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Acta Paediatrica

Highlights in Acta Paediatrica's March 2017 issue - Free articles

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Highlights in Acta Paediatrica's March 2017 issue

Evidence-based neonatology commentaries
158601c5-392a-4799-8d63-3534929f3738.jpgIn this month's issue, we are delighted to announce a new feature, the Evidence-Based Neonatology Commentary. This represents a unique collaboration between Acta Paediatrica and the International Society for Evidence-Based Neonatology (EBNEO). Readers will find objective appraisals of trials related to the care of neonates. The commentaries will be published in Acta Paediatrica and displayed in more detail on the EBNEO website. The goal of this initiative was to reduce the time it takes to implement evidence-based research. See the editorial by Wright et al for more details.

Moderate drinking during pregnancy also affects offspring
aef55de3-7b99-47de-867d-2d36c18ffba0.jpgHeavy maternal alcohol consumption is well known to cause foetal alcohol spectrum disorders, but there is some controversy about whether low-to-moderate drinking during pregnancy can affect offspring. Sundelin-Wahlsten et al examined the effects of mothers’ self-reported alcohol consumption and reported negative effects on their children's growth, development and behaviour after moderate drinking. In the accompanying editorial, Landgren discusses the implications of recognising alcohol as a teratogen.

Swiss end-of-life decisions in the French, German or Italian way
03580d6c-ad17-4602-ae4f-a6b333695361.jpgHendriks et al conducted a nationwide telephone survey of the general population in the French-, German- and Italian-speaking regions of Switzerland, to explore attitudes and values with regard to extreme prematurity. The majority of the 1210 respondents, almost 78%, showed a strong preference for shared decision-making, although this was lower in the Italian region (66%) than in the German (78%) and French (80%) regions. In the accompanying editorial, Bührer asks whether end-of-life decisions about extremely preterm infants are influenced by language, gender and education.

Large differences between the Nordic countries in the use of less invasive surfactant administration
f9812cc9-1059-4c51-aebe-bd9ed1a9e9cf.jpgLess invasive surfactant administration (LISA) – which is surfactant instillation administered through a thin catheter in the trachea during spontaneous breathing – is increasingly used for premature infants. Heiring et al surveyed Nordic neonatal units in autumn 2015 and of the 73 units who responded, 32% said that they used LISA. However, it was more common in Iceland (100%) and Norway (82%) than in Denmark (11%) and Sweden (9%), with Finland falling in between (60%). Premedication was used by 78%, which is more often than previously reported. Readers may also be interested to read the survey by Mukerji et al, who evaluated practice variations in noninvasive respiratory support use across Canadian neonatal intensive care units.

Forty years of childhood encephalitis in Sweden

92d08091-fb51-454c-9e29-76863dcb3384.jpgIn this paper, Wickström et al describe childhood encephalitis in Stockholm, Sweden, from 1970 to 2009, covering the diagnostics, aetiology and outcomes. The incidence was similar over the 40-year period and, although mortality markedly decreased and aetiologies shifted during that time, no clear long-term improvements in outcome were seen. The need for intensive care was relatively unchanged (18%–20%) for each of the study intervals, possibly indicating that the severity of cases remained unaltered.

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