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Acta Paediatrica

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https://www.readbyqxmd.com/read/28941298/symptom-management-and-psychological-support-for-families-are-the-cornerstones-of-end-of-life-care-for-children-with-spinal-muscular-atrophy-type-1
#1
Chiara Di Pede, Caterina Agosto, Valentina De Tommasi, Alessandra De Gregorio, Franca Benini
AIM: This study described end-of-life care for children affected by spinal muscular atrophy type 1 (SMA1), which is characterised by progressive muscle weakness and develops in the first six months of life. METHODS: We retrospectively analysed 17 children (13 boys) who attended the University of Padua's paediatric palliative care centre in Italy from March 2000 to March 2015. All the children received supportive care without proactive respiratory intervention to prolong survival...
September 23, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940750/performing-a-urine-dipstick-test-with-a-clean-catch-urine-sample-is-an-accurate-screening-method-for-urinary-tract-infections-in-young-infants
#2
María Luisa Herreros, Alfredo Tagarro, Araceli García-Pose, Aida Sánchez, Alfonso Cañete, Pablo Gili
AIM: This study evaluated using urine dipstick tests with the clean-catch method to screen for urinary tract infection (UTI) in febrile infants under 90 days of age. METHODS: We carried out a comparative diagnostic accuracy study of infants under 90 days old, who were studied for unexplained fever without any source, in the emergency room of a hospital in Madrid from January 2011 to January 2013. We obtained matched samples of urine using two different methods: a clean-catch, standardised stimulation technique and catheterisation collection...
September 23, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940635/assessing-bone-development-in-preterm-infants-using-quantitative-ultrasonography-showed-a-decline-in-the-early-postnatal-period
#3
Marieke Krikke, Dana Yumani, Christine Rustenburg, Anneke Cranendonk, Jos Twisk, Harrie Lafeber, Mirjam van Weissenbruch
AIM: Preterm infants have an insufficient bone mineral store at birth and this study explored their bone development during the early postnatal period. METHODS: The metacarpal speed of sound (mcSOS) and metarcarpal bone transmission time (mcBTT) were used to assess bone development in 277 preterm infants, admitted to the neonatal intensive care unit of the VU University Medical Center, Amsterdam, the Netherlands from 2007-2012. RESULTS: During the first nine postnatal weeks the mcSOS declined from 10-38 meters per second per week and the mcBTT declined from 20 to 71 nanoseconds per week...
September 22, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940626/using-the-sophia-observational-withdrawal-scale-improved-the-assessment-of-paediatric-iatrogenic-withdrawal-symptoms
#4
Bettina N Nielsen, Ulrikka Nygaard, Lise Hvidt, Kaare Lundstrøm
Analgesia and sedation are standard practice when paediatric intensive care patients receive mechanical ventilation. Prolonged exposure to opioid and benzodiazepine leads to an increased risk of withdrawal symptoms when medication ceases or patients are weaned off them (1). When we were updating our local clinical guidelines for managing withdrawal symptoms, we identified the need to improve the assessment of withdrawal symptoms. This article is protected by copyright. All rights reserved.
September 22, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940731/respiratory-morbidity-was-an-important-consequence-of-prematurity-in-the-first-two-years-after-discharge-in-three-cohorts-from-1996-2009
#5
Estelle E M Mulder, Monique Rijken, Lotte de Smet, Steffen Pauws, Enrico Lopriore, Arjan B Te Pas
AIM: This study aimed to evaluate the respiratory morbidity of preterm infants in the first two years after discharge in three cohorts from 1996-2009. METHODS: We included infants with a gestational age from 25+0 to 29+6 weeks, who were born in 1996-1997, 2003-2004 and 2008-2009 at the Leiden University Medical Center in the Netherlands. The following parameters were recorded: bronchopulmonary dysplasia (BPD), defined as oxygen demand or positive pressure at 36 weeks, mortality, duration of supplemental oxygen, discharge with supplemental oxygen and a nasogastric feeding tube, rehospitalisation and the use of inhaled medication...
September 21, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940637/the-internet-game-use-elicited-symptom-screen-proved-to-be-a-valid-tool-for-adolescents-aged-10-19-years
#6
Sun-Jin Jo, Hyeon Woo Yim, Hae-Kook Lee, Hyung Cho Lee, Jung-Seok Choi, Kyung-Young Baek
AIM: This study tested the diagnostic validity of the nine-item Internet Game Use-Elicited Symptom Screen (IGUESS) tool, which was developed by the authors after the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, identified Internet gaming as a condition that needed further study. METHODS: A self-report screening test comprising IGUESS and the Young's Internet Addiction Test was administered to 121 adolescents (74% boys) with a median age of 14 (range 10 to 19) recruited from school and health settings in Korea, After the screening, a clinician conducted one-to-one interviews with all of the subjects to set a gold standard for diagnosis...
September 21, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28940513/number-needed-to-suffer
#7
Keith Barrington
I was surprised to read in the "different view" article that Dr Lönnqvist believes that "disability-free survival" is a new concept (1). "Disability-free survival" is unfortunately a widespread concept in neonatology, with literally hundreds of publications addressing the combined outcome of "death or NDI". It is a concept which I and others have severely criticised for several years (2), and which is criticised also by parents (3). This article is protected by copyright. All rights reserved.
September 21, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28929527/music-exposure-and-maturation-of-late-preterm-sleep-wake-cycles-a-randomized-crossover-trial
#8
Adia Stokes, Alexander G Agthe, Dina El Metwally
AIM: To determine the effect of music on sleep-wake cycle (SWC) patterns in late preterm neonates. METHODS: In a masked crossover study, infants between 32-36 6/7 weeks gestation were randomized to music exposure either during the first six or last six hours of a 12-hour observation period. SWC characteristics were determined by continuous amplitude integrated electroencephalography (aEEG) read by two coders masked to exposure sequence. Analysis was done in paired comparisons...
September 20, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28929523/follow-up-protocol-was-useful-for-children-whose-parents-attended-emergency-departments-after-partner-violence-substance-abuse-or-a-suicide-attempt
#9
Eva M M Hoytema van Konijnenburg, Maj Gigengack, Arianne H Teeuw, Tessa Sieswerda-Hoogendoorn, Sonja N Brilleslijper-Kater, Boudien C Flapper, Ramón J L Lindauer, Johannes B van Goudoever, Johanna H van der Lee
AIM: This was a one-year follow up of families referred to support services after the parents visited the emergency department due to intimate partner violence, substance abuse or a suicide attempt. Its aim was to evaluate the wellbeing of any children. METHODS: Data on families identified a year earlier by the Amsterdam Protocol were gathered from child protective services and parent and child self-reports in two Dutch regions from 2012-2015. RESULTS: We included 399 children (52%) boys with a median age of eight years (range 1-18) in the study using child protective services data...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28925577/sex-and-maturity-status-affected-the-validity-of-a-submaximal-cycle-test-in-adolescents
#10
Frida Björkman, Andrea Eggers, Adam Stenman, Tony Bohman, Björn Ekblom, Örjan Ekblom
AIM: This study assessed the validity and reliability of the Ekblom-Bak (EB) submaximal cycle test in adolescents and identified any sex or maturity-related factors for prediction errors. METHODS: We recruited 50 healthy subjects through a public announcement in Stockholm, Sweden, in 2016. The 27 boys and 23 girls were aged 10-15 years and in Tanner stages I-IV. They performed an EB test and incremental treadmill running test for direct measurement of maximal oxygen uptake (VO2 max)...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28925575/evaluation-of-neonatal-transport-in-a-european-country-shows-that-regional-provision-is-not-cost-effective-or-sustainable-and-needs-to-be-re-organised
#11
Carlo Bellini, Michela Pasquarella, Luca A Ramenghi, Daniela Ambrosino, Anna F Sciomachen
AIM: There are three dedicated and 41 on-call neonatal emergency transport services (NETS) in Italy and activity levels vary dramatically. We examined the cost-effectiveness of a hub-and-spoke NETS by looking at the costs and activity levels in the Liguria region and established the financial needs for improving NETS across Italy. METHODS: The cost of running NETS in the Liguria region from 2012-2015 was evaluated and analysed and three different models determined the transports needed each year to provide the best organisational model...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28925559/persistent-pain-in-neonates-challenges-in-assessment-without-the-aid-of-a-clinical-tool
#12
Elaine M Boyle, Joanna Bradshaw, Kathryn I Blake
AIM: Evaluation of comfort and pain in neonates is important for management. Specific signs of persistent pain in neonates remain undefined; few validated clinical tools assess persistent pain. We sought to determine (i) difficulty perceived by staff and parents in assessing comfort/persistent pain in babies, (ii) strategies employed when no clinical tool is used (iii) variation between clinicians' assessments. METHODS: Parent and staff questionnaires addressed difficulty in assessing pain/comfort in neonates and strategies used in making assessments...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28925556/national-allergy-programme-had-little-impact-on-parent-reported-food-allergies-in-children-aged-6-7-years
#13
Sauli Palmu, Paula Heikkilä, Virpi Uski, Siina Niitty, Sari Kurikka, Matti Korppi
AIM: The ten-year Finnish national allergy programme was launched in 2008 to lessen the disease and psychological burden of allergy. This study assessed the prevalence of parent-reported food allergies requiring avoidance diets at primary school in children aged six and seven years. METHODS: The cohort comprised 1,937 children (51% boys) who started primary school in Tampere, Finland in August 2016. School health nurses charted parent-reported, doctor-diagnosed food allergies requiring avoidance diets as part of the routine health examination...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28921933/it-s-all-in-the-genes-well-almost
#14
EDITORIAL
Göran Wennergren
No abstract text is available yet for this article.
September 17, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28921688/outcomes-of-infants-with-a-birthweight-less-than-or-equal-to-500-g-in-northern-england-15-years-experience
#15
Jenna Gillone, Nishant Banait, Nicola Miller, Martin Ward Platt, Sundeep Harigopal
AIM: We aimed to evaluate mortality and short-term neonatal morbidity of babies born ≤500 g cared for in the Northern Neonatal Network over a 15-year period. METHOD: Using regional databases, we identified all live-born babies ≥22 weeks gestation and ≤500 g, in North East England and North Cumbria from 1998 to 2012. We quantified major neonatal morbidities and survival to one year. RESULTS: We identified 104 live-born babies ≥22 weeks gestation and ≤500 g (birth prevalence 0...
September 17, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28921657/reporting-anxiety-symptoms-in-extremely-preterm-born-adolescents-and-by-their-mothers
#16
M J Sømhovd, B H Esbjørn, B M Hansen, G Greisen
AIM: To compare anxiety symptoms in adolescents born extremely prematurely to term-born controls. METHODS: We had 96 preterm-born adolescents and 40 term-born controls from Denmark and their mothers score the adolescents on the Revised Children Anxiety and Depression scale. We analysed group differences, cross-informant correlations, and relative risks for elevated anxiety symptoms. RESULTS: Self-reported anxiety symptoms did not significantly differ, although the upper confidence limit (95% CI [-3...
September 16, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28921627/preterm-infants-with-necrotising-enterocolitis-demonstrate-individual-and-unbalanced-gut-microbiota
#17
Itani Tarek, Ayoub Moubareck Carole, Melki Imad, Rousseau Clotilde, Mangin Irène, Butel Marie-José, Karam Sarkis Dolla
AIM: This Lebanese study tested the hypothesis that differences would exist in the gut microbiota of preterm infants with and without necrotising enterocolitis (NEC), as reported in western countries. METHODS: This study compared 11 infants with NEC and 11 controls, all born at 27-35 weeks, in three neonatal intensive care units between January 2013 and March 2015. Faecal samples were collected at key time points and microbiota was analysed by culture, quantitative PCR (qPCR), and temperature temporal gel electrophoresis (TTGE)...
September 16, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28921622/national-survey-on-managing-minor-childhood-traumatic-head-injuries-in-the-netherlands-shows-low-guideline-adherence-and-large-inter-hospital-variations
#18
Nicky Niele, Lonneke Willemars, Marlies van Houten, Frans B Plötz
More than 12,000 children are seen in Dutch emergency departments with a mild traumatic head injury (MTHI) every year. In The Netherlands, the paediatric MTHI guidelines are primarily based on the Pediatric Emergency Care Applied Research Network study (1). The guidelines define several criteria, based on the patient's age, to help clinicians to decide whether they need to perform a computed tomography (CT) scan (2). This national study determined the adherence to the guidelines and the reasons why clinicians deviated from them...
September 16, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28914458/are-men-monkeys-why-are-child-healthcare-professionals-reluctant-to-include-fathers-in-parenting-support-interventions
#19
EDITORIAL
Malin Bergström
No abstract text is available yet for this article.
September 15, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28914455/using-probiotics-to-prevent-necrotising-enterocolitis
#20
EDITORIAL
Thomas R Abrahamsson
No abstract text is available yet for this article.
September 15, 2017: Acta Paediatrica
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