Helping babies breathe can reduce deaths with the right combination of  training and expertise
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 6, 2017 Category: Pediatrics Authors: Christabel Enweronu ‐Laryea, Nicola Jayne Robertson Tags: Editorial Source Type: research

Global gains after Helping Babies Breathe
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 6, 2017 Category: Pediatrics Authors: Susan Niermeyer Tags: Editorial Source Type: research

Is 100% oxygen a sticking plaster for sore neonatal ventilation skills?
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 6, 2017 Category: Pediatrics Authors: Anne Lee Solev åg, Georg M. Schmölzer Tags: Editorial Source Type: research

Highlights in this issue
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 6, 2017 Category: Pediatrics Authors: Anna K äll, Hugo Lagercrantz Tags: Highlights in this issue Source Type: research

Issue Information
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 6, 2017 Category: Pediatrics Tags: Issue Information Source Type: research

Changing diagnosis codes for lower respiratory tract infections can confound longitudinal studies
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 5, 2017 Category: Pediatrics Authors: Sigurdur Kristj ánsson Tags: Editorial Source Type: research

Shaken baby syndrome and the risk of losing scientific scrutiny
ConclusionThe responses to the SBS report indicate that scientific scrutiny risks being lost when researchers and organisations are not open to challenging established ideas.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: M Ros én, N Lynøe, G Elinder, B Hallberg, P Sundgren, A Eriksson Tags: Review Article Source Type: research

Introducing universal ultrasound screening for developmental dysplasia of the hip doubled the treatment rate
ConclusionAdding universal ultrasound to clinical screening performed by the same, experienced paediatrician doubled the treatment rate, without influencing the already low numbers of late cases.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Stine Feiring Olsen, Hans Christian Blom, Karen Rosendahl Tags: Regular Article Source Type: research

Oropharyngeal surfactant can improve initial stabilisation and reduce rescue intubation in infants born below 25 weeks of gestation
This study evaluated the feasibility and safety of administering surfactant into the pharynx of infants born at less than 25 weeks immediately after birth. MethodsThis study of 19 infants was conducted from January 2013 to July 2014 in a tertiary perinatal centre in Prague. We administered 1.5ml of Curosurf as a bolus into the pharynx and simultaneously performed a sustained inflation manoeuvre (SIM). The extent of the interventions, death and severe neonatal morbidity in the study group were compared with 20 controls born before the study period and 20 born after it. ResultsAll infants received oropharyngeal surfactant wi...
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Tereza Lamberska, Eva Settelmayerova, Jan Smisek, Marketa Luksova, Gabriela Maloskova, Richard Plavka Tags: Regular Article Source Type: research

Deaths and end ‐of‐life decisions differed between neonatal and paediatric intensive care units at the same children's hospital
Abstract AimWe compared neonatal deaths and end‐of‐life decisions in a neonatal intensive care unit (NICU) and paediatric intensive care unit (PICU) in a Dutch tertiary children's hospital. SubjectsAll 235 full‐term infants who died within 28 days of life between 2003‐2013 in the NICU (n=199) and PICU (n=36) were retrospectively studied. ResultsThe median length of stay was three days in the NICU and seven days in the PICU (p=0.003). The main reasons for NICU stays were asphyxia (52.8%) and congenital malformations (42.2%) and in the PICU they were congenital malformations (97.2%) primarily cardiac problems (83.3%, p
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Maartje C. Snoep, Nicolaas J.G. Jansen, Floris Groenendaal Tags: Regular Article Source Type: research

Non ‐publication and Discontinuation of Randomised Controlled Trials in Newborns
ConclusionNon‐publication and discontinuation of RCTs conducted in newborns is common. Additional efforts are needed to minimise the number of neonatal trial participants that are exposed to interventions without subsequent publication.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Christoph M R üegger, Jennifer A Dawson, Susan M Donath, Louise S Owen, Peter G Davis Tags: Regular Article Source Type: research

Elective transfers of preterm neonates to regional centres on non ‐invasive respiratory support is cost effective and increases tertiary care bed capacity
ConclusionThe elective transfer of stable neonates on NCPAP from level three to level two NICUs within an established clinical network led to substantial cost savings, was safe and increased the bed capacity at the two level three NICUs.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Hussein Zein, Kamran Yusuf, Renee Paul, Derek Kowal, Sumesh Thomas Tags: Regular Article Source Type: research

What paediatric obesity treatment programmes work, and how can we measure their success?
(Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: Gal Dubnov ‐Raz, Elliot M. Berry Tags: Editorial Source Type: research

Maternal and infant factors had a significant impact on birthweight and  longitudinal growth in a South African birth cohort
ConclusionBirthweight was an important predictor of growth trajectory during infancy. Birthweight and growth were influenced by several important modifiable factors. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 4, 2017 Category: Pediatrics Authors: S Budree, DJ Stein, K Brittain, E Goddard, N Koen, W Barnett, L Myer, HJ Zar Tags: Regular Article Source Type: research

Implementing higher oxygen saturation targets reduced the impact of poor weight gain as a predictor for retinopathy of prematurity
ConclusionAfter the SpO2 target range was increased from 88–92% to 91–95%, postnatal weight gain was no longer a significant risk factor and WINROP lost its ability to predict ROP requiring treatment. Risk factors clearly change as neonatal care develops.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 1, 2017 Category: Pediatrics Authors: Pia Lundgren, Anna –Lena Hård, Åsa Wilde, Chatarina Löfqvist, Lois E H Smith, Ann Hellström Tags: Regular Article Source Type: research

Vitamin D status of gastrostomy ‐fed children with special needs: a cross‐sectional pilot study
Abstract AimTo assess the vitamin D status of gastrostomy‐fed children. MethodsVitamin D status was measured in 32 children aged five to 16 years recruited from special schools in Manchester, UK (53° 48′ N). All children were receiving a nutritionally complete, commercially prepared enteral feed via gastrostomy, and had been established on this regimen for over 12 months. Serum concentrations of 25 hydroxyvitamin D (25OHD) were measured at the end of winter. Children with serum concentrations of 25OHD>50nmol/L were considered to be sufficient, and those with concentrations 50nmol/L). One subject was vitamin ...
Source: Acta Paediatrica - September 1, 2017 Category: Pediatrics Authors: H Kuter, G Das, M Z Mughal Tags: Regular Article Source Type: research

Re: Are electromagnetic fields in incubators a risk factor for autism?
This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - September 1, 2017 Category: Pediatrics Authors: S M J Mortazavi Tags: Letter Source Type: research

Cerebral oxygenation measured by near ‐infrared spectroscopy correlates with arterial oxygenation only poorly in preterm infants – a strength of that technology?
This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 30, 2017 Category: Pediatrics Authors: Berndt Urlesberger, Gerhard Pichler Tags: Letter Source Type: research

Oxygen needs during resuscitation and surfactant to achieve stabilisation were independent risks factors for pulmonary interstitial emphysema in preterm infants
ConclusionIndependent risk factors for pulmonary interstitial emphysema in preterm infants were higher oxygen during resuscitation and a higher need for surfactant and ventilatory pressures before diagnosis.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 29, 2017 Category: Pediatrics Authors: Antonio Nu ñez‐Ramiro, Marta Aguar, Maria Cernada, Anna Parra‐Llorca, Maximo Vento Tags: Regular Article Source Type: research

Family Nurture Intervention in Preterm Infants Increases Early Development of Cortical Activity and Independence of Regional Power Trajectories
Abstract AimPremature delivery and maternal separation during hospitalization increase infant neurodevelopmental risk. Previously, a randomized controlled trial of Family Nurture Intervention (FNI) in the neonatal intensive care unit demonstrated improvement across multiple mother and infant domains including increased electroencephalographic (EEG) power in the frontal polar region at term age. New aims were to quantify developmental changes in EEG power in all brain regions and frequencies and correlate developmental changes in EEG power among regions. MethodsEEG (128 electrodes) was obtained at 34‐44 weeks postmen...
Source: Acta Paediatrica - August 29, 2017 Category: Pediatrics Authors: Martha G. Welch, Raymond I. Stark, Philip G. Grieve, Robert J. Ludwig, Joseph R. Isler, Joseph L. Barone, Michael M. Myers Tags: Regular Article Source Type: research

Magnetic noninvasive acupuncture for infant comfort (MAGNIFIC) – a single‐blinded randomised controlled pilot trial
ConclusionThis pilot study shows that auricular MA is feasible in neonates and may reduce PIPP scores during heel pricks. Further study is required to determine the impact of MA on other painful or stressful conditions and on neurodevelopment. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 29, 2017 Category: Pediatrics Authors: Kerry L. Chen, Kwee Bee Lindrea, Im Quah ‐Smith, Georg M. Schmölzer, Mary Daly, Timothy Schindler, Ju Lee Oei Tags: Regular Article Source Type: research

Children who commute to school unaccompanied have greater autonomy and perceptions of safety
Abstract AimWe explored the rates of children who actively commuted to school, both accompanied and unaccompanied, and identified their safety perceptions. MethodsThis cross‐sectional study focused on 745 children, aged 6‐12 years, from public schools in the Spanish Granada region. They completed a questionnaire, providing personal data, their school grade, safety perceptions, whether they were accompanied to school and how they travelled to school. We analysed how active commuters were accompanied to school by age group and assessed the associations between safety perceptions and whether or not they were accompanied. ...
Source: Acta Paediatrica - August 29, 2017 Category: Pediatrics Authors: M Herrador ‐Colmenero, Emilio Villa‐González, Palma Chillón Tags: Regular Article Source Type: research

Survey shows that Swedish healthcare professionals have a positive attitude towards surrogacy but the health of the child is a concern
ConclusionWe found that 60% supported legalised surrogacy, but many expressed concerns about the children's health and greater knowledge about the medical and psychosocial consequences of surrogacy is needed.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 25, 2017 Category: Pediatrics Authors: G Armuand, C Lampic, A Skoog ‐Svanberg, K Wånggren, G Sydsjö Tags: Regular Article Source Type: research

Re ‐evaluating the use of ultrasound to investigate first febrile urinary tract infections in childhood
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 24, 2017 Category: Pediatrics Authors: Ian K. Hewitt, Giovanni Montini Tags: Editorial Source Type: research

Severe neonatal hyperbilirubinaemia is frequently associated with long hospitalisation for emergency care in Nigeria
ConclusionSevere hyperbilirubinaemia was frequently associated with long hospitalisation in Nigeria, especially if nenonates had birth asphyxia or required exchange transfusions.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 23, 2017 Category: Pediatrics Authors: Bolajoko O. Olusanya, Cecilia A. Mabogunje, Zainab O. Imam, Abieyuwa A. Emokpae Tags: Regular Article Source Type: research

Using smartphones with suitable apps can be safe and even useful if they are not misused or overused
This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Savita Yadav, Pinaki Chakraborty Tags: A Different View Source Type: research

Boys have better short ‐term and long‐term survival rates after intensive care admissions than girls
ConclusionThis study showed that boys have better outcomes than girls after intensive‐care admissions. The difference does not seem to be based on inequality of care.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: E Johansson Frigyesi, P Andersson, A Frigyesi Tags: Regular Article Source Type: research

Infantile Retinal Haemorrhages in the Absence of Brain and Bodily Injury
This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Joseph Scheller Tags: A Different View Source Type: research

Why haven't the documented benefits of probiotics on preterm babies led to their wider acceptance and use?
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Constantin R. Popescu, Leah T. Stiemsma, Pascal M. Lavoie Tags: Editorial Source Type: research

It is not ethical to save an infant's life just because we can, without due regard to outcome
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Gert Helgesson Tags: Editorial Source Type: research

Foetal growth restriction is associated with poor reading and spelling skills at eight years to 10 years of age
ConclusionFGR is associated with poor performance in reading and spelling skills. A third of the FGR children performed below the 10th percentile normal values at nine years of age. These results indicate a need to continuously evaluate linguistic and literacy skills as FGR children age to ensure optimal support. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Lea Partanen, Noora Korkalainen, Kaarin M äkikallio, Päivi Olsén, Päivi Laukkanen‐Nevala, Anneli Yliherva Tags: Regular Article Source Type: research

Dysfunctional breathing in children and adolescents
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Miles Weinberger Tags: Editorial Source Type: research

Neural Breathing Pattern in Newborn Infants Pre and Post ‐ Extubation
ConclusionIn our neonatal cohort, extubation failure was associated with a smaller increase in peak and delta EAdi after extubation. If confirmed, these findings indicate an important cause of extubation failure in preterm infants.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 22, 2017 Category: Pediatrics Authors: Narayan P Iyer, John Dickson, Michelle E Ruiz, Robert Chatburn, Jennifer Beck, Chister Sinderby, Ricardo J Rodriguez Tags: Regular Article Source Type: research

DNA methylation profiles between airway epithelium and proxy tissues in children
ConclusionDNA methylation in blood poorly reflects methylation in airway epithelium. Future epidemiological studies of DNA methylation and airway diseases should consider measurement of methylation either in buccal cells or, preferably, in nasal epithelial cells.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 18, 2017 Category: Pediatrics Authors: Rossa Brugha, Robert Lowe, A. John Henderson, John W. Holloway, Vardhman Rakyan, Eva Wozniak, Nadiya Mahmud, Kay Seymour, Jonathan Grigg, Seif O. Shaheen Tags: Regular Article Source Type: research

Serum levels of omentin ‐1 are increased after weight loss and are particularly associated with increases in obese children with metabolic syndrome
ConclusionSerum omentin‐1 was regulated by weight and seemed to be associated with children's metabolic disorders. A six‐month lifestyle intervention significantly increased serum omentin‐1 levels.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 18, 2017 Category: Pediatrics Authors: Meizhen Zhang, Xinrui Tan, Chunyan Yin, Li Wang, Yingchun Tie, Yanfeng Xiao Tags: Regular Article Source Type: research

Staff Perceptions of Challenging Parent ‐Staff Interactions and Beneficial Strategies in the Neonatal Intensive Care Unit
ConclusionThis study delineates what staff perceive as challenging interactions and provides support for an educational and interventional role that incorporates mental health professionals.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 18, 2017 Category: Pediatrics Authors: Joshua Friedman, Susan Hatters Friedman, Marc Collin, Richard J. Martin Tags: Regular Article Source Type: research

Salivary cortisol circadian rhythm in infants at psychosocial risk showed more variations than previous studies of healthy full ‐term infants
This study investigated the development of SCCR in infants at high psychosocial risk, by measuring salivary cortisol levels during their first year of life and evaluating whether those were related to behavioural regularity. This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 18, 2017 Category: Pediatrics Authors: E M örelius, K Ivars, P A Gustafsson, E Theodorsson, N Nelson Tags: Brief Report Source Type: research

C ‐reactive protein concentrations can help to determine which febrile infants under three months should receive blood cultures during influenza seasons
ConclusionWe found that CRP concentrations could indicate which febrile children under three months of age should undergo blood culture tests during influenza seasons.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 11, 2017 Category: Pediatrics Authors: Weiran Li, Shuanghong Luo, Yu Zhu, Yang Wen, Min Shu, Chaomin Wan Tags: Regular Article Source Type: research

Shared decision ‐making, value pluralism and the zone of parental discretion
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 11, 2017 Category: Pediatrics Authors: Joseph W. Kaempf, Nicholas Kockler, Mark W. Tomlinson Tags: A Different View – A Reply Source Type: research

Low age, low birth weight and congenital heart disease are risk factors for intensive care in infants with bronchiolitis
This study evaluated the incidence and risk factors for intensive care and respiratory support in infant bronchiolitis. MethodsThis retrospective descriptive case‐control study focused on 105 patients treated in the paediatric intensive care unit (PICU) and 210 controls treated in the emergency department or on the paediatric ward in Tampere University Hospital in Finland between 2000‐2015. Statistically significant risk factors in non‐adjusted analyses were included in the adjusted logistic regression. ResultsThe average age‐specific annual incidence of bronchiolitis requiring PICU admission under the age of 12 mo...
Source: Acta Paediatrica - August 11, 2017 Category: Pediatrics Authors: Minna Mecklin, Paula Heikkil ä, Matti Korppi Tags: Regular Article Source Type: research

Retrospective cohort study shows that the risks for retinopathy of prematurity included birth age and weight, medical conditions and treatment
ConclusionThis study showed that the risks for retinopathy of prematurity were wide‐ranging and included gestational age and weight, medical conditions and treatment.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 11, 2017 Category: Pediatrics Authors: Aliaa Adel Ali, Nancy Gomaa, Ahmed Reda Awadein, Huda Hussein Al ‐Hayouti, Ahmed Hegazy Tags: Regular Article Source Type: research

Dopamine plasma clearance is increased in piglets compared to neonates during continuous dopamine infusion
ConclusionOur results suggest that pharmacokinetic differences may explain the interspecific difference in required doses of dopamine infusion to increase blood pressure. This is important when translating the results obtained in piglet models to treating neonatal hypotension with dopamine.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 10, 2017 Category: Pediatrics Authors: Martin B Rasmussen, Jan Bert Gramsbergen, Vibeke R Eriksen, Gorm Greisen Tags: Regular Article Source Type: research

Maternal and infant factors had a significant impact on birth weight and longitudinal growth in a South African birth cohort
ConclusionBirth weight was an important predictor of growth trajectory during infancy. Birth weight and growth were influenced by several important modifiable factors.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 10, 2017 Category: Pediatrics Authors: S. Budree, DJ. Stein, K. Brittain, E. Goddard, N. Koen, W. Barnett, L. Myer, HJ. Zar Tags: Regular Article Source Type: research

A review of important electroencephalogram features for the assessment of  brain maturation in premature infants
Conclusion: This review aims to provide healthcare professionals in the neonatal intensive care unit with guidance on the more common normal maturational features seen in the EEG of preterm infants. (Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Elena Pavlidis, Rhodri O. Lloyd, Sean Mathieson, Geraldine B. Boylan Tags: Review Article Source Type: research

Catastrophic haemorrhage from button battery ingestion in children: a  growing problem
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Katie Wright, Kate Parkins, Haiko Jahn, Rachel Rowlands, Ffion Davies Tags: Editorial Source Type: research

Congenital CMV international guidelines are needed to guide diagnosis, prevention and management
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: William Rawlinson Tags: Editorial Source Type: research

Digital diagnosis of protruding ears
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Ana Almeida Tags: Editorial Source Type: research

Can vitamin D supplementation prevent chronic otitis media with effusion?
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Peter Bergman Tags: Editorial Source Type: research

Preterm standards for fetal growth and birthweight
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Jason Gardosi Tags: Editorial Source Type: research

Executive function deficits in preterm subjects are a combination of social risk factors and brain maldevelopment
(Source: Acta Paediatrica)
Source: Acta Paediatrica - August 9, 2017 Category: Pediatrics Authors: Jon Skranes Tags: Editorial Source Type: research