Pediatrics and Neonatology最新文献

英文中文

Pulmonary function and body composition parameters of children with cystic fibrosis from a hight complexity institution between 2015 and 2018 2015年至2018年期间一家高度复杂机构囊性纤维化患儿的肺功能和身体成分参数。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.11.006

Aura María Salazar-Solarte , Laura Torres-Canchala , Frank Carrera-Gil , Diana María Quimbayo-Wilches

Background

An adequate nutritional status in patients with cystic fibrosis correlates with higher survival and better pulmonary function. Body mass index (BMI) is an anthropometric indicator with independent association with pulmonary function, and it can hide alterations of nutritional status in cystic fibrosis.

Objective

To determine the relationship of lung function with BMI and body composition parameters in children with cystic fibrosis in a Hight Complexity institution between 2015 and 2018.

Materials and methods

It was an observational study with analytical, cross-sectional, and retrospective scope, including 33 patients between 5 and 17 years old. Spearman's test was applied to evaluate correlation of FEV1 (forced expiratory volume in first second) with BMI and five body composition parameters by bioelectrical impedance using InbodyS10 equipment. Statistical significance was considered with p < 0.05.

Results

Positive correlation was obtained between FEV1 and appendicular skeletal muscle mass between lung function and percentage of fat-free mass (p = 0.006) and phase angle (p = 0.001). Percent fat mass had a negative correlation with FEV1 (p = 0.007). BMI and fat free mass index did not correlate with lung function (p = 0.085).

Conclusions

Appendicular skeletal muscle mass correlated better than BMI with lung function in children with cystic fibrosis. It is recommended to perform anthropometric follow-up by BMI complemented with body composition study in children with cystic fibrosis. Analyses with larger populations are required to standardize its use.

背景囊性纤维化患者充足的营养状况与较高的存活率和较好的肺功能相关。体质指数（BMI）是一项与肺功能有独立关联的人体测量指标，它可以隐藏囊性纤维化患者营养状况的改变。目的确定2015年至2018年间高复杂性机构中囊性纤维化儿童肺功能与BMI和身体成分参数的关系。使用 InbodyS10 设备通过生物电阻抗评估 FEV1（第一秒用力呼气容积）与 BMI 和五项身体成分参数的相关性，采用斯皮尔曼检验。结果FEV1与肺功能和无脂肪质量百分比（p = 0.006）和相位角（p = 0.001）之间的骨骼肌质量呈正相关。脂肪质量百分比与 FEV1 呈负相关（p = 0.007）。结论在囊性纤维化儿童中，垂直骨骼肌质量与肺功能的相关性优于体重指数。建议在对囊性纤维化患儿进行人体测量随访的同时，通过 BMI 进行身体成分研究。需要对更多人群进行分析，以规范其使用。

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引用次数: 0

Confluence of newborn's sex and their mother's characteristics resulting in fetal macrosomia among Indian neonates 新生儿性别与母亲特征的结合导致印度新生儿出现巨大胎儿症

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.11.008

Priya Das , Subhadeep Saha , Tanu Das , Partha Das , Tamal Basu Roy

Background

A newborn's birth weight ≥4000 g is defined as fetal macrosomia, which is recognized as a reproductive and serious child health concern.

Objectives

Our study aims to reveal existence of any connection between maternal factors and newborn sex in giving birth to newborn ≥4000 g in an Indian context.

Methods

Data were drawn from the fifth round of National Family Health Survey (NFHS-5). A cross-sectional observational study was carried out with a total of 152,827 children born to women in reproductive age group (15–49) who had most recent live birth in the five years preceding the survey. Descriptive analyses, cross-tabulation, test of association and multivariate logistic regression analyses were performed.

Results

In India, the prevalence of macrosomia was found in 3.8% of the total study participants. Considering newborn characteristics, fetal macrosomia was more prevalent among male neonates than female (AOR: 0.730; 95% CI: 0.687–0.775). Regarding maternal characteristics, overweight (AOR: 1.468; 95% CI: 2.042–2.559) and obese (AOR: 2.764; 95% CI: 2.394–3.192) motherswith gestational diabetes (AOR: 1.731, 95% CI: 1.385–2.164) and hypertension (AOR: 1.288, 95% CI: 1.116–1.488) were more likely to giving birth of macrosomic babies. Multiparous mothers (AOR: 1.207, 95% CI: 1.128–1.293) and women who did not undergo proper antenatal care (ANC) follow up had also greater risk of developing fetal macrosomia. Muslim women (AOR: 1.223, 95% CI: 1.119–1.338), and women belonging to a tribe (AOR: 1.476, 95% CI: 0.922–2.361) were significantly associated with the risk of having newborn ≥4000 g.

Conclusion

Emphasis should be given on counseling for mothers for desired weight management before and during pregnancy, gestational diabetes and hypertension screening, physical activity during pregnancy, adequate ANC follow up and balanced dietary intake among pregnant women.

背景新生儿出生体重≥4000 克被定义为 "胎儿巨大儿"，它被认为是一种生殖健康问题和严重的儿童健康问题。方法数据来自第五轮全国家庭健康调查（NFHS-5）。数据来自第五轮全国家庭健康调查（NFHS-5），对调查前五年内最近一次活产的育龄妇女（15-49 岁）所生的 152 827 名婴儿进行了横断面观察研究。研究进行了描述性分析、交叉表、关联测试和多变量逻辑回归分析。从新生儿特征来看，男性新生儿比女性新生儿更容易患上巨大胎儿症（AOR：0.730；95% CI：0.687-0.775）。在母亲特征方面，超重（AOR：1.468；95% CI：2.042-2.559）和肥胖（AOR：2.764；95% CI：2.394-3.192）的母亲如果患有妊娠糖尿病（AOR：1.731；95% CI：1.385-2.164）和高血压（AOR：1.288；95% CI：1.116-1.488），则更有可能产下巨大胎儿。多胎产妇（AOR：1.207，95% CI：1.128-1.293）和未接受适当产前护理（ANC）随访的妇女也有更大的风险罹患巨大胎儿症。穆斯林妇女（AOR：1.223，95% CI：1.119-1.338）和部落妇女（AOR：1.476，95% CI：0.922-2.361）与新生儿体重≥4000 克的风险显著相关。

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引用次数: 0

Malignant rhabdoid tumor of the urinary bladder in a 1-year and 9-month-old girl: A case report and literature review 一名 1 岁 9 个月大女童的膀胱恶性横纹肌瘤：病例报告和文献综述。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.12.012

Hsiang-Chieh Huang , Shih-Chiang Huang , Yung-Ching Ming , Jin-Yao Lai , Yi-Lun Wang , Tang-Her Jaing

引用次数: 0

Polycyclic annular skin rashes in a patient with streptococcal bacteremia caused by Streptococcus anginosus 一名由副猪链球菌引起的链球菌菌血症患者身上的多环状环形皮疹。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2024.02.011

Fang-Ju Lin, Hsuan-Chang Kuo, Yi-Ywan M. Chen, Chih-Ho Chen

引用次数: 0

Voice treatment of school-aged children with vocal nodules with ABCLOVE rehabilitation 用 ABCLOVE 康复疗法对患有声带小结的学龄儿童进行嗓音治疗。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.09.015

Yanrui Bian, Jingmiao Wang, Haizhong Zhang, Xiaoyan Yin, Yubo Zhang

Background

This study was to explore the effectiveness of the ABCLOVE exercise on school-aged children with vocal nodules after the treatment of budesonide.

Methods

Eighty-six school-aged children with vocal nodules were divided into control and ABCLOVE therapy groups. Subjective voice assessment and dysphonia severity index (DSI) assessment were performed before and after the 3-month of therapy.

Results

A significant improvement was observed in the ABCLOVE therapy group as compared with the control group (p = 0.035). ABCLOVE therapy significantly reduced the hoarseness and roughness scores in school-aged children with vocal nodules. Additionally, a significant reduction in functional score, physical score, emotional score, and total pVHI score was observed in the ABCLOVE therapy group. Moreover, acoustic parameters including jitter (%) and shimmer (%) were significantly reduced, whereas MPT and DSI were increased in school-aged children with vocal nodules who received 3 months of ABCLOVE treatment.

Conclusion

ABCLOVE therapy displayed effectiveness on school-aged children with vocal nodules after the treatment of budesonide.

研究背景本研究旨在探讨布地奈德治疗后，ABCLOVE运动对患有声带小结的学龄儿童的疗效：方法：86 名患有声带小结的学龄儿童被分为对照组和 ABCLOVE 治疗组。方法：将 86 名患有声带小结的学龄儿童分为对照组和 ABCLOVE 治疗组，在治疗前和治疗 3 个月后进行主观嗓音评估和发音障碍严重程度指数（DSI）评估：结果：与对照组相比，ABCLOVE 治疗组的嗓音状况明显改善（p = 0.035）。ABCLOVE疗法明显降低了患有声带小结的学龄儿童的声音嘶哑和粗糙度评分。此外，ABCLOVE疗法组的功能评分、体能评分、情绪评分和pVHI总分也明显降低。此外，接受3个月ABCLOVE治疗的学龄声带小结患儿的抖动（%）和颤动（%）等声学参数明显降低，而MPT和DSI则有所增加：结论：在布地奈德治疗后，ABCLOVE疗法对患有声带小结的学龄儿童有效。

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引用次数: 0

Corrigendum to ‘Changing risk factors for postpartum depression in mothers admitted to a perinatal center’ [Pediatrics and Neonatology 64 (2023) 319–326] 围产中心住院母亲产后抑郁风险因素的变化"[《儿科学和新生儿学》64 (2023) 319-326] 勘误。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2024.08.002

Yoshihiro Sakemi , Toshinori Nakashima , Kyoko Watanabe , Masayuki Ochiai , Toru Sawano , Hirosuke Inoue , Kosuke Kawakami , Shuichi Isomura , Hironori Yamashita , Shouichi Ohga

引用次数: 0

Abducens nerve palsy in a young girl with otorrhea: A case of Gradenigo's syndrome 一名患有耳鸣的年轻女孩的视神经麻痹：一例格拉迪尼戈综合征。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2024.06.005

Eleonora Fontani , Elena Branda , Marco Denina , Luca Baroero , Carlotta Canavese , Federica Mignone , Pamela Giordano , Margherita Conrieri , Antonia Versace , Claudia Bondone

引用次数: 0

Primary intestinal lymphangiectasia – A rare cause of growth delay 原发性肠道淋巴管扩张症--导致发育迟缓的罕见病因。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2024.07.005

Inês Pais-Cunha , Cátia Silva , Laura Leite de Almeida , Rita Calejo , Carla Vasconcelos , Céu Espinheira , Isabel Pinto Pais , Eunice Trindade

引用次数: 0

Targeting high-risk groups in the post-pandemic era: A focus on pediatric hematological malignancies 后流行病时代的高危人群：关注小儿血液恶性肿瘤。

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2024.08.003

Nan-Chang Chiu, Hsin Chi, Chien-Yu Lin

引用次数: 0

Level of knowledge about neonatal danger signs and associated factors among postpartum mothers in public hospitals, northeastern Ethiopia 埃塞俄比亚东北部公立医院产后母亲对新生儿危险征兆及相关因素的了解程度

IF 2.3 4区医学 Q2 PEDIATRICS

Pediatrics and Neonatology

Pub Date : 2024-11-01 DOI: 10.1016/j.pedneo.2023.10.010

Muluken Amare Wudu , Yemane Eshetu Bekalu , Tarikua Afework Birehanu , Dagne Belete Gebrye , Molla Kassa Hailu

Background

Knowing and seeking medical attention for neonatal danger signs has many benefits for reducing neonatal morbidity and death. Despite numerous interventions that have been made to raise mothers’ awareness about neonatal danger signs, the desired level of knowledge has not yet been reached in Ethiopia.

Objective

To assess the level of knowledge of neonatal danger signs and associated factors among postpartum mothers in public hospitals in the Eastern Amhara region, northeastern Ethiopia.

Methods

A hospital-based cross-sectional study was conducted in four government hospitals between January 10, 2023, and February 10, 2023.421 participants in the study were selected using a systematic random sampling technique. Face-to-face interviews, observation, and chart reviews were used to collect the data. The association was discovered through multivariate logistic regression analysis.

Result

Only 36.6% (154) of mothers were knowledgeable about newborn danger signs in this study. Mothers who had higher institution status [(adjusted odds ratio) AOR = 3.355, 95% CI (1.751, 6.428)]; who were civil servants or a private employer [AOR = 2.986, 95% CI (1.822, 4.892)] and [AOR = 2.544, 95% CI (1.269, 5.138)]; and who had counseling about breastfeeding [AOR = 2.614, 95% CI (1.695, 4.029)] were positive predictors of awareness of neonatal danger signs.

Conclusion

In this study, the level of mothers' awareness of newborn danger signs was low and required more effort. Moreover, mothers who were educated, worked as civil servants or private employers, had a family size of 4–6, and received breastfeeding counseling were linked to mothers’ good awareness of newborn danger signs. As a result, intensive community and facility-based health promotion activities on newborn danger signs should be strengthened, with special emphasis on uneducated and housewife mothers and breastfeeding counseling sessions.

背景了解新生儿危险征兆并寻求医疗救助对降低新生儿发病率和死亡率有很多好处。尽管已经采取了许多干预措施来提高母亲对新生儿危险征兆的认识，但在埃塞俄比亚尚未达到预期的知识水平。 Objective To assess the level of knowledge of neonatal danger signs and associated factors among postpum mothers in public hospitals in the Eastern Amhara region, northeast northeast Ethiopia.方法在 2023 年 1 月 10 日至 2023 年 2 月 10 日期间，在四家政府医院开展了一项以医院为基础的横断面研究。研究采用面对面访谈、观察和病历审查等方法收集数据。结果在这项研究中，只有 36.6%（154 位）的母亲了解新生儿危险征兆。机构地位较高的母亲[（调整后的几率比）AOR = 3.355，95% CI (1.751, 6.428)]；公务员或私人雇主的母亲[AOR = 2.986，95% CI (1.822, 4.892)]和[AOR = 2.544，95% CI (1.269, 5.138)]；以及接受过咨询的母亲[（调整后的几率比）AOR = 3.355，95% CI (1.751, 6.428)]。结论在本研究中，母亲对新生儿危险征兆的认识水平较低，需要付出更多努力。此外，受过教育、担任公务员或私人雇主、家庭人口为 4-6 人、接受过母乳喂养咨询的母亲与母亲对新生儿危险征兆的良好意识有关。因此，应加强以社区和医疗机构为基础的新生儿危险征兆健康宣传活动，尤其要重视未受过教育的母亲和家庭主妇以及母乳喂养咨询课程。

{"title":"Level of knowledge about neonatal danger signs and associated factors among postpartum mothers in public hospitals, northeastern Ethiopia","authors":"Muluken Amare Wudu , Yemane Eshetu Bekalu , Tarikua Afework Birehanu , Dagne Belete Gebrye , Molla Kassa Hailu","doi":"10.1016/j.pedneo.2023.10.010","DOIUrl":"10.1016/j.pedneo.2023.10.010","url":null,"abstract":"<div><h3>Background</h3><div>Knowing and seeking medical attention for neonatal danger signs has many benefits for reducing neonatal morbidity and death. Despite numerous interventions that have been made to raise mothers’ awareness about neonatal danger signs, the desired level of knowledge has not yet been reached in Ethiopia.</div></div><div><h3>Objective</h3><div>To assess the level of knowledge of neonatal danger signs and associated factors among postpartum mothers in public hospitals in the Eastern Amhara region, northeastern Ethiopia.</div></div><div><h3>Methods</h3><div>A hospital-based cross-sectional study was conducted in four government hospitals between January 10, 2023, and February 10, 2023.421 participants in the study were selected using a systematic random sampling technique. Face-to-face interviews, observation, and chart reviews were used to collect the data. The association was discovered through multivariate logistic regression analysis.</div></div><div><h3>Result</h3><div>Only 36.6% (154) of mothers were knowledgeable about newborn danger signs in this study. Mothers who had higher institution status [(adjusted odds ratio) AOR = 3.355, 95% CI (1.751, 6.428)]; who were civil servants or a private employer [AOR = 2.986, 95% CI (1.822, 4.892)] and [AOR = 2.544, 95% CI (1.269, 5.138)]; and who had counseling about breastfeeding [AOR = 2.614, 95% CI (1.695, 4.029)] were positive predictors of awareness of neonatal danger signs.</div></div><div><h3>Conclusion</h3><div>In this study, the level of mothers' awareness of newborn danger signs was low and required more effort. Moreover, mothers who were educated, worked as civil servants or private employers, had a family size of 4–6, and received breastfeeding counseling were linked to mothers’ good awareness of newborn danger signs. As a result, intensive community and facility-based health promotion activities on newborn danger signs should be strengthened, with special emphasis on uneducated and housewife mothers and breastfeeding counseling sessions.</div></div>","PeriodicalId":56095,"journal":{"name":"Pediatrics and Neonatology","volume":"65 6","pages":"Pages 546-552"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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