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Evaluation of paediatric herpes zoster cases: Comparison of herpes zoster attacks in children with and without underlying conditions. 评估小儿带状疱疹病例:比较带状疱疹在有和没有潜在疾病的儿童中的发作情况。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-11 DOI: 10.1111/jpc.16682
Aysel Gadimova, Gül Arga, Esra Çakmak Taşkın, Hatice Kübra Konca, Halil Özdemir, Hasan Fatih Çakmaklı, Elif İnce, Talia İleri, Handan Dinçaslan, Nurdan Taçyıldız, Emel Ünal, Mehmet Ertem, Erdal İnce, Ergin Çiftçi

Aim: Herpes zoster is rarely seen in children, but is more common and more severe in those with underlying medical conditions. The purpose of this study was to comprehensively evaluate cases of herpes zoster in all paediatric patients and to detail the clinical course and complications of this disease in children with and without underlying health problems in terms of similarities and differences.

Methods: The course of paediatric patients diagnosed with herpes zoster in a tertiary university hospital over a 19-year period was evaluated from the time of diagnosis, divided into groups with and without underlying disease.

Results: In our study, where we evaluated 150 herpes zoster attacks in 143 children, 79.3% of the patients (n = 119) had underlying diseases, while 20.7% (n = 31) were healthy children. The age at the time of primary varicella-zoster virus and herpes zoster was significantly younger in the group without an underlying disease compared to the group with an underlying disease. Pain was reported more in the healthy group, and the duration of symptoms was longer. Ophthalmic nerve involvement was significantly higher in the group without a known disease. Treatment was administered in 90% of all attacks. In the group with underlying diseases, the duration of intravenous treatment and hospital stay were significantly higher as expected.

Conclusions: This study shows that herpes zoster attacks in healthy children can also progress with severe symptoms and complications. Approaches to reduce the burden of herpes zoster should be adopted and developed for all paediatric patients.

目的:带状疱疹很少见于儿童,但在有基础疾病的儿童中更为常见,病情也更为严重。本研究的目的是全面评估所有儿科带状疱疹患者的病例,并从异同方面详细说明有基础疾病和无基础疾病儿童的临床病程和并发症:方法:对一家三级大学医院在 19 年间确诊的带状疱疹儿科患者的病程进行评估,将其分为有基础疾病组和无基础疾病组:在我们的研究中,我们对 143 名儿童的 150 例带状疱疹发作进行了评估,其中 79.3% 的患者(n = 119)患有基础疾病,而 20.7% 的患者(n = 31)是健康儿童。与患有基础疾病的儿童组相比,无基础疾病的儿童组初次感染水痘-带状疱疹病毒和带状疱疹时的年龄明显较小。健康组报告的疼痛更多,症状持续时间更长。未患病组的眼神经受累程度明显更高。90%的患者都接受了治疗。在患有基础疾病的组别中,静脉治疗时间和住院时间明显高于预期:这项研究表明,健康儿童带状疱疹发作时也可能出现严重症状和并发症。应针对所有儿科患者采取并开发减轻带状疱疹负担的方法。
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引用次数: 0
Use of free preventive dental programme for children: 10 years of Lov'U'r Teeth, France. 儿童免费牙科预防计划的使用情况:Lov'U'r Teeth 10 年(法国)。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-11 DOI: 10.1111/jpc.16693
Céline Mascre, Anne-Charlotte Bas

Aim: Lov'U'r Teeth is a French oral health prevention programme targeting children. The programme offers an appointment with a dentist for oral examination and individual oral health advice. It covers any necessary primary dental care resulting from that examination. Despite being free, it was under-utilised at its previous evaluation 10 years ago. The study aims to identify the determinants of participation and their evolution since 2009.

Methods: We worked on the General Beneficiary Sample, a medico-administrative database representative of the French population, including health-care consumption data. We selected individuals aged 6 to 15. We performed descriptive statistics and multivariate logistic regressions to analyse and compare the determinants of participation between 2009 and 2019. The final sample included 26 288 children.

Results: Lov'U'r Teeth participation rate increased by 4.2 percentage points from 2009 to 2019. Participation was highest at age 6 and declined as age increased. Children from households facing financial difficulties have a 72% lower probability of participating than other children. Over the study period, increasing poverty rates were consistently associated with lower participation. Children living in the areas with the highest poverty rates were up to 46% less likely to participate than those in areas with the lowest poverty rates.

Conclusion: Participation in Lov'U'r Teeth has improved over the past 10 years, but the programme continues to reproduce social inequalities, as the determinants of using free preventive dental care mirror those of non-preventive care. Lov'U'r Teeth should enhance communication strategies to reach those in need and clarify the programme's benefits.

目的:Lov'U'r Teeth 是法国一项针对儿童的口腔健康预防计划。该计划提供与牙医预约口腔检查和个人口腔健康建议的服务。该计划还包括检查后必要的初级牙科保健。尽管该计划是免费的,但在 10 年前的上一次评估中,其利用率却很低。本研究旨在确定参与的决定因素及其自 2009 年以来的变化情况:我们使用了 "普通受益人样本"(General Beneficiary Sample),这是一个代表法国人口的医疗行政数据库,其中包括医疗消费数据。我们选取了 6 至 15 岁的人群。我们进行了描述性统计和多变量逻辑回归,以分析和比较 2009 年至 2019 年期间参与的决定因素。最终样本包括 26 288 名儿童:从 2009 年到 2019 年,Lov'U'r Teeth 的参与率增加了 4.2 个百分点。6 岁儿童的参与率最高,随着年龄的增长,参与率有所下降。经济困难家庭的儿童参与的概率比其他儿童低 72%。在研究期间,贫困率的上升一直与参与率的下降相关。生活在贫困率最高地区的儿童的参与率比生活在贫困率最低地区的儿童低 46%:结论:在过去 10 年中,"爱护牙齿 "计划的参与率有所提高,但该计划仍在重现社会不平等,因为使用免费牙科预防保健的决定因素与非预防保健的决定因素如出一辙。Lov'U'r Teeth "应加强沟通战略,以帮助那些有需要的人,并阐明该计划的益处。
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引用次数: 0
Impact of care coordination on service utilisation for children with medically complex cerebral palsy. 护理协调对病情复杂的脑瘫患儿服务利用率的影响。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-09 DOI: 10.1111/jpc.16690
Adrienne Harvey, Daisy Shepherd, Susan Gibb, Gordon Baikie, Anita D'Aprano, Dinah Reddihough, Rose Babic, Frances Hunter, Gretta Jealous, Christine Imms

Aim: Complex care programmes for children with medically complex cerebral palsy (CP) exist; however, evidence for their impact is limited. This study (i) explored the impact of The Royal Children's Hospital Complex Care Hub (CCH) on hospital service utilisation rates over a 3-year period for children with medically complex CP compared with those eligible but received routine care, and (ii) compared health, disability and socio-demographic characteristics of children and their families in both groups.

Methods: Electronic medical record data from 78 children (mean age 9.43 years, females n = 37) with medically complex CP who accessed CCH services, and 92 (mean age 10.86 years, females, n = 39) who received routine care were included. Multivariable regression was used to analyse service utilisation: number of emergency department (ED) presentations, length/number of inpatient and intensive care unit admissions and number/type of hospital appointments. Critical health-care needs, functioning/disability profile and child/family demographics for each group were compared.

Results: More children in the CCH group had a mixed motor type (73.1% vs. 15.2%), were classified within Gross Motor Function Classification System level V (76.9% vs. 34.8%), had respiratory, nutrition and social support needs and epilepsy. Children receiving CCH services had higher service utilisation rates; ED presentations (rate ratio (RR) = 1.81, 95% confidence interval (CI): 1.09-3.01), inpatient admissions (RR = 2.77, 95% CI: 2.01-3.83), outpatient encounters (RR = 1.69, 95% CI: 1.31-2.18) and telephone encounters (RR = 6.05, 95% CI: 4.56-8.02).

Conclusions: Children with medically complex CP accessing a complex care service have higher service utilisation rates yet have more complex clinical presentations and higher support needs.

目的:针对患有内科复杂性脑瘫(CP)的儿童的复杂护理计划是存在的,但有关其影响的证据却很有限。本研究(i)探讨了皇家儿童医院复杂护理中心(CCH)与符合条件但接受常规护理的儿童相比,在3年时间内对病情复杂的脑瘫儿童住院服务使用率的影响,(ii)比较了两组儿童及其家庭的健康、残疾和社会人口特征:研究纳入了 78 名接受儿童保健服务的内科复杂性脊柱侧弯症儿童(平均年龄 9.43 岁,女性,37 人)和 92 名接受常规护理的儿童(平均年龄 10.86 岁,女性,39 人)的电子病历数据。采用多变量回归分析服务使用情况:急诊科就诊次数、住院和重症监护室住院时间/次数以及医院预约次数/类型。比较了每组儿童的关键保健需求、功能/残疾状况以及儿童/家庭人口统计学特征:结果:在接受儿童保健服务的儿童中,有混合运动类型(73.1% 对 15.2%)、粗大运动功能分类系统五级(76.9% 对 34.8%)、呼吸系统、营养和社会支持需求以及癫痫的儿童较多。接受儿童保健服务的儿童使用服务的比率较高;急诊室就诊率(比率比(RR)=1.81,95%置信区间(CI):1.09-3.01)、住院率(RR=2.77,95%CI:2.01-3.83)、门诊就诊率(RR=1.69,95%CI:1.31-2.18)和电话就诊率(RR=6.05,95%CI:4.56-8.02):结论:接受复杂护理服务的内科复杂CP患儿的服务利用率较高,但其临床表现更为复杂,对支持的需求也更高。
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引用次数: 0
Characteristics of children and adolescents with recurrent mental health emergency visits and clinicians' intervention tendencies. 反复出现精神疾病急诊的儿童和青少年的特征以及临床医生的干预倾向。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-09 DOI: 10.1111/jpc.16688
Oguz Bilal Karakus, Ipek Suzer Gamli, Cemre Yasoz, Irem Yildirim, Ibrahim Adak

Aim: Mental disorders affect approximately 15%-20% of childhood. However, due to various factors, these individuals do not benefit sufficiently from mental health services. Therefore, psychiatry emergency services become a key system in the need of psychiatric care for these children. This study aims to reveal the factors that predict recurrent admissions in children and adolescents admitted to the emergency department of a psychiatric hospital and the tendencies of clinicians during management.

Methods: In our study, the data of patients aged 0-18 years who applied to the emergency department between 1 March 2022 and 01 March 2023 were scanned retrospectively. Participants who applied once were included in the 'single applicant' group, whereas patients who applied two or more times were included in the 'repeated applicants' group.

Results: A total of 1563 emergency applications were recorded by 785 different patients. A total of 62.2% of the patients visited the emergency department once, while 37.8% applied two or more times. Non-suicidal self-injury, delusion/hallucination, irritability and depression were significantly higher in recurrent applicants (P < 0.05). Psychotic disorder, bipolar disorder, major depression and borderline personality traits were significantly frequent in these patients (P < 0.05). Additionally, it was determined that the number of psychiatric diagnoses, referral time, need for chemical restraint, having a diagnosis of psychotic disorder or borderline personality traits increased the likelihood of recurrence.

Conclusions: Our results indicate some special risk factors that increase the likelihood of recurrent emergency admissions in children and adolescents. Further research with larger sample sizes may elucidate the unique needs of these children in order to use of community resources beneficially.

目的:约有 15%-20%的儿童受到精神障碍的影响。然而,由于各种因素,这些人并不能从心理健康服务中充分受益。因此,精神科急诊服务成为这些儿童需要精神治疗的关键系统。本研究旨在揭示精神病院急诊科收治的儿童和青少年反复入院的预测因素,以及临床医生在管理过程中的倾向:在我们的研究中,我们对 2022 年 3 月 1 日至 2023 年 3 月 1 日期间到急诊科就诊的 0-18 岁患者的数据进行了回顾性扫描。申请一次的患者被纳入 "单次申请 "组,而申请两次或两次以上的患者被纳入 "重复申请 "组:结果:785 名不同的患者共申请了 1563 次急诊。共有 62.2% 的患者到急诊科就诊过一次,37.8% 的患者申请过两次或两次以上。非自杀性自伤、妄想/幻觉、烦躁和抑郁在反复申请者中的比例明显较高:我们的研究结果表明,一些特殊的风险因素会增加儿童和青少年反复急诊入院的可能性。进一步的研究和更大样本量的研究可能会阐明这些儿童的独特需求,从而有益地利用社区资源。
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引用次数: 0
A clinical image of cutaneous neonatal lupus erythematosus. 新生儿皮肤红斑狼疮的临床图像。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-09 DOI: 10.1111/jpc.16692
Shalini Verma
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引用次数: 0
Letter to the Editor. 致编辑的信
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-07 DOI: 10.1111/jpc.16687
Qian Zhang
{"title":"Letter to the Editor.","authors":"Qian Zhang","doi":"10.1111/jpc.16687","DOIUrl":"https://doi.org/10.1111/jpc.16687","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Novel pathogenic variant in GATA6 causes neonatal diabetes mellitus due to pancreas malformation and congenital heart disease. GATA6 的新型致病变体会导致胰腺畸形和先天性心脏病引起的新生儿糖尿病。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-07 DOI: 10.1111/jpc.16683
María Tornero-Hernández, Alba Cayuela-Hernández, Clara Chover-Martínez, Sara León-Cariñena, Juan Diego Toledo, Sergio Martín-Zamora, Álvaro Solaz-García
{"title":"Novel pathogenic variant in GATA6 causes neonatal diabetes mellitus due to pancreas malformation and congenital heart disease.","authors":"María Tornero-Hernández, Alba Cayuela-Hernández, Clara Chover-Martínez, Sara León-Cariñena, Juan Diego Toledo, Sergio Martín-Zamora, Álvaro Solaz-García","doi":"10.1111/jpc.16683","DOIUrl":"https://doi.org/10.1111/jpc.16683","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Psychosocial impact of alopecia areata in paediatric and adolescent populations: A systematic review. 儿童和青少年群体中斑秃对社会心理的影响:系统综述。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-07 DOI: 10.1111/jpc.16678
Isabella J Tan, Mohammad Jafferany

Alopecia areata is an autoimmune disorder characterised by sudden hair loss, and can range from patchy baldness to more severe forms such as alopecia totalis and universalis. Hair loss can have a profound impact on self-esteem and body image, particularly during childhood and adolescence. Understanding the psychosocial impact of alopecia areata in paediatric and adolescent populations is crucial to address the emotional and social challenges faced by these patients. The aim is to review the existing literature for clinical studies and reports investigating the psychosocial impact of alopecia areata in paediatric and adolescent populations. A systematic review of the literature was performed using PubMed, Cochrane and Embase databases from inception to July 2023. Included articles assessed the psychosocial impact of alopecia areata in paediatric and adolescent populations. Of 79 total articles, 10 were identified as meeting the inclusion criteria. Several studies highlighted self-esteem, emotional distress and social challenges as features of psychosocial manifestations. Factors such as stress, psychiatric comorbidities and familial issues are significantly associated with alopecia areata in these populations. The heterogeneity of studies precluded data synthesis and analysis. A majority of the included studies evaluated short-term findings. Alopecia areata has significant psychosocial impacts in paediatric and adolescent populations, with studies emphasising the negative effects on self-esteem, body image and quality of life. Additional research is required to better elucidate this relationship and draw meaningful conclusions to guide clinical support and interventions.

斑秃是一种以突然脱发为特征的自身免疫性疾病,可以是斑秃,也可以是更严重的全秃和普秃。脱发会对自尊和身体形象产生深远影响,尤其是在儿童和青少年时期。了解斑秃对儿童和青少年群体的社会心理影响对于解决这些患者面临的情感和社会挑战至关重要。本研究旨在回顾现有文献中有关调查儿童和青少年群体中斑秃对社会心理影响的临床研究和报告。我们使用 PubMed、Cochrane 和 Embase 数据库对从开始到 2023 年 7 月的文献进行了系统性回顾。纳入的文章评估了儿童和青少年群体中斑秃对社会心理的影响。在总共 79 篇文章中,有 10 篇符合纳入标准。一些研究强调,自尊、情绪困扰和社会挑战是心理社会表现的特征。在这些人群中,压力、精神疾病合并症和家庭问题等因素与斑秃密切相关。由于研究的异质性,无法对数据进行综合分析。纳入的大多数研究都对短期结果进行了评估。斑秃对儿童和青少年的心理社会影响很大,研究强调了斑秃对自尊、身体形象和生活质量的负面影响。要更好地阐明这种关系,并得出有意义的结论以指导临床支持和干预措施,还需要进行更多的研究。
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引用次数: 0
Subclinical left ventricular dysfunction and laboratory predictor of activity in children with ulcerative colitis: A single-centre study. 亚临床左心室功能障碍和溃疡性结肠炎患儿活动的实验室预测因子:单中心研究
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-05 DOI: 10.1111/jpc.16681
Ahmed Said Behairy, Gehan Hussein, Ahmed Afifi, Mary Michel, Amera M Hasnoon

Aim: We aimed to detect subclinical cardiac impairment in children with ulcerative colitis (UC) and test the association between absolute monocytic count (AMC) and lymphocyte-to-monocyte ratio (LMR) with disease activity.

Methods: A group of children with UC and a comparable group as healthy controls were included. All children underwent history-taking, clinical examination and blood testing for complete blood counts with white blood cell differentials, LMR and erythrocyte sedimentation rate (ESR). Disease severity was assessed using the Paediatric UC Activity Index score. We used echocardiography for tissue Doppler, M-Mode, two-dimensional and three-dimensional (3D) speckle tracking echocardiography (STE) for left ventricular function assessment.

Results: Forty children were included, 20 with UC as cases, and 20 healthy controls. Disease activity was mild in 75% cases and moderate in 25% cases. Cases had significantly higher ESR than the control group (P < 0.001). Among cases, positive correlations were observed between monocytic, and platelet counts with left ventricular end-diastolic diameter (r = 0.5, P = 0.02; r = 0.5, P = 0.03). Children with UC had significantly lower ejection fraction and impaired left ventricular systolic function compared to the control group (P < 0.001) assessed by 3D STE, yet this observation was not reached by the conventional method (P = 0.3).

Conclusions: In children with UC, 3D STE could detect subclinical left ventricular systolic dysfunction that conventional echocardiography could not. AMC and LMR showed no significant difference between children with UC and controls.

目的:我们旨在检测溃疡性结肠炎(UC)患儿的亚临床心脏功能损害,并检验单核细胞绝对计数(AMC)和淋巴细胞与单核细胞比值(LMR)与疾病活动性之间的关联:方法:纳入一组 UC 患儿和一组健康对照组。所有儿童均接受了病史采集、临床检查和血液检测,包括全血细胞计数和白细胞差值、淋巴细胞与单核细胞比值(LMR)和红细胞沉降率(ESR)。疾病严重程度采用儿科 UC 活动指数评分进行评估。我们使用超声心动图进行组织多普勒、M型、二维和三维斑点追踪超声心动图(STE)评估左心室功能:共纳入 40 名儿童,其中 20 名为 UC 病例,20 名为健康对照组。75%的病例有轻度疾病活动,25%的病例有中度疾病活动。病例组的血沉明显高于对照组(P在 UC 患儿中,三维 STE 可检测出亚临床左心室收缩功能障碍,而传统超声心动图则无法检测。AMC 和 LMR 在 UC 患儿和对照组之间无明显差异。
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引用次数: 0
Empowering general practitioners to diagnose and treat attention-deficit/hyperactivity disorder: Insights from an Australian pilot program. 增强全科医生诊断和治疗注意力缺陷/多动症的能力:澳大利亚试点项目的启示。
IF 1.6 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-04 DOI: 10.1111/jpc.16684
Alison Poulton, Simone Heiler, Jessica Bedford, Lujing Liu, Marilyn Dyson, Habib Bhurawala
{"title":"Empowering general practitioners to diagnose and treat attention-deficit/hyperactivity disorder: Insights from an Australian pilot program.","authors":"Alison Poulton, Simone Heiler, Jessica Bedford, Lujing Liu, Marilyn Dyson, Habib Bhurawala","doi":"10.1111/jpc.16684","DOIUrl":"https://doi.org/10.1111/jpc.16684","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
期刊
Journal of paediatrics and child health
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