688 results match your criteria: "University Hospital for Children[Affiliation]"

Article Synopsis
  • X-chromosomal genetic variants can provide important information about differences in human traits and diseases between sexes.
  • A large-scale study analyzed kidney-related traits in nearly 909,000 individuals, finding 23 genetic loci linked to uric acid levels and estimated glomerular filtration rate (eGFR), including four new genes that may play a role in kidney function.
  • The research also discovered five novel sex-specific interactions, with variations showing different effects in males and females, and highlighted genes that are responsive to androgens (male hormones), indicating a complex relationship between sex and kidney-related genetics.
View Article and Find Full Text PDF

Background: The incidence of inflammatory bowel disease (IBD) in children is on the increase worldwide. Growth disorders are common in pediatric patients with inflammatory bowel disease. The aim of this paper is to investigate anthropometric indicators, including height and weight in children with inflammatory bowel disease in Saxony, one of the German federal states, and to evaluate growth trends in patients by comparing their height and weight with that of healthy children in Germany.

View Article and Find Full Text PDF
Article Synopsis
  • * A study involving 1439 acute leukemia patients showed that 6% had a prior history of IA before receiving alloSCT, resulting in higher non-relapse mortality (17.3% for those with IA compared to 11.2% for those without), and poorer outcomes in terms of relapse-free and overall survival rates.
  • * Despite the challenges linked to pre-SCT IA, over two-thirds of patients with this condition were alive one
View Article and Find Full Text PDF

We aimed to explore parents' perceptions of their children's medication use for inborn errors of metabolism (IEM), including the importance of medication intake, potential complications, and concerns about adverse drug reactions (ADR). Additionally, we aimed to determine expert-assessed clinically relevant drug-related problems, particularly those attributable to IEM. We interviewed 108 parents of 119 pediatric patients with IEM using a questionnaire relating to their perceptions regarding their children's IEM medication.

View Article and Find Full Text PDF

Working towards risk stratification for ascending aortic dilatation in pediatric Turner syndrome patients: results of a longitudinal echocardiographical observation.

Eur J Pediatr

February 2024

Department of Pediatric Cardiology, Pediatric Heart Center Vienna, University Hospital for Children and Adolescent Medicine, Medical University Vienna, Waehringer Guertel 18-20, A - 1090, Vienna/Wien, Austria.

Unlabelled: This study aimed to longitudinally evaluate aortic root dimensions and elasticity in pediatric Turner syndrome (TS) in relation to known cardiac implications such as coarctation of the aorta (CoA) and bicuspid aortic valves (BAV) in order to create an improved risk profile for the presumed underlying vessel pathology in childhood. We report on the longitudinal findings of our pediatric TS outpatient clinic over a period of up to 7.6 years.

View Article and Find Full Text PDF

Body image and behavioural and emotional difficulties in German children and adolescents.

BMC Pediatr

November 2023

Department of Women and Child Health, University Hospital for Children and Adolescents, Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, Leipzig, 04103, Germany.

Background: Behavioural and emotional difficulties might play an important role in the development of body image disturbances, which represent serious risk factors for eating disorders or depression. The present study provides a detailed overview on body image disturbances and several behavioural and emotional difficulties (differences between gender, age, and weight status) and their inter-relations in German children and adolescents.

Methods: Data on body image disturbances, assessed through a Figure Rating Scale, and on behavioural and emotional difficulties, assessed through Goodman's Strengths and Difficulties Questionnaire (SDQ), were available for 5255 observations of 1982 German children and adolescents aged 8 to 18 years from the LIFE Child study, based in Leipzig, Germany.

View Article and Find Full Text PDF

Background: Randomized controlled trials have indicated reduced mortality rates in very preterm infants assigned to high compared to low oxygen saturation (SpO) target levels, accompanied by higher rates of retinopathy of prematurity and bronchopulmonary dysplasia. However, the benefit-to-harm ratio may depend on the local background mortality risk. We therefore aimed to quantify the risk-benefit ratios of different SpO target ranges in 10 tertiary newborn intensive care units (NICUs) in East Germany.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to explore how caregivers of patients with Dravet syndrome (DS) monitor critical incidents and their knowledge about sudden unexpected death in epilepsy (SUDEP).
  • It involved a cross-sectional survey in Germany that collected data through questionnaires and diaries from 108 patients and their 82 caregivers, revealing that 75.9% of caregivers used monitoring devices regularly, including pulse oximeters and baby monitors.
  • While caregivers were mostly informed about SUDEP and engaged in various nighttime interventions, only a small percentage received formal resuscitation training, highlighting a potential gap in emergency preparedness.
View Article and Find Full Text PDF

argue that identifying successful policies and practices in countries with falls in early childhood overweight can help enhance efforts and reduce within country inequities

View Article and Find Full Text PDF

Objective: Dietary glycemic index (GI) and glycemic load (GL) are associated with cardiometabolic health in children and adolescents, with potential distinct effects in people with increased BMI. DNA methylation (DNAm) may mediate these effects. Thus, we conducted meta-analyses of epigenome-wide association studies (EWAS) between dietary GI and GL and blood DNAm of children and adolescents.

View Article and Find Full Text PDF

Children's satisfaction with a comprehensive study program-Results from the LIFE Child cohort study.

Paediatr Perinat Epidemiol

November 2023

LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.

Background: Research participants' satisfaction is a topic of great interest, especially in the context of longitudinal studies. Evaluation also represents an important component of quality management in the health care system. Adult studies found that personal characteristics, e.

View Article and Find Full Text PDF

Purpose: Auditory complications are potential side effects from childhood cancer treatment. Yet, limited evidence exists about the impact of auditory complications-particularly tinnitus-on health-related quality of life (HRQoL) among childhood cancer survivors (CCS). We determined the prevalence of hearing loss and tinnitus in the European PanCareLIFE cohort of CCS and examined its effect on HRQoL.

View Article and Find Full Text PDF

The impact of the temporal sequence by which cranial radiotherapy (CRT) and platin-based chemotherapy (PCth) are administered on sensorineural hearing loss (SNHL) in pediatric and adolescent central nervous system (CNS) and head-and-neck (HN) cancer patients has not yet been studied in detail. We examined the ototoxic effects of sequentially applied CRT and PCth. This study included children and adolescents with CNS and HN tumors who participated in the multicountry PanCareLIFE (PCL) consortium.

View Article and Find Full Text PDF

Background: Limited data exist on how trainees in paediatric cardiology are assessed among countries affiliated with the Association of European Paediatric and Congenital Cardiology.

Methods: A structured and approved questionnaire was circulated to educationalists/trainers in 95 Association for European Paediatric and Congenital Cardiology training centres.

Results: Trainers from 46 centres responded with complete data in 41 centres.

View Article and Find Full Text PDF

Background And Purpose: Despite its rarity in Western countries, kernicterus resulting from severe neonatal hyperbilirubinemia and its associated neurologic consequences still persists. Subtle MR imaging patterns may be overlooked, leading to diagnostic and prognostic uncertainties. The study systematically analyzes MR imaging pattern over time.

View Article and Find Full Text PDF

Background: Fasting indices of glucose-insulin-metabolism are an easy and affordable tool to assess insulin resistance. We aimed to establish reference ranges for fasting insulin indices that reflect age-dependent variation over the entire life span and subsequently test their clinical application regarding the prediction of glycemic deterioration in children.

Methods: We calculated age- and puberty-dependent reference values for HOMA-IR, HOMA2-IR, HOMA-β, McAuley index, fasting insulin, and fasting glucose from 6994 observations of 5512 non-obese healthy subjects aged 5-80 years.

View Article and Find Full Text PDF

Objective: In Saxony, the incidence of Crohn's disease (CD) in children and adolescents increased significantly from 3.3 per 100,000 person-years in 2000 to 5.1 in 2014.

View Article and Find Full Text PDF

Epilepsies of presumed genetic etiology show enrichment of rare variants that occur in the general population.

Am J Hum Genet

July 2023

Institute of Human Genetics, University of Leipzig Medical Center, 04103 Leipzig, Germany; Department of Evolutionary Genetics, Max Planck Institute for Evolutionary Anthropology, 04103 Leipzig, Germany. Electronic address:

Previous studies suggested that severe epilepsies, e.g., developmental and epileptic encephalopathies (DEEs), are mainly caused by ultra-rare de novo genetic variants.

View Article and Find Full Text PDF

Purpose: To investigate the potential effects of volleyball as a competitive sport in adolescence on the cartilage of knee joints using T2 mapping in MRI and identification of preclinical cartilage changes. Volleyball as an impact sport often leads to damage of the knee joint cartilage in adulthood. As T2 mapping is widely available and highly capable of detecting cartilage changes prior to conventional MRI sequences, such a detection may allow adolescent volleyball players to change their training regime before structural damage can occur to the cartilage and pose the risk of osteoarthritis.

View Article and Find Full Text PDF

Monochromatic ocular high-order aberrations in children and adolescents.

Ophthalmic Physiol Opt

July 2023

Institute for Medical Informatics, Statistics, and Epidemiology (IMISE), Leipzig University, Leipzig, Germany.

Purpose: To investigate the prevalence and repeatability of high-order aberrations (HOAs) from non-cyclopleged eyes in 1515 children and adolescents 2.5-18 years of age.

Methods: The Leipzig Research Centre for Civilization Diseases (LIFE)-Child study is a population-based, prospective, observational single-centre study that investigates the development of children and adolescents in Germany.

View Article and Find Full Text PDF

Germline pathogenic variants in two genes encoding the lysine-specific histone methyltransferase genes SETD1A and SETD2 are associated with neurodevelopmental disorders (NDDs) characterized by developmental delay and congenital anomalies. The SETD1A and SETD2 gene products play a critical role in chromatin-mediated regulation of gene expression. Specific methylation episignatures have been detected for a range of chromatin gene-related NDDs and have impacted clinical practice by improving the interpretation of variant pathogenicity.

View Article and Find Full Text PDF

The "omnigenic" hypothesis postulates that the polygenic effects of common SNPs on a typical complex trait are mediated through trans-effects on expression of a relatively sparse set of effector ("core") genes. We tested this hypothesis in a study of 4,964 cases of type 1 diabetes (T1D) and 7,497 controls by using summary statistics to calculate aggregated (excluding the HLA region) trans-scores for gene expression in blood. From associations of T1D with aggregated trans-scores, nine putative core genes were identified, of which three-STAT1, CTLA4 and FOXP3-are genes in which variants cause monogenic forms of autoimmune diabetes.

View Article and Find Full Text PDF
Article Synopsis
  • This study examined sleep quality among caregivers of patients with Dravet syndrome (DS) and explored how mental health issues and caregiver burden impact their sleep.
  • Involving 108 questionnaires and 82 diaries, results indicated that a significant majority (76.9%) of caregivers reported poor sleep quality, and many experienced high levels of anxiety (61.8%) and depression (50.9%).
  • The findings suggest that caregiver anxiety and patients' sleep disturbances are significant factors influencing sleep quality, highlighting the need for a comprehensive support system addressing both patients' and caregivers' mental health and sleep needs.
View Article and Find Full Text PDF

Equivalent doses for anticancer agents used in pediatric oncology: A literature review and evaluation of a novel approach for conversion factors.

Cancer Rep (Hoboken)

May 2023

German Childhood Cancer Registry (GCCR), Division of Childhood Cancer Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.

Background: Epidemiological research on late effects of therapy shows the necessity to aggregate chemotherapy agents to substance classes. This requires using conversion factors by substance classes.

Aims: The aim of this study was to identify previously used conversion factors from the literature, to present a novel approach for additional factors, and to compare these approaches.

View Article and Find Full Text PDF