A. Antabak, Klara Karlo, Robert Karlo, K. Bulić, D. Papeš, T. Luetić
{"title":"Forearm fractures in children from Zadar region","authors":"A. Antabak, Klara Karlo, Robert Karlo, K. Bulić, D. Papeš, T. Luetić","doi":"10.13112/pc.2019.31","DOIUrl":"https://doi.org/10.13112/pc.2019.31","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":"63 1","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48873468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Possible consequences of early exposure to endocrine disruptors","authors":"S. Dodig, Daniela Čepelak Dodig, I. Pavić","doi":"10.13112/pc.2019.33","DOIUrl":"https://doi.org/10.13112/pc.2019.33","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43635243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irena Jurišić, Zrinka Puharić, Ivana Pavić-Šimetin, M. Dikanović, Ante Cvitković
Cilj rada je upozoriti na učestalost sjedilačkog ponašanja, odnosno nedovoljne tjelesne aktivnosti školske djece te na povezanost navike predugog sjedenja i pojave glavobolja. Služili smo se hrvatskom bazom podataka međunarodnog istraživanja Health Behaviour of School-aged Children, 2013./2014. gdine. Za potrebe ovog rada primijenili smo pitanja koja opisuju sjedilačko ponašanje i glavobolje. Statistička obrada je obavljena pomoću IBM SPSS Statistics 24,0 statističkog programa. Za uzorak je uzet 5741 učenik (49,8% Ž, 50,2% M) 5. i 7. razreda osnovne škole te 1. razreda srednje škole (11, 13 i 15 godina), s podjednakom dobnom raspodjelom. Odaziv je bio 85,9%. Svaki dan je tjelesno aktivno 25,3% ispitanika. Dva sata slobodnog vremena uz ekrane dnevno provodi 23,9% ispitanika. Petina ispitanika odgovara kako igra igrice oko 1⁄2 sata na dan. Djeca koja su tjelesno aktivnija imaju manje glavobolje (OR 0,0905, p<0,001). Više vremena provedenog uz ekrane povezano je s češćim glavoboljama (OR 1,082, p<0,003), a duže igranje igrica je povezano sa manje glavobolja (OR=0,890, p<0,001). Analizom upućujemo na povezanost sjedilačko ponašanja i pojavu glavobolja, tako da su tjelesna aktivnost i igranje igrica zaštitni čimbenik, a vrijeme provedeno uz ekrane rizičan.
{"title":"Sjedilačko ponašanje i pojava glavobolja kod školske djece","authors":"Irena Jurišić, Zrinka Puharić, Ivana Pavić-Šimetin, M. Dikanović, Ante Cvitković","doi":"10.13112/PC.2019.9","DOIUrl":"https://doi.org/10.13112/PC.2019.9","url":null,"abstract":"Cilj rada je upozoriti na učestalost sjedilačkog ponašanja, odnosno nedovoljne tjelesne aktivnosti školske djece te na povezanost navike predugog sjedenja i pojave glavobolja. Služili smo se hrvatskom bazom podataka međunarodnog istraživanja Health Behaviour of School-aged Children, 2013./2014. gdine. Za potrebe ovog rada primijenili smo pitanja koja opisuju sjedilačko ponašanje i glavobolje. Statistička obrada je obavljena pomoću IBM SPSS Statistics 24,0 statističkog programa. Za uzorak je uzet 5741 učenik (49,8% Ž, 50,2% M) 5. i 7. razreda osnovne škole te 1. razreda srednje škole (11, 13 i 15 godina), s podjednakom dobnom raspodjelom. Odaziv je bio 85,9%. Svaki dan je tjelesno aktivno 25,3% ispitanika. Dva sata slobodnog vremena uz ekrane dnevno provodi 23,9% ispitanika. Petina ispitanika odgovara kako igra igrice oko 1⁄2 sata na dan. Djeca koja su tjelesno aktivnija imaju manje glavobolje (OR 0,0905, p<0,001). Više vremena provedenog uz ekrane povezano je s češćim glavoboljama (OR 1,082, p<0,003), a duže igranje igrica je povezano sa manje glavobolja (OR=0,890, p<0,001). Analizom upućujemo na povezanost sjedilačko ponašanja i pojavu glavobolja, tako da su tjelesna aktivnost i igranje igrica zaštitni čimbenik, a vrijeme provedeno uz ekrane rizičan.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":"63 1","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45585373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucija Ružman, Melita Brnad, Ivana Kolić, J. Nišević, Vesna Mahulja Stamenković, Darko Kraguljac, Igor Prpić
Cerebralna paraliza najcesci je uzrok trajnih i teskih motorickih ostecenja u djece. Smatra se posljedicom ostecenja nezrelog mozga ili mozga
脑瘫是造成儿童永久性和困难性运动损伤的最常见原因。这被认为是不健康大脑受损的后果
{"title":"Rizični i etiološki čimbenici u terminskenovorođenčadi za nastanak cerebralneparalize","authors":"Lucija Ružman, Melita Brnad, Ivana Kolić, J. Nišević, Vesna Mahulja Stamenković, Darko Kraguljac, Igor Prpić","doi":"10.13112/PC.2019.2","DOIUrl":"https://doi.org/10.13112/PC.2019.2","url":null,"abstract":"Cerebralna paraliza najcesci je uzrok trajnih i teskih motorickih ostecenja u djece. Smatra se posljedicom ostecenja nezrelog mozga\u0000ili mozga","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":"63 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46647529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ksenija Črnjar, S. Kralik, Ivana Kerovec Sorić, I. Bekavac, Zoran Barčot, D. Butković
Introduction: Obtaining a secured airway is a vital aspect during reconstructive surgery in patients with extensive post-burn mentosternal scar contractures. Such contractures can potentially lead to a “can’t intubate, can’t ventilate” scenario, otherwise rare but life-threatening situation. We present a case of successful management of a paediatric case of anticipated difficult airway due to burn injury. Case description: A 14-year-old boy presented for repair of an extensive skin contracture of the neck, thorax and face due to mutilating scarring. The boy was treated for 80% burn caused by gasoline flame 14 months prior to this surgery. Burn healing and scarring resulted in massive distortion of the facial and cervical anatomy, all implying difficult airway with a high probability of “can’t intubate, can’t ventilate” situation. Flexible fiberoptic bronchoscope with loaded cuffed endotracheal tube N° 6.0 was used for visualisation of vocal cords through the mouth in light sedation with spontaneous breathing. After visualisation of the vocal cords, fentanyl (Fentanyl, GlaxoSmithKline) and thiopental (Thiopental, Rotexmedica) were administered and the trachea was intubated at the first attempt. Balanced general anaesthesia was initiated and planned surgical procedure was successfully completed. The trachea was extubated on the first postoperative day without any complication. Conclusion: Difficult paediatric airway and particularly “can’t intubate, can’t ventilate” situation is a problem associated with significant risks and complications. Anticipating a difficult airway, having a structured approach with appropriate preparation, and understanding of difficult airway management algorithms are essential for success.
{"title":"Difficult airway management – an old challenge: a case report","authors":"Ksenija Črnjar, S. Kralik, Ivana Kerovec Sorić, I. Bekavac, Zoran Barčot, D. Butković","doi":"10.13112/PC.2019.7","DOIUrl":"https://doi.org/10.13112/PC.2019.7","url":null,"abstract":"Introduction: Obtaining a secured airway is a vital aspect during reconstructive surgery in patients with extensive post-burn mentosternal scar contractures. Such contractures can potentially lead to a “can’t intubate, can’t ventilate” scenario, otherwise rare but life-threatening situation. We present a case of successful management of a paediatric case of anticipated difficult airway due to burn injury. Case description: A 14-year-old boy presented for repair of an extensive skin contracture of the neck, thorax and face due to mutilating scarring. The boy was treated for 80% burn caused by gasoline flame 14 months prior to this surgery. Burn healing and scarring resulted in massive distortion of the facial and cervical anatomy, all implying difficult airway with a high probability of “can’t intubate, can’t ventilate” situation. Flexible fiberoptic bronchoscope with loaded cuffed endotracheal tube N° 6.0 was used for visualisation of vocal cords through the mouth in light sedation with spontaneous breathing. After visualisation of the vocal cords, fentanyl (Fentanyl, GlaxoSmithKline) and thiopental (Thiopental, Rotexmedica) were administered and the trachea was intubated at the first attempt. Balanced general anaesthesia was initiated and planned surgical procedure was successfully completed. The trachea was extubated on the first postoperative day without any complication. Conclusion: Difficult paediatric airway and particularly “can’t intubate, can’t ventilate” situation is a problem associated with significant risks and complications. Anticipating a difficult airway, having a structured approach with appropriate preparation, and understanding of difficult airway management algorithms are essential for success.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48268583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Pavičić-Žeželj, Nataša Dragaš-Zubalj, Daria Fantina, G. Krešić, G. Jovanović
{"title":"Adherence to Mediterranean diet in University of Rijeka students","authors":"Sandra Pavičić-Žeželj, Nataša Dragaš-Zubalj, Daria Fantina, G. Krešić, G. Jovanović","doi":"10.13112/PC.2019.5","DOIUrl":"https://doi.org/10.13112/PC.2019.5","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49370513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
According the World Health Organisation (WHO) data, Ukraine was among the top eight countries with the lowest level of immunization coverage in children in 2016-2017. Countries like Nigeria, Somalia, South Sudan, Equatorial Guinea, Central African Republic, Chad and Syria were represented together with Ukraine in this list with less than 50% of infants completely immunized against diphtheria, tetanus and pertussis (DTP) (Figure 1, 2 and 3) (1, 2). By August 2018, only 48.5% of infants were vaccinated against tuberculosis, 36.1% against polio, 53.8% against measles, 35.5% against hepatitis B, and 37.2% against diphtheria and tetanus. The immunization coverage in the Ternopil region is the lowest one (3).
{"title":"Tetanus in a child as a result of the vaccination schedule violation – a case report","authors":"H. Pavlyshyn, I. Horishna, V. Slyva","doi":"10.13112/PC.2019.6","DOIUrl":"https://doi.org/10.13112/PC.2019.6","url":null,"abstract":"According the World Health Organisation (WHO) data, Ukraine was among the top eight countries with the lowest level of immunization coverage in children in 2016-2017. Countries like Nigeria, Somalia, South Sudan, Equatorial Guinea, Central African Republic, Chad and Syria were represented together with Ukraine in this list with less than 50% of infants completely immunized against diphtheria, tetanus and pertussis (DTP) (Figure 1, 2 and 3) (1, 2). By August 2018, only 48.5% of infants were vaccinated against tuberculosis, 36.1% against polio, 53.8% against measles, 35.5% against hepatitis B, and 37.2% against diphtheria and tetanus. The immunization coverage in the Ternopil region is the lowest one (3).","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44736439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Rumbak, D. Sokolić, Tena Blažok, Dragica Šakić, D. Vukman, T. Niseteo, Irena Colić-Barić
Determining children’s food consumption is challenging and requires dietetic methods that provide adequate specificity for describing, but also for quantifying food intake. To help survey respondents indicate food portion sizes, photograph series can be used, but these must be validated in a nationally representative sample of the population. The aim of the present study was to validate photograph series as a portion size measurement aid during dietary assessment of children in Croatia. This study involved 28 mothers of children aged 3 months to 10 years, who were asked to select one of four photographs in a series that best represented the quantity of food served to them. Of the 21 series tested, 17 were found to be appropriate for assessing food portion sizes. Participants were worst at assessing portion sizes of banana (29.3%), porridge (22.8%), hot dogs (20,3%) and plain yoghurt (19.1%). Further studies are needed to determine why these foods are poorly recognized so that photographs can be modified accordingly and validated.
{"title":"Validation of photograph series as a portion size measurement aid in dietary assessment in children","authors":"I. Rumbak, D. Sokolić, Tena Blažok, Dragica Šakić, D. Vukman, T. Niseteo, Irena Colić-Barić","doi":"10.13112/PC.2019.4","DOIUrl":"https://doi.org/10.13112/PC.2019.4","url":null,"abstract":"Determining children’s food consumption is challenging and requires dietetic methods that provide adequate specificity for describing, but also for quantifying food intake. To help survey respondents indicate food portion sizes, photograph series can be used, but these must be validated in a nationally representative sample of the population. The aim of the present study was to validate photograph series as a portion size measurement aid during dietary assessment of children in Croatia. This study involved 28 mothers of children aged 3 months to 10 years, who were asked to select one of four photographs in a series that best represented the quantity of food served to them. Of the 21 series tested, 17 were found to be appropriate for assessing food portion sizes. Participants were worst at assessing portion sizes of banana (29.3%), porridge (22.8%), hot dogs (20,3%) and plain yoghurt (19.1%). Further studies are needed to determine why these foods are poorly recognized so that photographs can be modified accordingly and validated.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42437766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Klobučar, Iva Prvčić, Nenad Jakušić, Barbara Dawidowsky, Bruno Cindrić
Povezanost poremećaja nedostatka pozornosti s hiperaktivnošću (ADHD), opsesivno-kompulzivnog poremećaja (OKP) i tikova primarno se opisuje kroz genetičke, neurobiološke, neurokognitivne i neurokemijske supstrate smanjene inhibicije motoričkog odgovora. Komorbiditet ovih poremećaja u djece i adolescenata nije rijetkost. U predškolskoj dobi u našeg 14-godišnjeg pacijenta dijagnosticirani su ADHD i tikovi, a potom u desetoj godini i OKP. Poremećaji su dijagnosticirani prema kriterijima iz DSM-IV. i uporabom polustrukturiranih intervjua koji se na njemu temelje. U multimodalnom pristupu liječenju provodili smo kognitivno-bihevioralne psihoterapijske tehnike, psihoedukaciju i potporu roditelja, terapiju senzorne integracije uz potporu terapijskog psa, neurofeedback te smo primijenili medikamentoznu terapiju (metilfenidat, fluvoxamin), grupnu terapiju usmjerenu poboljšanju socijalnih vještina, izražavanju i razumijevanju emocija i individualizirani pristup u školi uz pomoć osobnog asistenta. U raspravi smo opisali složenost u liječenju kliničke slike komplicirane komorbiditetom i emocionalnim distresom te poznate i moguće poveznice ovih poremećaja. Liječenje ADHD-a zahtijeva multimodalni pristup i suradnju stručnjaka različitih profila. Između ostalog, pravodobno prepoznavanje udruženih simptoma i znakova drugih psihijatrijskih poremećaja i sagledavanje njihovih poveznica bitno je za sprječavanje razvoja složenije kliničke slike i određivanje terapijskih smjernica. Potrebna su daljnja istraživanja.
缺乏对多动症（ADHD）、强迫症（OKP）和抽搐的关注的关系主要通过遗传、神经生物学、神经认知和神经化学物质来描述，这些物质减少了运动反应抑制。这些疾病在儿童和青少年中的复杂性并不罕见。在学龄前，我们14岁的患者被诊断出多动症和蜱虫，然后在强迫症的十年里。Poremećaji su dijagnosticrani prema kriterijima iz DSM-IV。并在此基础上使用半结构化访谈。在多模式治疗中，我们进行了认知双室心理治疗技术、心理治疗和父母支持、带治疗支持的感觉统合治疗、神经反馈，并使用药物治疗（甲酰肼、氟羟肟）、团体治疗来提高社交技能，通过私人助理表达和理解情绪以及个人上学的机会。在辩论中，我们描述了治疗燃烧和情绪困扰的临床图像的复杂性，以及与这些疾病的已知和可能联系。多动症的治疗需要多模式的接触和不同背景的专家的合作。除其他外，对其他精神障碍的症状和体征的法律承认及其联系的观察对于防止更复杂的临床图像的发展和治疗指南的定义至关重要。我们需要进一步研究。
{"title":"Povezanost poremećaja nedostatkapozornosti s hiperaktivošću, opsesivno- kompulzivnog poremećaja i tikovau djece i adolescenata:prikaz bolesnika","authors":"A. Klobučar, Iva Prvčić, Nenad Jakušić, Barbara Dawidowsky, Bruno Cindrić","doi":"10.13112/PC.2018.22","DOIUrl":"https://doi.org/10.13112/PC.2018.22","url":null,"abstract":"Povezanost poremećaja nedostatka pozornosti s hiperaktivnošću (ADHD), opsesivno-kompulzivnog poremećaja (OKP) i tikova primarno se opisuje kroz genetičke, neurobiološke, neurokognitivne i neurokemijske supstrate smanjene inhibicije motoričkog odgovora. Komorbiditet ovih poremećaja u djece i adolescenata nije rijetkost. U predškolskoj dobi u našeg 14-godišnjeg pacijenta dijagnosticirani su ADHD i tikovi, a potom u desetoj godini i OKP. Poremećaji su dijagnosticirani prema kriterijima iz DSM-IV. i uporabom polustrukturiranih intervjua koji se na njemu temelje. U multimodalnom pristupu liječenju provodili smo kognitivno-bihevioralne psihoterapijske tehnike, psihoedukaciju i potporu roditelja, terapiju senzorne integracije uz potporu terapijskog psa, neurofeedback te smo primijenili medikamentoznu terapiju (metilfenidat, fluvoxamin), grupnu terapiju usmjerenu poboljšanju socijalnih vještina, izražavanju i razumijevanju emocija i individualizirani pristup u školi uz pomoć osobnog asistenta. U raspravi smo opisali složenost u liječenju kliničke slike komplicirane komorbiditetom i emocionalnim distresom te poznate i moguće poveznice ovih poremećaja. Liječenje ADHD-a zahtijeva multimodalni pristup i suradnju stručnjaka različitih profila. Između ostalog, pravodobno prepoznavanje udruženih simptoma i znakova drugih psihijatrijskih poremećaja i sagledavanje njihovih poveznica bitno je za sprječavanje razvoja složenije kliničke slike i određivanje terapijskih smjernica. Potrebna su daljnja istraživanja.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":"62 1","pages":"151-154"},"PeriodicalIF":0.0,"publicationDate":"2018-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43129486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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