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European Journal of Pediatrics

Engelina Spaans, Kornelis J J van Hateren, Klaas H Groenier, Henk J G Bilo, Nanne Kleefstra, Paul L P Brand
Poor self-management contributes to insufficient glycemic control in adolescents with type 1 diabetes (T1DM). We assessed the effects on glycemic control of adherence to self-measurement of blood glucose (SMBG) and insulin boluses in 90 adolescents with T1DM on insulin pump therapy over a 2-month period. We compared the number of insulin boluses and SMBGs around main meals to the "gold standard" of optimal diabetes management (SMBGs and a bolus before each main meal and SMBG before bedtime). The mean (95% CI) HbA1c levels were 2...
September 20, 2018: European Journal of Pediatrics
Kazune Kozen, Theodore Dassios, Nick Kametas, Ritika R Kapoor, Anne Greenough
Admission to neonatal care causes separation of infants from their parents, can adversely affect breast-feeding and is associated with painful procedures. Our aim was to identify perinatal factors and cost of care associated with transient neonatal hyperinsulinaemic hypoglycaemia (HH). Infants born after 35 weeks of gestation admitted because of hypoglycaemia were studied. The neonates were divided into two groups (HH and non-HH), and their length and cost of care were compared and perinatal factors predicting those outcomes explored...
September 19, 2018: European Journal of Pediatrics
Jo Wray, Amy Cassedy, Michelle M Ernst, Rodney C Franklin, Katherine Brown, Bradley S Marino
The aim was to describe the psychological functioning of parents of school-age children with heart disease (HD) in a large-scale, transnational evaluation of parent dyads across the spectrum of cardiac diagnoses and a range of psychosocial domains. Parents of children with HD attending routine out-patient cardiology follow-up visits completed questionnaires assessing their mental health, coping, and family functioning. Parents (1197 mothers and 1053 fathers) of 1214 children (mean age: 12.6 years; S.D. 3.0 years; median time since last surgery: 8...
September 19, 2018: European Journal of Pediatrics
Signe Fuglkjær, Werner Vach, Jan Hartvigsen, Niels Wedderkopp, Tina Junge, Lise Hestbæk
The main objective was to investigate whether children aged 9-15 years at baseline were more likely to experience an incident event of spinal pain after experiencing lower extremity pain. Children's musculoskeletal pain was monitored by weekly mobile phone text message responses from parents, indicating whether the child had spinal pain, lower extremity pain, or upper extremity pain the preceding week. Data were analyzed using mixed effect logistic regression models and cox regression models. The association between an incident event of spinal pain and LE pain the preceding weeks increased with increasing observation period and was statistically significant for 12 and 20 weeks (OR = 1...
September 19, 2018: European Journal of Pediatrics
Carlo Dani, Chiara Poggi, Claudia Fancelli, Simone Pratesi
Antioxidant properties of bilirubin have been reported in many studies. We hypothesized that bilirubin might be involved in neuroprotection mechanisms against oxidative stress in infants with hypoxic-ischemic encephalopathy (HIE) and that total serum bilirubin (TSB) might increase in these patients. We retrospectively studied infants with gestational age ≥ 35 weeks and birth weight ≥ 1800 g who were admitted to the neonatal intensive care unit (NICU) with a diagnosis of moderate-to-severe HIE and received or did not receive therapeutic hypothermia...
September 19, 2018: European Journal of Pediatrics
Azize Pınar Metbulut, Elif N Özmert, Ozlem Teksam, Kadriye Yurdakök
The aim of this study is to evaluate and compare mothers' and grandparents' feeding behaviours, the differences between the behaviours, the relationship between children's feeding problems and grandparents' feeding behaviours, as well as the relationship between grandparents' feeding behaviour and children's body mass index (BMI). This study prompts physicians to pay attention to the on feeding behaviours of grandmothers when evaluating the feeding problems and behaviours of children. This study is a controlled case study...
September 19, 2018: European Journal of Pediatrics
Federica Zallocco, Patrizia Osimani, Ines Carloni, Vittorio Romagnoli, Silvia Angeloni, Salvatore Cazzato
In 2016, in order to identify adult patients with sepsis who are likely to have poor outcomes, the Third International Consensus Definitions Task Force introduced a new bedside index, called the quick Sepsis-related Organ Failure Assessment (qSOFA) score. However, these new criteria have not been validated in the pediatric population. In this study, we sought to assess the qSOFA score for children with sepsis, who are being treated outside the pediatric intensive care units. The qSOFA criteria were revised and applied to a study population of 89 pediatric patients with sepsis, admitted in a pediatric tertiary referral center from 2006 to 2016...
September 17, 2018: European Journal of Pediatrics
Frederikke Jarlby, Simone Goosen, Ilse Derluyn, Kathrine Vitus, Signe Smith Jervelund
Unaccompanied refugee adolescents who have fled war and persecution often have poor mental health. Yet, little is known about their own perspectives on what can relieve their mental health problems. The aim was to explore unaccompanied refugee adolescents' perspectives on healing and the mental healthcare offered to them when resettled. The study was based on methodical triangulation of participant observation in a Danish municipal institution for unaccompanied refugee minors, semi-structured individual interviews with experts, social workers and male refugee minors and a focus group interview with refugee minors...
September 17, 2018: European Journal of Pediatrics
Dimitri Poddighe
No abstract text is available yet for this article.
September 17, 2018: European Journal of Pediatrics
Nir Friedman, Doron Sagi, Amitai Ziv, Itai Shavit
In Israeli emergency departments, pediatric residents are allowed to independently perform procedural sedation after training. Preparing the residents to practice unsupervised sedations requires participation in a simulation-based training in patient safety during sedation (STPSDS). The study objective was to evaluate participants' perception of knowledge and confidence from the STPSDS. We performed a retrospective analysis of participants' self-reported perception of knowledge acquisition. At the end of each course, participants were requested to rate, anonymously and independently, the training contribution to their knowledge and confidence using a four-point Likert scale...
September 13, 2018: European Journal of Pediatrics
S Arena, R Chimenz, E Antonelli, F M Peri, P Romeo, P Impellizzeri, C Romeo
The aim of the study was to retrospectively review the outcome of neonatal ureteropelvic junction obstruction with a good renal function and a poor drainage at a first diuretic renal scan, in cases where surgery was recommended on the basis of a loss of renal function, worsening of hydronephrosis or occurrence of clinical symptoms. Hydronephrosis was graded from 1 to 4 or as ureteral tract dilatation (UTD) P1 to UTD P3. During follow-up, 15 out of 38 patients (34.2%) required surgery while 25 out of 38 (65...
September 12, 2018: European Journal of Pediatrics
Paola Pascolo, Francesca Peri, Marcella Montico, Mishelle Funaro, Roberta Parrino, Francesca Vanadia, Francesca Rusalen, Luca Vecchiato, Franca Benini, Sabrina Congedi, Egidio Barbi, Giorgio Cozzi
Children with intellectual disability frequently undergo needle-related procedures for diagnosis or treatment. Nevertheless, only a few studies deal with pain and distress management during the procedure in this population of children. This study aimed to investigate the number of anxiety and pain management techniques performed during needle procedure in children with intellectual disability (cases) compared to a population of children without intellectual disability (controls). This multicenter cohort study was performed from July 2016 to January 2018 in the pediatric ward of four urban hospitals in Italy...
September 10, 2018: European Journal of Pediatrics
Cristina Parra, Maria Mele, Iris Alonso, Victoria Trenchs, Carles Luaces
The aim of this study is to describe the experience of parents present in the resuscitation room during the attention given to their children in the pediatric emergency department, and to identify areas for improvement in this regard. This was a prospective study carried out in a third-level pediatric hospital. Children with life-threatening pathologies are treated in the resuscitation room of the pediatric emergency department. A survey was carried out among parents present in the resuscitation room during the period September 2016-August 2017...
September 8, 2018: European Journal of Pediatrics
Reham Wagdy, Howayda Suliman, Bashayer Bamashmose, Abrar Aidaroos, Zuhour Haneef, Arunima Samonti, Fatima Awn
Acute painful crisis is the most frequent complication of sickle cell disease (SCD) in children. Recurrent vaso-occlusion may be associated with cardiac injury. The study aimed to assess silent myocardial injuries for sickle cell children during acute painful crisis by measuring serum level of troponin I and galectin-3. The study included 87 participates; study group (n = 44) sickle cell children presented at Jeddah hospitals in Saudi Arabia by painful crisis or acute illness as fever or cough (2017-2018)...
September 7, 2018: European Journal of Pediatrics
Alejandro Balestracci, Luciana Meni Battaglia, Ismael Toledo, Sandra Mariel Martin, Caupolican Alvarado
No abstract text is available yet for this article.
September 7, 2018: European Journal of Pediatrics
Lore Willem, Noël Knops, Djalila Mekahli, Pierre Cochat, Alberto Edefonti, Enrico Verrina, Jaap Groothoff, Lieven Lagae, Jacques Pirenne, Fabienne Dobbels, Pascal Borry, Chris Van Geet, Elena Levtchenko
Whether to initiate or to withhold Renal Replacement Therapy (RRT) in children with severe developmental disability (DD) remains a topic of intense debate. The present study investigated the opinion of professionals on this difficult issue and proposed a checklist with guiding questions for decision-making. Clinicians affiliated to different organizations involved in pediatric nephrology worldwide were invited to respond to a web-based survey. This survey focused on the collection of demographic data of the respondents together with their opinion concerning the decision-making regarding RRT in a particular case and for children with severe DD in general...
September 7, 2018: European Journal of Pediatrics
Li Yen Chin, Timothy A Walsh, Karen Van Haltren, Laura Hayden, Miranda Davies-Tuck, Atul Malhotra
Peripheral intravenous cannula (PIVC) insertion is one of the most common invasive procedures performed in neonates and is frequently associated with adverse events. There are no studies in the neonatal population looking at the possibility of reducing the risk of PIVC-related complications by elective replacement of PIVC. A randomised, non-blinded, control trial was conducted in a tertiary level neonatal unit in Melbourne, Australia, to examine rates of extravasation in neonates with elective replacement of PIVC as compared to standard practice...
September 6, 2018: European Journal of Pediatrics
Patricia C Weissenfels, Joachim Woelfle, Eckhard Korsch, Matthias Joergens, Bettina Gohlke
Although thyroid medications are frequently prescribed during pregnancy, paediatricians treating the respective neonates often have no information about the underlying maternal thyroid disease, and inconsistencies in postnatal diagnostics may result. We analysed a cohort of 1819 mothers admitted for delivery in 1 year to one hospital. We analysed the pre- and postpartum diagnostics in the mothers, the postnatal diagnostics in the neonates and their postnatal auxological development. Two hundred thirteen mothers (11...
September 5, 2018: European Journal of Pediatrics
Bruno Gonçalves Galdino da Costa, Kelly Samara da Silva, Luís Eduardo Argenta Malheiros, Giseli Minatto, Luiz Rodrigo Augustemak de Lima, Edio Luiz Petroski
This study analysed physical activity (PA) and sedentary behaviour (SB) performed in bouts during schooltime. Adolescents of two schools answered a questionnaire, had their height and weight measured and wore accelerometers during schooltime. Moderate-to-vigorous intensity PA was estimated in bouts of 2, 5 and 10 min, and SB in bouts of 5, 10, 30 and 60 min. Body mass index was calculated, and adolescents were classified as overweight or normal weight. Frequency, duration and volume of PA and SB were calculated for the whole sample and for those who performed at least one bout weekly...
September 4, 2018: European Journal of Pediatrics
Jan David, Petr Chrastina, Hana Vinohradska, Eva Al Taji, Andrea Holubova, Eva Hlidkova, Viktor Kozich, Felix Votava
Neonates with low birthweight (LBW) represent a vulnerable population. This retrospective study analyzed the birth frequency of diseases detected by neonatal screening (NBS) in normal and LBW neonates in the Czech Republic. Between years 2002 and 2016, the number of screened disorders in the Czech Republic gradually increased from two to 13. Prevalence of screened diseases was calculated for cohorts ranging from 777,100 to 1,277,283 neonates stratified by birthweight. Odds ratio of the association of LBW with each disease was calculated and statistical significance was evaluated using the chi-square test or Fisher's exact test, as appropriate...
August 22, 2018: European Journal of Pediatrics
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