8,743 results match your criteria Archives De Pediatrie[Journal]

Respiratory distress management in moderate and late preterm infants: The NEOBS Study.

Arch Pediatr 2021 Apr 29. Epub 2021 Apr 29.

Neonatal Intensive Care Unit, University Hospital of Nantes, 38, boulevard Jean Monnet, 44000 Nantes, France.

Objective: To investigate the characteristics and management of respiratory failure (RF) in moderate-to-late preterm infants.

Methods: NEOBS was a prospective, multicenter, observational study conducted in 46 neonatal intensive care units caring for preterm infants (30+ to 36+ weeks of gestation [WG]) in France in 2018. The cohort was stratified into two groups: 30-33 WG (group 1) and 34-36 WG (group 2). Read More

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First growth reference curves for Tunisian children and adolescents.

Arch Pediatr 2021 Apr 27. Epub 2021 Apr 27.

Research Unit, Sportive Performance and Physical Rehabilitation, High Institute of Sports and Physical Education of Kef, University of Jendouba, Kef, Tunisia.

A growth chart is a powerful graphical tool displaying children's growth patterns. The aim of this study was to develop growth reference curves appropriate for Tunisian children. The collection of data from this cross-sectional study was conducted on 4358 healthy subjects (2182 girls and 2176 boys) in three pediatric centers and 15 schools. Read More

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Severe facial dermatitis in a child caused by undisclosed application of skin bleaching agents.

Arch Pediatr 2021 Apr 26. Epub 2021 Apr 26.

Service de dermatologie et médecine vasculaire, hôpital Victor Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France. Electronic address:

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Hepatic hydrothorax in a child and its management.

Arch Pediatr 2021 Apr 26. Epub 2021 Apr 26.

Department of Paediatric Hepatology and National Reference Centre for Rare Paediatric Liver Diseases, DMU 3 Santé de l'enfant et de l'adolescent, Bicêtre Hospital, APHP Paris Saclay University, France.

Hepatic hydrothorax is a rare complication of portal hypertension. The optimal treatment for this condition is liver transplantation. Liver transplantation is significantly more manageable in children who weigh more than 8 kg. Read More

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Investigation of primary immune deficiency after severe bacterial infection in children: A population-based study in western France.

Arch Pediatr 2021 Apr 23. Epub 2021 Apr 23.

CHU de Nantes, Department of Pediatrics, Nantes, France.

Background: Infectious diseases are still an important cause of morbidity and mortality in high-income countries and may preferentially affect predisposed children, especially immunocompromised children. We aimed to evaluate the frequency of recommended immunological tests in children with community-onset severe bacterial infection (COSBI) admitted to a pediatric intensive care unit. We also assessed the frequency and described the typology of diagnosed primary immune deficiency (PID). Read More

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Withholding and withdrawing treatment in pediatric intensive care. Update of the GFRUP recommendations.

Arch Pediatr 2021 May 16;28(4):325-337. Epub 2021 Apr 16.

Réanimation pédiatrique, hôpital Necker-Enfants-malades, 149, rue de Sèvres, 75015 Paris, France.

In 2005, the French-speaking task force on pediatric critical and emergency care [Groupe Francophone de Réanimation et d'Urgences Pédiatriques (GFRUP)] issued recommendations on withholding and withdrawing treatments in pediatric critical care. Since then, the French Public Health Code, modified by the laws passed in 2005 and 2016 and by their enactment decrees, has established a legal framework for practice. Now, 15 years later, an update of these recommendations was needed to factor in the experience acquired by healthcare teams, new questions raised by practice surveys, the recommendations issued in the interval, the changes in legislation, and a few legal precedents. Read More

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Smoothing the transition of adolescents with CF from pediatric to adult care: Pre-transfer needs.

Arch Pediatr 2021 May 15;28(4):257-263. Epub 2021 Apr 15.

Filière muco CFTR 165, Hospices Civils de Lyon, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France; Unité Transversale en Éducation Thérapeutique du Patient, University Grenoble-Alpes ThEMAS TIMC-IMAG (UMR CNRS 5525), Communaute d'Universités et Établissements Université Grenoble Alpes, 38400 Saint-Martin-d'Hères, France; CRCM pédiatrique UTEP, filière muco CFTR, Communaute d'Universités et Établissements Université Grenoble Alpes, CHU Grenoble Alpes UTEP BP 217, 38043 Grenoble, France.

Introduction: In France, the cystic fibrosis (CF) care pathway is performed in 45 CF centers, the life expectancy of patients has steadily increased, but to date there are no national recommendations for the transition from pediatric to adult care. The transition to an adult CF center still raises questions about the relevance of its organizational arrangements. The "SAFETIM need" study aimed to identify the organizational needs both of patients and of parents before the transfer to an adult CF center. Read More

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Oral immunotherapy in food allergies: A practical update for pediatricians.

Arch Pediatr 2021 May 12;28(4):319-324. Epub 2021 Apr 12.

University of Lyon 1 Claude-Bernard, Villeurbanne, France; Pediatric Pulmonology and Allergology Department, Pediatric Cystic Fibrosis Center, hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; CIRI - Centre International de Recherche en Infectiologie (International Center for Infectiology Research), INSERM U1111, CNRS UMR 5308, Lyon, France. Electronic address:

Food oral immunotherapy (OIT) is a promising treatment for persistent and severe food allergies (FAs) in children, but also for accelerating tolerance to cow's milk and cooked egg in young children. In the near future, pediatricians will increasingly encounter severely allergic children undergoing FA-OIT. FA-OIT consists in daily ingestion of increasing doses of the allergen during the up-dosing phase, and ingestion of a constant dose during the maintenance phase. Read More

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Tyrosinemia type 1 in pediatric nephrology: Not always straightforward.

Arch Pediatr 2021 May 12;28(4):338-341. Epub 2021 Apr 12.

Centre de Référence des Maladies Rénales Rares, Filières de santé maladies rares ORKID et ERK-Net, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; Faculté de Médecine Lyon Est, Université Claude Bernard Lyon 1, Lyon, France; INSERM, UMR 1033, Faculté de Medecine Lyon Est, Université Claude Bernard Lyon 1, Lyon, France. Electronic address:

The main clinical features of tyrosinemia type 1 usually appear in the first months of life, including fever, diarrhea, vomiting, liver involvement, growth failure, and renal proximal tubulopathy with subsequent hypophosphatemic rickets. An early diagnosis is crucial in order to provide specific management and to prevent complications. Here, we report on two cases referred primarily to pediatric nephrologists for the diagnosis of "neonatal tubulopathy" and management of "X-linked hypophosphatemia (XLH)," respectively. Read More

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Moraxella osloensis infection among adults and children: A pediatric case and literature review.

Arch Pediatr 2021 May 13;28(4):348-351. Epub 2021 Apr 13.

Department of pediatrics, Hôpital civil Marie-Curie, CHU of Charleroi, 140, chaussée de Bruxelles, 6042 Charleroi (Lodelinsart), Belgium; Laboratory of experimental medicine (ULB222), Medicine faculty, Université libre de Bruxelles, ISPPC, CHU de Charleroi, Charleroi (Lodelinsart), Belgium.

Moraxella osloensis has been reported in the literature as a human pathogen, particularly among immunocompromised adults. In contrast to the adult population, most pediatric cases are among patients with no underlying immunological defect; however, no patient underwent further investigation and no data about the long-term follow-up are available. We report the case of a 2-month-old previously healthy girl infected with Moraxella osloensis. Read More

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Need to create networks of international cerebral palsy surveillance programs.

H Arabi

Arch Pediatr 2021 05 10;28(4):352-353. Epub 2021 Apr 10.

Équipe de recherche clinique et épidémiologique de la pathologie ostéo-articulaire, UCH Mohammed VI, Faculty of Medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco. Electronic address:

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New ethical challenges in the management of rare pediatric diseases with innovative therapies.

Arch Pediatr 2021 May 2;28(4):311-318. Epub 2021 Apr 2.

Pediatric Neurology Department, Hôpital Timone Enfant, APHM, 263, rue Saint-Pierre, 13385 Marseille cedex 5, France; CNRS, EFS, UMR 7268 ADéS, Aix Marseille University, Marseille, France.

Introduction: Rare diseases, despite their low individual prevalence, affect a large number of children. Their management has considerably improved recently due to new treatments, modifying the diseases evolution without being totally curative. Since this raises many ethical dilemmas, we present a study about respecting the principles of medical ethics in the management of rare diseases in pediatrics. Read More

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Assessment of the severity of infant crying and its impact on parents: Development and validation of the ColiQ Questionnaire in France.

Arch Pediatr 2021 May 31;28(4):264-272. Epub 2021 Mar 31.

Pediatric, CHI Creteil, Creteil, France; Clinical research center, CHI Creteil, Creteil, France.

Objectives: The purpose of this study was to develop and validate a questionnaire that comprehensively assesses symptoms and severity of crying, symptoms suggesting infant functional gastrointestinal discomfort, and its impact on parents' quality of life: the Infant Colic Questionnaire (ColiQ©). For the first time, parents had access to a web application to follow their infants' evolving symptoms with a daily questionnaire.

Methods: The ColiQ was developed with a board of clinical experts (physicians and psychologists) based on extensive parent input. Read More

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Severity of parechovirus infections in infants under 3 months of age and comparison with enterovirus infections: A French retrospective study.

Arch Pediatr 2021 May 24;28(4):291-295. Epub 2021 Mar 24.

Service de virologie, institut de biologie, CHU de Nantes, 9, quai Moncousu, 44093 Nantes, France. Electronic address:

While enteroviruses (EV) are a well-recognized cause of aseptic meningitis in children, human parechoviruses (HPeV), especially genotype 3, have been increasingly reported as a frequent cause of sepsis-like illness and meningitis among young infants. The aim of this study was to describe the epidemiological, clinical, and laboratory characteristics of HPeV infections in infants and to compare them with those of well-known EV infections. This monocentric retrospective study was carried out at the pediatric unit of Nantes University Hospital from January 2015 to August 2018. Read More

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Giant pulmonary hydatid cyst in children.

Arch Pediatr 2021 May 24;28(4):273-277. Epub 2021 Mar 24.

Department B, Abderrahmen Mami Hospital, 2080 Ariana, Tunisia.

Background: Lungs are the second most common site for hydatid disease after the liver. Giant hydatid cyst (GHC) of the lung is a special clinical entity in children and is related to higher lung tissue elasticity.

Aim: To compare clinical and imaging features, types of surgical interventions, and postoperative complications in pulmonary GHC and non-giant pulmonary hydatid cysts (NGHC) in children. Read More

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Association between hypothermia in the first day of life and survival in the preterm infant.

Arch Pediatr 2021 Apr 6;28(3):197-203. Epub 2021 Mar 6.

Paediatric intensive care unit, Amiens university hospital, 80054 Amiens, France; PériTox Laboratory UMR_I 01, UFR de médecine, University of Picardie-Jules-Verne, 80054 Amiens, France. Electronic address:

Objective: Hypothermia is associated with elevated mortality in the preterm infant. The preterm infant's thermoregulatory capacity is limited, and the thermal environment in an incubator is often perturbed by nursing procedures. We evaluated the incidence of a postnatal low body temperature and hypothermia in preterm infants and its association with mortality. Read More

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Potential toxicity of metal trace elements from food in children.

Arch Pediatr 2021 04 17;28(3):173-177. Epub 2021 Mar 17.

Université de Paris, EA 7328, AP-HP, hôpital Necker-Enfants-Malades, 75015 Paris, France; Clinique Marcel-Sembat, 92100 Boulogne-Billancourt, France.

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Do children and adolescents with type 1 diabetes suffer from a lack of resources in France? Results from a benchmark study in the New Aquitaine region.

Arch Pediatr 2021 May 17;28(4):301-306. Epub 2021 Mar 17.

Unité d'endocrinologie et diabétologie pédiatrique, CHU de Bordeaux, place Amélie Rabat Léon, 33076 Bordeaux, France.

Background: A benchmark study was conducted in the southwest of France, in the New Aquitaine region, to investigate metabolic outcomes and availability of resources in pediatric diabetes units. We assessed whether the level of care was in accordance with the International Society for Pediatric and Adolescent Diabetes recommendations.

Methods: Demographic and clinical data were collected, as were all HbA1c tests for the 2017 calendar year. Read More

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Giant neonatal hydronephrosis of the upper pole of a complete duplicated renal system.

Arch Pediatr 2021 May 11;28(4):345-347. Epub 2021 Mar 11.

Department of Pediatric Surgery, University Hospital Center, Centre Hospitalier Universitaire d'Amiens, 1, rond-point Christian Cabrol, 80054 Amiens cedex 1, France. Electronic address:

Ureteropelvic junction obstruction (UPJO) in the upper pole of a complete duplicated renal system is extremely rare. We report a case that was diagnosed prenatally and we review 10 cases published in the literature. Diagnoses of adrenal hematoma and cystic neuroblastoma were suspected on prenatal ultrasound, based on the severity of dilatation and the difficulty of identifying the exact origin of this anomaly. Read More

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Evaluation of GLUT1, IGF-2, VEGF, FGF 1, and angiopoietin 2 in infantile hemangioma.

Arch Pediatr 2021 May 11;28(4):296-300. Epub 2021 Mar 11.

Department of Pediatric Intensive Unit, Hatay State Hospital, Van, Turkey.

Introduction: Infantile hemangioma (IH) is a common vascular tumor in children. It is reported that IHs are associated with immunochemical markers such as vascular endothelial growth factor (VEGF)-A, glucose transporter isoform 1 (GLUT1), and insulin-like growth factor-2 (IGF-2).

Material And Methods: This cross-sectional study focused on pediatric patients with IH. Read More

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Insulin therapy in childhood type 1 diabetes: Knowledge and practice in Senegal.

Arch Pediatr 2021 May 11;28(4):307-310. Epub 2021 Mar 11.

Albert-Royer National Children's Hospital, Cheikh-Anta-Diop Avenue, 25755 Dakar, Senegal.

Introduction: Childhood type 1 diabetes (T1D) is a chronic condition with serious repercussions on both the quality of life of the child and the family. Insulin therapy is the cornerstone of optimal blood sugar control. The main objective of our study was to assess the level of knowledge of physicians about insulin therapy in diabetes. Read More

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Recognition, identification, and diagnosis announcement of neonatal arterial ischemic stroke: A combined exploratory quantitative and qualitative study on parents' lived experiences.

Arch Pediatr 2021 May 11;28(4):285-290. Epub 2021 Mar 11.

Pediatric Neurology Unit, Paediatric subspecialties Service, Geneva University Hospitals, Rue Willy-Donzé 6, 1211 Geneva 14, Switzerland. Electronic address:

Objectives: To examine the epidemiology of neonatal arterial ischemic stroke (NAIS) and the chronology of care from early reported manifestations to formal diagnosis obtained by imaging. To explore how parents experienced the sequence of events, their own perception of potential diagnostic delay, diagnosis announcement, and prognosis discussion, and their current view of their child's quality of life.

Methods: We retrospectively analyzed data of all NAIS cases that have been treated in our institution. Read More

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The effect of foot reflexology on procedural pain before heel lancing in neonates.

Arch Pediatr 2021 May 11;28(4):278-284. Epub 2021 Mar 11.

Department of children health and diseases nursing, Faculty of health sciences, Canakkale Onsekiz Mart University, 17020 Canakkale, Turkey. Electronic address:

Objective: This study was designed to investigate the effect of foot reflexology on alleviating term neonates' invasive pain caused by heel lance.

Methods: In this quasi-experimental study, 60 healthy neonates were recruited and divided into a reflexology group (n=30) and a control (n=30) group. The study design was quasi-experimental since the randomisation method was not used in the assignment of newborns to the groups. Read More

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Evaluation of cardiac arrhythmias by electrocardiographic markers in pediatric patients who have tuberous sclerosis without cardiac rhabdomyoma.

Arch Pediatr 2021 Apr 11;28(3):204-208. Epub 2021 Mar 11.

Department of pediatric cardiology, Istanbul Medipol University, Istanbul, Turkey.

Background: Tuberous sclerosis (TS) is an autosomal dominant and hereditary disorder. Cardiac rhabdomyoma and arrhythmias are the most deleterious risk factors linked to TS. Although arrhythmias in pediatric patients with TS who have cardiac rhabdomyoma have been frequently reported, arrhythmia in patients who have TS without rhabdomyoma is rarely reported in the literature. Read More

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Dramatic impact of morbid obesity on child lung development.

Arch Pediatr 2021 Apr 11;28(3):186-190. Epub 2021 Mar 11.

University of Lille, CHU of Lille, EA4483, Pulmonary function test unit, 59000 Lille, France.

Objective: To assess the respiratory function and sleep characteristics of obese adults and children.

Methods: All patients with non-syndromic, severe obesity (BMI ≥3 z-scores for children and ≥40.00kg/m for adults), referred for pulmonary function tests at Lille University Hospital, were retrospectively included. Read More

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How do the FIFA World Cup 2018 and the 2016 UEFA championships impact a pediatric emergency department?

Arch Pediatr 2021 Apr 9;28(3):234-237. Epub 2021 Mar 9.

Service de Réanimation Pédiatrique Spécialisée, CHRU Nancy, Rue du Morvan, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France; INSERM U-1256, 54505 Vandœuvre-lès-Nancy cedex, France. Electronic address:

Introduction: In France, soccer is the most popular sport, which today attracts a huge television audience with millions of spectators in the case of international competitions. During certain games with European top clubs, the attendance of adult emergencies is impacted. However, the impact of international soccer competitions on pediatric emergency department (PED) activity has not been evaluated. Read More

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Vitamin D status in preschool children in Algeria.

Arch Pediatr 2021 Apr 9;28(3):215-221. Epub 2021 Mar 9.

Department of pediatrics, Hussein Dey university hospital centre (Ex Parnet), Algiers, Algeria.

It is well established today that an optimal vitamin D intake plays a crucial role in the constitution of optimal osseous mass during childhood, and hence in the prevention of the osteoporosis in adults. The prevalence of the vitamin D deficiency is increasing globally and Algeria is no exception in this regard. Our study is the first to be carried out with healthy children of preschool age in North Africa. Read More

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Turkish pediatric residents' knowledge, perceptions, and practices of blood culture sampling.

Arch Pediatr 2021 Apr 9;28(3):191-196. Epub 2021 Mar 9.

Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Department of Pediatric Infectious Diseases, Ankara, Turkey.

Introduction: Pediatrics is one of the medical specialties in which blood cultures for bloodstream infections are performed very frequently. This study aimed to evaluate pediatric residents' knowledge and perceptions of blood culture sampling.

Material And Methods: Between June 2019 and September 2019, a questionnaire comprising 20 questions about blood culture sampling was sent via email to participants who were pediatric residents at five different hospitals in Turkey. Read More

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Emergency department visits for pediatric traumatic injuries during general confinement: A single-center study in an urban setting.

Arch Pediatr 2021 Apr 6;28(3):249-251. Epub 2021 Mar 6.

Department of pediatric orthopedics, Armand-Trousseau hospital, Sorbonne university, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France. Electronic address:

Background: The first case of SARS-CoV-2 was detected in France in January 2020 and the government decided on national confinement from March 17 to May 11, 2020. Our aim was to analyze the incidence of pediatric emergency department (ED) visits and hospitalizations for traumatic injuries during this period.

Methods: Any visit with an ICD-10 discharge diagnosis code of burn, fracture, traumatic wound, or sprain/bruise contusion was recorded within the 2 weeks before (weeks 10 and 11) and during the confinement (weeks 12 and 19). Read More

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