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Article du mois de Janvier 2024
Nous vous proposons la lecture de l'article "Childminder knowledge of shaken baby syndrome and the role played by childminders in prevention: An observational study in France"
V. Fortin, A. Romero De Avila Ortiz, A.-D. Marq, E. Mostermans, M. Marichal, M. Bailhache
Background: Shaken baby syndrome (SBS) triggers negative short- and long-term outcomes. In France, registered childminders are the principal source of daycare. They may encounter SBS imparted by caregivers or simply excessive infant crying. The aim of the study was to explore childminder knowledge on SBS, the source of information, the responses to infant crying, how childminders perceived their roles in terms of caregiver SBS prevention, and the factors associated with a good knowledge of SBS.
Methods: The participants were registered childminders working in the French department of Gironde who had email accounts. This observational study employed an anonymous online questionnaire distributed by the maternal and child health services unit of the Gironde department over 5 weeks from 16 September 2021. Data on childminder characteristics, knowledge on SBS, responses to infant crying, and perceptions of their roles in SBS prevention were collected. The knowledge score ranged from 0 (all wrong answers) to 30 (all correct answers).
Results: A total of 779 registered childminders participated; 43.9 % had learnt about SBS during their initial training and 75 % before (other training) or after initial training. The median knowledge score was 19/30 (interquartile range [16; 21]). A higher educational level, previous other professional experience, training on SBS, and responsibility for few children were associated with higher scores. Ten reported that they did not advise caregivers who complained of infant crying.
Conclusion: Childminders require training on SBS and SBS prevention.
Article du mois de Novembre 2023
Nous vous proposons la lecture de l'article "Evolution of screen use among youth between 2012 and 2020 in Switzerland"
M. Mora-Monteros, J.-C. Suris, L Chok, A. Siwiak, S. Stadelmann, Y. Barrense-Dias
Aim: To compare the evolution of screen and Internet use by youths between 2012 and 2020 in Switzerland.
Methods: Cross-sectional studies of 10th-graders (age 13–14) were performed in Switzerland in 2012 and 2020, and compared in bivariate and multivariate analyses on sociodemographic, schooling, physical activity, emotional well-being, and screen use variables.
Results: We found that screen use had shifted to smartphones with 71.7 % of youths primarily using this device in 2020 compared to 23.2 % in 2012. In association with this change, young people's screen time had increased dramatically with an odds ratio (OR) of 11.90 for adolescents spending more than 4 h in front of screens in 2020 compared to 2012. No changes were found in the score on the Internet Addiction Test (IAT) to detect problematic screen use and for adolescents’ emotional well-being. Furthermore, youths in 2020 engaged in less physical activity lasting 60 min daily, but the frequency of their extracurricular sport participation remained unchanged.
Conclusion: Young people spend more time on screens, especially because of an increase in smartphone use in 2020. However, youths do not seem to show more problematic behaviors regarding screen use, nor has this development affected their emotional well-being. The daily and continuous use of new devices is now an integral part of young people's lives. This process seems to be part of the growth of the digital world. However, Internet and screen addiction scales should be adapted to ensure that adolescents in need of help and counseling are identified.
Article du mois de Mai 2023
Nous vous proposons la lecture de l'article "What happens when you are not on social networks? A survey among middle-school teens in Switzerland" Joan-Carles Suris et al
Aim: The aim of the study was to describe the differences between users and non-users of social networks controlling for explanatory factors.
Methods: Data were drawn from a survey on media and Internet use carried out among 2893 10th graders in Switzerland. Participants were asked whether they were active in 10 different social networks and divided into two groups: Not active (answering no to the 10 networks; n = 176) and Active (answering positively to at least one; n = 2717). The groups were compared on sociodemographic, health, and screen-related variables. All variables significant in the bivariate analysis were included in a backward logistic regression.
Results: The backward logistic regression revealed that inactive participants were more likely to be males, younger, to live in an intact family, and to assess their screen time as below average, and less likely to practice extracurricular sport, to spend ≥4 h of screen time per day, to be around their smartphone at all times, to have parental rules about Internet content, or to discuss Internet use with parents.
Conclusion: Most young adolescents use social networks. However, this activity does not seem to be associated with academic problems. Therefore, the use of social networks should not be demonized but considered part of their social life.
Article du mois de Janvier 2023
Nous vous proposons la lecture de cet article portant sur la prévalence des ALD chez l'enfant et l'analyse de la consommation de soins chez l'enfant d'après les données du SNDS
J. Pergeline, T. Lesuffleur, S. Rey, J. Fresson, A. Rachas, P. Tuppin,*
Objective: Among children younger than 18 years, the prevalence of long-term chronic diseases (LTDs) is not well known in France, nor the frequency of the use of healthcare services. This nationwide observational study focused on both topics over a 1-year period following the birth or birthday of French children in 2018 and compared the LTD status and use of healthcare.
Materials and methods: We selected children living in mainland France from the national health data system (SNDS). It includes data concerning the LTD status, which guarantees 100% reimbursement for related healthcare expenditures. We calculated the median and interquartile range (IQR) for the prevalence of LTDs and the rate of children using healthcare services at least once during the year.
Results: We included 13.211 million children (51.2% boys), of whom 4% had at least one LTD (boys: 4.6%, girls: 3.3%). Mental and behavioral disorders were the most frequent cause (1.6%). At least one visit to a general practitioner (GP) or pediatrician was found for 88% of children (median: 3, IQR: 2−6): 98% for children under 1 year of age and 81% for children aged 14−17 years. A pediatrician was visited by 17% of children, another specialist by 39%, a dentist by 37%, with peaks of about 60% at the ages of 6, 9, and 12 years; 8% visited a nurse and 7% visited a physiotherapist. At least one emergency department visit was recorded for 24% of children (42% <1 year) and one short-stay hospitalization (SSH) for 9%. Regional variations were observed. Children with LTDs more frequently used all services, such as specialist visits (50% vs. 40%), ED visits (32% vs. 23%), SSHs (26% vs. 8% and 15% vs. 4.0% for one night or more), and psychiatric hospital admissions (5% vs. 0.1%).
Conclusion: Most children saw a GP or pediatrician during the year and children with an LTD showed more frequent use. Nevertheless, outpatient visits appeared to be underutilized with respect to recommendations or free-of-charge prevention visits, such as for dentists. More detailed studies are required to identify factors associated with the use of healthcare services in France, for example, studies including the deprivation index and regional variations.
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Article du mois de Novembre 2022
Dans ce numéro de Novembre, nous avons été particulièrement intéressé par l'expérience de Naiim Habib et al concernant l'hospitalisation à domicile de nourrissons avec une bronchiolite, un sujet plus que jamais d'actualité...
Habib IN, Gatbois E, Yang JS, Jacob CM, Gorgiel E, Gasq E, Foureau A, Melki I, Koehl B, Lemaître C, Sommet J, Faye A, Lorrot M.Arch Pediatr. 2022 Nov;29(8):610-614. doi: 10.1016/j.arcped.2022.08.002. Epub 2022 Oct 7.
Aim: To describe the management of home oxygen therapy for infants with acute bronchiolitis through a home care network: Hospital at Home (HAH).
Methods: A retrospective observational study was carried out during two consecutive winters from 2012 to 2014.
Results: A total of 141 patients were eligible for home oxygen therapy, and 54 were discharged on home oxygen therapy through HAH. The median age of patients was 2.5 months (0.75−13 months). The average length of hospital stay before discharge was 4.9 days (1−17 days). In total, 73% of the children received oxygen at home. There was an average of five nurse visits per patient. Each child was seen by a pediatrician during the HAH care. There were no deaths or readmissions to an intensive care unit. There were two conventional readmissions for increased respiratory distress and two emergency department visits. The median length of HAH was 6 days (1−33 days).
Conclusion: Home oxygen for infants with acute bronchiolitis is a promising and safe alternative to reduce conventional hospitalizations. It is necessary to evaluate the cost of this treatment and its impact on nosocomial infections