Pediatric Reports

549 KiB

Open AccessArticle

Parenting Stress and Impact of Illness in Parents of Children with Coeliac Disease

by Maria Stella Epifanio, Vitalba Genna, Maria Grazia Vitello, Michele Roccella and Sabina La Grutta

Pediatr. Rep. 2013, 5(4), e19; https://doi.org/10.4081/pr.2013.e19 - 19 Dec 2013

Cited by 45 | Viewed by 4

Abstract

Coeliac disease (CD) is a chronic disease which could stress patients and their family. Although, poor attention has been paid to the quality of life in CD children and to the functioning of families with CD children. The study aims to evaluate the [...] Read more.

Coeliac disease (CD) is a chronic disease which could stress patients and their family. Although, poor attention has been paid to the quality of life in CD children and to the functioning of families with CD children. The study aims to evaluate the parenting perception of the CD impact and the parenting distress level. A group of 74 parents of CD children compiled the Impact Childhood Illness Scale and the Parenting Stress Index which is also compiled by 74 parents of health children. The assessment does not reveal a significant impact of CD on patient’s personal life although some critical areas emerged. Results evidenced an higher level of parenting stress in parents of CD children than parents of healthy children. CD, if suitably managed, has not a critical impact on parenting perception. Although, CD certainly put parents through an higher risk of a distress related to parenting role than parents with health children. A early identification of parenting distress in a pediatric chronic illness could facilitate the adjustment to pathology. Full article

608 KiB

Open AccessArticle

Early Precursors of Low Attention and Hyperactivity in Moderately and Very Preterm Children at Preschool Age

by M. Regina Morales, Concetta Polizzi, Giorgio Sulliotti, Claudia Mascolino and Giovanna Perricone

Pediatr. Rep. 2013, 5(4), e18; https://doi.org/10.4081/pr.2013.e18 - 27 Nov 2013

Cited by 11 | Viewed by 3

Abstract

The low attention and hyperactivity are major morbidities associated with very and moderately preterm birth. The study has been aimed at investigating the likely occurrence of early precursors of Attention Deficit and Hyperactivity Disorder (ADHD) in very and moderately preterm children at preschool [...] Read more.

The low attention and hyperactivity are major morbidities associated with very and moderately preterm birth. The study has been aimed at investigating the likely occurrence of early precursors of Attention Deficit and Hyperactivity Disorder (ADHD) in very and moderately preterm children at preschool age. The involved children were: 25 very preterm children (M=29.4 weeks of gestational age, SD=2), with low birth weight (M=1200 g, SD=250 g); 35 moderately preterm children (M=34.6 weeks of gestational age, SD=1) with low birth weight (M=2100 g, SD=250 g); 60 healthy full-term children as the control group. Parents of children have been administered specific questionnaires to detect low attention and hyperactivity of their children at home. The data have shown the risk of precursors of ADHD, highlighting statistically significant birth-related differences in both hyperactivity/impulsivity [F(2,119)=3.5, P=0.03, η2=0.06] and inattention [F(2,119)=2.4, P=0.04, η2=0.04], where very preterm children have got higher scores in these two dimensions compared with full-term and moderately preterm children. The very preterm children have got higher scores of impulsivity and inattention than the full-term children (Tukey’HSD − Honestly Significant Difference; P<0.001). Full article

579 KiB

Open AccessArticle

Diagnosis of Biliary Atresia Can Not Be Excluded by Declining Trend of Serum Direct Bilirubin

by Keita Terui, Yasuyuki Higashimoto, Eriko Saito, Takeshi Saito, Tetsuya Mitsuanga, Mitsuyuki Nakata, Jun Iwai and Hideo Yoshida

Pediatr. Rep. 2013, 5(4), e17; https://doi.org/10.4081/pr.2013.e17 - 18 Nov 2013

Cited by 5 | Viewed by 2

Abstract

The aim of this paper is to investigate the clinical courses of patients with biliary atresia (BA) during neonatal period. We examined 19 patients with BA, who underwent blood tests including direct bilirubin (D-Bil) within 20 days of age, in 3 tertiary hospitals [...] Read more.

The aim of this paper is to investigate the clinical courses of patients with biliary atresia (BA) during neonatal period. We examined 19 patients with BA, who underwent blood tests including direct bilirubin (D-Bil) within 20 days of age, in 3 tertiary hospitals in Japan. The first blood sample was collected at 8.4±6.5 days of age. The acholic stool was observed within 2 weeks of age in 16 cases (84.2%). Decrease of T-Bil was observed in all the subjects, with a range of reduction of 6.5±3.3 mg/dL, from 10.4±7.5 to 29.8±9.1 days of age. Decrease of D-Bil was also observed in 17 out of 19 cases (89%), with a range of reduction of 1.1±1.0 mg/dL, from 15.5±8.0 to 24.9±9.6 days of age. A significant decrease of D-Bil was observed in 2 cases of biliary atresia splenic malformation syndrome. We therefore conclude that clinicians treating icteric infants should not exclude a diagnosis of BA even if the level of D-Bil has a declining tendency. Full article

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Pediatr. Rep., Volume 5, Issue 4 (November 2013) – 3 articles

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