healthcare registries including all children 2 months-5 years old, born from 2009 to 2018 in the Valencia Region (Spain)...
April 7, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38581464/arterial-hypertension-in-infants-with-congenital-diaphragmatic-hernia-following-surgical-repair
#16
JOURNAL ARTICLE
Clara Engel, Judith Leyens, Bartolomeo Bo, Lennart Hale, Hannah Lagos Kalhoff, Lotte Lemloh, Andreas Mueller, Florian Kipfmueller
Pulmonary hypertension (PH) and cardiac dysfunction are established comorbidities of congenital diaphragmatic hernia (CDH). However, there is very little data focusing on arterial hypertension in CDH. This study aims to investigate the incidence of arterial hypertension in neonates with CDH at hospital discharge. Archived clinical data of 167 CDH infants who received surgical repair of the diaphragmatic defect and survived for > 60 days were retrospectively analyzed. Blood pressure (BP) values were averaged for the last 7 days before discharge and compared to standard BP values for sex, age, and height provided by the AHA in 2004...
April 6, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38581463/total-face-mask-with-neurally-adjusted-ventilatory-assist-as-a-rescue-therapy-in-infants-with-severe-bronchiolitis
#17
JOURNAL ARTICLE
Vladimir L Cousin, Tiphaine Corbisier, Peter C Rimensberger, Angelo Polito, Alice Bordessoule
Severe bronchiolitis patients are often supported with non-invasive ventilation (NIV). In case of NIV failure, we recently started to use non-invasive neurally adjusted ventilatory assist ventilation (NIV-NAVA) with a total face mask interface (TFM) and report now our experience with this modality of respiratory support. Retrospective study was made from October 2022 to May 2023 at the Geneva University Hospital Paediatric Intensive Care Unit. Inclusion criteria were children, aged from 0 to 6 months, with severe bronchiolitis with initial NIV failure and switch to NIV-NAVA-TFM...
April 6, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38581462/transcutaneous-bilirubin-reliability-during-and-after-phototherapy-depending-on-skin-color
#18
JOURNAL ARTICLE
Júlia Candel-Pau, Silvia Maya-Enero, Jordi Garcia-Garcia, Xavier Duran-Jordà, María Ángeles López-Vílchez
Measurement of transcutaneous bilirubin (TcB) is a non-invasive, widely used technique to estimate serum bilirubin (SB). However, its reliability in multiethnic populations during and after phototherapy is still controversial even in covered skin. The aim of this study was to determine the reliability of TcB in covered (cTcB) and exposed (eTcB) skin during and after phototherapy in a multiethnic population of term and preterm neonates according to Neomar's neonatal skin color scale. Prospective, observational study comparing SB and TcB...
April 6, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38581461/a-randomised-controlled-trial-comparing-umbilical-cord-milking-to-delayed-cord-clamping-at-birth-in-preterm-infants-28-36%C3%A2-weeks-gestational-age
#19
JOURNAL ARTICLE
Nitin Narayan Rao, Kulkarni Poornima Prakash, Anita Nyamagoudar
UNLABELLED: Delayed cord clamping (DCC) is an established practice in perinatology with multiple benefits. However, in instances where the implementation of DCC is not viable, it needs alternatives, especially during caesarean deliveries. A non-inferiority randomized, non-blinded, trial was conducted at a tertiary care referral unit in South India among the preterm newborns (28-36 weeks) randomized to DCC as opposed to intact-umbilical cord milking (UCM). The primary objective was to compare the mean haemoglobin values between the two groups, and the secondary outcome was to compare death and/or major IVH (> Grade II)...
April 6, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38573361/devices-for-securing-and-administering-pediatric-compounded-oral-liquids-survey-results-from-french-university-hospitals
#20
JOURNAL ARTICLE
Marine Cavelier, Charles Hervouët, Rémi Varin, Henri Gondé
Oral liquid forms, either commercial or compounded, are preferred in pediatrics due to their suitability for weight-based dosing and acceptability for children. The choice of dosing delivery devices associated with oral liquid forms is important to ensure accurate dosing, ease of administration, and patient safety. Given the prevalence of compounding in pediatric settings, this study aimed to investigate the practices among French university hospitals concerning the selection of dosing delivery devices associated with compounding oral liquid forms for children...
April 4, 2024: European Journal of Pediatrics
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