Artigo Acesso aberto Revisado por pares

Highlights in this issue

2019; Wiley; Volume: 108; Issue: 12 Linguagem: Inglês

10.1111/apa.15051

ISSN

1651-2227

Autores

Anna Käll, Hugo Lagercrantz,

Tópico(s)

Neonatal Health and Biochemistry

Resumo

Severe primary paediatric immunodeficiency syndromes are rare and potentially fatal unless detected and treated early. Wekell et al1 provide clinical guidance and support for on-call consultant paediatricians working in the emergency departments of secondary level hospitals on how to recognise and manage children with these conditions. Abrahamsen2 comments on the guidelines. Recurrent pain of unknown origin is a major problem in children. A review by Alfven et al3 examines the role of negative stress in the aetiology of recurrent pain. They also explore how negative stress affects the central nervous system, with a particular focus on increased muscle tone and startle reflexes. Recurrent pain is also covered in a paper by Játiva-Mariño et al,4 who report that the prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III. It is estimated that 1.9-3.8 million people live in the European Union without a valid residence and that 13% are younger than 18 years. Parellada et al5 explored the health of undocumented migrant children in Denmark and found that they had diverse health needs, including critical conditions. The study highlights the need for enhanced awareness and attention, so that undocumented migrant children can have access to comprehensive healthcare services. Hjern and Kadir6 comment on the findings. Newborn screening for cystic fibrosis (CF) was not implemented in Denmark, until 2016. Pedersen et al7 describe the clinical status of patients with CF when they were diagnosed in 2010-2014, before national screening. They found that these CF diagnoses took considerably longer than in other countries that were already using newborn CF screening. Many of the Danish patients with CF diagnosed due to clinical symptoms were moderate to severe underweight or stunted at diagnosis. Castillo Castejón et al8 compared 79 children adopted from Eastern Europe with matched children born in Spain. All the subjects underwent a full ophthalmological assessment and standardised tests to evaluate their visual cognitive skills. The result revealed that children adopted from Eastern Europe were at increased risk of visual perceptual disabilities, especially those with sentinel findings of foetal alcohol syndrome disorders. Figures 1-5: Istockphoto.

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