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Paulus FW, Nouri F, Ohmann S, Möhler E, Popow C. The impact of Internet pornography on children and adolescents: A systematic review. Encephale 2024:S0013-7006(24)00045-9. [PMID: 38519310 DOI: 10.1016/j.encep.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 12/19/2023] [Indexed: 03/24/2024]
Abstract
OBJECTIVES Young people's exposure to online pornographic material has increased in the past years. Its impact is a complex topic but an important issue due to growing concerns. Therefore, we reviewed the literature on Internet pornography consumption and its impact on children and adolescents. Furthermore, we examined young people's thoughts about pornography and their reasons for consumption. METHOD We performed a systematic literature search in the online databases ERIC, PsycARTICLES, PsycINFO, and PSYNDEX for peer-reviewed articles in English, published between 2000 and 2022 and additionally identified secondary references. RESULTS We could determine associations between pornography consumption and demographic variables (e.g., age, gender), personal characteristics (e.g., [sexual] sensation seeking, sexual interest and experience, general risk behavior), environmental variables (e.g., peers, family), attitudes (e.g., gender role attitudes, permissive sexual attitudes), behavior (e.g. sexual risk behaviour, sexting) and sexual aggression (e.g., sexual cybervictimization, grooming). Moreover, we found that girls have a more negative attitude towards pornography than boys who have an ambivalent opinion on the subject. Most adolescents are aware that the majority of pornographic material is exaggerated and unrealistic. Furthermore, pornography is not only watched out of curiosity and for sexual arousal but also used as a source of sexual information, especially by minority groups. DISCUSSION Many effects that impair children's development have been documented. The results found in this review are often contradictory. Therefore, further replication studies are needed. In addition, we propose several preventive measures, e.g., sexual health education at schools for both heterosexuals and LGBT (Lesbian, Gay, Bisexual, and Transgender) people.
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Affiliation(s)
- Frank W Paulus
- Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany.
| | - Foujan Nouri
- Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany
| | - Susanne Ohmann
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
| | - Eva Möhler
- Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany
| | - Christian Popow
- Department of Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
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Falala A, Lannes A, Bui E, Revet A. Prevalence of prolonged grief disorder in bereaved children and adolescents: A systematic review. Encephale 2024:S0013-7006(24)00006-X. [PMID: 38413249 DOI: 10.1016/j.encep.2023.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 11/05/2023] [Accepted: 11/08/2023] [Indexed: 02/29/2024]
Abstract
PURPOSE Prolonged Grief Disorder (PGD) is a condition recently introduced in international classifications of mental disorders. Although PGD is associated with significant distress and impairment that may have developmental consequences, to date, little is known about its prevalence and associated factors in children and adolescents. The present systematic review registered in PROSPERO (CRD42021236026) aimed to: (i) review existing data on the prevalence of PGD in bereaved children and adolescents; and (ii) identify factors associated with PGD in this population. METHODS Six electronic databases, grey literature and a manually searched journal identified 1,716 articles with no backward limit to September 2021. Epidemiological studies were included if they reported the prevalence of PGD in bereaved children and adolescents. Study characteristics, diagnostic and assessment tools, population, loss-related characteristics and prevalence of PGD were reviewed. RESULTS Five studies met our inclusion criteria. The reported prevalences of PGD ranged from 10.4% to 32%. Female gender, cognitive avoidance, chronic stressors such as economic hardship, exposure to trauma or other losses appear to be associated with more severe symptoms or even a higher risk of PGD. Conversely, data suggest social support may be protective. CONCLUSION This first systematic review found a relatively high prevalence of PGD in bereaved children and adolescents. While further large epidemiological studies are needed, this review highlights the importance of evaluating PGD in current clinical practice and suggests that further research into diagnostic and therapeutic approaches targeting this disorder is warranted.
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Affiliation(s)
- Aude Falala
- Service universitaire de psychiatrie de l'enfant et de l'adolescent, hôpital Purpan, CHU de Toulouse, place du Dr-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
| | - Alice Lannes
- Unité d'hospitalisation pour adolescents, pôle de pédopsychiatrie, hôpitaux de Lannemezan, Lannemezan, France; Inserm, UPS, CERPOP, université de Toulouse, Toulouse, France
| | - Eric Bui
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States; Department of Psychiatry, University of Caen-Normandy & Caen University Hospital, Caen, France
| | - Alexis Revet
- Service universitaire de psychiatrie de l'enfant et de l'adolescent, hôpital Purpan, CHU de Toulouse, place du Dr-Baylac, TSA 40031, 31059 Toulouse cedex 9, France; Inserm, UPS, CERPOP, université de Toulouse, Toulouse, France
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Fiawoo M, Agbéko F, Hemou M, Kolani P, Amblasso M, Kamaga M, Djadou KE, Douti NK. [PROFILE OF TROPHALLERGEN SENSITIZATION IN CHILDREN IN THE PNEUMO-ALLERGOLOGY DEPARTMENT OF CHU-CAMPUS DE LOMÉ, TOGO]. West Afr J Med 2023; 40:S28. [PMID: 38064658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Affiliation(s)
- M Fiawoo
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - F Agbéko
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - M Hemou
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - P Kolani
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - M Amblasso
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - M Kamaga
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - K E Djadou
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
| | - N K Douti
- Département de pédiatrie, Faculté des Sciences de la Santé, Université de Lomé
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Bussoletti M, Castro D, Zebdi R, Matar Touma V. Prevalence of depression and protective factors in a population of children aged 8 to 10 years, suffering from specific learning disorders, in a special education and home care service (SESSAD). Encephale 2023:S0013-7006(23)00153-7. [PMID: 37813722 DOI: 10.1016/j.encep.2023.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 07/09/2023] [Accepted: 08/05/2023] [Indexed: 10/11/2023]
Abstract
OBJECTIVES Evaluate the prevalence of depression in a population of children aged 8 to 10 years with learning disabilities treated in a Special Education and Home Care Service (SESSAD) and identify the protective factors that might preserve these children from depressive and affective problems. METHODS Twenty children, aged 8 to 10, with learning disabilities were evaluated prior to their admission in SESSAD. Depression had been assessed through the Multiscore Depression Inventory for Children (MDIC), adapted to the French population as well as their developmental position in relation with their perceptual maturity of their body schema, through the Draw your family drawing. The protective factors were assessed through the qualitative analysis of the stories told on the Draw your family projective drawing and card 4, 9, 20 of The Socialization Test for Children (TSEA). Quantitative data were computed through descriptive statistics and non-parametric tests (Spearman's correlation test) by the jamovi© statistic software (V.2.3.24), and the qualitative data were analyzed through thematic content analysis and lexical text analysis through the TROPES software (V.8.3). RESULTS Quantitative data showed for the entire group: (1) a perceptual maturity delay of the body schema in 75% of the sample; (2) a low incidence of depression in this population with, however, 40% of the sample, (aged 8 and 9) displaying a critical threshold for feelings of helplessness. The qualitative analysis of the Draw your family and TSEA stories allowed to underline some of the protective factors against depression and those which refer, in decreasing order, to the social support given by family members, peers, and the emotional substitutes (animals). CONCLUSIONS This research highlighted the precocity of the feelings of helplessness in this population and the importance given by these children to the social support. These findings and future research on the topic might be used to guide the design and implementation of adjusted interventions addressing both the development of their learning capability and psychological empowerment.
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Affiliation(s)
- Matteo Bussoletti
- Service d'éducation spéciale et de soins à domicile (SESSAD), association trisomie 21, 7, rue Max-Carpentier, 27470 Serquigny, France
| | - Dana Castro
- Université Paris Nanterre, UFR SPSE, UR CLIPSYD, 200, avenue de la République, 92000 Nanterre, France.
| | - Rafika Zebdi
- Université Paris Nanterre, UFR SPSE, UR CLIPSYD, 200, avenue de la République, 92000 Nanterre, France
| | - Viviane Matar Touma
- Faculté des lettres et des sciences humaines, laboratoire de psychologie Clinique et Cognitive (LPCC), université-saint Joseph, Beyrouth, Liban
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Weber DM, Kraus R, Wirth-Welle R, Andreisek G, Gnannt R, Guéro S, Neeser HR, Seiler M. Paediatric fractures of carpal bones other than the scaphoid. Hand Surg Rehabil 2023; 42:406-412. [PMID: 37356568 DOI: 10.1016/j.hansur.2023.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/13/2023] [Accepted: 06/13/2023] [Indexed: 06/27/2023]
Abstract
OBJECTIVES Fractures of carpal bones other than the scaphoid are rare in children. The aim of this study was to analyze results and identify risk factors for an unfavorable outcome. MATERIAL AND METHODS Children and adolescents up to the age of 16 years who sustained a carpal fracture other than in the scaphoid between 2004 and 2021 were reviewed in this single-center retrospective study. RESULTS In a series of 209 children and adolescents with carpal fractures, 22 had fractures other than the scaphoid. Mean age was 13 years (range 8-16) years, with a total of 41 fractures, with highest incidences for the capitate (10), trapezium (6), triquetrum (4) and pisiform (4). Twenty-nine of these 41 fractures were missed on initial X-ray. Non-displaced fractures were treated with a short arm spica cast including the thumb. Four patients were operated on for displacement fracture or carpometacarpal subluxation. All fractures united, and patients returned to full activities. At the final consultation at a median 14 months (range 6-89) post-injury, all patients with non-displaced fractures were free of symptoms, with excellent Mayo Wrist Scores (MWS). However, three patients with operated trapezium fractures developed early radiological signs of osteoarthritis, two of them with residual pain and MWS rated only good. CONCLUSION Non-displaced pediatric carpal fractures treated by forearm cast have excellent prognosis. Fractures of the trapezium with displacement or first carpometacarpal subluxation incur a risk of osteoarthritis despite anatomical reduction and internal fixation.
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Affiliation(s)
- Daniel M Weber
- Division of Paediatric Hand Surgery and Children's Research Centre, University Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.
| | - Ralf Kraus
- Klinikum Bad Hersfeld, Seilerweg 29, Bad Hersfeld, Germany.
| | - Ruth Wirth-Welle
- Division of Hand Surgery, Kantonsspital, Frauenfeld, Pfaffenholzstrasse 4, 8501 Frauenfeld, Switzerland.
| | - Gustav Andreisek
- Department of Radiology, Kantonsspital, Münsterlingen, Spitalcampus 1, 8596 Münsterlingen, Switzerland.
| | - Ralph Gnannt
- Paediatric Department of Radiology and Children's Research Centre, University Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.
| | - Stéphane Guéro
- Division of Paediatric Orthopedics, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015 Paris, France.
| | - Hannah R Neeser
- Division of Paediatric Hand Surgery and Children's Research Centre, University Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.
| | - Michelle Seiler
- Paediatric Emergency Department and Children's Research Centre, University Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland.
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Denis I, Turcotte S, Morin CM, Belleville G, Foldes-Busque G. A preliminary validation of the pediatric adaptation of the Insomnia Severity Index. Encephale 2023; 49:474-480. [PMID: 36244838 DOI: 10.1016/j.encep.2022.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 05/03/2022] [Accepted: 05/12/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION The prevalence of insomnia in children aged 5 to 12 years old is 20% to 31%. Currently, there is no well-validated questionnaire assessing all the components of insomnia in school-aged children. The present study aims to introduce an adaptation of the Insomnia Severity Index for this purpose. METHOD Fifty-nine children aged 8- to 12-years-old with at least one anxiety disorder were recruited from youth mental health care settings. Their parents completed the pediatric adaptation of the Insomnia Severity Index which includes two scales used to report insomnia symptoms in children and their impact on the child (ISI-Child) and parents (ISI-Parent), My Child's Sleep Habits questionnaire, and the Child Behavior Checklist. RESULTS Both the ISI-Child and the ISI-Parent scales presented adequate factorial structure (RMSEA ≤ 0.05) and internal consistency (ISI-Child: α=0.87; ISI-Parent: α=0.88). Furthermore, the results of the two scales were strongly correlated (r=0.91, P<0.001). The convergent validity was assessed using the Waking During the Night scale of the My Child's Sleep Habits questionnaire and was adequate for the ISI-Child (r=0.52, P<0.001) and the ISI-Parent (r=0.53, P<0.001). Finally, the Rule-Breaking Behavior (r ≤ 0.26, P ≥ 0.05) and Aggressive Behavior (r ≤ 0.19, P ≥ 0.19) scales of the Child Behavior Checklist showed small correlations with both subscales, indicating good divergent validity. CONCLUSION The pediatric adaptation of the Insomnia Severity Index is a potentially reliable and valid measure for screening and assessing insomnia in children.
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Affiliation(s)
- I Denis
- School of Psychology, Université Laval, G1V 0A6 Québec City, Canada; Research Centre, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, G6V 3Z1 Lévis, Canada; Centre de recherche universitaire sur les jeunes familles, G1C 3S2 Québec City, Canada.
| | - S Turcotte
- Research Centre, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, G6V 3Z1 Lévis, Canada
| | - C M Morin
- Research Centre, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, G6V 3Z1 Lévis, Canada; Centre d'étude des troubles du sommeil, centre de recherche, institut universitaire en santé mentale, G1J 2G3 Québec City, Canada
| | - G Belleville
- Research Centre, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, G6V 3Z1 Lévis, Canada
| | - G Foldes-Busque
- School of Psychology, Université Laval, G1V 0A6 Québec City, Canada; Research Centre, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, G6V 3Z1 Lévis, Canada; Research Centre, Quebec Heart and Lung Institute, G1V 4G5 Québec City, Canada
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Nguyen V, Montout C, Mura T, Purper-Ouakil D, Lopez-Castroman J. Concordance and validity between versions of the ADHD Conners scale for Parents. Encephale 2023:S0013-7006(23)00145-8. [PMID: 37718199 DOI: 10.1016/j.encep.2023.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 06/12/2023] [Accepted: 07/04/2023] [Indexed: 09/19/2023]
Abstract
INTRODUCTION The Conners Scale for Parents (CRS-P) is one of the reference tools for the diagnostic assessment of Attention Deficit and Hyperactivity Disorders (ADHD). It is commonly used in both research and clinical practice. The latest edition of the Conners Parents Scale Long Version (CRS-P3L) has undergone extensive modifications but has never been compared with the 2nd edition (CRS-P2L). We aim to study the concordance between the last two editions of the CRS-P, their internal consistency, and their validity against the criteria of the ADHD-RS. METHODS The study population was a cohort of 30 children diagnosed with ADHD participating in a clinical trial. The parents of these children completed both editions of the CRS (P2L and P3L), as well as a DSM-IV ADHD Diagnostic Criteria Rating Scale (ADHD-RS). A linear regression model with the calculation of Lin's concordance coefficient (LCC) was used to study the concordance between the scales. Internal validity was estimated with Cronbach's alpha and inter-criteria validity with Spearman's correlation coefficient. RESULTS The internal consistency found was "correct" to "good" for both editions (Cronbach alpha 0.85 and 0.77), their correlation with the ADHD-RS was medium to low (Spearman's coefficient 0.25 and 0.09). Concordance between the overall score and the sub-scores of the two editions of the same Conners scale (CRS-P2L and CRS-P3L) was fair to medium (LCC 0.29 to 0.69). CONCLUSIONS The third edition of the long version of the CRS-P showed very poor concordance with the previous edition. The diagnostic profile of the children seems to have evolved with the new edition, which appears to affect the interpretation of the tests.
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Affiliation(s)
| | - Christine Montout
- Department of Psychiatry, CHU de Nimes, Nimes, France; BESPIM, CHU de Nimes, Nimes, France
| | - Thibaut Mura
- BESPIM, CHU de Nimes, Nimes, France; University of Montpellier, INSERM, INM (Institute for Neurosciences of Montpellier), Montpellier, France
| | - Diane Purper-Ouakil
- CHU de Montpellier; Child and Adolescent Psychiatry (MPEA1), Saint-Eloi Hospital, Montpellier, France; Inserm, U1018 CESP University Paris Saclay, Psychiatry, Development and Trajectories, France
| | - Jorge Lopez-Castroman
- Department of Psychiatry, CHU de Nimes, Nimes, France; BESPIM, CHU de Nimes, Nimes, France; Institut de Génomique Fonctionnelle, CNRS, Inserm & University of Montpellier, Montpellier, France; CIBERSAM, Madrid, Spain; Department of Signal Theory and Communications, Carlos III University, Madrid, Spain.
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Dourthe ME, Simonin M, Rigaud C, Haouy S, Montravers F, Ducou Le Pointe H, Garnier N, Minard-Colin V, Jo Molina T, Boudjemaa S, Leblanc T, Landman-Parker J. [Strategy of the French Society of Childhood Cancer (SFCE) for pediatric nodular lymphocyte predominant lymphoma]. Bull Cancer 2023; 110:968-977. [PMID: 37062647 DOI: 10.1016/j.bulcan.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 03/06/2023] [Accepted: 03/08/2023] [Indexed: 04/18/2023]
Abstract
Nodular Lymphocyte predominant Hodgkin lymphoma (NLPHL) are rare lymphomas in pediatric patients comprising less than 10 % of all Hodgkin lymphoma (HL). They are for the most part diagnosed at stage I or II and indolent with lymphadenopathy often preceding the diagnosis by many months/years. Survival is excellent. Historically, patients were treated according to classical HL protocols. Due to high toxicity and excellent prognosis, management of NLPHL shifted to de-escalation protocol with good results. No treatment beyond surgical resection was proposed for localized unique nodal disease completely resected. The closed European protocol (EuroNet PHL LP1) evaluated the efficacy of low intensity chemotherapy protocol based on CVP courses (cyclophosphamide vinblastine prednisone) for stage IA/IIA not fully resected. Final results are not yet available. Advanced stage NLPHL are rare and there is no clinical trial and no consensus treatment in children. The SFCE lymphoma committee recently established recommendations for staging and treatment of limited and advanced NLPHL in children based on current practices and published results. The goal was to allow homogeneous practice on a national scale. If incomplete resection for patients with stage I/IIA combination of low intensity chemotherapy (CVP) and rituximab is recommended. For intermediary and advanced stage intensification with AVD (adriamycine vinblastine dacarbazine) or CHOP courses (cyclophosphamide doxorubicine vincristine prednisone) combined with rituximab are advocated. In children, there is no indication for first-line local treatment with radiotherapy.
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Affiliation(s)
- Marie Emilie Dourthe
- Université Paris Cité, hôpital universitaire Robert Debré, AP-HP, service d'immunologie et d'hématologie pédiatrique, Paris, France.
| | - Mathieu Simonin
- Sorbonne université Paris, hôpital Armand Trousseau, AP-HP, service d'hématologie pédiatrique, Paris, France
| | - Charlotte Rigaud
- Université Paris-Saclay, Gustave Roussy, département d'oncologie de l'enfant et de l'adolescent, Villejuif, France
| | - Stéphanie Haouy
- Hôpital universitaire de Montpellier, service d'hématologie et oncologie pédiatrique, Montpellier, France
| | | | - Hubert Ducou Le Pointe
- Sorbonne université, hôpital Armand Trousseau, AP-HP, service de radiologie, Paris, France
| | - Nathalie Garnier
- Hospices Civils de Lyon, institut d'hématologie et d'oncologie pédiatrique, Lyon, France
| | - Véronique Minard-Colin
- Université Paris-Saclay, Gustave Roussy, département d'oncologie de l'enfant et de l'adolescent, Villejuif, France
| | - Thierry Jo Molina
- Université Paris Cité, hôpitaux universitaires Necker Enfants Malades et Robert Debré, service d'anatomie pathologique, Paris, France
| | - Sabah Boudjemaa
- Sorbonne université, hôpital Armand Trousseau, AP-HP, service d'anatomie pathologique, Paris, France
| | - Thierry Leblanc
- Université Paris Cité, hôpital universitaire Robert Debré, AP-HP, service d'immunologie et d'hématologie pédiatrique, Paris, France
| | - Judith Landman-Parker
- Sorbonne université Paris, hôpital Armand Trousseau, AP-HP, service d'hématologie pédiatrique, Paris, France
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Chagny M, Stolowy N, Denis D, Sauvan L. Comparison of the iCare rebound tonometer and the Perkins applanation tonometer in children under general anesthesia. J Fr Ophtalmol 2023:S0181-5512(23)00191-2. [PMID: 37210292 DOI: 10.1016/j.jfo.2022.12.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 12/19/2022] [Accepted: 12/22/2022] [Indexed: 05/22/2023]
Abstract
INTRODUCTION The goal of the study was to compare Perkins applanation tonometry and iCare rebound tonometry, evaluating their correlation and agreement in a diverse pediatric population under general anaesthesia (GA). MATERIALS AND METHODS Children undergoing an eye examination under GA between November 2019 and March 2020 were included. Intraocular pressure (IOP) was measured successively using the Perkins applanation tonometer and the iCare IC200 rebound tonometer. Ultrasonic central pachymetry and axial length were measured. RESULTS One hundred and thirty-eight eyes of 72 children were included. The mean age was 2.87years. IOP measurements obtained with the two tonometers were statistically and significantly highly correlated (r=0.8, P<0.001), although the iCare overestimated IOP by an average of 3.37mmHg (SD±4.48). The agreement between the two methods was moderate; the 95% agreement limits ranged from -5.41 to +12.15mmHg (r=0.5, P<0.001). The IOP difference between the two tonometers was weakly but significantly correlated with mean IOP (r=0.52; P=0.006). No correlation was found with axial length and pachymetry. CONCLUSION In this study, the IOP values obtained using the Perkins applanation tonometer and the iCare IC200 rebound tonometer were well correlated. The iCare tended to overestimate the IOP, especially for high IOP values. However, no underestimation of IOP was found with this device, hence its potential for glaucoma screening in children.
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Affiliation(s)
- M Chagny
- CHU Nord Marseille, chemin des Bourrely, 13015 Marseille, France
| | - N Stolowy
- CHU Nord Marseille, chemin des Bourrely, 13015 Marseille, France.
| | - D Denis
- CHU Nord Marseille, chemin des Bourrely, 13015 Marseille, France
| | - L Sauvan
- CHU Nord Marseille, chemin des Bourrely, 13015 Marseille, France
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AlZaid A, Al Shamrani M, Alsuhaibani AH. Etiologies, periocular manifestations and surgeries for congenital and childhood acquired facial nerve palsy. J Fr Ophtalmol 2023:S0181-5512(23)00114-6. [PMID: 36963996 DOI: 10.1016/j.jfo.2022.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 09/26/2022] [Accepted: 11/11/2022] [Indexed: 03/26/2023]
Abstract
AIM To report periocular surgeries performed for patients with congenital and childhood acquired facial nerve palsy (FNP). METHODS A retrospective case series of pediatric patients who presented with FNP over the last 34 years, was conducted at two tertiary eye hospitals in Riyadh. Data were collected from electronic charts, hospital records and external photos. Main outcome measures were visual acuity, lagophthalmos, eyelid abnormalities, Bell's phenomena, exposure keratopathy, and corneal scar; in these cases, periocular surgeries were required. RESULTS Among the 90 recruited subjects; the mean age of onset was 4.8±5.4 years old (range, 0.01 to 17.76 years). Traumatic and congenital causes of FNP were the most common, representing over 80% of the cases. Seventy-one patients developed lagophthalmos, 26 with severe exposure that resulted in scarring. Thirty-six (40%) cases had associated strabismus. Lower lid retraction was the most common eyelid abnormality noted in 23 cases, followed by entropion in 16 and ectropion in 6 cases. Temporary tarsorrhaphy was performed in three patients (3.3%), while 18 patients (20%) needed permanent tarsorrhaphy. Gold weight implants were placed in 17 patients (18.9%). Lower lid retraction repair was performed in twelve patients (13.3%). Five patients (5.6%) underwent lower eyelid entropion repair, and three patients (3.3%) underwent lower eyelid ectropion repair. CONCLUSIONS Lagophthalmos is the most common finding in children presenting with FNP and needs to be managed early to prevent permanent visual loss. Compared to adults, children may present with a different spectrum of eyelid abnormalities, with lower lid retraction and entropion being the most common eyelid malpositions.
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Affiliation(s)
- A AlZaid
- Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
| | - M Al Shamrani
- Department of Ophthalmology, College of Medicine, King Saud University, 11411 Riyadh, Saudi Arabia
| | - A H Alsuhaibani
- Department of Ophthalmology, College of Medicine, King Saud University, 11411 Riyadh, Saudi Arabia.
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Mutlu D, Bayram N. Morphological changes of the retinal layers in the central macula in children with anisometropic amblyopia. J Fr Ophtalmol 2023; 46:363-368. [PMID: 36759245 DOI: 10.1016/j.jfo.2022.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 10/01/2022] [Accepted: 10/03/2022] [Indexed: 02/10/2023]
Abstract
PURPOSE The goal of this study was to evaluate the morphological characteristics of the retinal layers in the central macula in children with anisometropic amblyopia. METHODS This comparative, observational, prospective study included 28 patients who were diagnosed with anisometropic amblyopia and 30 age- and sex-matched healthy controls. All children were evaluated using the automatic calculation software system available on spectral-domain optical coherence tomography (SD-OCT) for automated segmentation of the macula. RESULTS Of the included patients, 18 (64.3%) were male and 10 (35.7%) were female, with a mean age of 10.3±3.4 years. Mean spherical equivalent and best-corrected visual acuity (BCVA) were 4.13±1.95 diopters and 0.707±0.36 logMAR, respectively. The mean axial length was significantly lower in amblyopic eyes compared to fellow eyes (22.1±0.34mm vs. 23.3±0.42mm, P<0.0001), and control eyes (22.1±0.34mm vs. 23.1±0.40mm, P<0.0001). The mean thickness of the outer nuclear layer was significantly lower in amblyopic eyes compared to fellow eyes (79.8±11.9μm vs. 86.8±7.9μm, P=0.007), and healthy controls (79.8±11.9μm vs. 87.4±10.5μm, P=0.012). CONCLUSION The results of this study showed that there are quantitative differences in retinal microstructures of the macula in eyes with anisometropic amblyopia compared to fellow eyes and healthy controls. These findings suggest that anisometropic amblyopia may result in abnormal development of macular structure in the inner retinal layer. A detailed analysis of retinal layers may be able to provide a guide to the depth of amblyopia and visual prognosis.
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Affiliation(s)
- D Mutlu
- Department of Ophthalmology, Kayseri City Training and Research Hospital, University of Health Science, 30080 Kocasinan Kayseri, Turkey.
| | - N Bayram
- Department of Ophthalmology, Kayseri City Training and Research Hospital, University of Health Science, 30080 Kocasinan Kayseri, Turkey
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Yang J, Zhao Y, Zhang H, Wang J. Periocular pilomatrixoma in childhood: Clinical feature and differential diagnosis. J Fr Ophtalmol 2023; 46:495-500. [PMID: 36759243 DOI: 10.1016/j.jfo.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 10/12/2022] [Accepted: 10/21/2022] [Indexed: 02/10/2023]
Abstract
PURPOSE To explore the clinical characteristics, imaging features, and differential diagnosis of periocular pilomatrixoma in children and provide evidence for clinical diagnosis and treatment. METHODS Retrospective analysis of the clinical characteristics, preliminary diagnosis, imaging features, treatment, and follow-up of the cases of pediatric periocular pilomatrixoma treated at our hospital. RESULTS A total of 59 patients from 4 months to 13 years of age (median age 4 years) were collected; 18 cases (30.51%) were misdiagnosed as other diseases in preliminary diagnoses. Seven cases underwent computed tomography (CT) examination, with CT value ranging from 63.4 Hounsfield Units (HU) to 952.0 HU (median value 151.0 HU). Six cases underwent magnetic resonance imaging (MRI) examination; two patients underwent an enhanced scan. The results showed that the rim of the lesion was enhanced, but the contents were not enhanced. All patients underwent surgical treatment. No recurrence was found from 1 month to 5 years of follow-up. CONCLUSIONS Periocular pilomatrixoma is a relatively common tumor in children, which can easily be misdiagnosed clinically as other diseases, such as sebaceous and dermoid cysts. Although not generally recommended, CT can be of significant value in the diagnosis of pilomatrixoma. MRI is of little value in the diagnosis of this disease. If CT images show high or density, the possibility of pilomatrixoma should be considered.
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Affiliation(s)
- J Yang
- Hebei Eye Hospital, Xingtai, Hebei Province 054001, China.
| | - Y Zhao
- Hebei Eye Hospital, Xingtai, Hebei Province 054001, China
| | - H Zhang
- Hebei Eye Hospital, Xingtai, Hebei Province 054001, China
| | - J Wang
- Hebei Eye Hospital, Xingtai, Hebei Province 054001, China
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Takou Tsapmene V, Bilong Y, Mah Mungyeh E, Assumpta Bella L. [Ocular abnormalities of children born prematurely at the Yaoundé Gynaeco-Obstetrics And Pediatric Hospital]. J Fr Ophtalmol 2022; 45:633-639. [PMID: 35597680 DOI: 10.1016/j.jfo.2022.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 12/20/2021] [Accepted: 02/04/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE To identify ocular abnormalities in premature children in order to treat reversible visual disorders and help prevent low vision and blindness in this population at risk. METHODOLOGY This was a cross-sectional, analytical study carried out from November 1, 2018 to July 31, 2019 at the Yaoundé Gyneco-Obstetric And Pediatric Hospital, including premature children, aged 3 to 15 years. The variables studied were age, sex, prenatal, birth and past ophthalmological history, visual acuity, oculomotor examination and fundus examination. For statistical analysis, we used the epi-info software 3.5.4, the Chi2 test, odds ratio and a 95% confidence interval with a significance P<0.05. RESULTS Of the 50 patients examined, the mean age was 6.02 years±2.58. Of the 22 optically corrected patients, hyperopia and hyperopic astigmatism were predominant (70.5%) (n=31). Distance visual acuity, measured in 31 cooperative patients (62 eyes), was between 3/10 and 8/10 in 14 eyes (22.6%), and<3/10 in two eyes (3.2%). Strabismus was present in 21 patients (42%), of which 13 cases were esotropia (61.9%). Tropical endemic limbo-conjunctivitis was found in eight eyes (8%). There were no cases of retinopathy of prematurity. Very low birth weight (<1500g) and neonatal resuscitation were associated with strabismus. CONCLUSION Ocular abnormalities in preterm infants are dominated by strabismus, which is associated with very low birth weight and neonatal resuscitation.
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Affiliation(s)
- V Takou Tsapmene
- Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun.
| | - Y Bilong
- Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun; Hôpital de district de Mbalmayo, Mbalmayo, Cameroun; Hôpital gynéco-obstétrique et pédiatrique de Yaoundé, Yaoundé, Cameroun
| | - E Mah Mungyeh
- Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun; Hôpital gynéco-obstétrique et pédiatrique de Yaoundé, Yaoundé, Cameroun
| | - L Assumpta Bella
- Faculté de médecine et des sciences biomédicales, université de Yaoundé I, Yaoundé, Cameroun; Hôpital gynéco-obstétrique et pédiatrique de Yaoundé, Yaoundé, Cameroun
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Fleurette J, Gaume M, De Tienda M, Dana C, Pannier S. Peripheral nerve injuries of the upper extremity in a pediatric population: outcomes and prognostic factors. Hand Surg Rehabil 2022; 41:481-486. [PMID: 35483591 DOI: 10.1016/j.hansur.2022.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 03/05/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Abstract
Peripheral nerve injuries of the upper limb are rare in children and poorly documented. The aim of this retrospective study was to analyze long-term sensory and motor results, and to determine predictive factors for recovery after surgery. Eleven children, with a mean age at injury of 9.7 years (5-15), operated on between 2006 and 2018, were included. Sensory perception was measured on monofilament test and static 2-point discrimination test. Grip strength was measured with a dynamometer and motor strength was assessed on the Medical Research Council scale. Quality of life was assessed on QuickDASH. The injury involved the radial (n = 1), median (n = 9), or combined median and ulnar (n = 1) nerves and was repaired by primary direct suture (n = 11). The mechanism involved glass laceration (n = 10) or a road accident (n = 1). The dominant limb was involved in 7 cases. At a mean 7.7 years' follow-up, touch sensitivity was normal or slightly deficient on monofilament test. Discrimination test was normal or adequate. Strength was complete in 10 patients. Mean QuickDASH score was 5.99 (range, 0-18.18). There was no significant difference in sensory or motor recovery according to partial or complete lesion or to injury location. There was better sensory recovery in children <12 years (p < 0.05). Sensory prognosis was also better in the absence of associated lesions (p < 0.05). Sensory, motor and functional results after surgical treatment of peripheral nerve injuries of the upper limb in children were globally satisfactory. Sensory recovery was better at an early age and in the absence of associated lesions. LEVEL OF EVIDENCE: IV.
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Affiliation(s)
- J Fleurette
- Pediatric Orthopedic Surgery Department, Necker Hospital, AP-HP, 149 rue de Sèvres, 75015 Paris, France.
| | - M Gaume
- Pediatric Orthopedic Surgery Department, Necker Hospital, AP-HP, 149 rue de Sèvres, 75015 Paris, France
| | - M De Tienda
- Pediatric Orthopedic Surgery Department, Necker Hospital, AP-HP, 149 rue de Sèvres, 75015 Paris, France
| | - C Dana
- Pediatric Orthopedic Surgery Department, Necker Hospital, AP-HP, 149 rue de Sèvres, 75015 Paris, France
| | - S Pannier
- Pediatric Orthopedic Surgery Department, Necker Hospital, AP-HP, 149 rue de Sèvres, 75015 Paris, France
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Lancien U, Voisin A, Faraj S, Duteille F, Perrot P. Impact of the 2020 French lockdown due to the SARS-CoV-2 pandemic on emergency consultations for pediatric burns in a regional referral hospital. ANN CHIR PLAST ESTH 2022; 67:81-5. [PMID: 35210099 DOI: 10.1016/j.anplas.2022.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 02/07/2022] [Indexed: 12/14/2022]
Abstract
INTRODUCTION SARS-CoV-2 pandemic required the establishment of total lockdown in France from March 17 to May 11, 2020. We analyzed the impact of this lockdown on the pediatric burn population consulting in our burn unit during this period compared to data from previous years in order to analyze our model of emergency care for children burned during this unprecedented situation. MATERIAL AND METHODS We carried out a retrospective single-center study by reviewing files concerning emergency consultations for children burns during the total lockdown in France in 2020 (COVID group) compared to the same weeks of 2018 and 2019 (no-COVID group). RESULTS We find a significant decrease in the number of consultations (P=0.02) during the confinement period. In the "COVID" group, we found a significant increase in burn to the hand (P=0.03) and lower limbs (P=0.03). The other criteria evaluated did not find any difference between the groups. Assessment of a possible rebound effect within 2 weeks of total lockdown found an increased incidence of the children burn consultation, an increased number of older children and mainly male. CONCLUSION The decrease in the number of consultations alerts us to a potential increase in the functional sequelae of burns in these patients at risk. Longer-term follow-up will allow us to assess the consequences of this lockdown on this particularly at-risk population.
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Tounkara M, Diarra O, Konaté D, Diawara SI, Sangho O, Telly N. [Nutritional Status Of Children Under Five During Seasonal Malaria Chemoprevention In 2018 At Kita, Mali: Household Survey]. Mali Med 2022; 38:10-16. [PMID: 38506179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
INTRODUCTION Malaria and malnutrition are among the major causes of morbidity and mortality in children under five in Mali. This study is part of the analysis of the association between both in children under five after a seasonal malaria chemoprevention distribution campaign. METHODS We carried out a cross-sectional household survey in rural areas after a seasonal malaria chemoprevention distribution campaign to determine the prevalence of malnutrition and parasitaemia in children under five who had passed the season of high transmission of malaria in the health district of Kita. After obtaining written consent, each child was given a physical examination, hemoglobin testing using the Hemocue machine, a thick drop and a thin smear. , A rapid diagnostic test was performed in febrile children. The data was analyzed with ENA 2020 and Stata software version 15.0. Measures of association were made using the chi-square test and a multiple logistic regression model. Odds ratios were used with a 95% confidence interval and a significance level of 0.05. RESULTS We selected 308 children aged 6 to 59 months. The prevalence of malaria was 13.6%, it was 15%, 17% and 25% respectively for wasting, underweight and stunting. The susceptibility to malaria increased with age and that of wasting decreased with age. There was no significant relationship between malaria disease and nutritional status. CONCLUSION There is no significant association between malaria and malnutrition in our study.
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Affiliation(s)
- M Tounkara
- Faculté de médecine et d'odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako
| | - O Diarra
- International Center for Excellence in Malaria Research (ICEMR), Université des Sciences, des Techniques et des Technologies de Bamako
| | - D Konaté
- International Center for Excellence in Malaria Research (ICEMR), Université des Sciences, des Techniques et des Technologies de Bamako
| | - S I Diawara
- International Center for Excellence in Malaria Research (ICEMR), Université des Sciences, des Techniques et des Technologies de Bamako
| | - O Sangho
- Faculté de Pharmacie, Université des Sciences, des Techniques et des Technologies de Bamako
| | - N Telly
- Faculté de médecine et d'odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako
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Charvillat O, Plancq MC, Haraux E, Gouron R, Klein C. Epidemiological analysis of burn injuries in children during the first COVID-19 lockdown, and a comparison with the previous five years. ANN CHIR PLAST ESTH 2021; 66:285-290. [PMID: 34229909 PMCID: PMC8254538 DOI: 10.1016/j.anplas.2021.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 05/06/2021] [Accepted: 06/09/2021] [Indexed: 12/23/2022]
Abstract
Background Child burns rank among the most frequent domestic accidents in France. COVID-19 lockdown between March 16th and May 11th of 2020 increased time spent at home by children. Material This retrospective, observational study described the epidemiological impact of COVID-19 lockdown on child burns in a pediatric surgery department compared with previous five years. Child burns in the previous five years constituted the “before COVID-19 group” as the reference group. Child burns during the first lockdown formed the “COVID-19 group”. Demographics characteristics, the delay before first attendance at the surgery department, burns characteristics, the place of the incident, need of skin graft, and child reactions to trauma or isolation were recorded for these two groups. Results A total of thirty-seven children were included, 16 of them in the COVID-19 group. In the COVID-19 group, burned children were mainly boys, with a median age of 18 months. The median time before first attendance was four days. Main burns characteristics were to be deep partial thickness burns, involved lower limbs, caused by scalding. All burns occurred at home. Half parents reported child reactions to trauma or isolation among their children before burn injury. Conclusion The incidence of child burn injuries in the COVID-19 group was higher compared to the before COVID-19 group, but no increased delay to attendance recorded. Time spent at home and psychosocial impact of lockdown might partially explain this high incidence rate of child burns. Level of evidence IV.
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Affiliation(s)
- O Charvillat
- Department of Pediatric Orthopedics, Jules Verne University of Picardie and Amiens Picardie University Medical Center, Amiens, France
| | - M-C Plancq
- Department of Pediatric Orthopedics, Jules Verne University of Picardie and Amiens Picardie University Medical Center, Amiens, France
| | - E Haraux
- Department of Pediatric Orthopedics, Jules Verne University of Picardie and Amiens Picardie University Medical Center, Amiens, France
| | - R Gouron
- Department of Pediatric Orthopedics, Jules Verne University of Picardie and Amiens Picardie University Medical Center, Amiens, France
| | - C Klein
- Department of Pediatric Orthopedics, Jules Verne University of Picardie and Amiens Picardie University Medical Center, Amiens, France.
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Tournoud C, Capaldo L, Garnier R, Gnansia E, Jarreau PH, Moesch C, Nisse P, Quénel P, Yazbeck C, Labadie M. [Reprint of: Guidelines for pregnant women and their unborn children exposed to methylmercury. Recommendations of the French Society of Clinical Toxicology associated with the French Society of Analytical Toxicology, the French Society of Public Health, the French Society of Environnmental Health, the French Society of Pediatrics, the French Society of Neonatalogy, the National College of Obstetrician Gynecologists]. Gynecol Obstet Fertil Senol 2021; 49:225-238. [PMID: 33423946 DOI: 10.1016/j.gofs.2020.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Christine Tournoud
- Centre antipoison Est, CHRU, 54000 Nancy, France; Société de toxicologie clinique, 75010 Paris, France.
| | - Lise Capaldo
- Société de toxicologie clinique, 75010 Paris, France; Urgences adultes, hôpital Pellegrin, CHU, 33000 Bordeaux, France
| | - Robert Garnier
- Société de toxicologie clinique, 75010 Paris, France; Centre antipoison, AP-HP, 75010 Paris, France
| | | | - Pierre-Henri Jarreau
- Service de médecine et réanimation néonatales de Port-Royal, hôpitaux universitaires Paris Centre, université Paris Descartes, Assistance publique-Hôpitaux de Paris, 75014 Paris, France; Société française de pédiatrie et société française de néonatologie, France
| | - Christian Moesch
- Laboratoire de pharmacologie et de toxicologie, CHU, 87042 Limoges, France; Société française de toxicologie analytique, 92380 Garches, France
| | - Patrick Nisse
- Société de toxicologie clinique, 75010 Paris, France; Centre antipoison, CHU, 59037 Lille, France
| | - Philippe Quénel
- Inserm, EHESP, Institut de recherche en santé, environnement et travail (Irset), UMR_S 1085, Université de Rennes, 35000 Rennes, France; Société française de santé publique, 54520 Laxou, France
| | - Chadi Yazbeck
- Gynécologie-obstétrique et médecine de la reproduction, hôpital Foch, 92150 Suresnes, France; Gynécologie-obstétrique et médecine de la reproduction, CMC Pierre-Cherest, Hartmann, 92200 Neuilly-sur-Seine, France; Collège national des gynécologues obstétriciens français, 75002 Paris, France
| | - Magali Labadie
- Société de toxicologie clinique, 75010 Paris, France; Centre antipoison, CHU, 33076 Bordeaux, France
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Martini R, Capistran J, Centauro J, Coego E, Nadarajah M, Venne J, Zwicker JG. Parents' Experience with the CO-OP Approach: A Consolidation of Three Qualitative Investigations. Can J Occup Ther 2020; 88:12-25. [PMID: 33322920 DOI: 10.1177/0008417420968680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND. In the cognitive orientation to daily occupational performance (CO-OP) approach, parent involvement is critical for transferring skills from therapeutic settings to everyday contexts. PURPOSE. This study aimed to gain insight into the experience of parents whose children with developmental coordination disorder participated in CO-OP intervention. METHOD. This consolidation of three small qualitative studies investigating parents' experience involved an inductive qualitative content analysis of 10 parent interviews and 1 parent focus group. FINDINGS. Four overarching themes emerged as depicting parents' experience. Although parents recognized the improvements their children made with the intervention, they also expressed several challenges, such as incorporating CO-OP tasks into daily routines, shifting of parent-child relationship and feeling self-efficacious with the approach. IMPLICATIONS. This study highlights that parent observation of intervention sessions is not enough to support parents applying CO-OP at home. Research is needed to understand how to best engage parents in the CO-OP approach.
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Richa S, Khoury R, JRouhayem J, Chammay R, Kazour F, Bou Khalil R, Kheir W, Choueifaty D, Kouba-Hreich E, Gerbaka B, Adib S. Estimating the prevalence of autism spectrum disorder in Lebanon. Encephale 2020; 46:414-419. [PMID: 32928536 DOI: 10.1016/j.encep.2020.05.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Revised: 04/29/2020] [Accepted: 05/16/2020] [Indexed: 11/15/2022]
Abstract
This cross-sectional survey examines the prevalence rate of Autism spectrum disorder (ASD) in 818 children (16-48 months) across all Lebanese regions. Screening was done using the revised form of the Modified-Checklist for Autism in Toddlers. Based on the total score of items failed, children were classified into 3 categories of ASD risk (low, moderate and high). Phone calls follow-up interviews and clinical assessments for diagnosis ascertainment were conducted. Given the caregivers' reluctance to participate, the prevalence rate was estimated between 49 and 513 per 10,000 with a male predominance. Our prevalence estimation, even under restrictive assumptions, is higher than elsewhere in the Arab region. Anti- stigma interventions adapted to the socio-cultural context are needed prior to future research in the field.
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Affiliation(s)
- S Richa
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon.
| | - R Khoury
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - J JRouhayem
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - R Chammay
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - F Kazour
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - R Bou Khalil
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - W Kheir
- Ministry of public health, Lebanon
| | - D Choueifaty
- Department of Nursing, Saint-Joseph University, Beirut, Lebanon
| | - E Kouba-Hreich
- Department of Nursing, Saint-Joseph University, Beirut, Lebanon
| | - B Gerbaka
- Department of Pediatrics, Saint-Joseph University, Beirut, Lebanon
| | - S Adib
- Department of Epidemiology, American University of Beirut, Beirut, Lebanon
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Faisantieu N, Kowalski V, Soulié B. [Benefits and risks of ibuprofen in children with fever: Overview of the literature with a view to producing a written information tool for parents]. Therapie 2020; 75:553-567. [PMID: 32571587 DOI: 10.1016/j.therap.2020.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 02/02/2020] [Accepted: 04/29/2020] [Indexed: 11/27/2022]
Abstract
Drug information, as it appears in package leaflet, lacks relevant encrypted data for the patient. The aim of our research was to propose a written model of drug information inspired from the concept of the "Drug Facts Box", about ibuprofen in children with fever. To this end, we carried out a systematic review of systematic literature reviews ("overview") to look for data on the benefits and risks of ibuprofen compared to placebo, paracetamol or a treatment alternating or combining paracetamol and ibuprofen in children with fever aged 0-18 years. 9 systematic reviews were included from the Pubmed/Medline, Embase and Cochrane databases. 1 clinical practice guideline and 2 documents published by the French Haute Autorité de santé (HAS) and the French Agence nationale de sécurité du médicament et des produits de santé (ANSM) were also included. Paracetamol and ibuprofen have a comparable efficacy and safety profile in children with fever. A low increased risk of adverse reactions to ibuprofen is to be feared in specifics clinical situations (chicken pox, pneumonia, angina). Treatments alternating or combining paracetamol and ibuprofen can further lower the temperature compared to paracetamol or ibuprofen alone, but there is no evidence of improved child comfort. The limited data available on the adverse effects of these treatment regimens suggests that they should not be routinely recommended. There is little evidence of the comfort of the febrile child even though it is the primary objective of antipyretic treatment.
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Affiliation(s)
| | | | - Benoît Soulié
- Cabinet de médecine générale, 8, rue des Cerisiers, 14210 Evrecy, France.
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Bobo E, Lin L, Acquaviva E, Caci H, Franc N, Gamon L, Picot MC, Pupier F, Speranza M, Falissard B, Purper-Ouakil D. [How do children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) experience lockdown during the COVID-19 outbreak?]. Encephale 2020; 46:S85-92. [PMID: 32522407 DOI: 10.1016/j.encep.2020.05.011] [Citation(s) in RCA: 84] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 05/19/2020] [Indexed: 01/17/2023]
Abstract
Objectifs Le confinement général de la population française dans le contexte de la pandémie de COVID-19, liée au nouveau Coronavirus SARS-COV-2, est une situation potentiellement à risque pour les enfants avec un développement atypique. L’objectif de notre étude est de mieux comprendre l’état de santé mentale des enfants et adolescents avec le trouble déficit d’attention hyperactivité (TDAH) en période de confinement. Méthodes Cinq cent trente-huit patients ont répondu à un sondage anonyme en ligne, proposé via les réseaux sociaux et relayé ou posté sur le site des associations de personnes concernées par le TDAH durant la période de confinement. Résultats Une majorité des enfants et adolescents de notre enquête a connu soit un mieux-être soit un état général psychologique stable d’après leurs parents. Une diminution de l’anxiété est mise en lien avec l’interruption de la scolarité présentielle et un rythme « sur-mesure ». Pour certains, l’abandon des aménagements et le volume de tâches ont posé problème avec des attitudes d’opposition et d’évitement. Les parents décrivent également une prise de conscience des difficultés de leurs enfants, ce qui ressort comme un élément constructif. Les enfants dont l’état se dégrade ont à la fois des difficultés comportementales et émotionnelles. En ce qui concerne le recours aux soins, la téléconsultation comme outil de continuité de soins a été largement appréciée. Conclusions Avant les contraintes liées à la crise sanitaire, les aspects scolaires sont cités comme principaux facteurs influençant l’état émotionnel de l’enfant et de l’adolescent avec TDAH dans le contexte de confinement.
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Weli M, Ben Hlima A, Belhadj R, Maalej B, Elleuch A, Mekki N, Gargouri L, Kamoun T, Barbouche MR, Mahfoudh A. Diagnosis and management of autoimmune hemolytic anemia in children. Transfus Clin Biol 2020; 27:61-64. [PMID: 32280062 DOI: 10.1016/j.tracli.2020.03.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 03/18/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND AIM The aim of this study is to evaluate the clinical, biological and hematological profiles of autoimmune hemolytic anemia (AIHA) in children and to specify its etiologies, therapeutic modalities, and treatment responses. METHODS This is a 14-year retrospective study of AIHA cases collected at the department of pediatric emergency and reanimation of Hedi Chaker University Hospital in Sfax. We included patients under 14 years old with clinical and biological features of hemolysis and a positive direct antiglobulin test (DAT). The selected patients' demographic characteristics, physical signs, laboratory findings, and treatment responses were recorded. RESULTS Thirteen cases of AIHA were collected, including 8 girls and 5 boys. The median age at diagnosis was 4 years and 6 months (range: 8 months to 13 years). Consanguinity was reported in 6 cases and 4 patients had a previous infection history. The onset of AIHA was progressive in 9 cases, marked by an anemic syndrome and hemolysis symptoms in 6 and 8 cases, respectively. The clinical triad (pallor, jaundice and splenomegaly) was found in only 4 cases. At the time of diagnosis, the median hemoglobin (Hb) level was 6g/dL (range: 4.2 to 9.2g/dL), anemia was non-regenerative in 2 patients. Thrombocytopenia and neutropenia were noted in 5 and 1 patient, respectively. Peripheral smear examination showed spherocytosis in 2 cases. All the patients had a positive DAT. Of these, 10 were positive with IgG and 3 with both IgG and C3d. AIHA was secondary to other conditions in 9 patients: infection (3 cases), autoimmune disease (4 cases), and immunodeficiency (2 cases). All the patients received first-line corticosteroid therapy but only 8 of them required blood transfusions due to severe anemia. Complete remission was obtained in 7 cases. Corticosteroid resistance and dependence were noted in 1 and 2 cases, respectively. During evolution, additional therapy was indicated in 4 patients and it included cyclosporine A, azathioprine, and mycophenolate mofetil (MMF). After a median follow-up of 4.5 years, the cure rate was 80% and only 1 patient (a boy) died due to his underlying pathology. CONCLUSION Our study highlights the rarity, severity, and heterogeneity of etiological contexts of AIHA in children. The therapeutic difficulties justify specific expertise in pediatric hematology.
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Affiliation(s)
- M Weli
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - A Ben Hlima
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - R Belhadj
- Department of pediatrics, Hedi Cheker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia.
| | - B Maalej
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - A Elleuch
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - N Mekki
- Laboratory of transmission, control and immunobiology of infections (LR11IPT02), Tunis, Tunisia
| | - L Gargouri
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - T Kamoun
- Department of pediatrics, Hedi Cheker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
| | - M-R Barbouche
- Laboratory of transmission, control and immunobiology of infections (LR11IPT02), Tunis, Tunisia
| | - A Mahfoudh
- Department of pediatric emergency and reanimation, Hedi Chaker university hospital of Sfax, Sfax, Tunisia; Faculty of medicine, university of Sfax, Sfax, Tunisia
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Léger M, Piat N, Jean FA, Galera C, Bouvard MP, Amestoy A. [Observation and comparison of social abilities in Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder children]. Encephale 2020; 46:326-333. [PMID: 32151444 DOI: 10.1016/j.encep.2019.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 11/15/2019] [Accepted: 11/23/2019] [Indexed: 10/24/2022]
Abstract
OBJECTIVES Different studies centered on social relationship issues among ADHD children struggled to provide a unicist explanation between primary social cognition process alteration on the one hand and a mere symptomatic outcome of the disorder triad on the other. Some authors support the idea of a potential "social phenotype" shared at a different intensity by Attention Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD). The point of the study is to characterize this possible social disability in a French ADHD population and compare it to control subjects and subjects with Autism Spectrum Disorder (ASD). METHODS Three groups, composed of 319 subjects aged 6 to 12 years, were recruited in Bordeaux: 88 untreated ADHD subjects, 24 ASD subjects and 207 control subjects. The main measure was the social skill disruption through the rating of the Social Responsiveness Scale (SRS). The ADHD-RS-IV, WFIRS-P and CBCL scales were also used. RESULTS Asignificant alteration in social abilities in ADHD children in comparison with controls was noted, with an average raw total SRS score intermediary between the control group and the ASD group (respectively 65.31±20.99, 37.15±16.37 and 95 75±30.83, P<0.05). When the 5 sub-scores of the SRS were taken into account, if the ASD subjects showed the highest average scores, the alteration pattern appeared qualitatively similar between the ADHD and TSA groups, with also an intermediate dispersion for the ADHD group between the control group and the group with ASD. Finally, more severe impairment of social skills in children with ADHD was associated with increased severity of the disorder (on ADHD-RS-IV scale cotation), higher daily functional impact (WFIRS-P scale), and more frequent behavioral issues (according to CBCL). CONCLUSIONS Our results suggest the presence of social disturbances in ADHD and characterize a symptomatic profile qualitatively similar to that of ASD, but of less intensity. Overall results promote a need for a systematic dimensional assessment of social disability in ADHD.
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Affiliation(s)
- M Léger
- IME Le Nid Basque, 11, promenade des Falaises, 64600 Anglet, France.
| | - N Piat
- Exercice libéral, 202, rue de Pessac, 33000 Bordeaux, France; Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, centre hospitalier Charles-Perrens, 121, rue de La-Béchade, 33076 Bordeaux, France
| | - F A Jean
- Département de Psychiatrie, centre hospitalier Dr Jean-Eric-Techer, 575, grande rue du Petit-Courgain, BP 339, 62107 Calais cedex, France
| | - C Galera
- U.F.R. des sciences médicales, université de Bordeaux, 146, rue Léo-Saignat, 33000 Bordeaux, France; Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, centre hospitalier Charles-Perrens, 121, rue de La-Béchade, 33076 Bordeaux, France
| | - M P Bouvard
- U.F.R. des sciences médicales, université de Bordeaux, 146, rue Léo-Saignat, 33000 Bordeaux, France; Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, centre hospitalier Charles-Perrens, 121, rue de La-Béchade, 33076 Bordeaux, France
| | - A Amestoy
- U.F.R. des sciences médicales, université de Bordeaux, 146, rue Léo-Saignat, 33000 Bordeaux, France; Pôle universitaire de psychiatrie de l'enfant et de l'adolescent, centre hospitalier Charles-Perrens, 121, rue de La-Béchade, 33076 Bordeaux, France
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Albaroudi N, Tijani M, Boutimzine N, Cherkaoui O. Clinical and therapeutic features of pediatric Vogt-Koyanagi-Harada disease. J Fr Ophtalmol 2020; 43:427-432. [PMID: 32115269 DOI: 10.1016/j.jfo.2019.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 10/03/2019] [Accepted: 10/09/2019] [Indexed: 11/18/2022]
Abstract
PURPOSE To analyze clinical, therapeutic and prognostic features of pediatric Vogt-Koyanagi-Harada (VKH) disease. MATERIAL AND METHODS This retrospective study included 16 eyes of 8 children diagnosed with VKH disease followed at a teaching hospital over a 10 year period. Diagnosis was based on the revised criteria of VKH disease. All data were analyzed using SPSS® software. RESULTS There were 62.5% girls and 37.5% boys. The mean age (years) was 14.6±4.4. The mean follow-up (months) was 38.7±28.7. The mean initial visual acuity (VA) (LogMAR) was 1.4 with 68.8% of eyes presenting with severe visual loss at admission. The median time (days) required for resorption of the serous retinal detachment was 10 [8.25-25]. Extraocular signs were present in 62.5% of cases. The mean time until initiation of treatment was 25.6 days. 62.5% of patients received corticosteroids alone, and 37.5% of patients received a combination of corticosteroids and immunosuppressive therapy. Final VA was 0.4 [0.1-2.3]. In our study, the time until consultation, low initial VA and recurrences were statistically associated with severe visual loss (P≤0.05). CONCLUSION Life expectancy in pediatric cases of VKH disease justifies the early initiation of immunosuppressive treatment or even biological therapy to achieve better steroid sparing and preserve visual function.
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Affiliation(s)
- N Albaroudi
- Service d'ophtalmologie A, hôpital des spécialités, centre hospitalier universitaire, université Mohammed V, Rabat, Morocco.
| | - M Tijani
- Service d'ophtalmologie A, hôpital des spécialités, centre hospitalier universitaire, université Mohammed V, Rabat, Morocco
| | - N Boutimzine
- Service d'ophtalmologie A, hôpital des spécialités, centre hospitalier universitaire, université Mohammed V, Rabat, Morocco
| | - O Cherkaoui
- Service d'ophtalmologie A, hôpital des spécialités, centre hospitalier universitaire, université Mohammed V, Rabat, Morocco
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Sylla K, Sow MS, Diallo MOS, Sy MM, Sako FB, Traoré FA, Bah I, Cissé MO, Sow DC, Baldé MS, Diallo AM. [Acute Flaccid Paralysis Secondary to Poliomyelitis: 11 Years of Monitoring in Guinea (2005-2015)]. Bull Soc Pathol Exot 2020; 113:35-38. [PMID: 32881446 DOI: 10.3166/bspe-2020-0116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Accepted: 04/02/2020] [Indexed: 06/11/2023]
Abstract
The sustained worldwide use of the two available types of polio vaccines has significantly reduced the incidence of this disease. Our main objective is to report a 11-year monitoring period for acute flaccid paralysis secondary to poliovirus in Guinea. It was a retrospective descriptive study for all cases of acute flaccid paralysis (AFP) in which poliovirus was isolated by stool examination. During 11 years, 768 cases of AFP, including 8 cases of acute anterior poliomyelitis were collected at a frequency of 1%. The average age was 3.5 years with extremes of 1 year and 6 years, the most represented age group was 0-4 years with 7 cases. Six mothers were housewives doing gold panning as a revenue generating activity. The vaccine virus (serotype 2) was the most isolated with 6 cases.
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Affiliation(s)
- K Sylla
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - M S Sow
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - M O S Diallo
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - M M Sy
- Division de prévention et de lutte contre la maladie (DPLM), république de Guinée
| | - F B Sako
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - F A Traoré
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - I Bah
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - M O Cissé
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - D C Sow
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - M S Baldé
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
| | - A M Diallo
- Service de maladies infectieuses et tropicales, hôpital national Donka, BP 234, Conakry, république de Guinée
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Mariko M, Traoré B, Sow DS, Kane B, Bah M, Traoré D, Konaté M, N'Diaye HD, Drago AA, Togo A, Koné A, Konaté M, Minkaïlou M, Ouologuem N, Coulibaly K, Kanté F, Guindo A, Dramé A, Traoré DY, Berté B, Sidibé AT. [Dysthyroidism in children and adolescents at the Mali hospital]. Mali Med 2020; 35:56-61. [PMID: 37978765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
INTRODUCTION Dysthyroidism (hyperthyroidism or hypothyroidism) in children and adolescents is much rarer than in adults. The purpose of our study was to study the epidemiological, clinical, paraclinical, etiological and etiological aspects and to specify the therapeutic and evolutionary modalities of this condition. METHOD This was a five-year descriptive, retrospective and prospective study of children and adolescents under 18 years of age with dysthyroidism. RESULTS We collected 90 children and adolescents with dysthyroidism (hyperthyroidism 77.8% (n=70) and hypothyroidism 22.2% (n=20). For hyperthyroidism (n=70): the average age was 13.07 years and the sex ratio was 0.16. The family history of dysthyroidism was found in 24.3% (n=17). Clinical manifestations were dominated by tachycardia 88.57% (n=62), weight loss 87.14% (n=61), vibrating pulse 87.14% (n=61) and palpitation 81.42% (n=57). Bilateral exophthalmos was present in 70% of patients (n=49) with palpebral retraction in 51.42% (n=56). Goitre was present in 54 patients (77.1%). It was diffuse in 62.9% (n=44) and nodular in 12.9% (n=9). Basedow's disease represented the first etiology with 84.3% (n=59), followed by toxic multinodular goitre12, 9% (n=9). Sixty-eight patients (97.1%) received medical treatment with synthetic antithyroid drugs. Clinical remission was achieved in 64.3% (n=45) and 54.3% of patients were in biological euthyroidism at 6 months follow-up. For hypothyroidism (n=20): the average age was 10.70 years and the sex ratio was 0.53. Six family cases of hypothyroidism and three cases of family goitre were found. The clinical picture was dominated by signs of hypo metabolism at hypersomnia type 95% (n=19) and anorexia 75% (n=15). The skin was dry in 60% (n=12). A staturo-weight delay in 65% (n=13), behavioural disorders in 55% (n=11), weight gain in 40% (n=8) and puberty delay in 10% (n=2). Goitre was nodular in 25% (n=5) with cervical adenopathy present in 15% (n=3). Hashimoto's thyroiditis accounted for 45% (n=9) of etiologies followed by iodine deficiency disorders in 15% (n=3) and iatrogenic causes (2 cases of thyroidectomy). All patients were started on hormone replacement therapy for life. Five patients with large multinodular goiter received total thyroidectomy in addition to medical treatment. Euthyroidism was observed in 55% (n=11) of patients at 6 months follow-up. CONCLUSION Dysthyroidism in children and adolescents exists in our health facilities. Its management is deficient because of the technical and financial platform. Our public health decision-makers must help implement a screening strategy to facilitate faster diagnosis and treatment.
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Affiliation(s)
- M Mariko
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - B Traoré
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - D S Sow
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - B Kane
- Service de Pédiatrie de l'Hôpital du Mali
| | - M Bah
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - D Traoré
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - M Konaté
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - H D N'Diaye
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - A A Drago
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - A Togo
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - A Koné
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - M Konaté
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - M Minkaïlou
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - N Ouologuem
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - Kbd Coulibaly
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - F Kanté
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - A Guindo
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - Aht Dramé
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - D Y Traoré
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - B Berté
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
| | - A T Sidibé
- Service de médecine et d'endocrinologie de l'Hôpital du Mali
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Soumah A, Avettand-Fenoel V, Veber F, Moshous D, Mahlaoui N, Blanche S, Frange P. High rates of antiretroviral coverage and virological suppression in HIV-1-infected children and adolescents. Med Mal Infect 2019; 50:269-273. [PMID: 31722862 DOI: 10.1016/j.medmal.2019.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 04/06/2019] [Accepted: 10/09/2019] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To assess the outcome of HIV-infected individuals attending one of the largest French pediatric HIV centers in 2016-2017 and to compare the rates of antiretroviral coverage and virological suppression with the UNAIDS targets. PATIENTS AND METHODS The clinical and immuno-virological status of 163 HIV-1-infected children and adolescents attending Necker Hospital in Paris, France, were investigated. Virological suppression was defined as an HIV-1 viral load<50 copies/mL for at least six months. All genotypic resistance tests performed since birth were analyzed. RESULTS Most patients were born in Sub-Saharan African countries (41.7%) or in France (38.0%). Their median age was 14 years [IQR 7.3-17.0]. Although 33.7% of individuals had a history of AIDS-defining clinical event(s), 86.5% of children/adolescents were free from HIV-related symptoms at their most recent evaluation. Antiretroviral coverage was high (98.2%; mainly including one integrase inhibitor [42.3%] or one protease inhibitor [23.9%]). At the last visit, most patients (82.8%) had normal CD4T lymphocytes counts (≥25%). Although 61.7% of antiretroviral-experienced children had resistance to≥1 drug class and 9.2% had triple-class resistance, 80.3% of patients receiving antiretrovirals for≥6 months (126/157) were virologically suppressed. International adoptees were more frequently virologically suppressed than other patients (96.0% versus 74.6%, P=0.02). CONCLUSIONS Antiretroviral coverage exceeded the second UNAIDS 90 target aimed at ending the AIDS epidemic. The rate of virological suppression, one of the highest reported in children in high-income countries, is approaching the third UNAIDS 90 target and the rate observed in French HIV-infected adults on antiretrovirals.
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Affiliation(s)
- A Soumah
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - V Avettand-Fenoel
- Laboratoire de microbiologie clinique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; CNRS 8104/Inserm U1016, institut Cochin, université Paris Descartes, 22, rue Méchain, 75014 Paris, France
| | - F Veber
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - D Moshous
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Inserm UMR1163, institut Imagine, Sorbonne Paris Cité, université Paris Descartes, 24, boulevard du Montparnasse, 75015 Paris, France
| | - N Mahlaoui
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Inserm UMR1163, institut Imagine, Sorbonne Paris Cité, université Paris Descartes, 24, boulevard du Montparnasse, 75015 Paris, France; Centre de référence des déficits immunitaires héréditaires (CEREDIH), hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - S Blanche
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; EA7323, Sorbonne Paris Cité, université Paris Descartes, 12, rue de l'École de médecine, 75006 Paris, France
| | - P Frange
- Unité d'immunologie, hématologie et rhumatologie pédiatrique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Laboratoire de microbiologie clinique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; EHU 7328, institut Imagine, Sorbonne Paris Cité, université Paris Descartes, 149, rue de Sèvres, 75015 Paris, France.
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Hascoet S, Edouard T, Plaisancie J, Arnoult F, Milleron O, Stheneur C, Chevallier B, Zordan C, Odent S, Bal L, Faivre L, Leheup B, Dupuis-Girod S, Ruidavets JB, Acar P, Ferrieres J, Jondeau G, Dulac Y. Incidence of cardiovascular events and risk markers in a prospective study of children diagnosed with Marfan syndrome. Arch Cardiovasc Dis 2019; 113:40-49. [PMID: 31735609 DOI: 10.1016/j.acvd.2019.09.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 07/21/2019] [Accepted: 09/30/2019] [Indexed: 11/25/2022]
Abstract
BACKGROUND Little is known about the incidence of cardiovascular events (CVEs) and their associated risk markers in children with Marfan syndrome (MFS). AIMS To assess the incidence of CVEs and determine risk markers in a cohort diagnosed with Marfan syndrome during childhood and followed for several years. METHODS From a French multicentre nationwide database, 462 patients with MFS diagnosed during childhood were included prospectively. Patients' files were screened for a period of 20 years (1993-2013). CVEs (e.g. death, aortic dissection, cardiac valve or aortic root surgery) were assessed during the prospective follow-up. RESULTS Median (interquartile range) age at the end of follow-up was 17.2 (11.1-21.3) years. CVEs were reported for 35 participants (7.6%; 95% confidence interval [CI] 5.3-10.4%). First CVEs were prophylactic aortic root surgery (n=29), aortic dissection (n=4; two aged <18 years) and death (n=2). Kaplan-Meier cumulative incidence of CVEs was 5.3% (95% CI 3.3-8.7%) during childhood (aged≤18 years) and 19.4% (95% CI 13.3-27.9%) at 25years of age. The cumulative rate of CVEs was higher in case of Valsalva sinus Z-score increase of≥0.1 per year (P=0.0003), maximal Valsalva sinus diameter growth speed ≥5mm per year (P=0.03), aortic regurgitation≥2 (P=0.0005) and maximal Valsalva sinus Z-score≥3 before 16 years of age (P<0.0001). In a multivariable Cox proportional analysis, the Valsalva sinus Z-score remained significantly related to outcome. Considering aortic root evolution, aortic regurgitation, age at diagnosis and beta-blocker therapy were related to Valsalva sinus Z-score evolution during follow-up. CONCLUSIONS CVEs in children with MFS are mainly related to prophylactic aortic root surgery. Aortic dissections are rarely observed in children. The Valsalva sinus Z-score is a strong indicator of subsequent CVEs in children with MFS. Attention to follow-up and beta-blocker observance may be warranted in high-risk children.
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Affiliation(s)
- Sebastien Hascoet
- Department of Paediatric Cardiology and Paediatric Endocrinology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants, CHU Toulouse, 31300 Toulouse, France; Department of Congenital Heart Diseases, Centre Constitutif Réseau M3C (Maladies Rares Cardiopathies Congénitales Complexes), Hôpital Marie Lannelongue, Paris-Sud Université, 92350 Plessis-Robinson, France.
| | - Thomas Edouard
- Department of Paediatric Cardiology and Paediatric Endocrinology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants, CHU Toulouse, 31300 Toulouse, France
| | - Julie Plaisancie
- Department of Paediatric Cardiology and Paediatric Endocrinology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants, CHU Toulouse, 31300 Toulouse, France
| | - Florence Arnoult
- Department of Cardiology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital Bichat, AP-HP, 75018 Paris, France
| | - Olivier Milleron
- Department of Cardiology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital Bichat, AP-HP, 75018 Paris, France; Inserm U1148, 75877 Paris, France
| | - Chantal Stheneur
- Department of Cardiology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital Bichat, AP-HP, 75018 Paris, France; Inserm U1148, 75877 Paris, France; Department of Paediatrics, Hôpital Ambroise Paré, AP-HP, 92100 Boulogne-Billancourt, France
| | | | - Cécile Zordan
- Department of Clinical Genetics, Centre de Compétence pour le Syndrome de Marfan et Apparentés, CHU Bordeaux, 33000 Bordeaux, France
| | - Sylvie Odent
- Department of Clinical Genetics, Centre de Compétence pour le Syndrome de Marfan et Apparentés, Hôpital Sud CHU, 35200 Rennes, France
| | - Laurence Bal
- Department of Clinical Genetics and Aortic Diseases, Centre de Compétence pour le Syndrome de Marfan et Apparentés, Hôpital de la Timone, AP-HM, 13005 Marseille, France
| | - Laurence Faivre
- Department of Clinical Genetics, Centre de Compétence pour le Syndrome de Marfan et Apparentés, Hôpital d'enfants, CHU, Université de Bourgogne Franche Comté, 21070 Dijon, France
| | - Bruno Leheup
- Department of Clinical Genetics, Centre de Compétence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants Brabois, CHU Nancy, 54500 Vandoeuvre-lès-Nancy, France
| | - Sophie Dupuis-Girod
- Department of Clinical Genetics, Hospices Civils de Lyon, Centre de Compétence pour le Syndrome de Marfan et Apparentés, Hôpital Femme-Mère-Enfants, 69677 Bron, France
| | - Jean-Bernard Ruidavets
- Department of Epidemiology, 31073 Toulouse; Inserm/UPS UMR 1048, I2MC, 31432 Toulouse, France; CHU de Toulouse, 31059 Toulouse, France
| | - Philippe Acar
- Department of Paediatric Cardiology and Paediatric Endocrinology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants, CHU Toulouse, 31300 Toulouse, France
| | - Jean Ferrieres
- Department of Epidemiology, 31073 Toulouse; Inserm/UPS UMR 1048, I2MC, 31432 Toulouse, France; CHU de Toulouse, 31059 Toulouse, France
| | - Guillaume Jondeau
- Department of Cardiology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital Bichat, AP-HP, 75018 Paris, France; Inserm U1148, 75877 Paris, France
| | - Yves Dulac
- Department of Paediatric Cardiology and Paediatric Endocrinology, Centre de Référence pour le Syndrome de Marfan et Apparentés, Hôpital des Enfants, CHU Toulouse, 31300 Toulouse, France
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Cuttone F, Alacoque X, Leobon B, Karsenty C, Guitarte A, Dulac Y, Chausseray G, Acar P, Hadeed K. Aortic valve reconstruction in children: A new string to our bow. Arch Cardiovasc Dis 2019; 112:653-656. [PMID: 31708440 DOI: 10.1016/j.acvd.2019.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Accepted: 09/05/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Fabio Cuttone
- Congenital Cardiac Surgery, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France.
| | - Xavier Alacoque
- Department of Congenital Cardiac Anaesthesiology, CHU de Toulouse, 31059 Toulouse, France
| | - Bertrand Leobon
- Congenital Cardiac Surgery, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Clement Karsenty
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Aitor Guitarte
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Yves Dulac
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Gerald Chausseray
- Department of Congenital Cardiac Anaesthesiology, CHU de Toulouse, 31059 Toulouse, France
| | - Philippe Acar
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Khaled Hadeed
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
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Affiliation(s)
- H V New
- NHS Blood and Transplant, Charcot Road, London NW9 5BG, United Kingdom.
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Abstract
BACKGROUND. When handwriting becomes a significant obstacle to children's academic success, occupational therapists are routinely asked to intervene. At times, therapists wonder whether teachers' instructional approaches have a role to play in explaining children's handwriting challenges. PURPOSE. This study aimed to describe elementary school teachers' current instructional approach to handwriting throughout the school year. METHOD. A descriptive study design utilizing a survey approach to data collection was selected for this study. The survey was completed by 399 teachers. Survey responses were collated and descriptive statistics were used for analysis. FINDINGS. The heterogeneity of responses illustrates that many teachers are unaware of the best practices to implement to promote students' acquisition of handwriting. IMPLICATIONS. As occupational therapists, knowing that the school environment might not always offer the right context to enable children's acquisition of the task-specific features of handwriting should permeate our evaluation process and guide our interventions.
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Raji P, Mehraban AH, Ahmadi M, Schiariti V. Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists. Can J Occup Ther 2019; 86:289-298. [PMID: 31046435 DOI: 10.1177/0008417419833400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND. International Classification of Functioning, Disability and Health (ICF) core set for cerebral palsy allows for the description of the levels of functioning in cerebral palsy. It is not exactly clear which of these levels is more important for evaluation from the perspective of occupational therapists in Iran. By identifying these priorities, we can establish a better plan for intervention. PURPOSE. This study defines assessment priorities in children with cerebral palsy (<6 years). METHOD. Sixty-two Iranian occupational therapists studied the priorities of assessment based on the Iranian ICF core set. The therapists were asked to rate the code categories from 1 to 3. The results are presented as mean values. FINDINGS. Occupational therapists first focus on body functions assessment, then activities/participation, and ultimately, environmental factors. IMPLICATIONS. Occupational therapists in Iran have a bottom-up approach toward clients with cerebral palsy. It may be necessary to revise the educational curriculum, prepare a training course, and provide more supervision for practising occupational therapists.
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Abstract
BACKGROUND. Knowledge regarding the relationship between writing kinetics and the difference among writing tasks is limited. PURPOSE. This study examined the differences in handwriting performance when doing tasks with different levels of challenge from both temporal and kinetic perspectives among children in four different age groups. METHOD. The cross-sectional design introduced a force-acquisition pen to detect differences of pen grip and writing kinetics among 170 school-age children doing writing tasks at different difficulty levels. Data were obtained on the force information of the digits and pen tip and the kinetic parameters to examine the coordination-and-control mechanism between the digits and pen. Statistical analyzes were carried out to indicate the differences in writing performance among groups and tasks. FINDINGS. Statistical differences in the pen-grip forces, force fluctuation, and force ratio between grip and pen-tip forces were found when performing different writing tasks and among different age groups. IMPLICATIONS. The study provides an alternative method to explore how writing performance among school-age children can vary according to the difficulty of the writing tasks.
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Komitova R, Kevorkyan A, Boykinova O, Krumova S, Atanasova M, Raycheva R, Stoilova Y, Kunchev A. Difficulties in achieving and maintaining the goal of measles elimination in Bulgaria. Rev Epidemiol Sante Publique 2019; 67:155-162. [PMID: 30803747 DOI: 10.1016/j.respe.2019.01.120] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 01/03/2019] [Accepted: 01/07/2019] [Indexed: 11/16/2022] Open
Abstract
Measles is a disease with almost a hundred year history of existing registration in Bulgaria and has been subject to mass immunization since 1969. In 2017, after a three-year period with a low number of measles cases registered, an epidemic upsurge has been recorded affecting 3 of the total 28 regions in the country. The purpose of this study was to analyze the changes of measles morbidity in Bulgaria over the period of 1921-2017 and focus on the epidemiological characteristics of the last outbreak in the region of Plovdiv in 2017. For the whole period (1921-2017) the average measles morbidity amounts to 157.69%ооо, decreasing from 525.02%ооо in 1921 to 2.32%ооо in 2017, with 99.5% rate of reduction. In the period prior to vaccination the average morbidity was 247.14%ооо while in the vaccination period it was 70.08%ооо. The ARIMA model could be used as a short-term forecast to predict the morbidity rate. Against the background of the downward tendency in morbidity this study reports a small measles outbreak in Plovdiv, involving 141 cases, after three years of no local virus transmission in the country. An unvaccinated child who returned from abroad probably imported the disease. The measles cases were mainly Roma children and a large number of them were infants. The low intensity and prolong course of the outbreak was indicative of relatively high vaccination coverage of the population. To achieve measles elimination goals, efforts must be made to strengthen surveillance and increase the vaccination coverage, targeting children and especially Roma children.
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Affiliation(s)
- R Komitova
- Department of Infectious Diseases, Parasitology and Tropical Medicine, Faculty of Medicine, Medical University, Plovdiv, Bulgaria; Department of Infectious Diseases, "St George" University Hospital, Plovdiv, Bulgaria
| | - A Kevorkyan
- Department of Epidemiology and Disaster Medicine, Faculty of Public Health, Medical University, Plovdiv, Bulgaria.
| | - O Boykinova
- Department of Infectious Diseases, Parasitology and Tropical Medicine, Faculty of Medicine, Medical University, Plovdiv, Bulgaria; Department of Infectious Diseases, "St George" University Hospital, Plovdiv, Bulgaria
| | - S Krumova
- National Reference Laboratory for Measles, Mumps and Rubella, National Centre of Infectious and Parasitic Diseases, Sofia, Bulgaria
| | - M Atanasova
- Department of Microbiology and Immunology, Faculty of Pharmacy, Medical University, Plovdiv, Bulgaria
| | - R Raycheva
- Department of Social Medicine and Public Health, Faculty of Public Health, Medical University, Plovdiv, Bulgaria
| | - Y Stoilova
- Department of Epidemiology and Disaster Medicine, Faculty of Public Health, Medical University, Plovdiv, Bulgaria
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Camuset M, Grain A, Lorton F, Minckes O, Jourdain A, Millot F, Pellier I, Gandemer V, Battisti FR. [Use of blinatumomab in children acute lymphoblastic leukemia in the Grand Ouest interregion: A chance for all]. Bull Cancer 2019; 106:206-15. [PMID: 30638898 DOI: 10.1016/j.bulcan.2018.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 11/06/2018] [Accepted: 11/14/2018] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Relapsed/refractory acute lymphoblastic leukemia (ALL) in children has a pejorative prognosis and justifies to be treated by hematopoietic stem cell transplantation (HSCT). A minimal residual disease (MRD) before transplantation is a major part of prognosis. Blinatumomab, a bispecific antibody CD19+/CD3+, allowed to achieve a cytologic and molecular complete remission in adults with refractory B-precursor ALL. This retrospective study analyses results from a pediatric cohort treated by blinatumomab thanks to an interregional structuring consortium. PATIENTS AND METHODS Patients between 0 and 23 years old, from the 7 centers of the french "Grand Ouest" interregional network, treated by blinatumomab for a relapsed or refractory ALL, from January 2015 to January 2018, were included. The efficiency of blinatumomab was assessed in terms of complete remission, minimal residual disease, overall survival, and tolerability of treatment. RESULTS Thirteen of 18 patients achieved a complete remission, with negative minimal residual disease for ten of them. Fourteen patients proceeded to stem cell transplantation,. Eight out of 14 patients obtained long term remission after HSCT. As far as tolerance is concerned, no serious adverse event, neurological or psychiatric disorder, was observed. CONCLUSION Thanks to an interregional network collaboration, all children with high risk ALL coming from the western french interregion could be treated by blinatumomab. Blinatumomab offered good hematological conditions to undergo HSCT with a good tolerability.
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Diakité F, Diawara F, Coulibaly D, Koite N, Coulibaly OC, Diarra S, Traoré NL, Ag Iknane A. [Supporting factors of diarrhoea diseases in the children under 5 years in Commune II of the district of Bamako- Mali]. Mali Med 2019; 34:36-42. [PMID: 35897205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
UNLABELLED Diarrhea remains a real public health problem as it is the second leading cause of under-five mortality. In tropical environments, studies show several factors contributing to the frequency and severity of diarrhea. It is in this context that the present study of the factors favoring diarrheal diseases in children from 0 to 5 years old has been carried out. MATERIALS AND METHODS Cross-sectional cluster survey involving 200 mothers of 0-5 year-old children from November 2015 to October 2016. The Pearson Chi2 test was used with a 95% confidence level. RESULTS Married women accounted for 85.5% of our sample, 47% of whom had no education. Of the mothers surveyed, 17% of their children had had at least one episode of diarrhea in the two weeks before the survey. Almost all mothers (94%) washed their hands before feeding their children and 13% did not do so after cleaning the children. Regarding the cleanliness of the concession, it was bad in 23.5%. The majority of mothers (51%) did not know the significance of diarrhea, 43% reported the means of transmission, and 28% had inadequate practice in managing diarrhea. Some factors favor the occurrence of diarrhea such as: mixed breastfeeding that was statistically significant (p = 0.014), as well as poor hand hygiene practices (p = 0.027) and concessions (p = 0.000), as well as than the bad knowledge of the subject (p = 0.000). CONCLUSION Our study shows that diarrhea was a disease of the hands rooms, hence the interest of strengthening the awareness of mothers for best practices for behavior change.
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Affiliation(s)
- Flf Diakité
- Maitre-assistant en pédiatrie, FMOS, USTTB, Bamako, (Mali)
| | - F Diawara
- Maitre-assistant en épidémiologie, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - D Coulibaly
- Maitre-assistant en nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - N Koite
- Maitre-assistant en nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
| | - O C Coulibaly
- Département de Pédiatrie du CHU Gabriel Touré, Bamako, (Mali)
| | | | - N L Traoré
- Département de Pédiatrie du CHU Gabriel Touré, Bamako, (Mali)
| | - A Ag Iknane
- Professeur en santé publique-nutrition, Faculté de Pharmacie, USTTB, Bamako, (Mali)
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Sánchez-Tocino H, Villanueva Gómez A, Gordon Bolaños C, Alonso Alonso I, Vallelado Alvarez A, García Zamora M, Francés Caballero E, Marcos-Fernández MÁ, Schellini S, Galindo-Ferreiro A. The effect of light and outdoor activity in natural lighting on the progression of myopia in children. J Fr Ophtalmol 2018; 42:2-10. [PMID: 30573292 DOI: 10.1016/j.jfo.2018.05.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 04/25/2018] [Accepted: 05/03/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE To investigate potential risk factors for the progression of myopia. METHODS Prospective study. Myopic progression was evaluated by cycloplegic autorefraction and axial length (AL) every 6 months in children 6 to 15 years old. Univariate analysis and multiple logistic regression were applied. RESULTS Around 82 children with median age of 10.3±2.3 years. Myopia progressed by -0.816±0.6 D over 18 months. Increased myopic spherical equivalent refraction (SER) was correlated with increase in AL (P<0.001). Univariate analysis found SER to be significantly associated with: age, especially between 6 and 9.4 years old (P=0.001), parental myopia (P=0.028), and less time spent outdoors (P=0.009). There was a significantly greater increase in SER during months with the least daylight hours (P<0.001). CONCLUSION Outdoor activities and daylight have a protective effect against increased AL and progression of myopia. Younger children with significant myopia should be monitored closely, especially those around 6 years old with myopic parents.
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Affiliation(s)
- H Sánchez-Tocino
- Ophthalmology Department, University Rio Hortega Hospital, C/Dulzaina 2, 47012 Valladolid, Spain.
| | - A Villanueva Gómez
- Ophthalmology Department, University Rio Hortega Hospital, C/Dulzaina 2, 47012 Valladolid, Spain
| | - C Gordon Bolaños
- Ophthalmology Department, University Hospital Complejo Asistencial, Burgos, Spain
| | - I Alonso Alonso
- Ophthalmology Department, University Hospital Complejo Asistencial, Burgos, Spain
| | - A Vallelado Alvarez
- Ophthalmology Department, University Hospital Complejo Asistencial, Burgos, Spain
| | - M García Zamora
- Ophthalmology Department, University Rio Hortega Hospital, C/Dulzaina 2, 47012 Valladolid, Spain
| | - E Francés Caballero
- Ophthalmology Department, University Rio Hortega Hospital, C/Dulzaina 2, 47012 Valladolid, Spain
| | - M Á Marcos-Fernández
- Ophthalmology Department, University Clinic Hospital Valladolid, Valladolid, Spain
| | - S Schellini
- King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; Department of Ophthalmology, Faculdade de Medicina de Botucatu - UNESP, São Paulo, Brazil
| | - A Galindo-Ferreiro
- Ophthalmology Department, University Rio Hortega Hospital, C/Dulzaina 2, 47012 Valladolid, Spain
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Gimeno H, Polatajko HJ, Cornelius V, Lin JP, Brown RG. Protocol for N-of-1 trials with replications across therapists for childhood-onset dystonia rehabilitation: Study 2: Protocole des essais à effectif unique avec répétitions par différents ergothérapeutes pour la réadaptation de la dystonie débutant dans l'enfance : Étude 2. Can J Occup Ther 2018; 85:255-260. [PMID: 29972046 DOI: 10.1177/0008417417707734] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Currently, no evidence-based rehabilitation interventions are available for hyperkinetic movement disorders (HMD), including dyskinetic cerebral palsy (CP). Among these highly heterogeneous disorders, dystonia is the predominant disorder. The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach-a task-oriented, performance-based intervention to enable participation-is currently being evaluated for its potential as an intervention option. PURPOSE This paper reports the protocol for the second of two studies designed to evaluate the potential of CO-OP to improve functional outcomes for individuals with HMD following deep brain stimulation (DBS). This second study is a systematic replication across multiple treating therapists from multiple centres. METHOD Systematic replications will be used across centres and treating therapists trained in the CO-OP, using a series of randomized multiple-baseline N-of-1 trials. Participants will be ages 6 to 21 years with HMD and DBS as indicated by the Manual Ability Classification System. Data collection will involve multiple data points collected at baseline, during intervention, and after intervention. The intervention will involve occupation-based goal setting followed by 10 individualized CO-OP sessions. The primary outcome measures are the Performance Quality Rating Scale and the Canadian Occupational Performance Measure. Outcome data will be plotted over time for each participant and supplemented with graph statistical analysis and estimate size effect for N-of-1 trials. IMPLICATIONS The results of this study will help to inform future training procedures and future clinical trials.
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Gimeno H, Polatajko HJ, Cornelius V, Lin JP, Brown RG. Protocol for N-of-1 trials proof of concept for rehabilitation of childhood-onset dystonia: Study 1: Protocole des essais de validation à effectif unique pour la réadaptation de la dystonie débutant dans l'enfance : Étude 1. Can J Occup Ther 2018; 85:242-254. [PMID: 29972044 DOI: 10.1177/0008417417707532] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Hyperkinetic movement disorders (HMD) are a heterogeneous group of neurological conditions among which dystonia is the predominant disorder and dyskinetic cerebral palsy the largest secondary dystonia group. Currently, there are no evidence-based, non-medical management options for childhood HMD. The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach is a task-oriented, performance-based intervention that focuses on participation. PURPOSE This paper reports the protocol for a proof-of-concept study to assess feasibility and preliminary evidence regarding efficacy of CO-OP for HMD following deep brain stimulation (DBS). METHOD A series of N-of-1 trials with replications will be conducted with children, ages 6 and 21 years with HMD and DBS as indicated by the Manual Ability Classification System. Ten individualized CO-OP sessions, with multiple baselines before, during, and after, will be completed. The primary outcome measures are the Performance Quality Rating Scale and the Assessment of Motor and Process Skills. Outcome data will be plotted over time for each participant and supplemented with graph statistical analysis and effect size estimates. IMPLICATIONS A written protocol will be developed based on evidence and feedback incorporating any changes to the CO-OP intervention for children and young people with HMD, as per the Medical Research Council's Framework for Complex Interventions.
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Paquet A, Olliac B, Golse B, Vaivre-Douret L. Evaluation of neuromuscular tone phenotypes in children with autism spectrum disorder: An exploratory study. Neurophysiol Clin 2017; 47:261-268. [PMID: 28784338 DOI: 10.1016/j.neucli.2017.07.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 07/05/2017] [Accepted: 07/10/2017] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVE Motor disorders are known in autism spectrum disorder (ASD), but muscle tone assessments are rarely performed. Muscle tone underpins movement. We investigated muscle tone in 34 ASD children using a standardized neuro-developmental battery, which uses the French norms for muscular tone in children. METHODS Dangling and extensibility were used to examine passive muscle tone in the upper and lower limbs and the body axis. A comparison between muscles of the right and left sides enabled the determination of tonic laterality. RESULTS We found a disharmonious tonic typology, with a tonic component for the muscles of the trunk and the proximal muscles of the lower limbs and a laxity component for the ankles and the proximal and distal muscles of the upper limbs (wrists and shoulders). No establishment of tonic laterality was found in the upper limbs in 61% of ASD children (P<0.001). CONCLUSION The disturbed tonic organization influenced by subcortical structures, such as the cerebellum, may partially explain the motor disorders, and indefinite tonic laterality may also be linked to low hemispheric brain dominance described in autism. This preliminary examination is necessary before any gross motor assessments to understand the nature of movement disorders, explore typologies and highlight possible soft neuro-motor signs.
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Affiliation(s)
- Aude Paquet
- Faculty of medicine, university of Paris Descartes, Paris, France; Inserm 1018, CESP, university Paris-Sud, UVSQ, university of Paris-Saclay, Paris, France; Department of child and adolescent psychiatry, Esquirol hospital, Limoges, France; Research and neurostimulation unit, research federation for psychiatry and innovation at Limousin, Esquirol hospital, Limoges, France.
| | - Bertrand Olliac
- Department of child and adolescent psychiatry, Esquirol hospital, Limoges, France; UMR 1094, university of Limoges, Limoges, France
| | - Bernard Golse
- Faculty of medicine, university of Paris Descartes, Paris, France; Inserm 1018, CESP, university Paris-Sud, UVSQ, university of Paris-Saclay, Paris, France; Department of child psychiatry, Necker-Enfants-Malades university hospital, Paris, France
| | - Laurence Vaivre-Douret
- Faculty of medicine, university of Paris Descartes, Paris, France; Inserm 1018, CESP, university Paris-Sud, UVSQ, university of Paris-Saclay, Paris, France; Department of child psychiatry, Necker-Enfants-Malades university hospital, Paris, France; Department of paediatrics, child development, Cochin-Port Royal university hospitals of Paris center, Paris, France; Endocrinology laboratory, Imagine instituts, Paris, France
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Atadokpédé F, Gnossikè J, Adégbidi H, Dégboé B, Sissinto-Savi de Tovè Y, Adéyé A, Koudoukpo C, Chauty A, Chabasse D, Saint-André JP, Dieng MT, Koeppel MC, Yedomon HG, do-Ango-Padonou F. Cutaneous basidiobolomycosis: Seven cases in southern Benin. Ann Dermatol Venereol 2017; 144:250-254. [PMID: 28242097 DOI: 10.1016/j.annder.2016.10.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Revised: 08/07/2016] [Accepted: 10/28/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND Cutaneous basidiobolomycosis is the most common form of entomophthoramycosis. Herein we report seven cases of cutaneous basidiobolomycosis. PATIENTS AND METHODS A retrospective observational study was conducted at the Buruli ulcer treatment centre in Pobè and at the national teaching hospital in Cotonou from 2010 to 2015. RESULTS Seven cases of cutaneous basidiobolomycosis were diagnosed. The mean patient age was 9.53 years. There were 4 female and 3 male patients, all from southeast Benin. Clinically, the disease presented in all cases as a hard, well-defined, subcutaneous plaque with little inflammation, and which could easily be lifted from the deep structures but remained attached to the surface structures. The overlying skin was hyperpigmented. Plaques were localized to the buttocks or thighs. All patients had inflammatory anaemia with an accelerated erythrocyte sedimentation rate (30 to 70mm over the first hour), and a low haemoglobin count (8.7 to 11.4g/dL). Blood hypereosinophilia (650 to 3784elements/mm3) was present in six of the seven subjects. Histopathology (performed for 5 of the 7 subjects) showed granulomatous lesions with foreign-body giant cells, and inflammatory cells, with occasional eosinophils surrounding fungal hyphae (Splendore-Hoeppli phenomenon). Mycological analysis revealed Basidiobolus ranarum in three cases. The patients were treated with ketoconazole (5/7) and itraconazole (2/7), with good outcomes after 10 to 24 weeks of therapy. DISCUSSION Cutaneous basidiobolomycosis is uncommon in southern Benin, with only seven cases being diagnosed over 6 years. The diagnosis of cutaneous basidiobolomycosis is a challenge in the field in Benin due to the non-specific clinical presentation, the lack of technical resources, and the existence of numerous differential diagnoses. CONCLUSION Cutaneous basidiobolomycosis is an uncommon fungal infection in southern Benin chiefly affecting children.
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Affiliation(s)
- F Atadokpédé
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin.
| | - J Gnossikè
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - H Adégbidi
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - B Dégboé
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | | | - A Adéyé
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - C Koudoukpo
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - A Chauty
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - D Chabasse
- Parasitology-mycology department, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - J-P Saint-André
- Histopathology department, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - M-T Dieng
- Dermatology department, hôpital Aristide-le-Dantec, Dakar, Senegal
| | - M-C Koeppel
- Dermatology department, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - H-G Yedomon
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - F do-Ango-Padonou
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
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Abstract
Zusammenfassung. Die Beurteilung des Kindes mit Fieber und Atemnot erfordert sowohl das Abschätzen des Schweregrades des zugrundeliegenden Infektes wie auch der respiratorischen Symptome, um zeitgerecht adäquate Massnahmen einzuleiten. Hand zur allgemeinen Einschätzung bietet das sogenannte pädiatrische Beurteilungsdreieck und Kenntnis über die Besonderheiten des kindlichen Respirationstraktes. Einziehungen, Nasenflügeln, head bobbing und Hoover-Zeichen sind Zeichen vermehrter Atemarbeit. Die Toleranz für Atemmehrarbeit ist beim Säugling und Kleinkind klein. Daher muss auf Zeichen der respiratorischen Erschöpfung (Atemfrequenzabfall, Atempausen, Veränderung der Vigilanz) unbedingt geachtet werden. Der Entscheid zur Hospitalisierung ist immer von klinischen Faktoren abhängig. Radiologische oder laborchemische Untersuchungen sind für die Primärversorgung nur bedingt ausschlaggebend.
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Affiliation(s)
- Michel Ramser
- 1 Interdisziplinäre Notfallmedizin, Universitätskinderspital beider Basel
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Grapin-Dagorno C, Peycelon M, Philippe-Chomette P, Berrebi D, El Ghoneimi A, Orbach D. [Urothelial tumors in children]. Bull Cancer 2016; 104:195-201. [PMID: 28034440 DOI: 10.1016/j.bulcan.2016.11.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 11/26/2016] [Indexed: 11/29/2022]
Abstract
Urothelial tumors are very rare in children (to date, only about 150 cases have been reported worlwide). Only 20% occur before the age of ten. The aim of this study is to specify the clinicopathologic features of urothelial tumor in young patients, which require a slightly different approach to treatment. On the basis of the WHO/ISUP (World Health Organisation/International Society of Urological Pathology) consensus classification report, these lesions are usually low-grade lesions, non invasive, and rarely recurrent. The sex ratio is three boys to one girl. These tumors are located preferentially in the low urinary tract, especially in the bladder. The main symptom is the macroscopic hematuria, which requires ultrasound examination in all cases. Cystoscopy is indicated in case of lesion of the bladder wall, or in case of persistent or recurrent hematuria, to obtain definitive diagnosis and biopsies. The tumors are mainly located on the posterior or lateral bladder wall above the trigone or near the ureteral orifices. Treatment is based on the transurethral resection of the lesion. The subsequent monitoring is sparsely codified, due to the exceptional occurrence of these tumors in the paediatric age group. These patients are likely to have better outcome than older patients, but it is due to the predominance of noninvasive papillary urothelial tumors. Tumor recurrences are not uncommon. In case of invasive, high-grade urothelial carcinomas, metastases or even lethal outcome may occur in rare cases.
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Affiliation(s)
- Christine Grapin-Dagorno
- Hôpital Robert-Debré, service de chirurgie viscérale et urologique, 48, boulevard Sérurier, 75019 Paris, France.
| | - Matthieu Peycelon
- Hôpital Robert-Debré, service de chirurgie viscérale et urologique, 48, boulevard Sérurier, 75019 Paris, France
| | - Pascale Philippe-Chomette
- Hôpital Robert-Debré, service de chirurgie viscérale et urologique, 48, boulevard Sérurier, 75019 Paris, France
| | - Dominique Berrebi
- Hôpital Robert-Debré, service d'anatomopathologie, 48, boulevard Sérurier, 75019 Paris, France
| | - Alaa El Ghoneimi
- Hôpital Robert-Debré, service de chirurgie viscérale et urologique, 48, boulevard Sérurier, 75019 Paris, France
| | - Daniel Orbach
- Institut Curie, service d'oncopédiatrie, 26, rue d'Ulm, 75005 Paris, France
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Delmas MC, Guignon N, Leynaert B, Moisy M, Marguet C, Fuhrman C. [Increase in asthma prevalence among young children in France]. Rev Mal Respir 2016; 34:525-534. [PMID: 27919604 DOI: 10.1016/j.rmr.2016.09.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2016] [Accepted: 09/02/2016] [Indexed: 01/03/2023]
Abstract
INTRODUCTION Few data on change over time of asthma prevalence in French children are available. METHODS Data from the 2012-2013 national health survey of schoolchildren conducted in a random sample of almost 20,000 children in the last year of nursery school were compared to those which had been collected in 2005-2006 in the same grade level using the same methodology. RESULTS In the 2012-2013 survey, children had a lifetime prevalence of asthma of 11.0% with 11.8% reporting wheezing in the preceding year. Asthma was more frequent and more often uncontrolled in children from families with low socioeconomic status. Compared to the survey conducted in the same grade level in 2005-2006, the prevalence ratios adjusted for children's gender and obesity, family structure, parental unemployment and region were 1.13 [1.05-1.21] for lifetime asthma and 1.12 [1.05-1.17] for past-year wheezing. CONCLUSION In France, the prevalence of asthma in young children increased between 2005 and 2012. The socioeconomic status of children's parents affects both asthma prevalence and control.
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Affiliation(s)
- M-C Delmas
- Direction des maladies non transmissibles et traumatismes, Santé publique France, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
| | - N Guignon
- Direction de la recherche, des études, de l'évaluation et des statistiques (DREES), ministère de la Santé, 75007 Paris, France
| | - B Leynaert
- UMR 1152, Inserm, 75890 Paris cedex 18, France; UMR 1152, université Paris-Diderot Paris-7, 75018 Paris, France
| | - M Moisy
- Direction de la recherche, des études, de l'évaluation et des statistiques (DREES), ministère de la Santé, 75007 Paris, France
| | - C Marguet
- Hôpital Charles-Nicolle, CHU de Rouen, 76000 Rouen, France
| | - C Fuhrman
- Direction des maladies non transmissibles et traumatismes, Santé publique France, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France
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Koné Z, Coulibaly G, Daix ATJ, Bakayoko AS, Samaké K, Kouassi DP, Domoua KMS. [Current situation of primary prophylaxis with isoniazid (INH) in children who are contacts of patients with bacillary pulmonary tuberculosis in Abidjan (Cote d'Ivoire)]. Rev Pneumol Clin 2016; 72:340-345. [PMID: 27776945 DOI: 10.1016/j.pneumo.2016.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Revised: 08/20/2016] [Accepted: 08/27/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION The National tuberculosis program (NTP) in Ivory Coast recommends that children under 5 years living in a family environment with contagious tuberculosis patients, should receive Prophylactic treatment with INH (PTI), whatever the result of the tuberculin skin test (positive or negative) and their BCG status (vaccinated or not), at a dose of 5mg/kg/day for 6 months. We conducted this study to check the implementation of this recommendation in three support services of tuberculosis in Abidjan, the economic capital. MATERIAL AND METHOD We conducted a multicenter, cross-sectional and descriptive study over 3 years (2011-2013), on consented patients, adolescents and adults aged at least 15 years, with a first episode of infectious pulmonary tuberculosis, in order to look for information on the INH prophylaxis in children under 5 years living under the same roof. We made patients interviews during their visit for bacteriological sputum controls at the second month of TB treatment. RESULTS Of a total of 412 patients (53% males and 47% females) with a mean age of 34.5 years and with a low level of instruction (66.5%), we noticed 639 children under 5 years living under the same roof with them. Information on the screening of contact children was given to 71% of interviewed patients (291/412). Of the 339 children examined among 639 contacts, 234 (69%) had received only an intradermoreaction (IDR) and PTI was finally administered to 64% of them (217/339). CONCLUSION High proportion of contact children under 5 not examined is a major concern for the NTP and a missed opportunity to prevent additional cases of tuberculosis among children.
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Affiliation(s)
- Z Koné
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire.
| | - G Coulibaly
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire
| | - A T J Daix
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire
| | - A S Bakayoko
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire
| | - K Samaké
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire
| | - D P Kouassi
- Service de surveillance épidémiologique, Institut national d'hygiène publique, Antenne régional de Bouaké, Bouaké, Cote d'Ivoire
| | - K M S Domoua
- Service de pneumophtisiologie, CHU Treichville, BP V 03 Abidjan, Cote d'Ivoire
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Durry A, Gomes Ferreira C, Tricard T, Gicquel P, Becmeur F. Minimally invasive repair of pectus excavatum in children: Results of a modified Nuss procedure. ANN CHIR PLAST ESTH 2016; 62:8-14. [PMID: 27823841 DOI: 10.1016/j.anplas.2016.10.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 10/03/2016] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Pectus excavatum (PE) is the most common deformity of the anterior thoracic wall. The Nuss technique allows the thorax to be reshaped with the aid of a retrosternal metallic bar. The aim of this study is to evaluate and compare the complication rate between the original Nuss technique and a lightly modified approach. MATERIAL AND METHOD We performed a retrospective single-center observational study based on the medical files of patients operated for PE in the Pediatric Surgery Unit between July 2004 and July 2015. We divided two patient groups according to the operating technique employed: the Nuss group (NG) and the modified Nuss group (MNG) with supplementary subxiphoid incision and bilateral thoracoscopy. RESULTS Twenty-seven patients were included: sixteen in the NG and eleven in the MNG. No significant differences were found between the two groups for all kinds of complications: total complication rate (50% for the NG versus 54% for the MNG, P>0.05), early (31% vs 46%, P>0.05), late (19% vs 9%, P>0.05), non-serious (37% vs 36%, P>0.05) or serious (13 vs 18%, P>0.05). There was no life threatening complication in the MNG, contrary to the NG. In the two groups, a significant difference was found (P=0.029) regarding the operating time: longer operating times (80±25min) were correlated with a higher complication rate. CONCLUSION The modified Nuss technique does not cause more complications than the original technique described by Nuss and it has the advantage to minimize the risk of heart damage.
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Affiliation(s)
- A Durry
- Unit of paediatric surgery, Strasbourg university hospital, Strasbourg, France.
| | | | - T Tricard
- Unit of paediatric surgery, Strasbourg university hospital, Strasbourg, France.
| | - P Gicquel
- Unit of paediatric surgery, Strasbourg university hospital, Strasbourg, France.
| | - F Becmeur
- Unit of paediatric surgery, Strasbourg university hospital, Strasbourg, France.
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Epée E, Koki G, Dohvoma VA, Kenne C, Biangoup NP, Tocke O, Mvilongo C, Bella AL, Ebana Mvogo C. [Epidemiological and clinical aspects of tropical endemic limbo-conjunctivitis in students in Yaoundé]. J Fr Ophtalmol 2016; 39:744-749. [PMID: 27765447 DOI: 10.1016/j.jfo.2016.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Revised: 07/06/2016] [Accepted: 07/07/2016] [Indexed: 10/20/2022]
Abstract
INTRODUCTION TELC, tropical endemic limbo-conjunctivitis, is a keratoconjunctivitis seen more frequently in dry intertropical settings than humid ones. We aim to determine the epidemiologic and clinical profile of this condition in a city with a humid equatorial climate. PATIENTS AND METHODS During first third of 2014, we conducted a cross-sectional descriptive study in schools. Included were children aged 3-15 years who received parental consent. The selection was conducted in two steps. After an initial examination of children within the schools, the diagnosis was then confirmed by a complete ophthalmologic examination carried out in the hospital. For ethical clearance, the study received all necessary authorizations. The data were analyzed using the CSPro version 4.0 software in French and the comparison test used was χ2 with a confidence limit of 95 %. RESULTS Out of 353 students examined, 129 were referred to the Yaoundé central hospital, among which 82 (23.2 %) were confirmed with TELC. The median age of the children diagnosed with TELC was 8.24+0.6 years. Boys (57.3 %) were affected more than girls. The age range of 6-12 years (64.6 %) was the most represented. A recrudescence of the attacks was observed during the dry season (93 %) of cases. Dust (49 %) and sun exposure (43 %) were aggravating factors. CONCLUSION The prevalence of TELC observed in school in this study is significant.
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Affiliation(s)
- E Epée
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun.
| | - G Koki
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - V A Dohvoma
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - C Kenne
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - N P Biangoup
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - O Tocke
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - C Mvilongo
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - A L Bella
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
| | - C Ebana Mvogo
- Faculté de medecine et des sciences biomedicales de l'université de Yaoundé I, BP 11216, 11216 Yaoundé, Cameroun
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Duquennoy-Martinot V. [Introduction]. ANN CHIR PLAST ESTH 2016; 61:317-318. [PMID: 27233950 DOI: 10.1016/j.anplas.2016.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Accepted: 04/10/2016] [Indexed: 11/19/2022]
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50
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Maruani A. [What's new in pediatric dermatology?]. Ann Dermatol Venereol 2016; 142 Suppl 3:S26-35. [PMID: 26792412 DOI: 10.1016/s0151-9638(16)30004-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The years 2014-2015 have been rich in paediatric dermatology news in varied areas. Randomized controlled trials including children have been performed, especially in the fields of vascular anomalies, infectiology and immuno-allergology; new classifications and guidelines have been established; scientific research has made new discoveries, including the molecular basis of pediatric nevi and melanoma; epidemiologic works on risk factors have highlighted the need for dermatologists to be aware of prevention (sun prevention but also obesity); and finally, the many publications have taken into account psychological issues in children, such as quality of life, pain, observance or acceptance.
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Affiliation(s)
- A Maruani
- Service de dermatologie, unité de dermatologie pédiatrique, hôpital Trousseau, avenue de la République, 37044 Tours Cedex 9 ; université François-Rabelais de Tours, INSERM U930, 37000 Tours, France.
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