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Acta Paediatrica

Nithi Fernandes, Satyan Lakshminrusimha
We have read this recently published manuscript by Hu et al(1) regarding using pulse oximetry for screening for critical congenital heart disease (CCHD) in the neonatal intensive care units (NICU) with great interest. As an institution exclusively serving outborn neonates, the study was appropriately designed and executed. Prior published reports of CCHD screening in the NICU report a very low detection rate with pulse oximetry screening. This article is protected by copyright. All rights reserved.
January 11, 2017: Acta Paediatrica
Tzipi Horowitz-Kraus, Rachelle Schmitz, John S Hutton, Jayna Schumacher
: Reading is one of the most important academic abilities that establishes the foundation for a child's success in school. Therefore, early and accurate diagnosis of reading challenges is crucial for prevention of later academic failure. One challenge in early detection of reading difficulties is that the ability to read typically is acquired explicitly when a child is 4-6 years of age. However, reading ability relies on development of more basic abilities prior to reading acquisition, starting from birth...
January 9, 2017: Acta Paediatrica
Giorgio Cozzi, Marta Minute, Aldo Skabar, Angela Pirrone, Mohamad Jaber, Elena Neri, Marcella Montico, Alessandro Ventura, Egidio Barbi
AIM: The aim of this study was to quantify the prevalence of somatic pain in a paediatric emergency department. METHODS: We conducted a prospective observational study using patients admitted to the emergency department of an Italian children's hospital between December 2014 and February 2015. We enrolled children aged seven to 17 who turned up at the emergency department complaining of pain. Patients and parents were asked to fill in a questionnaire to allow the analysis of the patients' medical history and provide contact details for follow up...
January 4, 2017: Acta Paediatrica
Bo Luo, Yi-Can Yang, Qing Zhou, Xiao-Hui Wu, Ke Huang, Chao-Chun Zou
AIM: This study investigated the relationship between intima-media thickness (IMT) and immune parameters in obese children from five to 16 years of age. METHODS: We enrolled 185 obese children with a mean age of 10.65±2.10 years and 211 controls with a mean age of 10.32±1.81 years. Glycometabolism, lipid metabolism, sex hormones, immune indices and carotid IMT were measured. RESULTS: Serum interleukin (IL)-6, IL-10, tumour necrosis factor (TNF)-alpha, white blood cells and common and internal carotid artery IMTs in the obese group were higher than those in the control group (p<0...
December 30, 2016: Acta Paediatrica
Arianne H Teeuw, Tessa Sieswerda-Hoogendoorn, Daniel Aaftink, Ilsa A V Burgers, Thekla F Vrolijk-Bosschaart, Sonja N Brilleslijper-Kater, Hugo S A Heymans, Rick R van Rijn
AIM: This study described cases of child abuse and neglect (CAN) that were reported to the multi-agency CAN team at the Emma Children's Hospital in Amsterdam and the resulting interventions. METHODS: We carried out a retrospective review of all cases that were reported to the CAN team from 1 January 2010 to 31 December 2012. RESULTS: There were 27 prenatal cases, 92 referrals based on parental characteristics and 523 children. Overall, 1.2% of the children visiting the emergency department of our hospital, attending the outpatients department or being admitted were reported to the team...
December 30, 2016: Acta Paediatrica
Michael Kaplan
I read the paper by Lee et al (1) and the accompanying editorial by Bhutani and Wong (2) with great interest. Lee et al compared risk factors in neonates with haemolytic jaundice and non-haemolytic controls. The haemolytic group comprised newborn infants with ABO blood group incompatibilities and rhesus and other red cell antibody isoimmunisations. All the other cases were classed as non-haemolytic. This article is protected by copyright. All rights reserved.
December 30, 2016: Acta Paediatrica
A Huguet, J Olthuis, P J McGrath, M E Tougas, J A Hayden, J N Stinson, C T Chambers
: This review aimed to identify childhood and adolescence risk and prognostic factors associated with onset and persistence of persistent abdominal pain and related disability, and assess quality of the evidence. While findings suggest a possible role for negative emotional symptoms and parent mental health as risk and prognostic factors for onset and persistence of persistent abdominal pain the evidence is of poor quality overall, and nonexistent when it comes to prognostic factors associated with disability...
December 30, 2016: Acta Paediatrica
Sigrid Dannheim Vik, Torstein Vik, Stian Lydersen, Ragnhild Støen
AIM: This Norwegian study explored whether administering surfactant without intubation (SWI) delayed the need for early mechanical ventilation and reduced respiratory and non-respiratory complications in infants born before 32 weeks of gestational age. METHODS: We compared 262 infants admitted to a level three neonatal intensive care unit: 134 born before the introduction of SWI on 1 December 2011 were in the control group and 128 infants born after this date were in the study group...
December 28, 2016: Acta Paediatrica
Suzanne A Broeks, Paul L P Brand
AIM: It has been hypothesised that in atopic dermatitis the dysfunctional skin barrier facilitates the transcutaneous presentation of allergens to the immune system. This study examined whether atopic dermatitis increased the likelihood of polysensitisation, namely to five or more allergens. METHODS: We examined the electronic hospital charts of 1,743 children aged 0-17 years who had visited primary or secondary care physicians with allergic symptoms, whose blood was examined for the presence of specific immunoglobulin E (IgE) to the 10 most common inhaled and food allergens and whose files contained documentation of the presence of atopic dermatitis and other skin disorders...
December 27, 2016: Acta Paediatrica
Priya Raj, John F Thompson, Debra H Pan
AIM: This study assessed the Helicobacter pylori (H. pylori) serum antibody test as a diagnostic screening tool in symptomatic inner city children. METHODS: This was a retrospective study of patients aged 1-18 years who were referred to our paediatric gastroenterology department from 2009-2013. We included all patients who had H. pylori serum antibodies and, or, faecal antigens who underwent esophagogastroduodenoscopy (EGD) for histology, with or without a gastric tissue rapid urease test...
December 26, 2016: Acta Paediatrica
V Giordano, R Fuiko, U Leiss, S Brandstetter, M Hayde, E Bartha-Doering, K Klebermaß-Schrehof, L J Weiler
AIM: The aim of this study was to investigate specific attentional components in preterm born children who had not yet started school. METHODS: Between January and December 2011, we assessed 52 preterm and 52 full-term children aged between five years five months and six years two months, of comparable age and gender, at the Medical University of Vienna. Different attentional components were evaluated through selected subtests of the Test of Attentional Performance and the German version of the Wechsler Intelligence Scale for Children...
December 22, 2016: Acta Paediatrica
Stefan Nilsson, Ingemar Brunsson, Berit Askljung, Magnus Påhlman, Kate Himmelmann
AIM: The aim of this study was to investigate how effective a combination of rectally administered midazolam and racemic ketamine was for reducing pain in paediatric cerebral palsy patients receiving intramuscular injections of botulinum neurotoxin A. The feasibility and safety of the pain relief were also explored. METHOD: Children with cerebral palsy, aged 1-18 years, were recruited from a regional paediatric rehabilitation unit between April 2012 and May 2014...
December 19, 2016: Acta Paediatrica
Marcella Danks, Kate Cherry, Yvonne R Burns, Peter H Gray
AIM: Investigate if behaviour problems are independently related to mild motor impairment in 11-13 year old children born preterm with extremely low birth weight (ELBW). METHODS: The cross sectional study included 48 (27 male) non-disabled, otherwise healthy ELBW children (<1000g) and 55 (28 male) term born peers. Parents reported behaviour using the Child Behavior Checklist (CBCL). Children completed the Movement Assessment Battery for Children (Movement ABC)...
December 19, 2016: Acta Paediatrica
Emanuele G Coci, Joachim Riedel
AIM: Ictal epileptic headache (IEH) is a rare and underestimated epileptic form, characterised by epileptiform discharges and headache attacks without any other ictal sensory-motor manifestations. IEH is difficult to diagnose, because the epileptiform discharges have to be registered during the headache attack and the headache has to disappear after the intravenous administration of an anti-epileptic drug, according to the last diagnostic criteria. This study explored the clinical, neuro-physiological and therapeutic features of IEH in the paediatric population...
December 19, 2016: Acta Paediatrica
Matti Korppi
Until the 1990s, viral cultures, antigen detection and antibody assays were used to diagnose virus-specific respiratory infections (1). The introduction of polymerase chain reaction (PCR) increased the number of viral findings, revealed that multiple viral aetiological findings are common, confirmed that viruses are often found in non-symptomatic children and even detected new viruses (2-4). Rhinoviruses were discovered in 1956, but the slow, non-sensitive viral culture was the only diagnostic method for decades and the development of antigen or antibody assays did not help, as there are now more than 100 rhinovirus serotypes...
December 19, 2016: Acta Paediatrica
Christian Heiring, Baldvin Jonsson, Sture Andersson, Lars J Björklund
AIM: Less invasive surfactant administration (LISA), namely surfactant instillation through a thin catheter in the trachea during spontaneous breathing, is increasingly used for premature infants. We surveyed the use of this technique in the Nordic countries in autumn 2015. METHODS: A link to a web-based survey of surfactant administration methods was emailed to the directors of all neonatal units in the Nordic Region, apart from Finland, where only the five university-based departments were invited...
December 19, 2016: Acta Paediatrica
Frida Strömberg Celind, Göran Wennergren, Per Möllborg, Emma Goksör, Bernt Alm
AIM: Guidance on reducing the risk of sudden infant death syndrome (SIDS) was successfully introduced to a number of countries in the early 1990s. The most important recommendations were supine sleeping for infants and non-smoking for mothers. This 2012-2014 study examined adherence to the national Swedish SIDS advice. METHODS: We asked 1,000 parents with infants registered at child healthcare centres in western Sweden to complete a questionnaire on infant care from birth to 12 months of age...
December 19, 2016: Acta Paediatrica
Silvia Gullino, Anthony Kaiser, Hammad Khan, Aisling Phillips, Alice Elwin, A D Edwards
AIM: Studies have explored how mothers and premature babies make the transition from a neonatal unit (NNU) to home, but little is known about how mothers cope with urban life with a vulnerable baby. This controlled trial investigated how first-time mothers with singleton preterm babies handled that experience in the first few months after discharge from a NNU, compared to the first-time mothers of healthy, singleton term-born infants. METHODS: This parent-led, qualitative study was carried out in London, UK, from 2013-2015 and used diaries and walking interviews with researchers...
December 17, 2016: Acta Paediatrica
Katarzyna Kostyrka-Allchorne, Nicholas R Cooper, Andrew Simpson
AIM: To explore media preferences and use among young children, as well as to obtain information about parental supervision methods and beliefs about media. METHOD: Ninety parents of 3- to 6-year-olds, recruited from a relatively economically advantaged area in the United Kingdom, completed a media opinion survey. RESULTS: Although traditional television remains the favourite type of media platform among young children, touchscreen devices are gaining in popularity, and may promote simultaneous multi-screen use...
December 17, 2016: Acta Paediatrica
Mari Holm, Dordi Austeng, Raina N Fichorova, Elizabeth N Allred, Karl C K Kuban, T Michael O'Shea, Olaf Dammann, Alan Leviton
AIM: Compared to infants born at term, children born very preterm are at increased risk of visual dysfunctions, and neonatal systemic inflammation. Here we explore if these two propensities are related. METHODS: As part of the ELGAN study, the concentrations of 16 mediators of inflammation were measured in blood obtained on postnatal days 1, 7, 14, 21 and 28 from 1062 children born before the 28(th) week of gestation. Presence of visual field deficit, strabismus, and/or impaired visual fixation was recorded at age two...
December 17, 2016: Acta Paediatrica
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