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A new Swedish reference for total and prepubertal height 一个新的瑞典总身高和青春期前身高参考
Pub Date : 2019-12-07 DOI: 10.1111/apa.15129
K. Albertsson-Wikland, A. Niklasson, A. Holmgren, L. Gelander, A. F. Nierop
We aimed to develop up‐to‐date references with standard deviation scores (SDS) for prepubertal and total height.
我们的目的是开发最新的参考标准偏差评分(SDS)的青春期前和总身高。
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引用次数: 10
Prevailing head position to one side in early infancy—A population‐based study 一项基于人群的研究:早期婴儿头部偏向一侧
Pub Date : 2019-11-29 DOI: 10.1111/apa.15112
E. J. Straathof, K. Heineman, Elisa G. Hamer, M. Hadders‐Algra
To determine the prevalence of prevailing head position to one side (PHP) in young infants and to evaluate its associations with reaching performance, neurological condition and perinatal and socio‐economic factors.
目的:确定幼儿普遍头向一侧(PHP)的患病率,并评估其与动作表现、神经系统状况、围产期和社会经济因素的关系。
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引用次数: 4
Erythrocyte transfusions increased the risk of elevated serum ferritin in very low birthweight infants and were associated with altered longitudinal growth 红细胞输注增加了极低出生体重婴儿血清铁蛋白升高的风险,并与纵向生长改变有关
Pub Date : 2019-11-28 DOI: 10.1111/apa.15115
Stina Alm, E. Stoltz Sjöström, Johan Nilsson Sommar, M. Domellöf
There has been a lack of population‐based longitudinal data on serum ferritin in very low birthweight (VLBW) infants during hospitalisation. Our aim was to fill this gap in the knowledge and investigate risk factors for elevated serum ferritin and associations between erythrocyte transfusions and longitudinal growth.
一直缺乏基于人群的极低出生体重(VLBW)婴儿住院期间血清铁蛋白的纵向数据。我们的目的是填补这方面的知识空白,研究血清铁蛋白升高的危险因素以及红细胞输注与纵向生长之间的关系。
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引用次数: 4
Usability and acceptability of an automated respiratory rate counter to assess children for symptoms of pneumonia: A cross‐sectional study in Ethiopia 评估儿童肺炎症状的自动呼吸频率计数器的可用性和可接受性:埃塞俄比亚的一项横断面研究
Pub Date : 2019-11-24 DOI: 10.1111/apa.15074
Charlotte Ward, K. Baker, Helen Smith, Alice Maurel, Dawit Getachew, Tedila Habte, Cindy McWhorter, P. Labarre, Jonas Karlstrom, Jim Black, Q. Bassat, A. Ameha, Abraham Tariku, M. Petzold, Karin Källander
Manually counting respiratory rate (RR) is commonly practiced by community health workers to detect fast breathing, an important sign of childhood pneumonia. Correctly counting and classifying breaths manually is challenging, often leading to inappropriate treatment. This study aimed to determine the usability of a new automated RR counter (ChARM) by health extension workers (HEWs), and its acceptability to HEWs, first‐level health facility workers (FLHFWs) and caregivers in Ethiopia.
社区卫生工作者通常采用手动计数呼吸率(RR)来检测呼吸急促,这是儿童肺炎的一个重要标志。手动正确地计数和分类呼吸是具有挑战性的,通常会导致不适当的治疗。本研究旨在确定埃塞俄比亚卫生推广工作者(HEWs)对新型自动RR计数器(ChARM)的可用性,以及卫生推广工作者、一级卫生设施工作者(FLHFWs)和护理人员对其的接受程度。
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引用次数: 9
Usability and acceptability of an automated respiratory rate counter to assess childhood pneumonia in Nepal 尼泊尔评估儿童肺炎的自动呼吸频率计数器的可用性和可接受性
Pub Date : 2019-11-24 DOI: 10.1111/apa.15108
Karin Källander, Charlotte Ward, Helen Smith, R. Bhattarai, A. Kc, B. Lamichhane, Alice Maurel, Parashu Ram Shrestha, S. Baral, Cindy McWhorter, P. Labarre, Monica Anna de Cola, K. Baker
Pneumonia is the leading cause of child death after the neonatal period, resulting from late care seeking and inappropriate treatment. Diagnosis involves counting respiratory rate (RR); however, RR counting remains challenging for health workers and miscounting, and misclassification of RR is common. We evaluated the usability of a new automated RR counter, the Philips Children's Respiratory Monitor (ChARM), to Female Community Health Volunteers (FCHVs), and its acceptability to FCHVs and caregivers in Nepal.
肺炎是新生儿期后儿童死亡的主要原因,是由于求医晚了和治疗不当造成的。诊断包括计数呼吸频率(RR);然而,对卫生工作者来说,RR计数仍然是一项挑战,而且对RR的错误计数和分类很常见。我们评估了一种新的自动RR计数器飞利浦儿童呼吸监测仪(ChARM)对尼泊尔女性社区卫生志愿者(fchv)的可用性,以及fchv和护理人员的可接受性。
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引用次数: 8
Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants 未经巴氏消毒的母乳与极早产儿的生长结果呈正相关
Pub Date : 2019-11-20 DOI: 10.1111/apa.15102
Anna-My Lund, C. Löfqvist, A. Pivodic, P. Lundgren, A. Hård, A. Hellström, I. Hansen-Pupp
Extrauterine growth restriction is common among extremely preterm infants. We explored whether intake of unpasteurised maternal milk (MM) and pasteurised donor milk (DM) was associated with longitudinal growth outcomes and neonatal morbidities in extremely preterm infants.
宫外生长受限在极早产儿中很常见。我们探讨了摄入未经巴氏消毒的母乳(MM)和未经巴氏消毒的供乳(DM)是否与极早产儿的纵向生长结局和新生儿发病率有关。
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引用次数: 6
Eight‐year‐old very and extremely preterm children showed more difficulties in performance intelligence than verbal intelligence 八岁的极早产儿和极早产儿在表现智力方面比语言智力表现出更多的困难
Pub Date : 2019-11-19 DOI: 10.1111/apa.15095
S. van Veen, A. V. van Wassenaer-Leemhuis, J. Oosterlaan, A. V. van Kaam, C. Aarnoudse-Moens
This study determined possible discrepancies between verbal IQ and performance IQ in 8‐year‐old very preterm (VPT) and extremely preterm (EPT) children, and examined associations between verbal IQ and performance IQ, and sociodemographic factors, perinatal factors, early cognitive outcomes and also with school achievement scores.
本研究确定了8岁极早产儿(VPT)和极早产儿(EPT)儿童的语言智商和表现智商之间可能存在的差异,并研究了语言智商和表现智商、社会人口因素、围产期因素、早期认知结果以及学校成绩分数之间的关系。
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引用次数: 3
Does low birthweight matter? 低出生体重有关系吗?
Pub Date : 2019-11-19 DOI: 10.1111/apa.15064
A. Kistner
In Sweden, about 7000 infants are born preterm every year, before 37 weeks, and they account for 4%‐5% of residents under the age of 18. There is an ongoing debate about how preterm birth affects health outcomes during the early postnatal weeks and in adult life. For example, preterm birth has been associated with a higher incidence of cardiovascular, metabolic and mental health issues in adulthood.1 In this issue of Acta Paediatrica, Forsum et al2 used weight and air‐displacement plethysmography to investigate the fat mass and fat‐free mass of 188 preterm children born at 23.2‐36.9 weeks of gestation, including 73 born very and extremely preterm before week 32. These are called the early preterm group in the paper, and any aged 32 weeks or more are called late preterm. The authors compared them with 253 age‐matched full‐term controls when they reached four years of age. The findings confirmed other pre‐puber‐ tal studies that infants born before 32 weeks tended to weigh less and be shorter than full‐term controls.3‐5 The early preterm girls in the Forsum et al study had a significantly lower body mass index (BMI) than the girls in the full‐term control group, but not the early preterm boys. Both the early preterm girls and boys had less fat mass than the corresponding controls. The early preterm girls also had less fat‐free mass than their full‐term peers. The late preterm girls and boys did not differ from the full‐term controls with regard to fat mass. Gestational age was a weak, but significant, positive predictor of the investigated growth variables at follow‐up in girls, but not in boys.2 One of the strengths of the Forsum et al study, apart from the relatively large cohort, was that it was conducted systematically and methodically, with little variations in age between the preterm and full‐term groups at follow‐up. In air‐displacement plethysmography, body composition is esti‐ mated from density, which is then divided into fat mass and fat‐free mass. Total body mass thus equals fat mass plus fat‐free mass. Fat‐ free mass comprises skeletal muscle, organs, bone and supporting tissues. Height is the most important factor in fat‐free mass. Air‐ displacement plethysmography is considered the method of choice for measuring body composition in children, and it is more readily accessible than dual‐energy X‐ray absorptiometry (DEXA), which is mostly used for measuring bone mineral density. However, DEXA measures bone mineral content directly, which means that it elim‐ inates one of the major sources of fat‐free mass variability in the two‐compartment model. Several studies of pre‐pubertal children have found similar re‐ sults to Forsum et al, as the authors pointed out. Huke et al used impedance analysis to evaluate fat mass in 116 preterm born chil‐ dren when they reached 5‐7 years of age and found that they were shorter, weighed less, had lower BMIs and had less fat mass than full‐ term controls.3 Another study investigated 200 preterm children,
4岁时,早期早产女孩相对于平均体重较轻、较矮,与瑞典同龄儿童的参考值相比,平均体重为- 1 SD。在随访中,一些早期早产女孩的体重小于参考体重的- 2标准差。
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引用次数: 2
Providing a framework of principles for conceptualising the Fontan circulation 为方丹环流的概念化提供了一个原则框架
Pub Date : 2019-11-18 DOI: 10.1111/apa.15098
M. Gewillig, Stephen C. Brown, A. Van De Bruaene, J. Rychik
The Fontan operation remains the final palliation for thousands of patients with complex congenital heart disease. By creating a Fontan circuit, control of cardiac output and congestion is wrested away from the ventricle and new haemodynamic forces take control. Understanding how to control the flow in the Fontan circuit will enable clinicians to improve patient management and possibly prevent future complications.
Fontan手术仍然是数千名复杂先天性心脏病患者最后的治疗方法。通过创建Fontan回路,心输出量和充血的控制被从心室中解放出来,新的血流动力学力量得到控制。了解如何控制Fontan回路中的血流将使临床医生能够改善患者管理,并可能预防未来的并发症。
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引用次数: 41
Self‐reported mental health and cortisol activity at 27‐28 years of age in individuals born with very low birthweight 非常低出生体重个体在27 - 28岁时自我报告的心理健康和皮质醇活动
Pub Date : 2019-11-15 DOI: 10.1111/apa.15093
I. Leijon, M. Bladh, O. Finnström, P. Gäddlin, N. Nelson, M. Hammar, ElvarTheodorsson, G. Sydsjö
To assess mental health outcomes of very low birthweight (VLBW, <1500 g) subjects to adulthood and to examine salivary cortisol and hair cortisol levels and their relation to birth characteristics and mental health.
评估极低出生体重(VLBW, <1500 g)受试者成年后的心理健康结果,并检查唾液皮质醇和毛发皮质醇水平及其与出生特征和心理健康的关系。
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引用次数: 3
期刊
Acta paediatrica (Oslo, Norway : 1992). Supplement
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